| Wake Forest University Health Sciences | |
|
Medical Center Blvd Winston Salem NC 27157-0001 | |
| (336) 716-2255 | |
| Not Available |
| Full Name | Wake Forest University Health Sciences |
|---|---|
| Speciality | Clinic/Center |
| Location | Medical Center Blvd, Winston Salem, North Carolina |
| Authorized Official Name and Position | David William Zaas (PRESIDENT, AH WFB) |
| Authorized Official Contact | 3367134944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Forest University Health Sciences Po Box 344 Winston Salem NC 27102-0344 Ph: (336) 716-2255 | Wake Forest University Health Sciences Medical Center Blvd Winston Salem NC 27157-0001 Ph: (336) 716-2255 |
| NPI Number | 1003803032 |
|---|---|
| Provider Enumeration Date | 10/04/2005 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Medicare PECOS PAC ID | 4486564952 |
|---|---|
| Medicare Enrollment ID | O20031105000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003803032 | NPI | - | NPPES |
| C08811 | Other | VA | MCARE GROUP - VIRGINIA ME |
| 07001 | Other | NC | BCBS |
| 89013KW | Medicaid | NC | |
| 2433646 | Other | NC | MCARE GROUP NUMBER - PODI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Julianne S Whittington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780653147 PECOS PAC ID: 5193639490 Enrollment ID: I20031119000269 |
| Provider Name | Jonathan H Woody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780788125 PECOS PAC ID: 2769386515 Enrollment ID: I20031122000075 |
| Provider Name | Vance Billy Mcvay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912980376 PECOS PAC ID: 4688578123 Enrollment ID: I20031125000677 |
| Provider Name | Debra Ann Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720058282 PECOS PAC ID: 8325942709 Enrollment ID: I20031126000407 |
| Provider Name | John a Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578548210 PECOS PAC ID: 8426953829 Enrollment ID: I20031126000556 |
| Provider Name | Andrew Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639157290 PECOS PAC ID: 4981500634 Enrollment ID: I20031211000906 |
| Provider Name | Rodolfo Marshall Pascual |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346223484 PECOS PAC ID: 7012814874 Enrollment ID: I20031218000540 |
| Provider Name | Christopher Alan Ohl |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619952991 PECOS PAC ID: 1153228945 Enrollment ID: I20031218000750 |
| Provider Name | Ashton V Molai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528091758 PECOS PAC ID: 8123925062 Enrollment ID: I20031222000657 |
| Provider Name | Timothy Stewart Means |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316928724 PECOS PAC ID: 3779481841 Enrollment ID: I20031229000112 |
| Provider Name | Katherine Marie Hilliard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750328837 PECOS PAC ID: 6901709138 Enrollment ID: I20040127000863 |
| Provider Name | Jill Ann Ohar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376526400 PECOS PAC ID: 4880597939 Enrollment ID: I20040128000356 |
| Provider Name | Martha Jane Sohmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750337242 PECOS PAC ID: 0749183424 Enrollment ID: I20040129000983 |
| Provider Name | Bruce Monks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346237880 PECOS PAC ID: 1456244144 Enrollment ID: I20040205001063 |
| Provider Name | Steven Shi-tsen Mou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215912175 PECOS PAC ID: 5193610988 Enrollment ID: I20040219000855 |
| Provider Name | Susanne Bickley Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316014400 PECOS PAC ID: 6901792027 Enrollment ID: I20040225000951 |
| Provider Name | Alison Leah Mcneil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255393831 PECOS PAC ID: 0941198956 Enrollment ID: I20040310000105 |
| Provider Name | Shashi K Nagaraj |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861476848 PECOS PAC ID: 8527957562 Enrollment ID: I20040315001135 |
| Provider Name | Marilyn M Gamewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881684447 PECOS PAC ID: 9830089820 Enrollment ID: I20040315001573 |
| Provider Name | Darla C Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699735209 PECOS PAC ID: 7911897988 Enrollment ID: I20040316000454 |
| Provider Name | Thomas a Bull |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386623312 PECOS PAC ID: 8123918356 Enrollment ID: I20040319000272 |
| Provider Name | Kathy G Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215082078 PECOS PAC ID: 4082505938 Enrollment ID: I20040322001080 |
| Provider Name | Omar Sangueza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770569436 PECOS PAC ID: 5799770111 Enrollment ID: I20040415001346 |
| Provider Name | Ann T Currin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316966989 PECOS PAC ID: 6709873615 Enrollment ID: I20040430000319 |
| Provider Name | Timothy N Harwood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780795138 PECOS PAC ID: 9739078551 Enrollment ID: I20040501000368 |
| Provider Name | Larry a Hollar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417038738 PECOS PAC ID: 4981697323 Enrollment ID: I20040504001603 |
| Provider Name | Wendy S Blair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447279013 PECOS PAC ID: 5395733471 Enrollment ID: I20040505001637 |
| Provider Name | Shaily Evelyn Estrella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215916531 PECOS PAC ID: 8820086879 Enrollment ID: I20040506000312 |
| Provider Name | Robert a Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780600023 PECOS PAC ID: 5395734107 Enrollment ID: I20040507000672 |
| Provider Name | Linda Morris Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144324583 PECOS PAC ID: 7517956113 Enrollment ID: I20040510000359 |
| Provider Name | Kevin Paul High |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144205428 PECOS PAC ID: 6901895168 Enrollment ID: I20040511001596 |
| Provider Name | Kenneth L Parish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215990502 PECOS PAC ID: 9133119753 Enrollment ID: I20040515000293 |
| Provider Name | Cheryl a Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760414924 PECOS PAC ID: 0345231429 Enrollment ID: I20040518001542 |
| Provider Name | Patrick E Lantz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982688941 PECOS PAC ID: 2668453275 Enrollment ID: I20040528000753 |
| Provider Name | Stephen E Greer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427004209 PECOS PAC ID: 5496736845 Enrollment ID: I20040601000368 |
| Provider Name | Theodore Knox Gregory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801811534 PECOS PAC ID: 2062317118 Enrollment ID: I20040607000329 |
| Provider Name | Anthony J Atala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235111832 PECOS PAC ID: 3375525819 Enrollment ID: I20040607001031 |
| Provider Name | Karen Rinderle Gerancher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841273976 PECOS PAC ID: 1052394491 Enrollment ID: I20040608000974 |
| Provider Name | Matthew Gordon Hough |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700860772 PECOS PAC ID: 9234112483 Enrollment ID: I20040609001308 |
| Provider Name | Thomas W Mclean |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124002209 PECOS PAC ID: 8022091792 Enrollment ID: I20040611001390 |
| Provider Name | Gilda Cardenosa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164526497 PECOS PAC ID: 0648254276 Enrollment ID: I20040614000361 |
| Provider Name | Ann Oaks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659347078 PECOS PAC ID: 3971587155 Enrollment ID: I20040615001479 |
| Provider Name | Mark William Russo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588745392 PECOS PAC ID: 0042294068 Enrollment ID: I20040616001509 |
| Provider Name | Michael M Gaspari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548288921 PECOS PAC ID: 3375527393 Enrollment ID: I20040616001533 |
| Provider Name | Jason Bradford Mccurry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861436123 PECOS PAC ID: 3678558285 Enrollment ID: I20040618001268 |
| Provider Name | Marie Moore Dinges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346215456 PECOS PAC ID: 4880679943 Enrollment ID: I20040622001301 |
| Provider Name | Simon a Mahler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124051487 PECOS PAC ID: 8325023237 Enrollment ID: I20040623000757 |
| Provider Name | Michael Thomas Fitch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215911615 PECOS PAC ID: 3870579360 Enrollment ID: I20040625000533 |
| Provider Name | Vera P Luther |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538282645 PECOS PAC ID: 3678559101 Enrollment ID: I20040625000789 |
| Provider Name | Rony Labib Shammas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952382152 PECOS PAC ID: 3577549963 Enrollment ID: I20040626000061 |
| Provider Name | Kurt Robert Daniel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083760417 PECOS PAC ID: 2264418508 Enrollment ID: I20040626000469 |
| Provider Name | Darryl Bruce Rhyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275522492 PECOS PAC ID: 8325022536 Enrollment ID: I20040628000433 |
| Provider Name | Patience Ekuatinne Reich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447246566 PECOS PAC ID: 9638155765 Enrollment ID: I20040628001516 |
| Provider Name | Madhulika Chandra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912987082 PECOS PAC ID: 6901882919 Enrollment ID: I20040629000520 |
| Provider Name | James J Hoth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720063894 PECOS PAC ID: 2264419845 Enrollment ID: I20040701000700 |
| Provider Name | Preston R Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306822903 PECOS PAC ID: 7012994692 Enrollment ID: I20040701000748 |
| Provider Name | Melanie a Belfi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558401455 PECOS PAC ID: 7618865056 Enrollment ID: I20040702000318 |
| Provider Name | Robert Joseph Stratta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346226966 PECOS PAC ID: 2466430426 Enrollment ID: I20040708000108 |
| Provider Name | David Reese Obrien |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1063479327 PECOS PAC ID: 5193703064 Enrollment ID: I20040708001032 |
| Provider Name | Robert D Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457307886 PECOS PAC ID: 6901884691 Enrollment ID: I20040709000493 |
| Provider Name | Michael Trevor Shick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396793386 PECOS PAC ID: 2466345624 Enrollment ID: I20040712000216 |
| Provider Name | Michael Steven Reif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588684690 PECOS PAC ID: 9638157944 Enrollment ID: I20040713000387 |
| Provider Name | Joan J Robie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669455069 PECOS PAC ID: 3779561196 Enrollment ID: I20040713000449 |
| Provider Name | Kimberly H Parrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336280742 PECOS PAC ID: 8325026404 Enrollment ID: I20040713001609 |
| Provider Name | Suneetha R Kalathoor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306818356 PECOS PAC ID: 5092794016 Enrollment ID: I20040714001107 |
| Provider Name | Sigmund I Tannenbaum |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225024540 PECOS PAC ID: 3476532425 Enrollment ID: I20040714001310 |
| Provider Name | Rody Ben Singer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548255680 PECOS PAC ID: 0840279675 Enrollment ID: I20040715001030 |
| Provider Name | David John Bohle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710966718 PECOS PAC ID: 0840279485 Enrollment ID: I20040716000449 |
| Provider Name | Thomas Freeman Slaughter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912982042 PECOS PAC ID: 7416936737 Enrollment ID: I20040719001103 |
| Provider Name | Thomas Pranikoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144206749 PECOS PAC ID: 8921087107 Enrollment ID: I20040720000743 |
| Provider Name | Eric D Lance |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043292345 PECOS PAC ID: 5799765541 Enrollment ID: I20040722000269 |
| Provider Name | Michael Clayton Dearment |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770671950 PECOS PAC ID: 3870587843 Enrollment ID: I20040723001014 |
| Provider Name | Christopher Nenion Conley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1427079946 PECOS PAC ID: 0749264703 Enrollment ID: I20040728000801 |
| Provider Name | John Kenny Mclarney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760556997 PECOS PAC ID: 4486624871 Enrollment ID: I20040731000324 |
| Provider Name | Tracey Sheets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801992334 PECOS PAC ID: 9234100587 Enrollment ID: I20040802001175 |
| Provider Name | Heath C Thornton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942284450 PECOS PAC ID: 3678544152 Enrollment ID: I20040805001581 |
| Provider Name | Paul Francis Malinda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134172851 PECOS PAC ID: 0547232548 Enrollment ID: I20040810001147 |
| Provider Name | Longinus Olewuike Agor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265494686 PECOS PAC ID: 9638141211 Enrollment ID: I20040812001071 |
| Provider Name | Daniel Howard Golwyn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134151814 PECOS PAC ID: 0446223044 Enrollment ID: I20040812001235 |
| Provider Name | Kirsten Brantley Feiereisel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669468724 PECOS PAC ID: 7113990185 Enrollment ID: I20040817001230 |
| Provider Name | Paul Ferman Welty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770535775 PECOS PAC ID: 6406820018 Enrollment ID: I20040820000277 |
| Provider Name | Bret a Nicks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831173244 PECOS PAC ID: 4385618917 Enrollment ID: I20040820000404 |
| Provider Name | Annie Delores Blackwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598811663 PECOS PAC ID: 6103890736 Enrollment ID: I20040820000406 |
| Provider Name | Sheila Haire Crumb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548206030 PECOS PAC ID: 9436123064 Enrollment ID: I20040820000426 |
| Provider Name | Joanna Nordlander Huckabee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003861840 PECOS PAC ID: 7315911765 Enrollment ID: I20040823000647 |
| Provider Name | William Joseph Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629163209 PECOS PAC ID: 1658343264 Enrollment ID: I20040823000910 |
| Provider Name | Peter Brath |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235159625 PECOS PAC ID: 2163494774 Enrollment ID: I20040823001499 |
| Provider Name | Henderson D Mcginnis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174508030 PECOS PAC ID: 6406820554 Enrollment ID: I20040824000668 |
| Provider Name | Alisha Tomlinson Detroye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699750729 PECOS PAC ID: 4284608308 Enrollment ID: I20040824001170 |
| Provider Name | Mary a Knovich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750365128 PECOS PAC ID: 2062486871 Enrollment ID: I20040825001308 |
| Provider Name | Robin Giddens Callaway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447362884 PECOS PAC ID: 9234104803 Enrollment ID: I20040827000298 |
| Provider Name | Tonya V Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396736542 PECOS PAC ID: 4486629094 Enrollment ID: I20040827000564 |
| Provider Name | Tomika M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518938323 PECOS PAC ID: 3375518988 Enrollment ID: I20040827000578 |
| Provider Name | Gretchen Y Velazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528094844 PECOS PAC ID: 1456326867 Enrollment ID: I20040830000592 |
| Provider Name | Avinash K Shetty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669456745 PECOS PAC ID: 4385619626 Enrollment ID: I20040830000869 |
| Provider Name | Christy T Bracken |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194766477 PECOS PAC ID: 3173598422 Enrollment ID: I20040830000892 |
| Provider Name | Steve James Hodges |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144202755 PECOS PAC ID: 4981679131 Enrollment ID: I20040831000812 |
| Provider Name | Bayard Lowery Powell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831173954 PECOS PAC ID: 8325014392 Enrollment ID: I20040909001354 |
| Provider Name | Sara M Furr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548288947 PECOS PAC ID: 5092782870 Enrollment ID: I20040911000283 |
| Provider Name | Robert S Humble |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881663730 PECOS PAC ID: 6305813924 Enrollment ID: I20040914000258 |
| Provider Name | Patrick Manning Hranitzky |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982786083 PECOS PAC ID: 4082681572 Enrollment ID: I20040914000763 |
| Provider Name | Lisa M Kistner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114919727 PECOS PAC ID: 8022086867 Enrollment ID: I20040920001176 |
| Provider Name | Paul WF Coughlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285650051 PECOS PAC ID: 9234107814 Enrollment ID: I20040921001133 |
| Provider Name | Timothy Leon Mullins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730105404 PECOS PAC ID: 1052389640 Enrollment ID: I20040921001240 |
| Provider Name | Robert S Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568514016 PECOS PAC ID: 4880663020 Enrollment ID: I20040925000026 |
| Provider Name | Andrew C Pinkerton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962520742 PECOS PAC ID: 5395714935 Enrollment ID: I20040929001200 |
| Provider Name | Lisa a Rudisill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881646842 PECOS PAC ID: 2860451309 Enrollment ID: I20041008000885 |
| Provider Name | Thomas Wesley Templeton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770568651 PECOS PAC ID: 5193785848 Enrollment ID: I20041016000050 |
| Provider Name | William David Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447276159 PECOS PAC ID: 7315907854 Enrollment ID: I20041019000158 |
| Provider Name | Shantala Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700891421 PECOS PAC ID: 6204897747 Enrollment ID: I20041019000881 |
| Provider Name | Michael Scott Blau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093789414 PECOS PAC ID: 3779544259 Enrollment ID: I20041019001200 |
| Provider Name | Laura Culp Foster |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679535173 PECOS PAC ID: 6901867969 Enrollment ID: I20041022000474 |
| Provider Name | Pirouz Daeihagh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083699417 PECOS PAC ID: 9739140781 Enrollment ID: I20041022000587 |
| Provider Name | Franklin Lee Tolbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457311003 PECOS PAC ID: 4284695164 Enrollment ID: I20041023000285 |
| Provider Name | Allan Neal Boruszak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477739852 PECOS PAC ID: 4183685944 Enrollment ID: I20041025000616 |
| Provider Name | Christa R Pannell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548235641 PECOS PAC ID: 2466430772 Enrollment ID: I20041025000713 |
| Provider Name | Jason Scott Romblad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134105216 PECOS PAC ID: 8224099098 Enrollment ID: I20041025000744 |
| Provider Name | Kalsoom K Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275586612 PECOS PAC ID: 7810985140 Enrollment ID: I20041028000830 |
| Provider Name | Leah Carol Bumgarner Templeton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346226776 PECOS PAC ID: 5991767923 Enrollment ID: I20041101001045 |
| Provider Name | Scott Alan Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356326177 PECOS PAC ID: 7113812322 Enrollment ID: I20041101001074 |
| Provider Name | William M Outlaw |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346353315 PECOS PAC ID: 9638131493 Enrollment ID: I20041103000428 |
| Provider Name | Phyllis Lamarr Mccutchen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326096249 PECOS PAC ID: 4688636483 Enrollment ID: I20041103000711 |
| Provider Name | Nancy E Keeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629272943 PECOS PAC ID: 4688637754 Enrollment ID: I20041109001099 |
| Provider Name | Kimberlee Banks Blaylock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225024029 PECOS PAC ID: 0941264691 Enrollment ID: I20041112001038 |
| Provider Name | William B Newton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215912258 PECOS PAC ID: 0042275778 Enrollment ID: I20041122001153 |
| Provider Name | Martha Jo Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932189990 PECOS PAC ID: 5698730695 Enrollment ID: I20041201000145 |
| Provider Name | Rajesh Dwarakanath Sakala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861499279 PECOS PAC ID: 3274599667 Enrollment ID: I20041207001095 |
| Provider Name | Scott M Mcmillan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659327039 PECOS PAC ID: 4082670310 Enrollment ID: I20041208000146 |
| Provider Name | Lisa a Petri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033102389 PECOS PAC ID: 1355308297 Enrollment ID: I20041213000775 |
| Provider Name | Carmen G Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659354207 PECOS PAC ID: 9537126776 Enrollment ID: I20041220000291 |
| Provider Name | Kevin E Steinl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447202635 PECOS PAC ID: 1759339393 Enrollment ID: I20050110001057 |
| Provider Name | Elliott L Wentz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447366430 PECOS PAC ID: 4082662630 Enrollment ID: I20050110001088 |
| Provider Name | Angela Draughon Rickelton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508836297 PECOS PAC ID: 4486603065 Enrollment ID: I20050120000965 |
| Provider Name | Katherine S Pickett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366640807 PECOS PAC ID: 4183675754 Enrollment ID: I20050201000968 |
| Provider Name | Darren Thomas Absher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427039155 PECOS PAC ID: 2668422080 Enrollment ID: I20050202000803 |
| Provider Name | Stacy Griffin Bachmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447208681 PECOS PAC ID: 3779534847 Enrollment ID: I20050207000125 |
| Provider Name | Raquel Bartz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891875142 PECOS PAC ID: 0648223305 Enrollment ID: I20050223000265 |
| Provider Name | Christopher J Comfort |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700892072 PECOS PAC ID: 3072566595 Enrollment ID: I20050224000686 |
| Provider Name | Daniel E Anderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831154244 PECOS PAC ID: 6103879556 Enrollment ID: I20050224000996 |
| Provider Name | Paul Kevin Hiatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356342893 PECOS PAC ID: 0244283265 Enrollment ID: I20050301000969 |
| Provider Name | Thomas M Sherrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356321095 PECOS PAC ID: 7214981141 Enrollment ID: I20050303000652 |
| Provider Name | Elisabeth Anne Stoffel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124007372 PECOS PAC ID: 5496709057 Enrollment ID: I20050307000232 |
| Provider Name | Sanjeev K Gulati |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1578574638 PECOS PAC ID: 3274587803 Enrollment ID: I20050308000192 |
| Provider Name | Rita O Pichardo Geisinger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255316311 PECOS PAC ID: 4789638222 Enrollment ID: I20050308001034 |
| Provider Name | Andrea Stephanie Fernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578546602 PECOS PAC ID: 0143275735 Enrollment ID: I20050316000783 |
| Provider Name | Gregory F Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467437525 PECOS PAC ID: 2264484112 Enrollment ID: I20050321000086 |
| Provider Name | James C O'neill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922026053 PECOS PAC ID: 8325094410 Enrollment ID: I20050322000739 |
| Provider Name | Kelly Blankenship Spry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982717484 PECOS PAC ID: 0042287617 Enrollment ID: I20050330000513 |
| Provider Name | Kirsten S Kerr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184603896 PECOS PAC ID: 1557318581 Enrollment ID: I20050401000588 |
| Provider Name | Michelle L Redman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598857039 PECOS PAC ID: 0244287696 Enrollment ID: I20050407000281 |
| Provider Name | Melissa Sue Fowler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568472140 PECOS PAC ID: 3577500842 Enrollment ID: I20050408000752 |
| Provider Name | Clark William Pinyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871546721 PECOS PAC ID: 8921045600 Enrollment ID: I20050414000015 |
| Provider Name | Wayne Beauford |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043232606 PECOS PAC ID: 3678511615 Enrollment ID: I20050420001099 |
| Provider Name | Brian Matthew Carroll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093766164 PECOS PAC ID: 9739128356 Enrollment ID: I20050503000171 |
| Provider Name | Charles Richards |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952315962 PECOS PAC ID: 3577503465 Enrollment ID: I20050510000943 |
| Provider Name | Timothy M Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477535581 PECOS PAC ID: 8820030695 Enrollment ID: I20050523001122 |
| Provider Name | Fernando a Cobos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356383947 PECOS PAC ID: 8820030604 Enrollment ID: I20050523001209 |
| Provider Name | Christopher a Sullivan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538143904 PECOS PAC ID: 4981646593 Enrollment ID: I20050524000997 |
| Provider Name | Marcia M Wofford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063496784 PECOS PAC ID: 5496796211 Enrollment ID: I20050531000311 |
| Provider Name | Robert F Leinbach |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376561662 PECOS PAC ID: 8921041690 Enrollment ID: I20050603000220 |
| Provider Name | Georgann Houben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518982420 PECOS PAC ID: 5597708248 Enrollment ID: I20050603000825 |
| Provider Name | Johnathan D Rhyne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285606210 PECOS PAC ID: 6406899798 Enrollment ID: I20050607001326 |
| Provider Name | Karen Susan Glass |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639120058 PECOS PAC ID: 8022003102 Enrollment ID: I20050614001392 |
| Provider Name | Charity a Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497731434 PECOS PAC ID: 8527002732 Enrollment ID: I20050617000250 |
| Provider Name | James Joseph Perumpillichira |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932183969 PECOS PAC ID: 3173567351 Enrollment ID: I20050617000893 |
| Provider Name | Heather D Pacholke |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790744712 PECOS PAC ID: 0244275345 Enrollment ID: I20050620000854 |
| Provider Name | Lisa a Cassidy-vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093763351 PECOS PAC ID: 1951347921 Enrollment ID: I20050629000947 |
| Provider Name | Jon a Secrest |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811957871 PECOS PAC ID: 6406882497 Enrollment ID: I20050712000081 |
| Provider Name | Maida H Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386736684 PECOS PAC ID: 5193751964 Enrollment ID: I20050713000137 |
| Provider Name | Susan Lynn Humphrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790750164 PECOS PAC ID: 0446286264 Enrollment ID: I20050713000595 |
| Provider Name | Shari Schneider Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477515351 PECOS PAC ID: 2769419100 Enrollment ID: I20050718000821 |
| Provider Name | Anita Michelle Saran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700863453 PECOS PAC ID: 4587691480 Enrollment ID: I20050722000139 |
| Provider Name | David Carl Pollock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770531626 PECOS PAC ID: 2860429636 Enrollment ID: I20050722000812 |
| Provider Name | Melanie Berthel Good |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629180781 PECOS PAC ID: 1456388263 Enrollment ID: I20050725000090 |
| Provider Name | Savithri Nageswaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720062433 PECOS PAC ID: 7618904335 Enrollment ID: I20050725000197 |
| Provider Name | David W Zaas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588748461 PECOS PAC ID: 3779511027 Enrollment ID: I20050728000939 |
| Provider Name | Sarah L Cartwright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760466155 PECOS PAC ID: 3476581604 Enrollment ID: I20050729000394 |
| Provider Name | Maria Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073599569 PECOS PAC ID: 9931137809 Enrollment ID: I20050801001207 |
| Provider Name | Stephen C Wright |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164406542 PECOS PAC ID: 7618905589 Enrollment ID: I20050801001242 |
| Provider Name | Bruce D Switzer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073596391 PECOS PAC ID: 0941238810 Enrollment ID: I20050801001276 |
| Provider Name | Joel M Hartman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184606147 PECOS PAC ID: 2860420601 Enrollment ID: I20050802000599 |
| Provider Name | Geoffrey Todd Lamke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538132162 PECOS PAC ID: 5890723662 Enrollment ID: I20050802000879 |
| Provider Name | Jeff Douglas Williamson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508842089 PECOS PAC ID: 1658309463 Enrollment ID: I20050802001229 |
| Provider Name | Manoj Pariyadath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588694608 PECOS PAC ID: 2961430616 Enrollment ID: I20050803000109 |
| Provider Name | Karen Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851361729 PECOS PAC ID: 9739118282 Enrollment ID: I20050805000166 |
| Provider Name | Allison S Mcbride |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710961719 PECOS PAC ID: 8022048560 Enrollment ID: I20050815001039 |
| Provider Name | Daryl a Rosenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265416788 PECOS PAC ID: 5395775613 Enrollment ID: I20050816001277 |
| Provider Name | Heng Hong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952385189 PECOS PAC ID: 5092745299 Enrollment ID: I20050817000679 |
| Provider Name | Sarah C O Toole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376591586 PECOS PAC ID: 2163452285 Enrollment ID: I20050818000450 |
| Provider Name | Lori M Beane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033148788 PECOS PAC ID: 6507897352 Enrollment ID: I20050822001275 |
| Provider Name | Zhongyu J Li |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1922082304 PECOS PAC ID: 2466483722 Enrollment ID: I20050825000993 |
| Provider Name | William Jeffrey Petty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164406690 PECOS PAC ID: 3971534231 Enrollment ID: I20050825001020 |
| Provider Name | Reggie N Welborn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356386106 PECOS PAC ID: 7810928827 Enrollment ID: I20050829000870 |
| Provider Name | Hany Shenouda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346232246 PECOS PAC ID: 4789610361 Enrollment ID: I20050902000259 |
| Provider Name | David Philip Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538141999 PECOS PAC ID: 2365475381 Enrollment ID: I20050912000301 |
| Provider Name | Andrew Robert Roth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427082015 PECOS PAC ID: 3870577604 Enrollment ID: I20050913001067 |
| Provider Name | Carolyn Dixon Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255423778 PECOS PAC ID: 9830122936 Enrollment ID: I20050917000412 |
| Provider Name | Davis D Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508875972 PECOS PAC ID: 6608800503 Enrollment ID: I20050920001296 |
| Provider Name | Edward Hal Kincaid |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285617985 PECOS PAC ID: 3971537440 Enrollment ID: I20050923000392 |
| Provider Name | Cedric W Lefebvre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336178011 PECOS PAC ID: 0446284764 Enrollment ID: I20050926000302 |
| Provider Name | Robbie Locklear-zoll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295847812 PECOS PAC ID: 5496780454 Enrollment ID: I20050928001477 |
| Provider Name | Devainder Goli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528049517 PECOS PAC ID: 7012942709 Enrollment ID: I20050930000652 |
| Provider Name | Phyllis K Nyinaku-yeboah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376502278 PECOS PAC ID: 8123043593 Enrollment ID: I20051014000112 |
| Provider Name | Beth M Marshall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861565186 PECOS PAC ID: 5092731422 Enrollment ID: I20051014000769 |
| Provider Name | Ronald Lee Davis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528054673 PECOS PAC ID: 8628094398 Enrollment ID: I20051021000343 |
| Provider Name | Paul N Marenick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356327944 PECOS PAC ID: 5395761928 Enrollment ID: I20051021000739 |
| Provider Name | Jane M Keilitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457304883 PECOS PAC ID: 0143247460 Enrollment ID: I20051026000853 |
| Provider Name | David M Fabrizio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306958335 PECOS PAC ID: 4385661636 Enrollment ID: I20051026001098 |
| Provider Name | Todd Michael Schmitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639194905 PECOS PAC ID: 3476570367 Enrollment ID: I20051031000226 |
| Provider Name | William O Ntim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043290794 PECOS PAC ID: 2567489313 Enrollment ID: I20051031000784 |
| Provider Name | Daniel Leland Schwarz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710986716 PECOS PAC ID: 2961429592 Enrollment ID: I20051102000026 |
| Provider Name | Shahla Y Namak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174507537 PECOS PAC ID: 9335180447 Enrollment ID: I20051107001069 |
| Provider Name | Kathleen O Boyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326150715 PECOS PAC ID: 4082632195 Enrollment ID: I20051108000131 |
| Provider Name | John K Petty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497731095 PECOS PAC ID: 6608894431 Enrollment ID: I20051109001029 |
| Provider Name | Jade Jye Sung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184708125 PECOS PAC ID: 4981623428 Enrollment ID: I20051115000133 |
| Provider Name | Rebecca Dobson Mahony |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497802409 PECOS PAC ID: 8820017296 Enrollment ID: I20051115000431 |
| Provider Name | Joseph Yeboah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134241474 PECOS PAC ID: 6507885779 Enrollment ID: I20051116000856 |
| Provider Name | Bryan Cole Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598877623 PECOS PAC ID: 7416976683 Enrollment ID: I20051116000857 |
| Provider Name | Susan K Burden |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528041225 PECOS PAC ID: 5890714992 Enrollment ID: I20051117000864 |
| Provider Name | John B Feole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801817408 PECOS PAC ID: 5597784538 Enrollment ID: I20051118000161 |
| Provider Name | Edgar Mcpherson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518942978 PECOS PAC ID: 5092734285 Enrollment ID: I20051129000307 |
| Provider Name | Thomas Edward Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316907579 PECOS PAC ID: 2365462579 Enrollment ID: I20051202000474 |
| Provider Name | Tammy L Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720029051 PECOS PAC ID: 5991726853 Enrollment ID: I20051207000983 |
| Provider Name | Jillian P Schofield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740239144 PECOS PAC ID: 0345261665 Enrollment ID: I20051214000878 |
| Provider Name | Lisa Anne Rieker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841231412 PECOS PAC ID: 9133142284 Enrollment ID: I20060104000636 |
| Provider Name | Elizabeth a White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528084357 PECOS PAC ID: 5395769525 Enrollment ID: I20060114000024 |
| Provider Name | Yvette Easter Sisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427008820 PECOS PAC ID: 2163446998 Enrollment ID: I20060119000876 |
| Provider Name | Cynthia Anne Burns |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629055041 PECOS PAC ID: 9638193022 Enrollment ID: I20060125000050 |
| Provider Name | Jeffrey B Bond |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902889603 PECOS PAC ID: 5193739241 Enrollment ID: I20060127000769 |
| Provider Name | Craig M Greven |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154304863 PECOS PAC ID: 9335153493 Enrollment ID: I20060127000810 |
| Provider Name | Keith a Walter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518940220 PECOS PAC ID: 7315951472 Enrollment ID: I20060127000826 |
| Provider Name | Julienne a Summerlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942228333 PECOS PAC ID: 9638183627 Enrollment ID: I20060130000187 |
| Provider Name | Joan E Kanzler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124004197 PECOS PAC ID: 1759395676 Enrollment ID: I20060131000362 |
| Provider Name | James Hill Holmes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831177138 PECOS PAC ID: 9931174133 Enrollment ID: I20060201000810 |
| Provider Name | Stacie R Nasralla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346265360 PECOS PAC ID: 6406861749 Enrollment ID: I20060208000306 |
| Provider Name | Betsy Whicker Southern |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285691998 PECOS PAC ID: 5496761819 Enrollment ID: I20060222000605 |
| Provider Name | Victoria Donovan Lackey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720005374 PECOS PAC ID: 8426064510 Enrollment ID: I20060227000634 |
| Provider Name | Cherrie D Welch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134105307 PECOS PAC ID: 9931115565 Enrollment ID: I20060306000582 |
| Provider Name | Paul Wesley Hofferbert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336164078 PECOS PAC ID: 3476561606 Enrollment ID: I20060330000300 |
| Provider Name | Scott C Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851366421 PECOS PAC ID: 0244299485 Enrollment ID: I20060403000605 |
| Provider Name | Michael Brandon Berry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881612000 PECOS PAC ID: 4385653898 Enrollment ID: I20060411000676 |
| Provider Name | Lisa D Hazel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972572485 PECOS PAC ID: 5395754790 Enrollment ID: I20060412000652 |
| Provider Name | Thomas Graham West |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194747675 PECOS PAC ID: 7214946540 Enrollment ID: I20060414000099 |
| Provider Name | Stephen G Fleming |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588697304 PECOS PAC ID: 8123099751 Enrollment ID: I20060511000396 |
| Provider Name | James David Kay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427002898 PECOS PAC ID: 6901870575 Enrollment ID: I20060523000142 |
| Provider Name | James G Guerrini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437199197 PECOS PAC ID: 8527057496 Enrollment ID: I20060612000188 |
| Provider Name | Martha Schell Soots |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962484212 PECOS PAC ID: 5395757157 Enrollment ID: I20060616000007 |
| Provider Name | Bobby Glenn Clifton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063467132 PECOS PAC ID: 8921010620 Enrollment ID: I20060621000108 |
| Provider Name | Holly Jean Coward |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306891007 PECOS PAC ID: 4688686272 Enrollment ID: I20060623000125 |
| Provider Name | Katie Marie Twomley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659323681 PECOS PAC ID: 2668484825 Enrollment ID: I20060707000147 |
| Provider Name | Casey M Glass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639113889 PECOS PAC ID: 0244243442 Enrollment ID: I20060710000164 |
| Provider Name | Steven Craig Rohrbeck |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497715858 PECOS PAC ID: 4688687783 Enrollment ID: I20060712000311 |
| Provider Name | Ali Akbary |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053372474 PECOS PAC ID: 8921011024 Enrollment ID: I20060712000332 |
| Provider Name | Thomas G Folk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982663217 PECOS PAC ID: 5193738201 Enrollment ID: I20060712000340 |
| Provider Name | Kenneth Lennon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518966258 PECOS PAC ID: 9830102862 Enrollment ID: I20060717000168 |
| Provider Name | Herman B Cheek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265493027 PECOS PAC ID: 7416960877 Enrollment ID: I20060801000396 |
| Provider Name | Michael Lucas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174522817 PECOS PAC ID: 7911910302 Enrollment ID: I20060802000177 |
| Provider Name | Vallathucherry Chakalakumbil Harish |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770520199 PECOS PAC ID: 4981607223 Enrollment ID: I20060807000235 |
| Provider Name | Virginia Elizabeth Fulbright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467485326 PECOS PAC ID: 3678576253 Enrollment ID: I20060821000528 |
| Provider Name | Patrick J Duffy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053355487 PECOS PAC ID: 1153324546 Enrollment ID: I20060825000182 |
| Provider Name | Chanita D Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710924477 PECOS PAC ID: 2466456363 Enrollment ID: I20060907000429 |
| Provider Name | Jennifer Hughes Chapman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215974811 PECOS PAC ID: 6507860400 Enrollment ID: I20060907000462 |
| Provider Name | Chad Aaron Grotegut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760470959 PECOS PAC ID: 4789657180 Enrollment ID: I20060915000164 |
| Provider Name | Aimee Maree Wilkin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518942895 PECOS PAC ID: 4284639493 Enrollment ID: I20060921000495 |
| Provider Name | Erin June Trantham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578581328 PECOS PAC ID: 1355346594 Enrollment ID: I20060922000146 |
| Provider Name | Andora Lynn Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508870668 PECOS PAC ID: 4183629116 Enrollment ID: I20060926000583 |
| Provider Name | Patrick M Van Meter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467471060 PECOS PAC ID: 9032114749 Enrollment ID: I20060930000026 |
| Provider Name | Brian Edward Kouri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346273539 PECOS PAC ID: 0648275396 Enrollment ID: I20061002000308 |
| Provider Name | Feras Tanta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538189360 PECOS PAC ID: 6709882137 Enrollment ID: I20061009000103 |
| Provider Name | Walter Ang Tan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821010067 PECOS PAC ID: 8729084793 Enrollment ID: I20061013000578 |
| Provider Name | Vineet Sood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306861133 PECOS PAC ID: 9234136789 Enrollment ID: I20061026000235 |
| Provider Name | Michael S Cartwright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417987827 PECOS PAC ID: 5193722346 Enrollment ID: I20061031000374 |
| Provider Name | Dennis a Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699702340 PECOS PAC ID: 5991702128 Enrollment ID: I20061101000504 |
| Provider Name | Bryon Evan Rubery |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447297833 PECOS PAC ID: 9830105600 Enrollment ID: I20061103000235 |
| Provider Name | James Martin Mclean |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295799278 PECOS PAC ID: 9436198538 Enrollment ID: I20061110000302 |
| Provider Name | Jason David Conway |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518997923 PECOS PAC ID: 8224065651 Enrollment ID: I20061120000369 |
| Provider Name | Clio Hamilt Austin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841287638 PECOS PAC ID: 0749224251 Enrollment ID: I20061121000629 |
| Provider Name | Oana R Panea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841203080 PECOS PAC ID: 6305844523 Enrollment ID: I20061127000179 |
| Provider Name | William J Stein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811007834 PECOS PAC ID: 8325047152 Enrollment ID: I20061205000521 |
| Provider Name | Lanny L Monroe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033156245 PECOS PAC ID: 8527036862 Enrollment ID: I20061206000323 |
| Provider Name | Kevin Thoman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023127636 PECOS PAC ID: 1153320841 Enrollment ID: I20061206000392 |
| Provider Name | Susan Lynn Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912009424 PECOS PAC ID: 2365482700 Enrollment ID: I20061215000264 |
| Provider Name | Heidi Diana Klepin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275551228 PECOS PAC ID: 0749289700 Enrollment ID: I20061220000494 |
| Provider Name | Scott W Zackowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265548259 PECOS PAC ID: 9032134283 Enrollment ID: I20070104000478 |
| Provider Name | Ryan Thomas Mott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790704351 PECOS PAC ID: 5698775294 Enrollment ID: I20070104000486 |
| Provider Name | James W Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679559900 PECOS PAC ID: 6204836745 Enrollment ID: I20070105000309 |
| Provider Name | Shane Aaron Toomes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518053230 PECOS PAC ID: 5294735601 Enrollment ID: I20070109000537 |
| Provider Name | Christopher S Watters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891793840 PECOS PAC ID: 7416957519 Enrollment ID: I20070112000190 |
| Provider Name | Mark a Payne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013097963 PECOS PAC ID: 4183625189 Enrollment ID: I20070117000438 |
| Provider Name | Franklin Shields Watkins |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1356364509 PECOS PAC ID: 4587665344 Enrollment ID: I20070122000182 |
| Provider Name | Allston Julius Stubbs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750354767 PECOS PAC ID: 4284607961 Enrollment ID: I20070122000248 |
| Provider Name | Shahriar Moossavi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144205584 PECOS PAC ID: 6709887458 Enrollment ID: I20070123000265 |
| Provider Name | Katherine Atala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548365299 PECOS PAC ID: 7113928763 Enrollment ID: I20070124000539 |
| Provider Name | Nancy Marie Denizard-thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316043763 PECOS PAC ID: 1153322722 Enrollment ID: I20070124000717 |
| Provider Name | Amy Elizabeth Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467483743 PECOS PAC ID: 6406857077 Enrollment ID: I20070124000734 |
| Provider Name | Rajay Kumar Jain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710905302 PECOS PAC ID: 7315948981 Enrollment ID: I20070124000736 |
| Provider Name | Mercedes Porosnicu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417903584 PECOS PAC ID: 2860493434 Enrollment ID: I20070124000741 |
| Provider Name | Annette Grefe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689758831 PECOS PAC ID: 9436150729 Enrollment ID: I20070130000284 |
| Provider Name | Michael Y Ghim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083649289 PECOS PAC ID: 1951320159 Enrollment ID: I20070201000302 |
| Provider Name | Elizabeth K Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104993666 PECOS PAC ID: 2567464654 Enrollment ID: I20070201000635 |
| Provider Name | Derek a Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568577633 PECOS PAC ID: 5799717542 Enrollment ID: I20070205000365 |
| Provider Name | Carolyn Markle Moench |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346216835 PECOS PAC ID: 3577565381 Enrollment ID: I20070207000602 |
| Provider Name | Elizabeth B Blankenship |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790790483 PECOS PAC ID: 9335141969 Enrollment ID: I20070209000368 |
| Provider Name | Amanda L Cook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043231707 PECOS PAC ID: 6901908243 Enrollment ID: I20070216000503 |
| Provider Name | Penny L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477628501 PECOS PAC ID: 0143323444 Enrollment ID: I20070306000729 |
| Provider Name | Marcia Lynnette Guine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194899633 PECOS PAC ID: 5890898126 Enrollment ID: I20070307000249 |
| Provider Name | Andrew Deibler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558378364 PECOS PAC ID: 7517060635 Enrollment ID: I20070310000090 |
| Provider Name | Jana W Hough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437257094 PECOS PAC ID: 9234232356 Enrollment ID: I20070310000102 |
| Provider Name | Pam Wofford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275514242 PECOS PAC ID: 0345343380 Enrollment ID: I20070313000389 |
| Provider Name | Hilda Uy Forcadela |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952463655 PECOS PAC ID: 6800999756 Enrollment ID: I20070313000541 |
| Provider Name | Alison Koonts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528121654 PECOS PAC ID: 3375647506 Enrollment ID: I20070328000500 |
| Provider Name | Mary Annette Wittler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255361317 PECOS PAC ID: 5991809055 Enrollment ID: I20070329000084 |
| Provider Name | Kristie M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356420954 PECOS PAC ID: 3678677382 Enrollment ID: I20070404000500 |
| Provider Name | Mark H Nelson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417953654 PECOS PAC ID: 4880622711 Enrollment ID: I20070412000466 |
| Provider Name | Tammi Tolbert Quintero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235179102 PECOS PAC ID: 9830172394 Enrollment ID: I20070413000542 |
| Provider Name | Tomeka Allen Wormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790898005 PECOS PAC ID: 9335244516 Enrollment ID: I20070417000323 |
| Provider Name | Toan Thiet Huynh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043232887 PECOS PAC ID: 2567567597 Enrollment ID: I20070419000139 |
| Provider Name | Khurum Abbas Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811055361 PECOS PAC ID: 0345346979 Enrollment ID: I20070427000489 |
| Provider Name | Charles Bryan Sheldon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114096039 PECOS PAC ID: 5294831830 Enrollment ID: I20070427000554 |
| Provider Name | Karen Hall Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265505309 PECOS PAC ID: 0648376616 Enrollment ID: I20070508000441 |
| Provider Name | Louis R Valente |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306840962 PECOS PAC ID: 0042316903 Enrollment ID: I20070509000602 |
| Provider Name | Ha Thu Vo Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700951548 PECOS PAC ID: 4486751237 Enrollment ID: I20070514000200 |
| Provider Name | Amber Michelle Reeves-daniel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184709370 PECOS PAC ID: 6305943788 Enrollment ID: I20070518000454 |
| Provider Name | Audrey Bruno Tuttle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871578856 PECOS PAC ID: 4183721186 Enrollment ID: I20070529000189 |
| Provider Name | Kristen Gill Hairston |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457381865 PECOS PAC ID: 5294833174 Enrollment ID: I20070531000596 |
| Provider Name | Wyndee Bess Tarter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801900139 PECOS PAC ID: 2163520933 Enrollment ID: I20070604000116 |
| Provider Name | Hugh B Watts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730135328 PECOS PAC ID: 3577661206 Enrollment ID: I20070604000709 |
| Provider Name | Riyaz H Jinnah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487724142 PECOS PAC ID: 5395843650 Enrollment ID: I20070611000125 |
| Provider Name | James Boyd Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053393306 PECOS PAC ID: 7810095031 Enrollment ID: I20070611000727 |
| Provider Name | Jon Wellington Reynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831129238 PECOS PAC ID: 3476651571 Enrollment ID: I20070613000785 |
| Provider Name | Samandra Nadine Tann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093830291 PECOS PAC ID: 0547368524 Enrollment ID: I20070614000665 |
| Provider Name | Christopher Lawyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912057944 PECOS PAC ID: 0648379644 Enrollment ID: I20070615000195 |
| Provider Name | Robin a Rouchard-plasser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275652067 PECOS PAC ID: 0648379651 Enrollment ID: I20070615000211 |
| Provider Name | Christina Taylor Mcshea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437251949 PECOS PAC ID: 4385743319 Enrollment ID: I20070615000413 |
| Provider Name | Gopal H Badlani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811930365 PECOS PAC ID: 9739177759 Enrollment ID: I20070618000201 |
| Provider Name | Mustafa S Siddiqui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326069063 PECOS PAC ID: 2860591674 Enrollment ID: I20070620000115 |
| Provider Name | Gregory Lee Fiets |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255366357 PECOS PAC ID: 4587763255 Enrollment ID: I20070620000598 |
| Provider Name | Leslie Renee Ellis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790861128 PECOS PAC ID: 8123127826 Enrollment ID: I20070621000056 |
| Provider Name | Jeffrey W Hinshaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114901089 PECOS PAC ID: 4284733809 Enrollment ID: I20070622000357 |
| Provider Name | Timothy R Peters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750478889 PECOS PAC ID: 0042228751 Enrollment ID: I20070625000314 |
| Provider Name | Gregory Simpson Marler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659457554 PECOS PAC ID: 6800995242 Enrollment ID: I20070626000054 |
| Provider Name | Frank Caruso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184608556 PECOS PAC ID: 1951401033 Enrollment ID: I20070703000522 |
| Provider Name | Elizabeth Jenkins Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538161542 PECOS PAC ID: 5193825057 Enrollment ID: I20070709000199 |
| Provider Name | Peter M Belford |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205877990 PECOS PAC ID: 5698875458 Enrollment ID: I20070709000266 |
| Provider Name | Heather B Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104846369 PECOS PAC ID: 7315047156 Enrollment ID: I20070710000407 |
| Provider Name | David Dixon Childs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629148416 PECOS PAC ID: 1850491358 Enrollment ID: I20070712000805 |
| Provider Name | Daniel Jerome Beekman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962546200 PECOS PAC ID: 8022118520 Enrollment ID: I20070712000811 |
| Provider Name | Jonathan a Hata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386858165 PECOS PAC ID: 3678674322 Enrollment ID: I20070724000775 |
| Provider Name | Nyree Kimberly Thorne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053522854 PECOS PAC ID: 7618078379 Enrollment ID: I20070724000836 |
| Provider Name | Aaron T Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598978009 PECOS PAC ID: 6305947946 Enrollment ID: I20070725000776 |
| Provider Name | Milissa J Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043361108 PECOS PAC ID: 5890896385 Enrollment ID: I20070727000611 |
| Provider Name | Robert Noel Harrington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639383540 PECOS PAC ID: 1456442540 Enrollment ID: I20070803000049 |
| Provider Name | Jimmy Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265494413 PECOS PAC ID: 9234220344 Enrollment ID: I20070803000272 |
| Provider Name | Jennifer M Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487865838 PECOS PAC ID: 8820189517 Enrollment ID: I20070809000614 |
| Provider Name | Joseph Skelton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861443343 PECOS PAC ID: 6305858853 Enrollment ID: I20070809000617 |
| Provider Name | Jeffrey Samuel Deguire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124147665 PECOS PAC ID: 5496846016 Enrollment ID: I20070810000119 |
| Provider Name | John B Hubbard |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1487875373 PECOS PAC ID: 3072604610 Enrollment ID: I20070810000265 |
| Provider Name | Emily J Lockridge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982804696 PECOS PAC ID: 3375634710 Enrollment ID: I20070814000405 |
| Provider Name | Clifford Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861614430 PECOS PAC ID: 1153413448 Enrollment ID: I20070816000127 |
| Provider Name | Heather Hassler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457576571 PECOS PAC ID: 8921190133 Enrollment ID: I20070817000236 |
| Provider Name | Sarah Lynn Taylor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164573226 PECOS PAC ID: 4789780628 Enrollment ID: I20070822001326 |
| Provider Name | Amanda Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346454881 PECOS PAC ID: 6901998749 Enrollment ID: I20070823000782 |
| Provider Name | Christy O Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760604334 PECOS PAC ID: 5698867406 Enrollment ID: I20070824000406 |
| Provider Name | Samuel Smith Lentz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154306702 PECOS PAC ID: 1951493691 Enrollment ID: I20070824000830 |
| Provider Name | Barbara Faith Eisenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811191976 PECOS PAC ID: 8820180581 Enrollment ID: I20070825000115 |
| Provider Name | Alpa Arun Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841329711 PECOS PAC ID: 8820180599 Enrollment ID: I20070827000078 |
| Provider Name | Volker W Stieber |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609858661 PECOS PAC ID: 4183716616 Enrollment ID: I20070828000767 |
| Provider Name | Marilyn K Mullane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821091547 PECOS PAC ID: 5597858829 Enrollment ID: I20070831000666 |
| Provider Name | Kimberly a Case |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356484232 PECOS PAC ID: 3072606250 Enrollment ID: I20070904000423 |
| Provider Name | Ross Thomas Mangin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982804548 PECOS PAC ID: 0042303174 Enrollment ID: I20070906000314 |
| Provider Name | Amret Thompson Hawfield |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215145735 PECOS PAC ID: 6103919154 Enrollment ID: I20070906000631 |
| Provider Name | Jonathan David Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467496422 PECOS PAC ID: 7911923412 Enrollment ID: I20070907000387 |
| Provider Name | Dekarlos Megail Dial |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588606552 PECOS PAC ID: 4486667227 Enrollment ID: I20070910000115 |
| Provider Name | Michael Joseph Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841369840 PECOS PAC ID: 3971564170 Enrollment ID: I20070910000534 |
| Provider Name | Charlie Martin Robertson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023237146 PECOS PAC ID: 6406949239 Enrollment ID: I20070910000546 |
| Provider Name | Deborah K Rosenquist |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780633321 PECOS PAC ID: 5799878427 Enrollment ID: I20070911000371 |
| Provider Name | Claire Sanger Dillingham |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902006646 PECOS PAC ID: 9032203419 Enrollment ID: I20070915000275 |
| Provider Name | John P Gaillard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326269226 PECOS PAC ID: 5890889075 Enrollment ID: I20070919000203 |
| Provider Name | Cheryl Diane Bushnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437231685 PECOS PAC ID: 4789778960 Enrollment ID: I20070919000214 |
| Provider Name | Virginia Lynn Orosz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730152109 PECOS PAC ID: 4688768740 Enrollment ID: I20070919000968 |
| Provider Name | April P Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861560484 PECOS PAC ID: 0547354599 Enrollment ID: I20070920000729 |
| Provider Name | Daniel Craig Barnette |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972587160 PECOS PAC ID: 6103910179 Enrollment ID: I20070920000896 |
| Provider Name | Wade Douglas Morcom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770641201 PECOS PAC ID: 6204892748 Enrollment ID: I20070925000136 |
| Provider Name | Julio Rafael Bravo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598739823 PECOS PAC ID: 9830284256 Enrollment ID: I20071001000344 |
| Provider Name | David Adedayo Akinsoji Adeloye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114996824 PECOS PAC ID: 4486749637 Enrollment ID: I20071002000861 |
| Provider Name | Kwame Larbi-siaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396935771 PECOS PAC ID: 4183719271 Enrollment ID: I20071004000352 |
| Provider Name | Daniel E Couture |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124210950 PECOS PAC ID: 8325133440 Enrollment ID: I20071004000624 |
| Provider Name | Melissa T Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013110162 PECOS PAC ID: 5698860666 Enrollment ID: I20071005000237 |
| Provider Name | Gemekia Coleman Futrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417177668 PECOS PAC ID: 5991890741 Enrollment ID: I20071009000330 |
| Provider Name | Megan Bumgarner Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841487741 PECOS PAC ID: 0345336103 Enrollment ID: I20071010000325 |
| Provider Name | Matthew Giegengack |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437167350 PECOS PAC ID: 2466458302 Enrollment ID: I20071012000245 |
| Provider Name | John Hugh Gilliam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992780126 PECOS PAC ID: 1456447887 Enrollment ID: I20071017000477 |
| Provider Name | Peter Carson Messick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053409854 PECOS PAC ID: 0749288504 Enrollment ID: I20071018000485 |
| Provider Name | Shomeet Vikram Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366642928 PECOS PAC ID: 9638265564 Enrollment ID: I20071023000478 |
| Provider Name | Cheryl Deen Adair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942225628 PECOS PAC ID: 6002902954 Enrollment ID: I20071023000682 |
| Provider Name | Cary T Hodshon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285821827 PECOS PAC ID: 4284721168 Enrollment ID: I20071025000264 |
| Provider Name | Emmanuel Adegoke Fadeyi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285820118 PECOS PAC ID: 3173610755 Enrollment ID: I20071029000571 |
| Provider Name | Andrew Gray Bullard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154383503 PECOS PAC ID: 3971548843 Enrollment ID: I20071101000305 |
| Provider Name | Jason Eugene Yockey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558386458 PECOS PAC ID: 3779513858 Enrollment ID: I20071102000519 |
| Provider Name | Ashley Jess Hussong |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538289426 PECOS PAC ID: 4880781913 Enrollment ID: I20071106000332 |
| Provider Name | Glendon Paul Rougeou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992719371 PECOS PAC ID: 5799709077 Enrollment ID: I20071108000141 |
| Provider Name | Edward Manuel Saguier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154300713 PECOS PAC ID: 8921196809 Enrollment ID: I20071109000292 |
| Provider Name | Lacey Liss Chavarria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841485935 PECOS PAC ID: 2062500952 Enrollment ID: I20071109000384 |
| Provider Name | Tashina Roberts Hartley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497941074 PECOS PAC ID: 8729176623 Enrollment ID: I20071109000423 |
| Provider Name | Stephanie Cox Austria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881873735 PECOS PAC ID: 7214025824 Enrollment ID: I20071115000315 |
| Provider Name | Danielle Matson Rose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295923639 PECOS PAC ID: 9537257043 Enrollment ID: I20071116000574 |
| Provider Name | John E Begovich |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497776876 PECOS PAC ID: 2961590328 Enrollment ID: I20071119000221 |
| Provider Name | Trisha Osborn Ritz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205023744 PECOS PAC ID: 6305934522 Enrollment ID: I20071121000201 |
| Provider Name | Jamehl Demons Shegog |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1750366795 PECOS PAC ID: 1355439506 Enrollment ID: I20071121000441 |
| Provider Name | James N Kimball |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467436428 PECOS PAC ID: 6901994086 Enrollment ID: I20071127000305 |
| Provider Name | Jonathan R Dunn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255316840 PECOS PAC ID: 5193814119 Enrollment ID: I20071128000700 |
| Provider Name | Ladonna Smith Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053394999 PECOS PAC ID: 8022107713 Enrollment ID: I20071203000724 |
| Provider Name | Todd Robert Gorman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811904469 PECOS PAC ID: 6204925894 Enrollment ID: I20071204000896 |
| Provider Name | Ashok K Hemal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295928539 PECOS PAC ID: 2961591599 Enrollment ID: I20071205000322 |
| Provider Name | Christina Lynn Lawley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366623464 PECOS PAC ID: 1658460282 Enrollment ID: I20071205000353 |
| Provider Name | Sandra L Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578520789 PECOS PAC ID: 7416046966 Enrollment ID: I20071205000562 |
| Provider Name | Amanze Olufemi Ugoji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487847273 PECOS PAC ID: 7214026772 Enrollment ID: I20071205000669 |
| Provider Name | Jennifer L Hannum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639273634 PECOS PAC ID: 2668486721 Enrollment ID: I20071207000594 |
| Provider Name | Oona L Oneill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174565444 PECOS PAC ID: 5698875557 Enrollment ID: I20071213000874 |
| Provider Name | Jeffrey John Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477768323 PECOS PAC ID: 0840380705 Enrollment ID: I20071214000593 |
| Provider Name | Athena Crotts Brummett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942490370 PECOS PAC ID: 1052401874 Enrollment ID: I20071217000864 |
| Provider Name | Darren C Decker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982890398 PECOS PAC ID: 4082704598 Enrollment ID: I20071220000698 |
| Provider Name | Shira Friend Kazakewich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356538813 PECOS PAC ID: 9638269038 Enrollment ID: I20071224000041 |
| Provider Name | James W John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588628549 PECOS PAC ID: 1153411475 Enrollment ID: I20071226000175 |
| Provider Name | James E Winslow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003890492 PECOS PAC ID: 7810077716 Enrollment ID: I20080104000312 |
| Provider Name | Madhav Swaminathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558445429 PECOS PAC ID: 7113007808 Enrollment ID: I20080108000212 |
| Provider Name | Jennifer Lynn Haymore White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952581464 PECOS PAC ID: 1254411804 Enrollment ID: I20080108000712 |
| Provider Name | William Griffith Blackard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336253236 PECOS PAC ID: 2961306154 Enrollment ID: I20080117000368 |
| Provider Name | Amy Fulk Inman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558542456 PECOS PAC ID: 5597847012 Enrollment ID: I20080123000471 |
| Provider Name | John Frances Lane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053329458 PECOS PAC ID: 1557443876 Enrollment ID: I20080125000297 |
| Provider Name | Angela Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013958115 PECOS PAC ID: 1951337724 Enrollment ID: I20080130000682 |
| Provider Name | Jennifer Woodall Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568647204 PECOS PAC ID: 4082796941 Enrollment ID: I20080130000703 |
| Provider Name | Marissa Michelle Howard-mcnatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609974237 PECOS PAC ID: 7517945108 Enrollment ID: I20080202000024 |
| Provider Name | Ryan C Vann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013106038 PECOS PAC ID: 5991887531 Enrollment ID: I20080204000742 |
| Provider Name | Sebastian Gabriel Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639245012 PECOS PAC ID: 7214011733 Enrollment ID: I20080222000126 |
| Provider Name | Lindsey Austin Reddersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750570305 PECOS PAC ID: 4981788957 Enrollment ID: I20080228000780 |
| Provider Name | Gregory Scott Pape |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528059771 PECOS PAC ID: 6002849361 Enrollment ID: I20080229000414 |
| Provider Name | Charles M Graeub |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437253879 PECOS PAC ID: 4587578307 Enrollment ID: I20080306000466 |
| Provider Name | Leanne Kay Willis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750337929 PECOS PAC ID: 1658457379 Enrollment ID: I20080320000574 |
| Provider Name | Tiffany Leann Hiatt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871787457 PECOS PAC ID: 5496831653 Enrollment ID: I20080327000780 |
| Provider Name | Sitarama Raju Chintalapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144294356 PECOS PAC ID: 4587628177 Enrollment ID: I20080408000843 |
| Provider Name | Michele J Hutchens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366472565 PECOS PAC ID: 2466539978 Enrollment ID: I20080408000853 |
| Provider Name | Stephen Samuel Mcnatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912091505 PECOS PAC ID: 8820022841 Enrollment ID: I20080415000257 |
| Provider Name | Nneka O Page |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407034192 PECOS PAC ID: 6103904396 Enrollment ID: I20080429000583 |
| Provider Name | John a Shilt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497930101 PECOS PAC ID: 5799864641 Enrollment ID: I20080505000349 |
| Provider Name | Temple Vashti Day |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013932565 PECOS PAC ID: 3971682444 Enrollment ID: I20080508000601 |
| Provider Name | Virginia Reece Christman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063431633 PECOS PAC ID: 5597844928 Enrollment ID: I20080509000246 |
| Provider Name | Jeffrey Bruce Feldman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427035575 PECOS PAC ID: 4789753799 Enrollment ID: I20080516000479 |
| Provider Name | Herbert Loyd Bonkovsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821093592 PECOS PAC ID: 5496702896 Enrollment ID: I20080520000320 |
| Provider Name | Sydney T Youens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790956704 PECOS PAC ID: 1153490834 Enrollment ID: I20080521000291 |
| Provider Name | Ethan R Wiesler |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1538146147 PECOS PAC ID: 0648340521 Enrollment ID: I20080604000188 |
| Provider Name | Louis Andrew Koman |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1821072208 PECOS PAC ID: 2264502145 Enrollment ID: I20080604000206 |
| Provider Name | Sandra B Farland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558403956 PECOS PAC ID: 2769552694 Enrollment ID: I20080604000640 |
| Provider Name | Dana Gregory Wrinkle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982674693 PECOS PAC ID: 4981689197 Enrollment ID: I20080610000430 |
| Provider Name | Stewart Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396737508 PECOS PAC ID: 9638240732 Enrollment ID: I20080617000696 |
| Provider Name | Matthew Charles Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316954522 PECOS PAC ID: 6507937265 Enrollment ID: I20080624000427 |
| Provider Name | Michael Edward Zapadka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992989792 PECOS PAC ID: 3779654439 Enrollment ID: I20080624000436 |
| Provider Name | Carol Parks Geer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1477721892 PECOS PAC ID: 0446322796 Enrollment ID: I20080702000445 |
| Provider Name | David Arthur Kunkle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992972160 PECOS PAC ID: 3971675935 Enrollment ID: I20080708000406 |
| Provider Name | Thomas Polascik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083798979 PECOS PAC ID: 7911079991 Enrollment ID: I20080708000558 |
| Provider Name | Cara Louise Obrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326224908 PECOS PAC ID: 1052483815 Enrollment ID: I20080710000635 |
| Provider Name | Angela Leigh Tuttle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477538957 PECOS PAC ID: 2567534332 Enrollment ID: I20080710000684 |
| Provider Name | Samuel J Turner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861678104 PECOS PAC ID: 7416029293 Enrollment ID: I20080710000730 |
| Provider Name | Anne F Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053391409 PECOS PAC ID: 4082786710 Enrollment ID: I20080711000383 |
| Provider Name | Joshua D Waltonen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679798680 PECOS PAC ID: 1456424142 Enrollment ID: I20080714000252 |
| Provider Name | Pamela G Houck |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881867307 PECOS PAC ID: 5496828121 Enrollment ID: I20080714000554 |
| Provider Name | Jane Blair Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134162654 PECOS PAC ID: 0941373351 Enrollment ID: I20080717000764 |
| Provider Name | Gretchen Anne Brenes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972587921 PECOS PAC ID: 6507939725 Enrollment ID: I20080722000311 |
| Provider Name | Sara Kathryn Satterfield Mercer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447412473 PECOS PAC ID: 4486727583 Enrollment ID: I20080723000302 |
| Provider Name | Modupeola Oluwatoyin Akinola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003946393 PECOS PAC ID: 3971676719 Enrollment ID: I20080726000084 |
| Provider Name | Kamari Demond Mitchell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184643454 PECOS PAC ID: 5991879496 Enrollment ID: I20080731000754 |
| Provider Name | Jeffrey T Spang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518130418 PECOS PAC ID: 3971677832 Enrollment ID: I20080811000603 |
| Provider Name | Vijaya Gandla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821024100 PECOS PAC ID: 5294739611 Enrollment ID: I20080819000742 |
| Provider Name | Tri Huu Le |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275581183 PECOS PAC ID: 8426042250 Enrollment ID: I20080822000133 |
| Provider Name | Michael Brian Green |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952453623 PECOS PAC ID: 5597736520 Enrollment ID: I20080822000205 |
| Provider Name | Lee Arthur Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912109091 PECOS PAC ID: 6204901408 Enrollment ID: I20080822000514 |
| Provider Name | Grace Ann Simpson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245200948 PECOS PAC ID: 6608941711 Enrollment ID: I20080822000704 |
| Provider Name | Endia Johnson-pitts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801819594 PECOS PAC ID: 0244305266 Enrollment ID: I20080826000304 |
| Provider Name | William G Smith |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730366519 PECOS PAC ID: 9830264803 Enrollment ID: I20080826000764 |
| Provider Name | Melinda H Gilbert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518136365 PECOS PAC ID: 0749356749 Enrollment ID: I20080827000291 |
| Provider Name | Virginia Fredericka Wright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023211489 PECOS PAC ID: 3870669740 Enrollment ID: I20080829000504 |
| Provider Name | Jane G Boggs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245200294 PECOS PAC ID: 0547336323 Enrollment ID: I20080902000088 |
| Provider Name | Tammi C Roos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609961986 PECOS PAC ID: 9537174453 Enrollment ID: I20080903000517 |
| Provider Name | Christopher J Tuohy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578574042 PECOS PAC ID: 0648277913 Enrollment ID: I20080908000147 |
| Provider Name | Jamila Shaheen Bhatti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801825583 PECOS PAC ID: 2264508670 Enrollment ID: I20080909000641 |
| Provider Name | Joseph a Veneziano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174717755 PECOS PAC ID: 1658448501 Enrollment ID: I20080918000706 |
| Provider Name | Dudley Elliott Hammon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669638961 PECOS PAC ID: 2860569688 Enrollment ID: I20080920000122 |
| Provider Name | Jeffrey Tzu-liang Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770566903 PECOS PAC ID: 9830266543 Enrollment ID: I20080923000130 |
| Provider Name | Sonya Denise Jeffries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679720346 PECOS PAC ID: 2264509991 Enrollment ID: I20080923000335 |
| Provider Name | Stacey L. Peterson-carmichael |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316152127 PECOS PAC ID: 3971670571 Enrollment ID: I20080924000166 |
| Provider Name | Luis Francis Barroso |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265640858 PECOS PAC ID: 9931276250 Enrollment ID: I20080927000278 |
| Provider Name | Brian S Vierling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750360566 PECOS PAC ID: 0345318697 Enrollment ID: I20081014000316 |
| Provider Name | Mira Margaret Boone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053511642 PECOS PAC ID: 1658461710 Enrollment ID: I20081014000507 |
| Provider Name | Kamal Chater |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336115195 PECOS PAC ID: 8022085083 Enrollment ID: I20081017000398 |
| Provider Name | Lucian G Vlad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629290523 PECOS PAC ID: 7416015516 Enrollment ID: I20081017000623 |
| Provider Name | Lindsey B Sapp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245498377 PECOS PAC ID: 4880752922 Enrollment ID: I20081020000025 |
| Provider Name | Adrian L Lata |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255514188 PECOS PAC ID: 7113085267 Enrollment ID: I20081020000071 |
| Provider Name | Eben a Carroll |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114133758 PECOS PAC ID: 4082772033 Enrollment ID: I20081021000430 |
| Provider Name | Kristin H Linker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427208297 PECOS PAC ID: 8022176999 Enrollment ID: I20081021000719 |
| Provider Name | Anna Genevieve Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851575096 PECOS PAC ID: 4880752724 Enrollment ID: I20081022000367 |
| Provider Name | Scott Allan Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285881276 PECOS PAC ID: 5698833242 Enrollment ID: I20081025000164 |
| Provider Name | Alicia S Sechrist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881843696 PECOS PAC ID: 2365500873 Enrollment ID: I20081027000688 |
| Provider Name | Michael D Chan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225151152 PECOS PAC ID: 5698834745 Enrollment ID: I20081105000190 |
| Provider Name | Jung Wha Kim-shapiro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205034527 PECOS PAC ID: 7618036575 Enrollment ID: I20081106000444 |
| Provider Name | Timothy Dwight Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982883344 PECOS PAC ID: 0840359709 Enrollment ID: I20081106000491 |
| Provider Name | Kim Askew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932293511 PECOS PAC ID: 6507968526 Enrollment ID: I20081106000628 |
| Provider Name | Suzann B Hedgecock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518158559 PECOS PAC ID: 8527150143 Enrollment ID: I20081107000783 |
| Provider Name | Daniel Waksman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639287626 PECOS PAC ID: 0648330092 Enrollment ID: I20081115000114 |
| Provider Name | Leon Lenchik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871578336 PECOS PAC ID: 0840350021 Enrollment ID: I20081118000318 |
| Provider Name | Caroline Chiles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003890302 PECOS PAC ID: 2567522758 Enrollment ID: I20081118000331 |
| Provider Name | Michael Oliphant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639157001 PECOS PAC ID: 5890690259 Enrollment ID: I20081119000443 |
| Provider Name | Mercie Mitchell Payne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982853990 PECOS PAC ID: 5193885234 Enrollment ID: I20081119000920 |
| Provider Name | Kara Nichole Conrad |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811145360 PECOS PAC ID: 7315007341 Enrollment ID: I20081120000891 |
| Provider Name | Serena F York |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336150952 PECOS PAC ID: 4880690627 Enrollment ID: I20081122000040 |
| Provider Name | Jonathan Hill Burdette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528043940 PECOS PAC ID: 3678634292 Enrollment ID: I20081201000684 |
| Provider Name | Michael Dean Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972588523 PECOS PAC ID: 7911068549 Enrollment ID: I20081201000721 |
| Provider Name | Ademola O Aderoju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932324985 PECOS PAC ID: 0648331272 Enrollment ID: I20081201000726 |
| Provider Name | Daniel Walter Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104800184 PECOS PAC ID: 1153482914 Enrollment ID: I20081211000570 |
| Provider Name | Erica Lynn Frechman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578716429 PECOS PAC ID: 8123180593 Enrollment ID: I20081218000302 |
| Provider Name | Grigor Badalyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699896571 PECOS PAC ID: 0840388047 Enrollment ID: I20081219000535 |
| Provider Name | Christian S Gurley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659312429 PECOS PAC ID: 6002978053 Enrollment ID: I20081229000412 |
| Provider Name | Ross Parker Davis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235312679 PECOS PAC ID: 6901968890 Enrollment ID: I20081231000466 |
| Provider Name | Elizabeth Denny Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093706038 PECOS PAC ID: 6305909854 Enrollment ID: I20090110000052 |
| Provider Name | Mark Elliott Romanoff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841289758 PECOS PAC ID: 5294898359 Enrollment ID: I20090115000314 |
| Provider Name | Scott David Wuertzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750584348 PECOS PAC ID: 5991869828 Enrollment ID: I20090121000555 |
| Provider Name | Raghava Nagaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609026046 PECOS PAC ID: 4284798950 Enrollment ID: I20090123000422 |
| Provider Name | Neil T Mashburn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831155431 PECOS PAC ID: 2163586850 Enrollment ID: I20090123000548 |
| Provider Name | Kelly Ann Brozzetti-cronin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093973273 PECOS PAC ID: 3476618596 Enrollment ID: I20090224000374 |
| Provider Name | Majid Mirzazadeh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184860421 PECOS PAC ID: 2860558996 Enrollment ID: I20090225000582 |
| Provider Name | Daniel Zamudio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588844187 PECOS PAC ID: 9335219674 Enrollment ID: I20090305000520 |
| Provider Name | Megan Moyle Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467438739 PECOS PAC ID: 6103982616 Enrollment ID: I20090309000446 |
| Provider Name | Pamela S Dockery Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902899248 PECOS PAC ID: 4587721766 Enrollment ID: I20090316000648 |
| Provider Name | Sal Anthony D Allura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205889870 PECOS PAC ID: 6305734708 Enrollment ID: I20090317000636 |
| Provider Name | Graham Wesley Bullard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861480469 PECOS PAC ID: 5698850030 Enrollment ID: I20090318000725 |
| Provider Name | Timothy R Schenk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154560449 PECOS PAC ID: 7810044674 Enrollment ID: I20090421000174 |
| Provider Name | Patricia K Doyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699755041 PECOS PAC ID: 2466500848 Enrollment ID: I20090423000756 |
| Provider Name | Mary K Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942299789 PECOS PAC ID: 1254489594 Enrollment ID: I20090427000074 |
| Provider Name | Hobson M Bryant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891801882 PECOS PAC ID: 5193873776 Enrollment ID: I20090508000491 |
| Provider Name | Erik Insko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770550667 PECOS PAC ID: 9436124740 Enrollment ID: I20090512000494 |
| Provider Name | Kelly Ann Spaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588724769 PECOS PAC ID: 7517016967 Enrollment ID: I20090514000457 |
| Provider Name | Ioana M Apoltan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295730174 PECOS PAC ID: 2062572506 Enrollment ID: I20090520000228 |
| Provider Name | Brian W Downs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952316457 PECOS PAC ID: 9537101290 Enrollment ID: I20090527000593 |
| Provider Name | Roger G Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225000367 PECOS PAC ID: 2769531417 Enrollment ID: I20090528000656 |
| Provider Name | Sarah W Sumrall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407097538 PECOS PAC ID: 3678623220 Enrollment ID: I20090602000732 |
| Provider Name | Billy Keith Cash |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265424246 PECOS PAC ID: 7911057591 Enrollment ID: I20090603000320 |
| Provider Name | James Hoekstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255315651 PECOS PAC ID: 0749187656 Enrollment ID: I20090611000421 |
| Provider Name | James Philip Griggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114936606 PECOS PAC ID: 9830249887 Enrollment ID: I20090612000137 |
| Provider Name | Bahram Kiani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356597942 PECOS PAC ID: 7113078841 Enrollment ID: I20090619000241 |
| Provider Name | Sean Wayne Dobson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1750557484 PECOS PAC ID: 0547311078 Enrollment ID: I20090624000079 |
| Provider Name | Kevin W Greer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114160520 PECOS PAC ID: 8325199854 Enrollment ID: I20090624000112 |
| Provider Name | Paul Channing Harkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992849921 PECOS PAC ID: 4284785130 Enrollment ID: I20090706000478 |
| Provider Name | Robert Christopher Maston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669607107 PECOS PAC ID: 2264584838 Enrollment ID: I20090711000012 |
| Provider Name | Amy J Kearns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760604730 PECOS PAC ID: 5799837365 Enrollment ID: I20090711000027 |
| Provider Name | Diana M Cardona |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841386752 PECOS PAC ID: 2365505682 Enrollment ID: I20090711000043 |
| Provider Name | Rami Jamil Badreddine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063439982 PECOS PAC ID: 6800899931 Enrollment ID: I20090720000222 |
| Provider Name | Nuhad E Abou Zeid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144427766 PECOS PAC ID: 0143311357 Enrollment ID: I20090720000578 |
| Provider Name | Kristi Lanning Tucker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720292824 PECOS PAC ID: 0547313462 Enrollment ID: I20090724000405 |
| Provider Name | Tammy Mullins Jividen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922251628 PECOS PAC ID: 3577624998 Enrollment ID: I20090724000650 |
| Provider Name | Allison Hope Luper |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518157932 PECOS PAC ID: 3375696230 Enrollment ID: I20090725000083 |
| Provider Name | Manjunath C Mahadevappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316105547 PECOS PAC ID: 1557435229 Enrollment ID: I20090725000098 |
| Provider Name | Leigh M Watts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891922555 PECOS PAC ID: 0244383107 Enrollment ID: I20090725000132 |
| Provider Name | John S Tipton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578780201 PECOS PAC ID: 4486738028 Enrollment ID: I20090729000692 |
| Provider Name | Crystal Coleman Rouse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629052493 PECOS PAC ID: 1658424163 Enrollment ID: I20090731000175 |
| Provider Name | Dhaval Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902966591 PECOS PAC ID: 0547313942 Enrollment ID: I20090803000451 |
| Provider Name | Timothy Sebastian Pardee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740386010 PECOS PAC ID: 7719030014 Enrollment ID: I20090804000700 |
| Provider Name | Dana S Mabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386873198 PECOS PAC ID: 8022162692 Enrollment ID: I20090817000232 |
| Provider Name | Tabitha M Hollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043449911 PECOS PAC ID: 8022162403 Enrollment ID: I20090819000666 |
| Provider Name | Kevin Bradford Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639319676 PECOS PAC ID: 8527012210 Enrollment ID: I20090822000149 |
| Provider Name | Brian Christopher Griffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508946757 PECOS PAC ID: 9638263023 Enrollment ID: I20090822000192 |
| Provider Name | Timothy L Gruebel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417131376 PECOS PAC ID: 4880748078 Enrollment ID: I20090822000203 |
| Provider Name | Ross J Kuhner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962686089 PECOS PAC ID: 6608920897 Enrollment ID: I20090822000205 |
| Provider Name | Ryan D Gilliam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538201629 PECOS PAC ID: 5496809543 Enrollment ID: I20090824000691 |
| Provider Name | Lauren Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376786541 PECOS PAC ID: 0143374298 Enrollment ID: I20090825000036 |
| Provider Name | Laura Salizzoni Dean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275518300 PECOS PAC ID: 0547315525 Enrollment ID: I20090826000742 |
| Provider Name | Edward W Love |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962570531 PECOS PAC ID: 3678662756 Enrollment ID: I20090827000592 |
| Provider Name | Amber M Madrin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700030202 PECOS PAC ID: 8224183090 Enrollment ID: I20090831000213 |
| Provider Name | Charlene M Fleming |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235313081 PECOS PAC ID: 4789739459 Enrollment ID: I20090901000478 |
| Provider Name | Ann B Schweppe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295966554 PECOS PAC ID: 7810042512 Enrollment ID: I20090902000045 |
| Provider Name | Mariana Murea |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396792321 PECOS PAC ID: 3870557945 Enrollment ID: I20090908000458 |
| Provider Name | Alicia Catherine Walters Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639295595 PECOS PAC ID: 6901951359 Enrollment ID: I20090908000546 |
| Provider Name | Karen M Harp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376524686 PECOS PAC ID: 0547315889 Enrollment ID: I20090909000781 |
| Provider Name | Kevin Patrick Mcmullen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093797045 PECOS PAC ID: 1759437734 Enrollment ID: I20090916000179 |
| Provider Name | Lisa Traunero |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891980926 PECOS PAC ID: 0941356984 Enrollment ID: I20090916000701 |
| Provider Name | Sandi Goughenour Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316181357 PECOS PAC ID: 2163578964 Enrollment ID: I20090921000184 |
| Provider Name | Anna Lucy Sobol |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386627677 PECOS PAC ID: 0840399747 Enrollment ID: I20090922000150 |
| Provider Name | Medge Denise Owen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225013352 PECOS PAC ID: 0648326355 Enrollment ID: I20090922000540 |
| Provider Name | Cheryl a Morrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336115682 PECOS PAC ID: 5890841126 Enrollment ID: I20090928000674 |
| Provider Name | Jeffrey Charles Gardner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871772178 PECOS PAC ID: 3870639123 Enrollment ID: I20090930000400 |
| Provider Name | Isai G Bowline |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225260391 PECOS PAC ID: 5597801753 Enrollment ID: I20091001000683 |
| Provider Name | Lynne Sink Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376877449 PECOS PAC ID: 1254477169 Enrollment ID: I20091007000346 |
| Provider Name | Kimberly Williamson Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558695775 PECOS PAC ID: 6709922487 Enrollment ID: I20091009000557 |
| Provider Name | Marcela I Heinrich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871585083 PECOS PAC ID: 3870639552 Enrollment ID: I20091009000576 |
| Provider Name | Kevin Campos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609057611 PECOS PAC ID: 0143366708 Enrollment ID: I20091013000160 |
| Provider Name | Shiva Jarrahi Kincaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063404283 PECOS PAC ID: 9032255617 Enrollment ID: I20091013000262 |
| Provider Name | Jones Brian Darnell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467466169 PECOS PAC ID: 6002952587 Enrollment ID: I20091014000421 |
| Provider Name | Matthew S Edwards |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699750752 PECOS PAC ID: 8729124169 Enrollment ID: I20091015000166 |
| Provider Name | Kristin Henderson Smart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730413485 PECOS PAC ID: 8325185762 Enrollment ID: I20091016000505 |
| Provider Name | William L Watkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447243704 PECOS PAC ID: 4981741113 Enrollment ID: I20091021000224 |
| Provider Name | Konstantinos I Votanopoulos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023212974 PECOS PAC ID: 1951498351 Enrollment ID: I20091109000570 |
| Provider Name | George Hosni Yacoub |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881876241 PECOS PAC ID: 8426196536 Enrollment ID: I20091110000769 |
| Provider Name | Laurie W Albertini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962526715 PECOS PAC ID: 2062550007 Enrollment ID: I20091111000332 |
| Provider Name | Christopher Marcus Lack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427222454 PECOS PAC ID: 3375681133 Enrollment ID: I20091116000499 |
| Provider Name | Randolph Geary |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245215300 PECOS PAC ID: 1658410246 Enrollment ID: I20091119000563 |
| Provider Name | Holly Marie O'grady Vanbencoten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104151729 PECOS PAC ID: 7810036969 Enrollment ID: I20091202000326 |
| Provider Name | Robert J Evans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477549707 PECOS PAC ID: 9931248754 Enrollment ID: I20091208000017 |
| Provider Name | Min Pu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316995988 PECOS PAC ID: 5496767949 Enrollment ID: I20091210000755 |
| Provider Name | Michael Joseph Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568558658 PECOS PAC ID: 9739229303 Enrollment ID: I20091214000282 |
| Provider Name | David Judson Browning |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326098393 PECOS PAC ID: 6305986811 Enrollment ID: I20091214000741 |
| Provider Name | Richard Brandon Stacey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679655526 PECOS PAC ID: 9436299484 Enrollment ID: I20091222000726 |
| Provider Name | Hal Justin Lowder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558696906 PECOS PAC ID: 4880734839 Enrollment ID: I20091222000730 |
| Provider Name | Elisabeth M Stambaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366438152 PECOS PAC ID: 4688715246 Enrollment ID: I20100105000633 |
| Provider Name | Kevin F Bruning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336168996 PECOS PAC ID: 1759422066 Enrollment ID: I20100108000642 |
| Provider Name | Albert John Rhoton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801816475 PECOS PAC ID: 0648311951 Enrollment ID: I20100108000663 |
| Provider Name | Mary Denise Shearin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780604363 PECOS PAC ID: 0345381653 Enrollment ID: I20100108000684 |
| Provider Name | Pam Westmoreland Sholar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710961404 PECOS PAC ID: 8820099849 Enrollment ID: I20100113000048 |
| Provider Name | Bernard Ravi Chinnassami |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821017021 PECOS PAC ID: 1153462148 Enrollment ID: I20100113000415 |
| Provider Name | John David Regan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962480277 PECOS PAC ID: 6507908209 Enrollment ID: I20100119000295 |
| Provider Name | Kalpen N Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467470773 PECOS PAC ID: 0941342646 Enrollment ID: I20100119000321 |
| Provider Name | Lawrence D Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235164666 PECOS PAC ID: 7416099163 Enrollment ID: I20100119000674 |
| Provider Name | Douglas K Louk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114945524 PECOS PAC ID: 8527100288 Enrollment ID: I20100119000747 |
| Provider Name | Lorri L Finch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871526871 PECOS PAC ID: 0840332029 Enrollment ID: I20100126000851 |
| Provider Name | Robert P Heine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568545713 PECOS PAC ID: 4880736099 Enrollment ID: I20100127000242 |
| Provider Name | Nitin P Shenoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851356315 PECOS PAC ID: 0042352130 Enrollment ID: I20100128000086 |
| Provider Name | Jason Douglas Huff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245298587 PECOS PAC ID: 5698788149 Enrollment ID: I20100201000612 |
| Provider Name | Miranda Bare Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356670491 PECOS PAC ID: 7517000359 Enrollment ID: I20100202000874 |
| Provider Name | Steven J Tilles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003860990 PECOS PAC ID: 1557404043 Enrollment ID: I20100205000378 |
| Provider Name | Jenise V Bacon Menshew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376563924 PECOS PAC ID: 8325181852 Enrollment ID: I20100205000700 |
| Provider Name | Kristy Z Sprecher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043540339 PECOS PAC ID: 8729121082 Enrollment ID: I20100209000163 |
| Provider Name | Gary Robert Kuzma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316984610 PECOS PAC ID: 9335041193 Enrollment ID: I20100209000199 |
| Provider Name | Brian C Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124000419 PECOS PAC ID: 7416026554 Enrollment ID: I20100211000313 |
| Provider Name | George Herbert Sanders |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669494977 PECOS PAC ID: 6204970304 Enrollment ID: I20100212000227 |
| Provider Name | Theodore P Kistemaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770523557 PECOS PAC ID: 8729120647 Enrollment ID: I20100212000632 |
| Provider Name | Brigitte G Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508195710 PECOS PAC ID: 9032253927 Enrollment ID: I20100216000325 |
| Provider Name | Christina Natale Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962684514 PECOS PAC ID: 4284790007 Enrollment ID: I20100219000508 |
| Provider Name | Grace E Terrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598795478 PECOS PAC ID: 5890609507 Enrollment ID: I20100222000467 |
| Provider Name | Douglas P Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407814536 PECOS PAC ID: 6507900073 Enrollment ID: I20100222000527 |
| Provider Name | David Moore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649298936 PECOS PAC ID: 1850441056 Enrollment ID: I20100224000907 |
| Provider Name | Timothy Earl Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962487827 PECOS PAC ID: 2163566340 Enrollment ID: I20100225000932 |
| Provider Name | Scott L Vogler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013978253 PECOS PAC ID: 7214072420 Enrollment ID: I20100226000389 |
| Provider Name | Randy Waynes Calicott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083692453 PECOS PAC ID: 5496890667 Enrollment ID: I20100227000085 |
| Provider Name | Basavatti M Sowmya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992972541 PECOS PAC ID: 4385789460 Enrollment ID: I20100301000187 |
| Provider Name | Peter Hao Hsiang Pan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124003256 PECOS PAC ID: 1456496587 Enrollment ID: I20100301000694 |
| Provider Name | Chris Nicholas Christakos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427038512 PECOS PAC ID: 0446395487 Enrollment ID: I20100302000895 |
| Provider Name | Roger Lee Royster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669457537 PECOS PAC ID: 3072658947 Enrollment ID: I20100303000227 |
| Provider Name | Melissa Anderson Laxton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932186178 PECOS PAC ID: 2961547831 Enrollment ID: I20100303000253 |
| Provider Name | Philip Lackey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083690325 PECOS PAC ID: 7315082260 Enrollment ID: I20100303001014 |
| Provider Name | Angela Fariss Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861478208 PECOS PAC ID: 9133264906 Enrollment ID: I20100304000205 |
| Provider Name | Douglas Gordon Ririe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588649610 PECOS PAC ID: 7911042734 Enrollment ID: I20100304000660 |
| Provider Name | Chuanyao Tong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982689840 PECOS PAC ID: 5496890220 Enrollment ID: I20100304000728 |
| Provider Name | Thomas Mcconnell Mccutchen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831174960 PECOS PAC ID: 7315082153 Enrollment ID: I20100304000844 |
| Provider Name | Michael Louis Cannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578540076 PECOS PAC ID: 8921143769 Enrollment ID: I20100304000870 |
| Provider Name | John a Wilson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467432047 PECOS PAC ID: 5890830442 Enrollment ID: I20100306000231 |
| Provider Name | Richard W Lord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346224854 PECOS PAC ID: 8921143462 Enrollment ID: I20100308000829 |
| Provider Name | Milan D Nadkarni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699759092 PECOS PAC ID: 0143365601 Enrollment ID: I20100308001019 |
| Provider Name | Chadwick D Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205810272 PECOS PAC ID: 3779628235 Enrollment ID: I20100308001022 |
| Provider Name | Robert Chin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053396481 PECOS PAC ID: 2668517137 Enrollment ID: I20100309000038 |
| Provider Name | Maria Caridad Sam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598741670 PECOS PAC ID: 1355486820 Enrollment ID: I20100309000087 |
| Provider Name | William P Bozeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336126945 PECOS PAC ID: 5890830368 Enrollment ID: I20100309000092 |
| Provider Name | Malcolm Wernick Marks |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851376891 PECOS PAC ID: 4880739358 Enrollment ID: I20100309000103 |
| Provider Name | Ann Hiott Barham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336123751 PECOS PAC ID: 8224173794 Enrollment ID: I20100309000123 |
| Provider Name | James Dale Browne |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821072893 PECOS PAC ID: 9830234335 Enrollment ID: I20100309000358 |
| Provider Name | James W Mims |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194709576 PECOS PAC ID: 1658416094 Enrollment ID: I20100309000842 |
| Provider Name | Mary Alice Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205810173 PECOS PAC ID: 4183769524 Enrollment ID: I20100309000853 |
| Provider Name | Holly Lain Humphrey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952526980 PECOS PAC ID: 5991840332 Enrollment ID: I20100309000870 |
| Provider Name | Joseph a Molnar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194700138 PECOS PAC ID: 4688719024 Enrollment ID: I20100309000912 |
| Provider Name | Glenn Jay Lesser |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205810660 PECOS PAC ID: 0446395891 Enrollment ID: I20100310000045 |
| Provider Name | Paul David Savage |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306938261 PECOS PAC ID: 8426193871 Enrollment ID: I20100310000067 |
| Provider Name | Karen E Repass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295714517 PECOS PAC ID: 5395880785 Enrollment ID: I20100310000443 |
| Provider Name | Joseph T Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548220726 PECOS PAC ID: 4981749371 Enrollment ID: I20100310000479 |
| Provider Name | Deneice D Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952632374 PECOS PAC ID: 3971648254 Enrollment ID: I20100311000354 |
| Provider Name | Stephen B Tatter |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831178151 PECOS PAC ID: 1456496744 Enrollment ID: I20100311000522 |
| Provider Name | Michael Wesley Beaty |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770567208 PECOS PAC ID: 3173668464 Enrollment ID: I20100311000524 |
| Provider Name | Michael Coates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013991439 PECOS PAC ID: 0244365534 Enrollment ID: I20100311000563 |
| Provider Name | Leslie Kammire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295718328 PECOS PAC ID: 0941335236 Enrollment ID: I20100311000583 |
| Provider Name | Faiza Rais-reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982732558 PECOS PAC ID: 0446385777 Enrollment ID: I20100311000956 |
| Provider Name | Melissa Shouns Winters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023092566 PECOS PAC ID: 3779618004 Enrollment ID: I20100311000988 |
| Provider Name | Michael Vito Rocco |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437134525 PECOS PAC ID: 4587682141 Enrollment ID: I20100312000686 |
| Provider Name | Daniel J Kirse |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215911698 PECOS PAC ID: 8921133141 Enrollment ID: I20100312000748 |
| Provider Name | Sandhya Rani Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598741688 PECOS PAC ID: 7719012939 Enrollment ID: I20100312000775 |
| Provider Name | Joel Thomas Bruggen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437134863 PECOS PAC ID: 4486789625 Enrollment ID: I20100312000953 |
| Provider Name | Perry Shen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1417932575 PECOS PAC ID: 6103951348 Enrollment ID: I20100312000969 |
| Provider Name | Richard Seth Bloomfeld |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194700534 PECOS PAC ID: 6406981679 Enrollment ID: I20100315000179 |
| Provider Name | Peter J Porcelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295715951 PECOS PAC ID: 3274668447 Enrollment ID: I20100315000216 |
| Provider Name | Carolyn Frances Pedley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841275880 PECOS PAC ID: 9638204803 Enrollment ID: I20100315000222 |
| Provider Name | Richard Barry Weinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770568115 PECOS PAC ID: 4688709751 Enrollment ID: I20100315000279 |
| Provider Name | Charles H Tegeler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720064819 PECOS PAC ID: 5597890673 Enrollment ID: I20100315000386 |
| Provider Name | Joseph L Jorizzo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316923360 PECOS PAC ID: 0749315828 Enrollment ID: I20100315000425 |
| Provider Name | Cormac Alvin Odonovan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366428443 PECOS PAC ID: 0446385538 Enrollment ID: I20100315000465 |
| Provider Name | Hal Huntley Atkinson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1053397539 PECOS PAC ID: 0749315844 Enrollment ID: I20100315000543 |
| Provider Name | Mark Douglas Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881676047 PECOS PAC ID: 0244140689 Enrollment ID: I20100315000583 |
| Provider Name | Girish Mishra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902883697 PECOS PAC ID: 5698800704 Enrollment ID: I20100315000713 |
| Provider Name | Lisa R David |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659357143 PECOS PAC ID: 4082749106 Enrollment ID: I20100315000791 |
| Provider Name | Tatyana Kirichenko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710218037 PECOS PAC ID: 6002941150 Enrollment ID: I20100316000083 |
| Provider Name | Alan C Farney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518942648 PECOS PAC ID: 8820123888 Enrollment ID: I20100316000298 |
| Provider Name | Pavel Jacob Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154306280 PECOS PAC ID: 9739214719 Enrollment ID: I20100316000394 |
| Provider Name | Wendy Colleen Moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235112376 PECOS PAC ID: 8820123854 Enrollment ID: I20100316000946 |
| Provider Name | Gail S Marion |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821074519 PECOS PAC ID: 8224163266 Enrollment ID: I20100316001001 |
| Provider Name | John Edward Reynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760467591 PECOS PAC ID: 3274668157 Enrollment ID: I20100317000420 |
| Provider Name | James Bayard Caress |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184600264 PECOS PAC ID: 5294860136 Enrollment ID: I20100317001023 |
| Provider Name | John G Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063496461 PECOS PAC ID: 6305971185 Enrollment ID: I20100318000394 |
| Provider Name | Anthony Defranzo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073598017 PECOS PAC ID: 1759416571 Enrollment ID: I20100318000749 |
| Provider Name | Rachel Ceilann Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134104417 PECOS PAC ID: 9830224567 Enrollment ID: I20100318000965 |
| Provider Name | Tony William Simmons |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558348227 PECOS PAC ID: 5496880106 Enrollment ID: I20100319000756 |
| Provider Name | David M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1437134475 PECOS PAC ID: 3476688185 Enrollment ID: I20100319000773 |
| Provider Name | Phillip Ray Morrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922085166 PECOS PAC ID: 2668507385 Enrollment ID: I20100320000014 |
| Provider Name | John R Hoyle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245215250 PECOS PAC ID: 2365577087 Enrollment ID: I20100320000035 |
| Provider Name | Russell M Howerton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932184066 PECOS PAC ID: 4688748874 Enrollment ID: I20100320000040 |
| Provider Name | James Lucius Wofford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750363354 PECOS PAC ID: 2264567882 Enrollment ID: I20100320000053 |
| Provider Name | Dalane William Kitzman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396720678 PECOS PAC ID: 7214062835 Enrollment ID: I20100320000095 |
| Provider Name | Arjun Bijoy Chatterjee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679566137 PECOS PAC ID: 9032244652 Enrollment ID: I20100320000100 |
| Provider Name | William Yates Rice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306823547 PECOS PAC ID: 2466587084 Enrollment ID: I20100320000142 |
| Provider Name | Frederic Ross Kahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437134632 PECOS PAC ID: 2466587092 Enrollment ID: I20100320000260 |
| Provider Name | Sanjay Kumar Gandhi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295710275 PECOS PAC ID: 1456486091 Enrollment ID: I20100320000284 |
| Provider Name | Stacie J Zelman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629053780 PECOS PAC ID: 6608901202 Enrollment ID: I20100322000514 |
| Provider Name | Larry K Cantley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457336893 PECOS PAC ID: 4688709108 Enrollment ID: I20100322000846 |
| Provider Name | Adolfo Z Fernandez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457336513 PECOS PAC ID: 5193851525 Enrollment ID: I20100324001155 |
| Provider Name | Sharon Queen Vannoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467413062 PECOS PAC ID: 8527194737 Enrollment ID: I20100326000753 |
| Provider Name | Gary George Poehling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437133816 PECOS PAC ID: 5991831133 Enrollment ID: I20100327000074 |
| Provider Name | John P Birkedal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720062128 PECOS PAC ID: 6507992757 Enrollment ID: I20100327000122 |
| Provider Name | David F Martin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003890070 PECOS PAC ID: 0143356394 Enrollment ID: I20100327000126 |
| Provider Name | Amy J Mcmichael |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134104177 PECOS PAC ID: 6002942257 Enrollment ID: I20100327000178 |
| Provider Name | Neal D Kon |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992788699 PECOS PAC ID: 4880720044 Enrollment ID: I20100327000218 |
| Provider Name | Patrick Shawn Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265418347 PECOS PAC ID: 7214063478 Enrollment ID: I20100327000256 |
| Provider Name | Bart a Frizzell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528040581 PECOS PAC ID: 5294861456 Enrollment ID: I20100327000270 |
| Provider Name | Lesley Berenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215911276 PECOS PAC ID: 6709912876 Enrollment ID: I20100327000468 |
| Provider Name | Michael J Kalish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073533246 PECOS PAC ID: 1052447125 Enrollment ID: I20100327000501 |
| Provider Name | Kathleen M Kolaski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093791329 PECOS PAC ID: 2860528932 Enrollment ID: I20100327000513 |
| Provider Name | Alain Gerald Bertoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558344259 PECOS PAC ID: 9638205735 Enrollment ID: I20100329000180 |
| Provider Name | Penelope a Crisp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619952058 PECOS PAC ID: 2163558271 Enrollment ID: I20100329000326 |
| Provider Name | Gregory Allen Ross |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063497923 PECOS PAC ID: 4385770429 Enrollment ID: I20100329000587 |
| Provider Name | Steven Richard Feldman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720063175 PECOS PAC ID: 7911033063 Enrollment ID: I20100329000726 |
| Provider Name | John Owen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366427411 PECOS PAC ID: 0345376307 Enrollment ID: I20100329000856 |
| Provider Name | Elizabeth Susan Lyerly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245448737 PECOS PAC ID: 6901932987 Enrollment ID: I20100329001022 |
| Provider Name | Mitchell C Sokolosky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457335853 PECOS PAC ID: 3870629850 Enrollment ID: I20100329001057 |
| Provider Name | Eugene H Thiebaud |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306821269 PECOS PAC ID: 0547396558 Enrollment ID: I20100330000157 |
| Provider Name | Gordon C Kammire |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730185919 PECOS PAC ID: 3274531579 Enrollment ID: I20100330000773 |
| Provider Name | David Mcleod Herrington |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932184215 PECOS PAC ID: 1355477225 Enrollment ID: I20100330000810 |
| Provider Name | Edward a Levine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275518334 PECOS PAC ID: 3274669155 Enrollment ID: I20100330000917 |
| Provider Name | James C Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447235262 PECOS PAC ID: 8224164066 Enrollment ID: I20100331000207 |
| Provider Name | Gregory S Waters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003893629 PECOS PAC ID: 3577699297 Enrollment ID: I20100331001052 |
| Provider Name | Julie L Lacoursiere |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942442397 PECOS PAC ID: 0941349096 Enrollment ID: I20100331001097 |
| Provider Name | Jodi Hawn Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669658001 PECOS PAC ID: 3779619309 Enrollment ID: I20100407000232 |
| Provider Name | Gregory Jay Pomper |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184608572 PECOS PAC ID: 3173650694 Enrollment ID: I20100414000810 |
| Provider Name | Jasper Simmons Riggan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700882982 PECOS PAC ID: 7810995115 Enrollment ID: I20100416000560 |
| Provider Name | Ruth a Lininger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306932918 PECOS PAC ID: 9537296850 Enrollment ID: I20100419000472 |
| Provider Name | Francis Xavier Obrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558348441 PECOS PAC ID: 3173650165 Enrollment ID: I20100422001029 |
| Provider Name | Carl J Westcott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356326219 PECOS PAC ID: 4981731916 Enrollment ID: I20100423000243 |
| Provider Name | Harold S Rudicil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053395434 PECOS PAC ID: 8628105657 Enrollment ID: I20100423000335 |
| Provider Name | Catherine N Shull |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891779260 PECOS PAC ID: 7810024742 Enrollment ID: I20100423000458 |
| Provider Name | Rose Kordich Doyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063481497 PECOS PAC ID: 2163489295 Enrollment ID: I20100427000471 |
| Provider Name | Matthew P Zwilling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053643395 PECOS PAC ID: 4284761826 Enrollment ID: I20100429001043 |
| Provider Name | Sarah Robertson Dralle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902120462 PECOS PAC ID: 1153459441 Enrollment ID: I20100506000673 |
| Provider Name | Robert Lee Sprinkle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689613432 PECOS PAC ID: 6608904776 Enrollment ID: I20100512000778 |
| Provider Name | Christina D Hedrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851363998 PECOS PAC ID: 2567423296 Enrollment ID: I20100512001107 |
| Provider Name | Kenneth W Bush |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528020682 PECOS PAC ID: 5193853067 Enrollment ID: I20100513000654 |
| Provider Name | William Frances Marterre |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1861453482 PECOS PAC ID: 9032295480 Enrollment ID: I20100514000391 |
| Provider Name | Bridget Maxine Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336466846 PECOS PAC ID: 9638207426 Enrollment ID: I20100515000115 |
| Provider Name | Brenda a Latham-sadler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962486472 PECOS PAC ID: 4880722537 Enrollment ID: I20100517000769 |
| Provider Name | Tadhg James O'gara |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609884378 PECOS PAC ID: 8921002940 Enrollment ID: I20100519000131 |
| Provider Name | Delores Edwards Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720303043 PECOS PAC ID: 6507995081 Enrollment ID: I20100520000907 |
| Provider Name | Stephanie Robinett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619084449 PECOS PAC ID: 1658457049 Enrollment ID: I20100525000264 |
| Provider Name | Dolorosa Pachao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467603142 PECOS PAC ID: 3779612627 Enrollment ID: I20100602000539 |
| Provider Name | Sundararajan Sundararajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093707291 PECOS PAC ID: 9739219528 Enrollment ID: I20100604000350 |
| Provider Name | Eric Kraus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073504221 PECOS PAC ID: 7517990989 Enrollment ID: I20100608000761 |
| Provider Name | Paul S Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235131095 PECOS PAC ID: 3476683921 Enrollment ID: I20100610000539 |
| Provider Name | Benjamin Nicholas Morris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659590248 PECOS PAC ID: 4981735883 Enrollment ID: I20100621000614 |
| Provider Name | Ryan P Terlecki |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225235021 PECOS PAC ID: 2365517992 Enrollment ID: I20100622000414 |
| Provider Name | Laura F Allen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164477394 PECOS PAC ID: 5698862852 Enrollment ID: I20100622000584 |
| Provider Name | Christopher Thomas Whitlow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063696557 PECOS PAC ID: 6406987387 Enrollment ID: I20100622000591 |
| Provider Name | Joseph H Calvert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669694329 PECOS PAC ID: 8022117878 Enrollment ID: I20100622000593 |
| Provider Name | Sarah Jane Bost |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154500577 PECOS PAC ID: 2668503541 Enrollment ID: I20100622000609 |
| Provider Name | William D Alley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376704767 PECOS PAC ID: 5991855835 Enrollment ID: I20100622000634 |
| Provider Name | Amy Lucille Cassidy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841407996 PECOS PAC ID: 2860560281 Enrollment ID: I20100623000180 |
| Provider Name | Robert Mitchell Rothbart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265499479 PECOS PAC ID: 0547201212 Enrollment ID: I20100623000777 |
| Provider Name | Daryl Steven Henshaw |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144404427 PECOS PAC ID: 1052442738 Enrollment ID: I20100624000055 |
| Provider Name | Brian C Hiestand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134209117 PECOS PAC ID: 5991855108 Enrollment ID: I20100624000170 |
| Provider Name | Amy Tackett Campos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922281310 PECOS PAC ID: 0547391104 Enrollment ID: I20100625000117 |
| Provider Name | Jeffrey JM Yaste |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811036841 PECOS PAC ID: 2567517303 Enrollment ID: I20100709000408 |
| Provider Name | Bethany Hunt Kassouf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265752794 PECOS PAC ID: 9335271931 Enrollment ID: I20100717000037 |
| Provider Name | Connie Lea Calvert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770757775 PECOS PAC ID: 5799848032 Enrollment ID: I20100720000644 |
| Provider Name | Jason P Stopyra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003891532 PECOS PAC ID: 4880727833 Enrollment ID: I20100728000766 |
| Provider Name | Cynthia L Emory |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700082005 PECOS PAC ID: 1951434703 Enrollment ID: I20100730000948 |
| Provider Name | Michael Joseph Walsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619094547 PECOS PAC ID: 0648303495 Enrollment ID: I20100730000990 |
| Provider Name | Montgomery H Cox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720041767 PECOS PAC ID: 4082747753 Enrollment ID: I20100802000302 |
| Provider Name | Courtney Works Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033430285 PECOS PAC ID: 5496888190 Enrollment ID: I20100802000616 |
| Provider Name | Brian B Peacock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437460623 PECOS PAC ID: 7315070042 Enrollment ID: I20100802000944 |
| Provider Name | Kevin David Ossey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063462729 PECOS PAC ID: 2567354459 Enrollment ID: I20100802000957 |
| Provider Name | Jing Li |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659551604 PECOS PAC ID: 6204969736 Enrollment ID: I20100804000080 |
| Provider Name | Ezequiel Zamora |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427251123 PECOS PAC ID: 2961535406 Enrollment ID: I20100804000158 |
| Provider Name | Catherine a Matthews |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467563593 PECOS PAC ID: 9638176498 Enrollment ID: I20100804000583 |
| Provider Name | Matthew E Ravish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497931240 PECOS PAC ID: 5395878896 Enrollment ID: I20100804000900 |
| Provider Name | George Adam Flowers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245220680 PECOS PAC ID: 9436282670 Enrollment ID: I20100809000548 |
| Provider Name | James Atkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104808476 PECOS PAC ID: 3173656345 Enrollment ID: I20100809000957 |
| Provider Name | Katharine Boles Pearsall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447563630 PECOS PAC ID: 3678607843 Enrollment ID: I20100810001109 |
| Provider Name | Kevin N Largen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609970045 PECOS PAC ID: 3173657251 Enrollment ID: I20100811000128 |
| Provider Name | Marion E Walsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760696892 PECOS PAC ID: 0840324927 Enrollment ID: I20100811000192 |
| Provider Name | Kathleen W Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548307259 PECOS PAC ID: 5193812519 Enrollment ID: I20100811000802 |
| Provider Name | Deborah Nance Smothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568464451 PECOS PAC ID: 1153455217 Enrollment ID: I20100811001100 |
| Provider Name | Kathryn Elizabeth Callahan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346396694 PECOS PAC ID: 4688708662 Enrollment ID: I20100812000381 |
| Provider Name | Susan a Haas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619152923 PECOS PAC ID: 6800920893 Enrollment ID: I20100812000458 |
| Provider Name | Richmond Lee Griner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114900586 PECOS PAC ID: 8022142934 Enrollment ID: I20100813000854 |
| Provider Name | Linda Harwi Trimble |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407839889 PECOS PAC ID: 6709910599 Enrollment ID: I20100816000626 |
| Provider Name | Eric Bond Stiefel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386628535 PECOS PAC ID: 1254465941 Enrollment ID: I20100817000854 |
| Provider Name | David Michael Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679677009 PECOS PAC ID: 7214061720 Enrollment ID: I20100819000803 |
| Provider Name | Lauren Whisenant Imboden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558675033 PECOS PAC ID: 0042344467 Enrollment ID: I20100819001047 |
| Provider Name | Frank Edward Pollock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538127303 PECOS PAC ID: 4688708977 Enrollment ID: I20100823000889 |
| Provider Name | Joseph Richard Barber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821279795 PECOS PAC ID: 3678697844 Enrollment ID: I20100825000928 |
| Provider Name | Alexander Jung Hwan Lim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255333191 PECOS PAC ID: 7719001882 Enrollment ID: I20100825001004 |
| Provider Name | Nathan George Ogilvie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699921718 PECOS PAC ID: 7911074802 Enrollment ID: I20100826000462 |
| Provider Name | Claudine Y.W. Corbett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952505315 PECOS PAC ID: 6002930138 Enrollment ID: I20100826000573 |
| Provider Name | Kathy L Crysel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891770566 PECOS PAC ID: 2961526991 Enrollment ID: I20100827000660 |
| Provider Name | Karen Ruth Cruciani |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427031574 PECOS PAC ID: 1658495601 Enrollment ID: I20100828000021 |
| Provider Name | James Francis Slyman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356324982 PECOS PAC ID: 4385768282 Enrollment ID: I20100830000652 |
| Provider Name | Perry E Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134120660 PECOS PAC ID: 7810011756 Enrollment ID: I20100830001145 |
| Provider Name | Aliza L Hekman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346496700 PECOS PAC ID: 7810011665 Enrollment ID: I20100831000124 |
| Provider Name | Joseph Grady Elliott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285774166 PECOS PAC ID: 6709910953 Enrollment ID: I20100901000858 |
| Provider Name | Kevin Kuzma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871751487 PECOS PAC ID: 9739203324 Enrollment ID: I20100903000202 |
| Provider Name | Denise Michelle Desalvo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932168903 PECOS PAC ID: 4284758624 Enrollment ID: I20100907001099 |
| Provider Name | Elliott F Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538161401 PECOS PAC ID: 2668522863 Enrollment ID: I20100908000959 |
| Provider Name | Alexis Reagan Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255652467 PECOS PAC ID: 7113042425 Enrollment ID: I20100909001129 |
| Provider Name | Kathy M Wolverton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023092921 PECOS PAC ID: 0547385783 Enrollment ID: I20100913000242 |
| Provider Name | Marcel Ikwuoma Akuneme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336398387 PECOS PAC ID: 2466577556 Enrollment ID: I20100913000896 |
| Provider Name | Samantha Deviney Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013223049 PECOS PAC ID: 8426173576 Enrollment ID: I20100914000379 |
| Provider Name | Philippe Jude Zamor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881734382 PECOS PAC ID: 5698729051 Enrollment ID: I20100914001081 |
| Provider Name | Candice D Johnson-leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942524913 PECOS PAC ID: 5294850913 Enrollment ID: I20100917000216 |
| Provider Name | Karen Sennewald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326028226 PECOS PAC ID: 5395631774 Enrollment ID: I20100922000374 |
| Provider Name | Scott a Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134262694 PECOS PAC ID: 6608992094 Enrollment ID: I20100922000979 |
| Provider Name | April Cynthia Cable |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689632184 PECOS PAC ID: 7113043480 Enrollment ID: I20100923000792 |
| Provider Name | Thomas Patrick Doolittle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578552485 PECOS PAC ID: 2264558527 Enrollment ID: I20100924000302 |
| Provider Name | Shad M Baab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861564965 PECOS PAC ID: 3476625187 Enrollment ID: I20100924000611 |
| Provider Name | Gautam Sidharath Popli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528092277 PECOS PAC ID: 7810968856 Enrollment ID: I20100924000664 |
| Provider Name | Mary Melyssa Moran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427031368 PECOS PAC ID: 9436275575 Enrollment ID: I20100927000974 |
| Provider Name | Elizabeth Anne Gunter-woods |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558338020 PECOS PAC ID: 3274659214 Enrollment ID: I20100927001207 |
| Provider Name | Steven Kadiev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962627414 PECOS PAC ID: 5092767764 Enrollment ID: I20100928001483 |
| Provider Name | Suma Menon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013235464 PECOS PAC ID: 2264624642 Enrollment ID: I20101004000628 |
| Provider Name | Penny Hare Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669796405 PECOS PAC ID: 6002008208 Enrollment ID: I20101006000699 |
| Provider Name | Teresa Necole Reid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134436652 PECOS PAC ID: 1355534488 Enrollment ID: I20101021001119 |
| Provider Name | Kelly Holt King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578872248 PECOS PAC ID: 7911191176 Enrollment ID: I20101101001348 |
| Provider Name | David Michael Holder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619140449 PECOS PAC ID: 6608061221 Enrollment ID: I20101109000971 |
| Provider Name | Sherry Morgan Close |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679873608 PECOS PAC ID: 1759576648 Enrollment ID: I20101117001233 |
| Provider Name | Irene Isaac |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851580120 PECOS PAC ID: 5799875829 Enrollment ID: I20101123000365 |
| Provider Name | John L Waller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427105980 PECOS PAC ID: 7911193073 Enrollment ID: I20101201000531 |
| Provider Name | Timothy David Setzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609189372 PECOS PAC ID: 1355537440 Enrollment ID: I20101201000921 |
| Provider Name | Heather L Penland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306155155 PECOS PAC ID: 8628265261 Enrollment ID: I20101209000140 |
| Provider Name | Sara Miller Stanley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285943035 PECOS PAC ID: 4587851084 Enrollment ID: I20101209000879 |
| Provider Name | Heather Renae Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528376738 PECOS PAC ID: 3577750967 Enrollment ID: I20101210000710 |
| Provider Name | Seyed a Shahmehdi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356521439 PECOS PAC ID: 4486841509 Enrollment ID: I20101215000098 |
| Provider Name | Kelly Edwards Highland |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891762829 PECOS PAC ID: 5092903914 Enrollment ID: I20101220000543 |
| Provider Name | Angela Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811015704 PECOS PAC ID: 8921191099 Enrollment ID: I20101221000382 |
| Provider Name | Joanna Watson Van Noy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285602227 PECOS PAC ID: 3072701663 Enrollment ID: I20101227000149 |
| Provider Name | Courage Emokpae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033175401 PECOS PAC ID: 2466346697 Enrollment ID: I20110112000137 |
| Provider Name | Michael L Mcmillen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235286279 PECOS PAC ID: 8325227523 Enrollment ID: I20110120000133 |
| Provider Name | Monica Marie Dittmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730168055 PECOS PAC ID: 2668651407 Enrollment ID: I20110125000896 |
| Provider Name | Heather Joy Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821399742 PECOS PAC ID: 8426237231 Enrollment ID: I20110126000465 |
| Provider Name | Jennifer Kowalsky Rock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164730149 PECOS PAC ID: 0042490351 Enrollment ID: I20110203000525 |
| Provider Name | Daniel Murphy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568429405 PECOS PAC ID: 5395890230 Enrollment ID: I20110209000639 |
| Provider Name | Christian Edward Shield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740499490 PECOS PAC ID: 1951581784 Enrollment ID: I20110210000475 |
| Provider Name | Kristin Clickett Laster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437175650 PECOS PAC ID: 6204966906 Enrollment ID: I20110211000650 |
| Provider Name | William Stephen Furr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528022761 PECOS PAC ID: 0345148326 Enrollment ID: I20110307000081 |
| Provider Name | John Joseph Riedel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366749988 PECOS PAC ID: 1850573288 Enrollment ID: I20110307000665 |
| Provider Name | Kevin Glen Saldanha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346546835 PECOS PAC ID: 0345422614 Enrollment ID: I20110308000249 |
| Provider Name | Miranda Kapural |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962677179 PECOS PAC ID: 8527240605 Enrollment ID: I20110310000540 |
| Provider Name | Sandra L Hipple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982909016 PECOS PAC ID: 8820270937 Enrollment ID: I20110310000846 |
| Provider Name | Bernard B Ayiku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740509629 PECOS PAC ID: 5294918686 Enrollment ID: I20110322000918 |
| Provider Name | Susan Elizabeth Atkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013037316 PECOS PAC ID: 5890978043 Enrollment ID: I20110324000744 |
| Provider Name | Brittany Myers Habershaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396901633 PECOS PAC ID: 1153504188 Enrollment ID: I20110329000047 |
| Provider Name | Mary Therese Silvia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720018146 PECOS PAC ID: 9335144294 Enrollment ID: I20110331000063 |
| Provider Name | Fan Dong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518261155 PECOS PAC ID: 3678757812 Enrollment ID: I20110412000719 |
| Provider Name | Ashton Chen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215128459 PECOS PAC ID: 1951586734 Enrollment ID: I20110420000384 |
| Provider Name | Angela G Bowman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801869359 PECOS PAC ID: 4688859606 Enrollment ID: I20110505000867 |
| Provider Name | Heather M Spry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154432862 PECOS PAC ID: 9830375690 Enrollment ID: I20110512000733 |
| Provider Name | Rachel Catherine Payne Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437468873 PECOS PAC ID: 4082890694 Enrollment ID: I20110517000134 |
| Provider Name | Matthew Harry Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104033281 PECOS PAC ID: 2365628831 Enrollment ID: I20110517000820 |
| Provider Name | David Story |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548435795 PECOS PAC ID: 7810023686 Enrollment ID: I20110606000768 |
| Provider Name | Matthew S Shepherd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205809084 PECOS PAC ID: 2062695323 Enrollment ID: I20110607000049 |
| Provider Name | Chad D Mccalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689881625 PECOS PAC ID: 0143407437 Enrollment ID: I20110614000739 |
| Provider Name | Justin Ryan Traunero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043493505 PECOS PAC ID: 3375721459 Enrollment ID: I20110620000167 |
| Provider Name | Michael S Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922154533 PECOS PAC ID: 1658559760 Enrollment ID: I20110620000423 |
| Provider Name | David L Glenn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821231390 PECOS PAC ID: 6103004809 Enrollment ID: I20110628000822 |
| Provider Name | Andrew Delgaizo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235300252 PECOS PAC ID: 2769675180 Enrollment ID: I20110628000905 |
| Provider Name | Jeremy C Littleton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649432717 PECOS PAC ID: 9032397740 Enrollment ID: I20110628000919 |
| Provider Name | Keith D Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417118316 PECOS PAC ID: 3870771314 Enrollment ID: I20110701000236 |
| Provider Name | Ashley Nicholl Sparler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932382421 PECOS PAC ID: 2163690421 Enrollment ID: I20110713000231 |
| Provider Name | Sunnie Leigh Flowers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598051898 PECOS PAC ID: 9436327517 Enrollment ID: I20110714000861 |
| Provider Name | Brittany Amber Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730492638 PECOS PAC ID: 8325216476 Enrollment ID: I20110718000072 |
| Provider Name | Chaudry N Majeed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659664068 PECOS PAC ID: 3577731199 Enrollment ID: I20110726000012 |
| Provider Name | Lisa Lynn Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831346337 PECOS PAC ID: 5991973463 Enrollment ID: I20110728000092 |
| Provider Name | Carol Anne Albright |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558538983 PECOS PAC ID: 8224207634 Enrollment ID: I20110801000560 |
| Provider Name | Prem Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124291380 PECOS PAC ID: 7012080013 Enrollment ID: I20110802000032 |
| Provider Name | Michael C Mccrory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306998034 PECOS PAC ID: 1557530821 Enrollment ID: I20110803000695 |
| Provider Name | Laura H Glick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831363746 PECOS PAC ID: 2567631450 Enrollment ID: I20110810000401 |
| Provider Name | Doris R Brown |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326165663 PECOS PAC ID: 8527237023 Enrollment ID: I20110817000316 |
| Provider Name | Chrysanthi Lea Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750689410 PECOS PAC ID: 4183893662 Enrollment ID: I20110818000340 |
| Provider Name | Anastasios Papadonikolakis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851587778 PECOS PAC ID: 3577733013 Enrollment ID: I20110819000152 |
| Provider Name | Anna Miller-fitzwater |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750542239 PECOS PAC ID: 7113197492 Enrollment ID: I20110823001061 |
| Provider Name | Michael Moses Goodman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619020179 PECOS PAC ID: 7517012479 Enrollment ID: I20110824000961 |
| Provider Name | Anne Linn Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427219831 PECOS PAC ID: 4183894355 Enrollment ID: I20110825000158 |
| Provider Name | Richard B Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265726335 PECOS PAC ID: 2961672100 Enrollment ID: I20110826000196 |
| Provider Name | Renu Syal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992773030 PECOS PAC ID: 9133181506 Enrollment ID: I20110829000008 |
| Provider Name | Kristen Anne Zeller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952565855 PECOS PAC ID: 1254501372 Enrollment ID: I20110829000592 |
| Provider Name | Yogesh Bhusal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841319654 PECOS PAC ID: 9537339361 Enrollment ID: I20110902000159 |
| Provider Name | Wesley Hsu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407908528 PECOS PAC ID: 0244400984 Enrollment ID: I20110907000975 |
| Provider Name | Carie S Nunley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013296888 PECOS PAC ID: 2668642232 Enrollment ID: I20110909002532 |
| Provider Name | Yashashwi Pokharel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801050067 PECOS PAC ID: 5991976326 Enrollment ID: I20110915000496 |
| Provider Name | Julie Kristine Wood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720255037 PECOS PAC ID: 8820269087 Enrollment ID: I20110920000015 |
| Provider Name | Patricia F Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699061846 PECOS PAC ID: 4587835665 Enrollment ID: I20110921000522 |
| Provider Name | Stephanie Jane Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144480716 PECOS PAC ID: 5496926594 Enrollment ID: I20110921000672 |
| Provider Name | Mike Malek Gassemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679544720 PECOS PAC ID: 7810034634 Enrollment ID: I20110928000127 |
| Provider Name | Luke C Kohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083874630 PECOS PAC ID: 9133390834 Enrollment ID: I20110928000499 |
| Provider Name | Joshua Franklin Nitsche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053384149 PECOS PAC ID: 7113956038 Enrollment ID: I20110928000527 |
| Provider Name | Valerie Mumm Decarlo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043516644 PECOS PAC ID: 9537330287 Enrollment ID: I20110929000188 |
| Provider Name | Rhonda Sue Cadena |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760693055 PECOS PAC ID: 6305925207 Enrollment ID: I20110929000338 |
| Provider Name | Claudia M Croitoru |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417901810 PECOS PAC ID: 3678539749 Enrollment ID: I20110929000403 |
| Provider Name | Amber Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144508987 PECOS PAC ID: 8820260573 Enrollment ID: I20111003000025 |
| Provider Name | Daniel Clark Files |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376690248 PECOS PAC ID: 9335292135 Enrollment ID: I20111005000928 |
| Provider Name | Sujethra Vasu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285889832 PECOS PAC ID: 7315119781 Enrollment ID: I20111006000399 |
| Provider Name | David Mathisen Shelburne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750548145 PECOS PAC ID: 3779755038 Enrollment ID: I20111010000128 |
| Provider Name | Kelley Jo Bajillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437445962 PECOS PAC ID: 6709058076 Enrollment ID: I20111010000215 |
| Provider Name | Kathleen Webb Punger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679740161 PECOS PAC ID: 5496927774 Enrollment ID: I20111010000401 |
| Provider Name | Drew P Plonk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285818856 PECOS PAC ID: 4284806571 Enrollment ID: I20111010000453 |
| Provider Name | Justin Borthwell Hurie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649431628 PECOS PAC ID: 0143492462 Enrollment ID: I20111011000185 |
| Provider Name | Paul a Schmeltzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861671554 PECOS PAC ID: 8628101185 Enrollment ID: I20111011000327 |
| Provider Name | Larry D Durham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780692053 PECOS PAC ID: 4385651512 Enrollment ID: I20111017000558 |
| Provider Name | Tiffany Danielle Kratzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801924030 PECOS PAC ID: 9638341639 Enrollment ID: I20111018000252 |
| Provider Name | Randall M Reidler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922389295 PECOS PAC ID: 9638342454 Enrollment ID: I20111024000009 |
| Provider Name | Cathrine Constantacos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841433596 PECOS PAC ID: 8628241239 Enrollment ID: I20111026000836 |
| Provider Name | Kathryn Weldon Phares |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225311525 PECOS PAC ID: 3971776469 Enrollment ID: I20111027000995 |
| Provider Name | Brianna Lee Garrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013293034 PECOS PAC ID: 6406029503 Enrollment ID: I20111107000283 |
| Provider Name | Kimberly Lewis Agamedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275814758 PECOS PAC ID: 3870767668 Enrollment ID: I20111111000650 |
| Provider Name | Matthew T Cline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649406794 PECOS PAC ID: 8820262652 Enrollment ID: I20111114000259 |
| Provider Name | Cara Jean Haberman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578768941 PECOS PAC ID: 3870778731 Enrollment ID: I20111114000619 |
| Provider Name | Tawanna Latice Hairston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194789784 PECOS PAC ID: 2668646373 Enrollment ID: I20111115000369 |
| Provider Name | Teresa Biles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659418317 PECOS PAC ID: 7315987997 Enrollment ID: I20111115000883 |
| Provider Name | Michael Elizabeth Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982986675 PECOS PAC ID: 9739353210 Enrollment ID: I20111118000128 |
| Provider Name | Anthony John Bleyer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346225778 PECOS PAC ID: 3476622176 Enrollment ID: I20111122000177 |
| Provider Name | Barry Ira Freedman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245215672 PECOS PAC ID: 9830281542 Enrollment ID: I20111122000262 |
| Provider Name | Meredith M Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639451172 PECOS PAC ID: 5496929754 Enrollment ID: I20111122000865 |
| Provider Name | Anne Marie Somerville |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053693523 PECOS PAC ID: 7214102201 Enrollment ID: I20111201000704 |
| Provider Name | Brooke Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447535794 PECOS PAC ID: 6002081676 Enrollment ID: I20111209000008 |
| Provider Name | Kathleen Hosmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609095926 PECOS PAC ID: 7517027162 Enrollment ID: I20111212000899 |
| Provider Name | Michael a Bellamy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932246774 PECOS PAC ID: 4385819580 Enrollment ID: I20111216000745 |
| Provider Name | Edman Payson Schumacher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699782177 PECOS PAC ID: 6800062969 Enrollment ID: I20111221000009 |
| Provider Name | Theresa B Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891959102 PECOS PAC ID: 8820264898 Enrollment ID: I20111222000518 |
| Provider Name | Eva N Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477711109 PECOS PAC ID: 4284800616 Enrollment ID: I20120105000697 |
| Provider Name | Susan W Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053406462 PECOS PAC ID: 8022284264 Enrollment ID: I20120110000314 |
| Provider Name | Charles Wesley Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184993784 PECOS PAC ID: 4183881154 Enrollment ID: I20120202000090 |
| Provider Name | Gayla S Lowery |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841377363 PECOS PAC ID: 3779616446 Enrollment ID: I20120207000704 |
| Provider Name | Tanya S Woodson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447381959 PECOS PAC ID: 8325205099 Enrollment ID: I20120208000234 |
| Provider Name | Tiffany Gail Greene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225307549 PECOS PAC ID: 0749447456 Enrollment ID: I20120208000672 |
| Provider Name | Mark Timothy Hix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134191380 PECOS PAC ID: 5890760094 Enrollment ID: I20120228000232 |
| Provider Name | Stephanie J Wolfe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356612618 PECOS PAC ID: 9436318508 Enrollment ID: I20120308000492 |
| Provider Name | Nancy Ashley White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871562322 PECOS PAC ID: 8325208234 Enrollment ID: I20120330000477 |
| Provider Name | Julie Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790056075 PECOS PAC ID: 5991965659 Enrollment ID: I20120404000711 |
| Provider Name | Sheila Harvey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326311838 PECOS PAC ID: 3678735446 Enrollment ID: I20120425000000 |
| Provider Name | Matthew David Barker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689653651 PECOS PAC ID: 4587826359 Enrollment ID: I20120425000002 |
| Provider Name | Laxman R Pokhrel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255564977 PECOS PAC ID: 8729240130 Enrollment ID: I20120501000678 |
| Provider Name | Manrique Alvarez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235397431 PECOS PAC ID: 8628230810 Enrollment ID: I20120504000301 |
| Provider Name | Debra Marie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497048714 PECOS PAC ID: 5496932774 Enrollment ID: I20120508000411 |
| Provider Name | Claudiu a Cimpean |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861483844 PECOS PAC ID: 0345230967 Enrollment ID: I20120514000007 |
| Provider Name | John Alexander Watts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114194537 PECOS PAC ID: 4587828587 Enrollment ID: I20120601000466 |
| Provider Name | Stacey Evelyn Pope Furr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033484563 PECOS PAC ID: 6608030671 Enrollment ID: I20120604000567 |
| Provider Name | Jonathan Edward Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982851663 PECOS PAC ID: 1759545643 Enrollment ID: I20120605000374 |
| Provider Name | Douglas P Delo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376596973 PECOS PAC ID: 3577554765 Enrollment ID: I20120612000388 |
| Provider Name | Meagan R Hunt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386806818 PECOS PAC ID: 1456515089 Enrollment ID: I20120612000429 |
| Provider Name | Christa Brittany Swisher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295921450 PECOS PAC ID: 2062672454 Enrollment ID: I20120614000722 |
| Provider Name | Taylor G Austin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265519755 PECOS PAC ID: 5294990081 Enrollment ID: I20120628000458 |
| Provider Name | Elizabeth E Halvorson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972739183 PECOS PAC ID: 6305001124 Enrollment ID: I20120629000077 |
| Provider Name | Travis Lee Dotson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851581144 PECOS PAC ID: 7315102050 Enrollment ID: I20120703000420 |
| Provider Name | Dipendra Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326200825 PECOS PAC ID: 4587829114 Enrollment ID: I20120706000057 |
| Provider Name | Jason Heggerick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942250105 PECOS PAC ID: 9133132806 Enrollment ID: I20120712000891 |
| Provider Name | Jason T Fancey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255386629 PECOS PAC ID: 6507055043 Enrollment ID: I20120718000089 |
| Provider Name | Judith K Messura |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134230741 PECOS PAC ID: 0042476087 Enrollment ID: I20120720000008 |
| Provider Name | Ursula Nicole Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659504355 PECOS PAC ID: 6103082680 Enrollment ID: I20120727000442 |
| Provider Name | Letlhogonolo Benny Tlhabano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194906891 PECOS PAC ID: 3577639632 Enrollment ID: I20120727000795 |
| Provider Name | Michael Greg Kelly |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1477541399 PECOS PAC ID: 4688623291 Enrollment ID: I20120730000486 |
| Provider Name | Christopher M Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902028392 PECOS PAC ID: 2860581212 Enrollment ID: I20120731000003 |
| Provider Name | John S Shields |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245410497 PECOS PAC ID: 8325218027 Enrollment ID: I20120807000243 |
| Provider Name | Andrea Jennings Strathman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124281845 PECOS PAC ID: 3971759945 Enrollment ID: I20120807000263 |
| Provider Name | John D Clinger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497964969 PECOS PAC ID: 7416125620 Enrollment ID: I20120807000579 |
| Provider Name | Ashley S Chaplin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801021225 PECOS PAC ID: 3173779048 Enrollment ID: I20120808000500 |
| Provider Name | Bethany Lisi Buie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346595238 PECOS PAC ID: 1355597279 Enrollment ID: I20120809000073 |
| Provider Name | Laura C Downey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831350883 PECOS PAC ID: 2264688084 Enrollment ID: I20120810000390 |
| Provider Name | Myron S Powell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881879484 PECOS PAC ID: 4385890045 Enrollment ID: I20120810000846 |
| Provider Name | Phillip Roy Tennant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851558845 PECOS PAC ID: 3274789938 Enrollment ID: I20120813000019 |
| Provider Name | Leigh-ann Jones Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841522919 PECOS PAC ID: 3476729385 Enrollment ID: I20120813000855 |
| Provider Name | Steven S Silvonek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720246804 PECOS PAC ID: 9335395847 Enrollment ID: I20120815000359 |
| Provider Name | Samantha Jayne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659632826 PECOS PAC ID: 1850547373 Enrollment ID: I20120815000528 |
| Provider Name | Yongqin Wu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952563777 PECOS PAC ID: 5496901860 Enrollment ID: I20120820000224 |
| Provider Name | Christina Rose Bellinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205023025 PECOS PAC ID: 1456508852 Enrollment ID: I20120820000674 |
| Provider Name | Kimberly a Stogner-underwood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083815401 PECOS PAC ID: 5698922011 Enrollment ID: I20120820001001 |
| Provider Name | Terry Lee Bartlett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154699718 PECOS PAC ID: 8325295751 Enrollment ID: I20120820001121 |
| Provider Name | Kelley Joseph Carver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962760744 PECOS PAC ID: 7719134162 Enrollment ID: I20120821000118 |
| Provider Name | Emilie Camille Ralston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093981300 PECOS PAC ID: 4183871403 Enrollment ID: I20120821001007 |
| Provider Name | Martina Gomez Downard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356568570 PECOS PAC ID: 1052568227 Enrollment ID: I20120822000502 |
| Provider Name | Justin M Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558590042 PECOS PAC ID: 1153578273 Enrollment ID: I20120824000495 |
| Provider Name | Christopher B Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295081123 PECOS PAC ID: 7416104427 Enrollment ID: I20120827000770 |
| Provider Name | Michael S Wlodarski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629330006 PECOS PAC ID: 3072760834 Enrollment ID: I20120829000752 |
| Provider Name | Shatima D Seward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386879757 PECOS PAC ID: 7618124488 Enrollment ID: I20120829000867 |
| Provider Name | Gillian Westhorp Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770652695 PECOS PAC ID: 1153428370 Enrollment ID: I20120904000711 |
| Provider Name | Nathan H Fedors |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699933366 PECOS PAC ID: 3577710078 Enrollment ID: I20120905000359 |
| Provider Name | Andrew Matthew Farland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750551453 PECOS PAC ID: 6406004985 Enrollment ID: I20120907000693 |
| Provider Name | Kimberly Dawn Zander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477609063 PECOS PAC ID: 5395807473 Enrollment ID: I20120910000054 |
| Provider Name | Jamy D Ard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184679441 PECOS PAC ID: 7012033137 Enrollment ID: I20120910000571 |
| Provider Name | Mahvesh Zubair Lateef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114167913 PECOS PAC ID: 6901054352 Enrollment ID: I20120911000015 |
| Provider Name | Douglas B Mcquaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124230776 PECOS PAC ID: 5597835132 Enrollment ID: I20120912000342 |
| Provider Name | Vanessa Baute |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598963472 PECOS PAC ID: 3476701640 Enrollment ID: I20120912000731 |
| Provider Name | Jessica Amelia Tate |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811159536 PECOS PAC ID: 0345498572 Enrollment ID: I20120913000420 |
| Provider Name | Rebecca Erwin Wells |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811101371 PECOS PAC ID: 8022176015 Enrollment ID: I20120917000090 |
| Provider Name | Cybele Christine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386605640 PECOS PAC ID: 7416129465 Enrollment ID: I20120918000015 |
| Provider Name | Sarah League Lycan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144559303 PECOS PAC ID: 8921143991 Enrollment ID: I20120918000870 |
| Provider Name | Jennifer F Check |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679790562 PECOS PAC ID: 7416105119 Enrollment ID: I20120921000728 |
| Provider Name | Punit Baveja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548468754 PECOS PAC ID: 1951402619 Enrollment ID: I20120924000377 |
| Provider Name | Matthew Alan Hazle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750487740 PECOS PAC ID: 6800893181 Enrollment ID: I20120925000300 |
| Provider Name | Laura Howell Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841549664 PECOS PAC ID: 2860641123 Enrollment ID: I20121001000322 |
| Provider Name | Erin Lynn Crist Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427303254 PECOS PAC ID: 1355591983 Enrollment ID: I20121017000313 |
| Provider Name | Dennis Chua Ang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104880608 PECOS PAC ID: 8820121825 Enrollment ID: I20121017000371 |
| Provider Name | Heather Joy Laisure |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003162595 PECOS PAC ID: 5294985545 Enrollment ID: I20121022000550 |
| Provider Name | Shruti Swetal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669722245 PECOS PAC ID: 1456501543 Enrollment ID: I20121026000055 |
| Provider Name | Giuseppe Orlando |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821380650 PECOS PAC ID: 8820248859 Enrollment ID: I20121026000694 |
| Provider Name | Lillykutty a Modoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013155969 PECOS PAC ID: 0648420679 Enrollment ID: I20121026000698 |
| Provider Name | Luqman Arafath Thazhathuveetil Kunhahamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861713604 PECOS PAC ID: 0446449813 Enrollment ID: I20121101000139 |
| Provider Name | Nataliya Hristova Malinova |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861743221 PECOS PAC ID: 2961653779 Enrollment ID: I20121102000448 |
| Provider Name | Jennifer R Humphreys |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942556014 PECOS PAC ID: 4587815667 Enrollment ID: I20121120000000 |
| Provider Name | Julie T Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689924391 PECOS PAC ID: 1355592296 Enrollment ID: I20121127000234 |
| Provider Name | Kelly Duvall Nestel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184976441 PECOS PAC ID: 3779735634 Enrollment ID: I20121129000147 |
| Provider Name | Mrinalini Ashish Joshi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1245498997 PECOS PAC ID: 8224280656 Enrollment ID: I20121212000171 |
| Provider Name | Adrian Walter Laxton |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063764140 PECOS PAC ID: 3375795701 Enrollment ID: I20121212000225 |
| Provider Name | Chau Taylor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639335169 PECOS PAC ID: 5395997555 Enrollment ID: I20121214000340 |
| Provider Name | Tangula Latrice Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609120690 PECOS PAC ID: 8325291123 Enrollment ID: I20130103000130 |
| Provider Name | Sheri Jean Komdeur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700121738 PECOS PAC ID: 2769635226 Enrollment ID: I20130111000187 |
| Provider Name | Douglas Taylor Stewart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942253265 PECOS PAC ID: 9133132772 Enrollment ID: I20130122000141 |
| Provider Name | Melissa R Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083885610 PECOS PAC ID: 0244484335 Enrollment ID: I20130124000305 |
| Provider Name | Jeffrey S. Loeb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073791604 PECOS PAC ID: 1254585375 Enrollment ID: I20130125000094 |
| Provider Name | Predrag V Gligorovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063441202 PECOS PAC ID: 3375546898 Enrollment ID: I20130129000659 |
| Provider Name | Laura Lyn Mcilwain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033453907 PECOS PAC ID: 1557515335 Enrollment ID: I20130201000146 |
| Provider Name | Jeffrey O Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104161421 PECOS PAC ID: 1759535495 Enrollment ID: I20130206000202 |
| Provider Name | Jennifer L Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811223167 PECOS PAC ID: 1759535305 Enrollment ID: I20130206000428 |
| Provider Name | Michael Allen Jones |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598765810 PECOS PAC ID: 9335182526 Enrollment ID: I20130212000263 |
| Provider Name | Nadia Eksir Hensel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194013839 PECOS PAC ID: 1658525043 Enrollment ID: I20130212000575 |
| Provider Name | Alexa Gregory Achor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265776306 PECOS PAC ID: 2769636927 Enrollment ID: I20130218000091 |
| Provider Name | Julie Beth Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952423006 PECOS PAC ID: 7810098613 Enrollment ID: I20130219000556 |
| Provider Name | Lisa Denise Oldham-lininger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790029098 PECOS PAC ID: 8123273265 Enrollment ID: I20130221000298 |
| Provider Name | Muhammad S Ejaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871817148 PECOS PAC ID: 8527246909 Enrollment ID: I20130225000362 |
| Provider Name | Mark Ray Pearson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609114073 PECOS PAC ID: 2668627522 Enrollment ID: I20130226000008 |
| Provider Name | Patrik Erik Stridh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699013995 PECOS PAC ID: 4880849777 Enrollment ID: I20130226000267 |
| Provider Name | Amy Pettitt Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710209713 PECOS PAC ID: 2264687052 Enrollment ID: I20130228000103 |
| Provider Name | Robin Brinkley Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508121187 PECOS PAC ID: 9638324205 Enrollment ID: I20130305000318 |
| Provider Name | Umabala Pasupala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235460726 PECOS PAC ID: 0840314001 Enrollment ID: I20130306000212 |
| Provider Name | Angela C Kilby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952648826 PECOS PAC ID: 3971748807 Enrollment ID: I20130326000223 |
| Provider Name | Michelle Schnoll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750695623 PECOS PAC ID: 0941475313 Enrollment ID: I20130401000460 |
| Provider Name | Rachel Patricia Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679813240 PECOS PAC ID: 5799920351 Enrollment ID: I20130402000283 |
| Provider Name | Jose Rene Carrasquillo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841387248 PECOS PAC ID: 2860398377 Enrollment ID: I20130403000011 |
| Provider Name | Jennifer L Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033344742 PECOS PAC ID: 1254576705 Enrollment ID: I20130404000071 |
| Provider Name | Melanie Brooke Hooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487994653 PECOS PAC ID: 6103061676 Enrollment ID: I20130404000255 |
| Provider Name | Marie Jackson Dunn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275882987 PECOS PAC ID: 7911143045 Enrollment ID: I20130416000609 |
| Provider Name | Maxim Anatoly Efremov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659334423 PECOS PAC ID: 9830089614 Enrollment ID: I20130417000227 |
| Provider Name | Whitney Graham Lowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780923599 PECOS PAC ID: 8325284953 Enrollment ID: I20130426000072 |
| Provider Name | Pol Martin Dimasuhid Vedar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306186929 PECOS PAC ID: 5193961738 Enrollment ID: I20130426000141 |
| Provider Name | Vanessa L. Kearney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518208958 PECOS PAC ID: 0345488854 Enrollment ID: I20130522000539 |
| Provider Name | Lauren Southern Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457794125 PECOS PAC ID: 7214175744 Enrollment ID: I20130522000726 |
| Provider Name | Dorothy Adanma Amaka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588902282 PECOS PAC ID: 0345488326 Enrollment ID: I20130603000647 |
| Provider Name | Glenn Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881950897 PECOS PAC ID: 8921247453 Enrollment ID: I20130613000439 |
| Provider Name | Karen Prueter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417229063 PECOS PAC ID: 3971759366 Enrollment ID: I20130620000642 |
| Provider Name | Jennifer Ann Jarosz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770743783 PECOS PAC ID: 5597904433 Enrollment ID: I20130625000547 |
| Provider Name | Jessica Lynne Marshall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447561907 PECOS PAC ID: 4688813538 Enrollment ID: I20130625000663 |
| Provider Name | Kellie Shay Caudle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134565526 PECOS PAC ID: 1052551744 Enrollment ID: I20130628000805 |
| Provider Name | Heidi Moore Munger Clary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619130176 PECOS PAC ID: 9830354570 Enrollment ID: I20130701000214 |
| Provider Name | Peter John Miller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497918734 PECOS PAC ID: 0840468070 Enrollment ID: I20130701000352 |
| Provider Name | Kenneth M Yoder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821382193 PECOS PAC ID: 3870750375 Enrollment ID: I20130702000686 |
| Provider Name | Pamelia L Derozan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932230687 PECOS PAC ID: 3072782341 Enrollment ID: I20130709000166 |
| Provider Name | Lynda Bridges Bialobrzeski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417274911 PECOS PAC ID: 0648410852 Enrollment ID: I20130711000844 |
| Provider Name | Masiku Agatha Mdala-gausi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164725180 PECOS PAC ID: 4587804455 Enrollment ID: I20130717000686 |
| Provider Name | Jessica Anne Mcpherson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538397112 PECOS PAC ID: 1658512454 Enrollment ID: I20130719000738 |
| Provider Name | Lori G Scott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033357868 PECOS PAC ID: 7416006333 Enrollment ID: I20130723000186 |
| Provider Name | David Michael Stamilio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861495616 PECOS PAC ID: 3274573167 Enrollment ID: I20130724000664 |
| Provider Name | Brittany Marie Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922441369 PECOS PAC ID: 5496996605 Enrollment ID: I20130731000578 |
| Provider Name | Keith D Herzberger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982666566 PECOS PAC ID: 4688630932 Enrollment ID: I20130801000342 |
| Provider Name | Dustin Lee Norton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154647352 PECOS PAC ID: 9739320755 Enrollment ID: I20130801000877 |
| Provider Name | Adia Kamali Ross |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801021878 PECOS PAC ID: 5294976221 Enrollment ID: I20130802000113 |
| Provider Name | Molly D Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568800977 PECOS PAC ID: 6901048305 Enrollment ID: I20130814000946 |
| Provider Name | Christopher James Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881822856 PECOS PAC ID: 9830331180 Enrollment ID: I20130815000514 |
| Provider Name | Andrew S Delemos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619098183 PECOS PAC ID: 1254487366 Enrollment ID: I20130816000728 |
| Provider Name | Ryan N Aubuchon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851611883 PECOS PAC ID: 3173765336 Enrollment ID: I20130819000123 |
| Provider Name | Thomas Delaney Santoro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689873713 PECOS PAC ID: 1355583527 Enrollment ID: I20130819000246 |
| Provider Name | Justin Boyette Joines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548581119 PECOS PAC ID: 2567605470 Enrollment ID: I20130826000022 |
| Provider Name | Miles Nathan Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932425022 PECOS PAC ID: 3072756832 Enrollment ID: I20130826000768 |
| Provider Name | Eileen Merritt Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700125424 PECOS PAC ID: 3274776927 Enrollment ID: I20130827000906 |
| Provider Name | Kyle Eugene Zehr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790094449 PECOS PAC ID: 5193905222 Enrollment ID: I20130828000656 |
| Provider Name | Lisa Maria Ahlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184957946 PECOS PAC ID: 9739322272 Enrollment ID: I20130830000477 |
| Provider Name | Michelle Lynn Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972943827 PECOS PAC ID: 6608019112 Enrollment ID: I20130903000357 |
| Provider Name | Rachana Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679708077 PECOS PAC ID: 1557417912 Enrollment ID: I20130904000796 |
| Provider Name | Jessica Lynn Gross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114184918 PECOS PAC ID: 8325281645 Enrollment ID: I20130905000152 |
| Provider Name | Ankit D Nanavati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285954685 PECOS PAC ID: 2860635158 Enrollment ID: I20130905000944 |
| Provider Name | Leah Marie Sieren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740441088 PECOS PAC ID: 1951544113 Enrollment ID: I20130909000071 |
| Provider Name | Laura Maureen Pezzuto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770726044 PECOS PAC ID: 0446494603 Enrollment ID: I20130910000668 |
| Provider Name | Stacey Quintero Wolfe |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588897029 PECOS PAC ID: 1254575368 Enrollment ID: I20130911000348 |
| Provider Name | Alison Jo Fletcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154581759 PECOS PAC ID: 6800030784 Enrollment ID: I20130913000794 |
| Provider Name | Abigail Leah Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730528779 PECOS PAC ID: 4486898251 Enrollment ID: I20130917000489 |
| Provider Name | James Richard Phelps |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1376751131 PECOS PAC ID: 4880838663 Enrollment ID: I20130917000588 |
| Provider Name | Shana Brewer Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689013641 PECOS PAC ID: 5991949729 Enrollment ID: I20130918000394 |
| Provider Name | Sohail Khaliq Lateef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528387719 PECOS PAC ID: 4183868839 Enrollment ID: I20130918000644 |
| Provider Name | Jeffrey Morgan Denney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619141603 PECOS PAC ID: 8224102256 Enrollment ID: I20130918000801 |
| Provider Name | Stephanie Renee Pierce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548403603 PECOS PAC ID: 9830332220 Enrollment ID: I20130923000147 |
| Provider Name | Amber Keller Brooks |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1962624742 PECOS PAC ID: 9638201395 Enrollment ID: I20130923000286 |
| Provider Name | Nicholas D Hartman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437387446 PECOS PAC ID: 8921242405 Enrollment ID: I20130924000237 |
| Provider Name | David Xiao Ming Zhao |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366411159 PECOS PAC ID: 1951377233 Enrollment ID: I20130924000428 |
| Provider Name | Mihaela Alina Vatca |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508076548 PECOS PAC ID: 2365597747 Enrollment ID: I20130925000978 |
| Provider Name | Joseph Mishkin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1376692640 PECOS PAC ID: 9032218482 Enrollment ID: I20130930000465 |
| Provider Name | Ana Hubert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528370897 PECOS PAC ID: 6406080613 Enrollment ID: I20131001000407 |
| Provider Name | Kristen Helane Quinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295904381 PECOS PAC ID: 8426126954 Enrollment ID: I20131001000463 |
| Provider Name | Julia Eleanor Yaraei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740487321 PECOS PAC ID: 9638343163 Enrollment ID: I20131002000365 |
| Provider Name | Tonica N Toppin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841630084 PECOS PAC ID: 3274767322 Enrollment ID: I20131004000087 |
| Provider Name | Neil Leslie Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710113733 PECOS PAC ID: 0042444994 Enrollment ID: I20131008000403 |
| Provider Name | Eileen Ronsheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437470135 PECOS PAC ID: 7214182013 Enrollment ID: I20131008000579 |
| Provider Name | Hannah Cox Muthersbaugh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619210184 PECOS PAC ID: 8628202512 Enrollment ID: I20131008001508 |
| Provider Name | Miranda J Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598071797 PECOS PAC ID: 1052545944 Enrollment ID: I20131008001598 |
| Provider Name | Wendy D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033447156 PECOS PAC ID: 4981838828 Enrollment ID: I20131009000884 |
| Provider Name | Katherine Rachel Schafer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073727079 PECOS PAC ID: 7618032772 Enrollment ID: I20131009001621 |
| Provider Name | Andrew Michael Namen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518945872 PECOS PAC ID: 0648307215 Enrollment ID: I20131011000991 |
| Provider Name | Jason Jeffrey Halvorson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033316773 PECOS PAC ID: 7315171089 Enrollment ID: I20131011001041 |
| Provider Name | Joseph Anthony Cristiano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205154812 PECOS PAC ID: 8022242700 Enrollment ID: I20131011001107 |
| Provider Name | Leslie Anne Prophet |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1932427952 PECOS PAC ID: 6709010481 Enrollment ID: I20131011001250 |
| Provider Name | John Rolland Laisure |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174963359 PECOS PAC ID: 0042444721 Enrollment ID: I20131011001326 |
| Provider Name | Rebecca B Everly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346561644 PECOS PAC ID: 6608000245 Enrollment ID: I20131014001416 |
| Provider Name | Ricardo La Hoz Chunga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124227533 PECOS PAC ID: 1052557006 Enrollment ID: I20131016001721 |
| Provider Name | Jessica a May |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154754679 PECOS PAC ID: 4789819095 Enrollment ID: I20131022001554 |
| Provider Name | Amy Katherine Guzik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013110717 PECOS PAC ID: 2062665185 Enrollment ID: I20131023000578 |
| Provider Name | Amanda J Robertson-shepherd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699936161 PECOS PAC ID: 2567697824 Enrollment ID: I20131023000898 |
| Provider Name | Alice S Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023458205 PECOS PAC ID: 8527293612 Enrollment ID: I20131025001040 |
| Provider Name | Candace Yvonne Parker-autry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396800355 PECOS PAC ID: 1052505294 Enrollment ID: I20131030000165 |
| Provider Name | Jennifer Lynn Grachen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770916298 PECOS PAC ID: 7810122793 Enrollment ID: I20131030001811 |
| Provider Name | Rebecca Ann Ball |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205836541 PECOS PAC ID: 5193950921 Enrollment ID: I20131101000210 |
| Provider Name | Amy Jo Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467487322 PECOS PAC ID: 0446485288 Enrollment ID: I20131101000297 |
| Provider Name | Angell Collins Lygren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891129458 PECOS PAC ID: 5597990010 Enrollment ID: I20131108000479 |
| Provider Name | Scott J Spillmann |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609847698 PECOS PAC ID: 6103051636 Enrollment ID: I20131108000600 |
| Provider Name | Shenelle a Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932532553 PECOS PAC ID: 0345476644 Enrollment ID: I20131114001569 |
| Provider Name | Benjamin R Graves |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1548435977 PECOS PAC ID: 6002080124 Enrollment ID: I20131114001619 |
| Provider Name | Janelle Katie Moulder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619118650 PECOS PAC ID: 4082881099 Enrollment ID: I20131119001936 |
| Provider Name | Robert Brian Browning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376977058 PECOS PAC ID: 2668608753 Enrollment ID: I20131119001985 |
| Provider Name | Holly Warren Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104250968 PECOS PAC ID: 8426284407 Enrollment ID: I20131121001037 |
| Provider Name | Christopher B Watkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598990285 PECOS PAC ID: 3072749936 Enrollment ID: I20131122001928 |
| Provider Name | Maha Torabi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700064656 PECOS PAC ID: 5991878035 Enrollment ID: I20131127001475 |
| Provider Name | Nana Aba Ofosu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720391352 PECOS PAC ID: 2668608282 Enrollment ID: I20131203001974 |
| Provider Name | Megan Reklis Caudle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215362413 PECOS PAC ID: 4880821271 Enrollment ID: I20131210000864 |
| Provider Name | Amy Elizabeth Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831476019 PECOS PAC ID: 1850551631 Enrollment ID: I20131210001332 |
| Provider Name | Dustin Harvey Melton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316375694 PECOS PAC ID: 0941437396 Enrollment ID: I20131211000492 |
| Provider Name | Robert Adam Leonard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225324890 PECOS PAC ID: 7315119179 Enrollment ID: I20131211000940 |
| Provider Name | Megan Ezelle Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164858106 PECOS PAC ID: 6800023268 Enrollment ID: I20131211001019 |
| Provider Name | Jenna Kindley Brooks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245666460 PECOS PAC ID: 9436386794 Enrollment ID: I20131211001061 |
| Provider Name | William Walter Crone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851311278 PECOS PAC ID: 4385683804 Enrollment ID: I20131213001113 |
| Provider Name | Samantha B Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518390632 PECOS PAC ID: 9032346275 Enrollment ID: I20131216000897 |
| Provider Name | Pamela J Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659631083 PECOS PAC ID: 2466689534 Enrollment ID: I20131217000206 |
| Provider Name | Anupama Matcha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033341565 PECOS PAC ID: 0840427514 Enrollment ID: I20131230001612 |
| Provider Name | Debra Everhart Garrett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528491073 PECOS PAC ID: 1153559711 Enrollment ID: I20140106001543 |
| Provider Name | Jennifer J Chao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437386919 PECOS PAC ID: 6608004114 Enrollment ID: I20140108000585 |
| Provider Name | Anne Atieno Oyugi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922316884 PECOS PAC ID: 6305026964 Enrollment ID: I20140113001290 |
| Provider Name | Jerry Keith Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659700177 PECOS PAC ID: 5092943191 Enrollment ID: I20140117001180 |
| Provider Name | Brenda Lee Holbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851351043 PECOS PAC ID: 0648311233 Enrollment ID: I20140124000245 |
| Provider Name | Henry C Maglente |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386899623 PECOS PAC ID: 5193870541 Enrollment ID: I20140131001663 |
| Provider Name | Tiffany H Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265869408 PECOS PAC ID: 0143459172 Enrollment ID: I20140214000797 |
| Provider Name | Joshua Benton Hawkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568805919 PECOS PAC ID: 1759510795 Enrollment ID: I20140214001343 |
| Provider Name | Issaka Odol Nsiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053699439 PECOS PAC ID: 3870764731 Enrollment ID: I20140217001198 |
| Provider Name | Rafel Tappouni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124085246 PECOS PAC ID: 7214946706 Enrollment ID: I20140221001430 |
| Provider Name | Kacy a Ramirez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710102918 PECOS PAC ID: 6608016381 Enrollment ID: I20140226000974 |
| Provider Name | Arun Aroor Rao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700997905 PECOS PAC ID: 7618875352 Enrollment ID: I20140228001619 |
| Provider Name | Belinda Kyeiwah Kyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235550054 PECOS PAC ID: 9638309909 Enrollment ID: I20140306000460 |
| Provider Name | Barbara Ann Beck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790116283 PECOS PAC ID: 2365672557 Enrollment ID: I20140310000892 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20140310001950 |
| Provider Name | Jessica Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205011087 PECOS PAC ID: 8729219738 Enrollment ID: I20140314001004 |
| Provider Name | Pierre Lorenzo Triozzi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134177959 PECOS PAC ID: 1951325034 Enrollment ID: I20140317002110 |
| Provider Name | Heather Danielle Maradiaga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851730741 PECOS PAC ID: 3870724586 Enrollment ID: I20140322000035 |
| Provider Name | Shafaq Rashid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073937504 PECOS PAC ID: 7719118439 Enrollment ID: I20140323000014 |
| Provider Name | Allison Tiffany Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588086185 PECOS PAC ID: 4082845623 Enrollment ID: I20140325001984 |
| Provider Name | Rachel Marie Courtemanche |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578842894 PECOS PAC ID: 1658502174 Enrollment ID: I20140326002332 |
| Provider Name | Tracy Michelle Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558785741 PECOS PAC ID: 9830320167 Enrollment ID: I20140328001828 |
| Provider Name | Olivia Natalie Gilbert |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1801020326 PECOS PAC ID: 7113171885 Enrollment ID: I20140329000142 |
| Provider Name | Leonard Alexander Stallings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003102146 PECOS PAC ID: 1557592862 Enrollment ID: I20140331001718 |
| Provider Name | Rebecca K Mckinnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548587983 PECOS PAC ID: 3971735705 Enrollment ID: I20140410000580 |
| Provider Name | Brooke Ashlyn Miller Meuth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295157055 PECOS PAC ID: 1355573981 Enrollment ID: I20140415000725 |
| Provider Name | Erin O'malley Phelps |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528481553 PECOS PAC ID: 8224260484 Enrollment ID: I20140422002034 |
| Provider Name | Barbara Ann Pisani |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1366493751 PECOS PAC ID: 5294783924 Enrollment ID: I20140507000507 |
| Provider Name | Jena Lynn Welch Coltrane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174948046 PECOS PAC ID: 8820221120 Enrollment ID: I20140512000209 |
| Provider Name | Mary S Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043633167 PECOS PAC ID: 7911120209 Enrollment ID: I20140513001520 |
| Provider Name | Melissa Cook Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518398981 PECOS PAC ID: 8123241155 Enrollment ID: I20140520002758 |
| Provider Name | Natalia Kohl Becker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013335801 PECOS PAC ID: 9830312628 Enrollment ID: I20140523000972 |
| Provider Name | Margaret Antonia Yacobozzi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699934786 PECOS PAC ID: 7719100262 Enrollment ID: I20140602000939 |
| Provider Name | Brandie Rose Buckingham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689090474 PECOS PAC ID: 7810111002 Enrollment ID: I20140609001563 |
| Provider Name | Sarah Lynne Summerford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760805527 PECOS PAC ID: 2860616729 Enrollment ID: I20140616000771 |
| Provider Name | Erin Marie Gallagher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184961880 PECOS PAC ID: 0345486528 Enrollment ID: I20140625000525 |
| Provider Name | Linda M Nicolotti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619907987 PECOS PAC ID: 3870718000 Enrollment ID: I20140702000978 |
| Provider Name | Eliot H Cannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669662433 PECOS PAC ID: 2668569674 Enrollment ID: I20140709000986 |
| Provider Name | Lindsay Anne Kenney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730484585 PECOS PAC ID: 2264617810 Enrollment ID: I20140711001035 |
| Provider Name | Danielle Marie Draper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043634926 PECOS PAC ID: 2264658806 Enrollment ID: I20140717000563 |
| Provider Name | David Arthur Masneri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689788341 PECOS PAC ID: 0547486789 Enrollment ID: I20140724002205 |
| Provider Name | Bonnie C Sachs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154612349 PECOS PAC ID: 0941472757 Enrollment ID: I20140729000564 |
| Provider Name | Todd Wayne Robinson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447485495 PECOS PAC ID: 2769609619 Enrollment ID: I20140817000004 |
| Provider Name | Callie Lambert Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760772339 PECOS PAC ID: 4587881446 Enrollment ID: I20140817000024 |
| Provider Name | Nicholas Jay Sparler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699095554 PECOS PAC ID: 7214155068 Enrollment ID: I20140820001523 |
| Provider Name | Allison Leigh Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215340385 PECOS PAC ID: 7012135759 Enrollment ID: I20140821002234 |
| Provider Name | Jeanna R Auriemma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639462104 PECOS PAC ID: 8224256706 Enrollment ID: I20140825001900 |
| Provider Name | Chandrika Rajan Garner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720221955 PECOS PAC ID: 6608094156 Enrollment ID: I20140826001187 |
| Provider Name | Ajay Dharod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508157736 PECOS PAC ID: 0042438244 Enrollment ID: I20140829002295 |
| Provider Name | Keli B Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124313051 PECOS PAC ID: 8628296746 Enrollment ID: I20140902000800 |
| Provider Name | Samantha Lynn Talbott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194015131 PECOS PAC ID: 6507084662 Enrollment ID: I20140903000026 |
| Provider Name | Melissa Ricker Bridges |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588088595 PECOS PAC ID: 2769600857 Enrollment ID: I20140903000871 |
| Provider Name | Benjamin David Steinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730591157 PECOS PAC ID: 5092933929 Enrollment ID: I20140905001301 |
| Provider Name | Sindhuja Marupudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740578129 PECOS PAC ID: 0941428882 Enrollment ID: I20140905001876 |
| Provider Name | Lindsey Anne Rusk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033430426 PECOS PAC ID: 2264624733 Enrollment ID: I20140908000934 |
| Provider Name | Dianna Sue Howard |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1730109307 PECOS PAC ID: 6507819166 Enrollment ID: I20140908002364 |
| Provider Name | Brinda Thimmappa |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639382666 PECOS PAC ID: 5799839114 Enrollment ID: I20140909000566 |
| Provider Name | Sage Haresnape Stringfellow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669886958 PECOS PAC ID: 5991924771 Enrollment ID: I20140909001446 |
| Provider Name | Megan a Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194130419 PECOS PAC ID: 5991924615 Enrollment ID: I20140911001289 |
| Provider Name | Amy Howell Wren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376789792 PECOS PAC ID: 6800937269 Enrollment ID: I20140911001493 |
| Provider Name | Salah Sabbagh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487941001 PECOS PAC ID: 1052542818 Enrollment ID: I20140911001723 |
| Provider Name | Joy Maree Gaska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376764563 PECOS PAC ID: 1052411170 Enrollment ID: I20140911002226 |
| Provider Name | Anca M Safta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043331044 PECOS PAC ID: 8123128279 Enrollment ID: I20140916000174 |
| Provider Name | Iltifat Husain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699060061 PECOS PAC ID: 8921227448 Enrollment ID: I20140916001435 |
| Provider Name | Cory Edwin Wiles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982017661 PECOS PAC ID: 8123247343 Enrollment ID: I20140919000694 |
| Provider Name | Joshua Livingston Waynick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194139873 PECOS PAC ID: 2365661550 Enrollment ID: I20140922000543 |
| Provider Name | Steven Saul Hauser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437444221 PECOS PAC ID: 2961621974 Enrollment ID: I20140923002136 |
| Provider Name | John Aguilar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083934079 PECOS PAC ID: 5597984567 Enrollment ID: I20140924001412 |
| Provider Name | Bobby D Witten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437159118 PECOS PAC ID: 5890819379 Enrollment ID: I20140926000901 |
| Provider Name | Joshua Michael Zavitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437479151 PECOS PAC ID: 5092950253 Enrollment ID: I20141001001542 |
| Provider Name | Andrew Francis Leigh Gross |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730322843 PECOS PAC ID: 4486895224 Enrollment ID: I20141006000344 |
| Provider Name | Candice Joy Mcneil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265759666 PECOS PAC ID: 1153508288 Enrollment ID: I20141007002119 |
| Provider Name | Laura Yoder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811286404 PECOS PAC ID: 9234359480 Enrollment ID: I20141010000132 |
| Provider Name | David Kemp Hower |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871881466 PECOS PAC ID: 5496975583 Enrollment ID: I20141014000537 |
| Provider Name | Lorna F Bralich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104250976 PECOS PAC ID: 9436387297 Enrollment ID: I20141014002168 |
| Provider Name | Kristopher R Karvelas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629200498 PECOS PAC ID: 1052546595 Enrollment ID: I20141015001286 |
| Provider Name | Ralph Erskine Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871570606 PECOS PAC ID: 0446349468 Enrollment ID: I20141015001489 |
| Provider Name | Roshen Thomas Edathil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114327467 PECOS PAC ID: 9234350018 Enrollment ID: I20141020001743 |
| Provider Name | Kelly Marie Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962819334 PECOS PAC ID: 5193946994 Enrollment ID: I20141020002530 |
| Provider Name | Hannah Grace Clarke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497994966 PECOS PAC ID: 4587885298 Enrollment ID: I20141022001037 |
| Provider Name | Debra L Felts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659771525 PECOS PAC ID: 9335360049 Enrollment ID: I20141022001252 |
| Provider Name | Sudhir V Datar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457515173 PECOS PAC ID: 6103073028 Enrollment ID: I20141023002713 |
| Provider Name | Meagan B Laberge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316288228 PECOS PAC ID: 0547481947 Enrollment ID: I20141029000610 |
| Provider Name | Gabriela a Velazquez Ramirez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164600284 PECOS PAC ID: 0941430193 Enrollment ID: I20141103000017 |
| Provider Name | Dionne Natalie Holmes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992092787 PECOS PAC ID: 7315169554 Enrollment ID: I20141104000900 |
| Provider Name | Sean Patrick Whalen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124201298 PECOS PAC ID: 9739242488 Enrollment ID: I20141104001361 |
| Provider Name | Christopher Scott Flowers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699016493 PECOS PAC ID: 2163669003 Enrollment ID: I20141105000331 |
| Provider Name | Eshwar Lal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447581335 PECOS PAC ID: 3678720331 Enrollment ID: I20141106000411 |
| Provider Name | Rakhee Rajan Vaidya |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1962735167 PECOS PAC ID: 1052594199 Enrollment ID: I20141107001109 |
| Provider Name | Emily Caroline Honeycutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477965994 PECOS PAC ID: 1355663352 Enrollment ID: I20141202001472 |
| Provider Name | Brian Jay Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235221508 PECOS PAC ID: 1850380437 Enrollment ID: I20141202002130 |
| Provider Name | Joseph Anthony Aloi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194888958 PECOS PAC ID: 4486662780 Enrollment ID: I20141203000761 |
| Provider Name | Leslie Ann Arledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669874137 PECOS PAC ID: 1658693536 Enrollment ID: I20141203001821 |
| Provider Name | Oanh Nguyen Fielding |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497169130 PECOS PAC ID: 9537481353 Enrollment ID: I20141206000062 |
| Provider Name | Ursula Poehling Whalen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043481773 PECOS PAC ID: 0840265898 Enrollment ID: I20141206000285 |
| Provider Name | Jennifer Stutts Link |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033511803 PECOS PAC ID: 5092037747 Enrollment ID: I20141208000803 |
| Provider Name | Bradley Winston Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710008875 PECOS PAC ID: 3375720147 Enrollment ID: I20141208001195 |
| Provider Name | Alexandra Heloise Godfrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003136136 PECOS PAC ID: 7719002989 Enrollment ID: I20141209000965 |
| Provider Name | Casey Daniel Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902168735 PECOS PAC ID: 3375866536 Enrollment ID: I20141220000078 |
| Provider Name | Gina Marie Beaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831464270 PECOS PAC ID: 4880917996 Enrollment ID: I20141222001623 |
| Provider Name | Per Kristian Moerk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568666204 PECOS PAC ID: 1557684107 Enrollment ID: I20150106002013 |
| Provider Name | Julia N Alexander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447656277 PECOS PAC ID: 5395068993 Enrollment ID: I20150107001511 |
| Provider Name | Hooman Sadri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558762187 PECOS PAC ID: 1456674977 Enrollment ID: I20150107002506 |
| Provider Name | Mark a Arredondo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780616995 PECOS PAC ID: 1759417140 Enrollment ID: I20150109001482 |
| Provider Name | Cornelia Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982009049 PECOS PAC ID: 9032433578 Enrollment ID: I20150109002203 |
| Provider Name | Amanda S Cofer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710389788 PECOS PAC ID: 5193049138 Enrollment ID: I20150121001823 |
| Provider Name | Natalie Steele Bradford |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861713505 PECOS PAC ID: 4082938840 Enrollment ID: I20150127000645 |
| Provider Name | Rokoshi Taonki-dennquan Flowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831592534 PECOS PAC ID: 4486978251 Enrollment ID: I20150127000937 |
| Provider Name | Laura Lintner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912227513 PECOS PAC ID: 4880918556 Enrollment ID: I20150129000717 |
| Provider Name | Kristina Ann Orton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417350935 PECOS PAC ID: 1658696828 Enrollment ID: I20150210001431 |
| Provider Name | Elizabeth Hope Pflug |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245632173 PECOS PAC ID: 8426373283 Enrollment ID: I20150219000981 |
| Provider Name | Jessica Bernadette Wells |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790750446 PECOS PAC ID: 1355325861 Enrollment ID: I20150219001288 |
| Provider Name | Ginny E Pasquini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265830095 PECOS PAC ID: 9436475019 Enrollment ID: I20150225000826 |
| Provider Name | Leah Anne Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548516925 PECOS PAC ID: 2567788151 Enrollment ID: I20150225001387 |
| Provider Name | Luke Allen Peters |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588953343 PECOS PAC ID: 0345566980 Enrollment ID: I20150226000677 |
| Provider Name | Matthew S Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588069066 PECOS PAC ID: 9032435383 Enrollment ID: I20150303001678 |
| Provider Name | Emily Draughn Collette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417345315 PECOS PAC ID: 8123344405 Enrollment ID: I20150304000420 |
| Provider Name | Vicki Vannoy Lankford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548650906 PECOS PAC ID: 6507182524 Enrollment ID: I20150309002592 |
| Provider Name | Kate Hoyt Yates |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922416593 PECOS PAC ID: 8022334085 Enrollment ID: I20150310001236 |
| Provider Name | Casey Nicole Everhart Melvin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164810099 PECOS PAC ID: 6204153992 Enrollment ID: I20150317001778 |
| Provider Name | Andrew Nida |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740670199 PECOS PAC ID: 2264759729 Enrollment ID: I20150320000438 |
| Provider Name | Jacqueline B Flynn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104215649 PECOS PAC ID: 8325365661 Enrollment ID: I20150325000308 |
| Provider Name | Jason D Mesner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639516792 PECOS PAC ID: 3971821729 Enrollment ID: I20150408000652 |
| Provider Name | Casey Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659763100 PECOS PAC ID: 4486972908 Enrollment ID: I20150414000717 |
| Provider Name | Beth a King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245535475 PECOS PAC ID: 7810112463 Enrollment ID: I20150420001018 |
| Provider Name | Ngoc M Du |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629207337 PECOS PAC ID: 7719135227 Enrollment ID: I20150423001095 |
| Provider Name | Kimberly Ann Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356740120 PECOS PAC ID: 0143540450 Enrollment ID: I20150527001727 |
| Provider Name | Michael Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265827638 PECOS PAC ID: 9335460211 Enrollment ID: I20150603002364 |
| Provider Name | Charles Caleb Hundley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679835367 PECOS PAC ID: 8628399524 Enrollment ID: I20150603003006 |
| Provider Name | Catherine N Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861886640 PECOS PAC ID: 6507187978 Enrollment ID: I20150610002299 |
| Provider Name | Karen L Pitchford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912392366 PECOS PAC ID: 1557672565 Enrollment ID: I20150617002103 |
| Provider Name | Kristin Jennifer Lindaman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295044261 PECOS PAC ID: 4688867690 Enrollment ID: I20150625002352 |
| Provider Name | Courtney Forcucci Ollis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831585801 PECOS PAC ID: 8527370923 Enrollment ID: I20150626000815 |
| Provider Name | Deborah Michelle Lundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528455516 PECOS PAC ID: 0840502035 Enrollment ID: I20150630002699 |
| Provider Name | Zahid Junagadhwalla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013194471 PECOS PAC ID: 1658569686 Enrollment ID: I20150706002359 |
| Provider Name | Michelle Lee Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972843886 PECOS PAC ID: 7214175652 Enrollment ID: I20150707003371 |
| Provider Name | Chad David Courtemanche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932492915 PECOS PAC ID: 7517279292 Enrollment ID: I20150709000771 |
| Provider Name | Barry S Segal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538126610 PECOS PAC ID: 2365484839 Enrollment ID: I20150710002480 |
| Provider Name | Jerry Randall Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992780860 PECOS PAC ID: 6608913959 Enrollment ID: I20150715000215 |
| Provider Name | Shelly Rae Harrell Pecorella |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205150497 PECOS PAC ID: 5193038560 Enrollment ID: I20150715000670 |
| Provider Name | Bradley M Swinson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1366684904 PECOS PAC ID: 3476771973 Enrollment ID: I20150716000033 |
| Provider Name | Cassandra Marie Hornbuckle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336347079 PECOS PAC ID: 4486870359 Enrollment ID: I20150717002417 |
| Provider Name | Monica Cid |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952782278 PECOS PAC ID: 9436462546 Enrollment ID: I20150720000302 |
| Provider Name | William Donald Andersen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518253327 PECOS PAC ID: 5395058333 Enrollment ID: I20150720001575 |
| Provider Name | Meziane a Guerch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245442540 PECOS PAC ID: 3274846167 Enrollment ID: I20150721002658 |
| Provider Name | Kathryn Kelly Tysinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295117521 PECOS PAC ID: 5698089258 Enrollment ID: I20150728003263 |
| Provider Name | Joshua Brian Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699034652 PECOS PAC ID: 2769796200 Enrollment ID: I20150728006330 |
| Provider Name | Melissa Ann Holmes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811378185 PECOS PAC ID: 5395059513 Enrollment ID: I20150731017011 |
| Provider Name | Rebecca Sarah Wiegand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366874042 PECOS PAC ID: 5991948499 Enrollment ID: I20150803001101 |
| Provider Name | Steven J Spivey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659634061 PECOS PAC ID: 5799924122 Enrollment ID: I20150805009556 |
| Provider Name | Rebecca Denise Kinney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679955793 PECOS PAC ID: 2668786476 Enrollment ID: I20150806010418 |
| Provider Name | Rajasekhar Katuru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336437680 PECOS PAC ID: 6507170206 Enrollment ID: I20150807014005 |
| Provider Name | Graham Vance Byrum |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598021560 PECOS PAC ID: 5193046472 Enrollment ID: I20150807014366 |
| Provider Name | Audia Leigh Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962786640 PECOS PAC ID: 0547434326 Enrollment ID: I20150807014517 |
| Provider Name | Karolina Anna Bartosik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831442326 PECOS PAC ID: 0547413452 Enrollment ID: I20150819007194 |
| Provider Name | John Walton Sanders |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437134095 PECOS PAC ID: 3779708482 Enrollment ID: I20150824002207 |
| Provider Name | Patrick D Green |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033378971 PECOS PAC ID: 2365612322 Enrollment ID: I20150829000176 |
| Provider Name | Benjamin William Cartner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699157933 PECOS PAC ID: 3779899984 Enrollment ID: I20150902003185 |
| Provider Name | Ashley Lescanec Talbott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184915340 PECOS PAC ID: 2769798974 Enrollment ID: I20150902003221 |
| Provider Name | Naomi Earls Leslie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811141195 PECOS PAC ID: 9032425186 Enrollment ID: I20150903001511 |
| Provider Name | David M Popoli |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124293089 PECOS PAC ID: 8123335023 Enrollment ID: I20150909001933 |
| Provider Name | Elizabeth Lenfestey Tysinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497137681 PECOS PAC ID: 1557678372 Enrollment ID: I20150910002932 |
| Provider Name | Kristina H Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467657999 PECOS PAC ID: 3375677321 Enrollment ID: I20150911002193 |
| Provider Name | Stephanie J Brogden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578524724 PECOS PAC ID: 5799757746 Enrollment ID: I20150911002493 |
| Provider Name | Patrick Allen Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831325372 PECOS PAC ID: 7719125681 Enrollment ID: I20150912000168 |
| Provider Name | Ryann Mcgough Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609259175 PECOS PAC ID: 2769799477 Enrollment ID: I20150914000700 |
| Provider Name | Rachel Mathilda Wolfe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437470903 PECOS PAC ID: 2769619204 Enrollment ID: I20150914000754 |
| Provider Name | Kevin Ward Gibbs |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083857890 PECOS PAC ID: 9739334459 Enrollment ID: I20150916001410 |
| Provider Name | Jennifer M Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215311436 PECOS PAC ID: 2769799931 Enrollment ID: I20150921001654 |
| Provider Name | Jennifer L Gabbard |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730319583 PECOS PAC ID: 9234372855 Enrollment ID: I20150928000409 |
| Provider Name | John Paul Velasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598029704 PECOS PAC ID: 4981912730 Enrollment ID: I20150929001409 |
| Provider Name | Deborah Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154709459 PECOS PAC ID: 8921316613 Enrollment ID: I20150929002965 |
| Provider Name | Maxwell K Langfitt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528202074 PECOS PAC ID: 9032334602 Enrollment ID: I20151002001671 |
| Provider Name | Lindsay C Strowd |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255567269 PECOS PAC ID: 3375777667 Enrollment ID: I20151002001943 |
| Provider Name | Nicolas Dalton Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790167542 PECOS PAC ID: 5597073924 Enrollment ID: I20151002002731 |
| Provider Name | Lyndsay L Madden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104151919 PECOS PAC ID: 6709050719 Enrollment ID: I20151005003284 |
| Provider Name | Adeleke Oni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265707590 PECOS PAC ID: 8921316290 Enrollment ID: I20151006002474 |
| Provider Name | Willard Jeffrey Shew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629455258 PECOS PAC ID: 3779891049 Enrollment ID: I20151006002741 |
| Provider Name | Stephanie a Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770968273 PECOS PAC ID: 3072821370 Enrollment ID: I20151007000751 |
| Provider Name | Sinead Meghan Mcfarlane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326420290 PECOS PAC ID: 6709194947 Enrollment ID: I20151007002475 |
| Provider Name | Lara W Arredondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972988145 PECOS PAC ID: 5890004998 Enrollment ID: I20151012000448 |
| Provider Name | Scott Cory Carter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144489667 PECOS PAC ID: 7214005206 Enrollment ID: I20151013000712 |
| Provider Name | Elizabeth J Soto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417336876 PECOS PAC ID: 3072822022 Enrollment ID: I20151014002299 |
| Provider Name | Emma B Chesnut |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215310081 PECOS PAC ID: 8820307788 Enrollment ID: I20151016001083 |
| Provider Name | Lindsay Anne Sachs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891016663 PECOS PAC ID: 7618280512 Enrollment ID: I20151019000479 |
| Provider Name | Sunny M Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205877412 PECOS PAC ID: 0143539791 Enrollment ID: I20151021001559 |
| Provider Name | Joshua I Troyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194116756 PECOS PAC ID: 8426367012 Enrollment ID: I20151022000031 |
| Provider Name | James William Weightman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508179367 PECOS PAC ID: 4486963931 Enrollment ID: I20151022002687 |
| Provider Name | Bhaskar Pusuluri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114281383 PECOS PAC ID: 0345499273 Enrollment ID: I20151022002770 |
| Provider Name | Elizabeth a Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316323124 PECOS PAC ID: 2961711429 Enrollment ID: I20151023000099 |
| Provider Name | Brittany Ann Dominguez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669855813 PECOS PAC ID: 6608185129 Enrollment ID: I20151023002209 |
| Provider Name | Andrea E Mckinnond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790151165 PECOS PAC ID: 0143539544 Enrollment ID: I20151026002893 |
| Provider Name | Stephanie Leigh Lineback |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235508722 PECOS PAC ID: 3779892021 Enrollment ID: I20151027002921 |
| Provider Name | Jerrod J Felder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578797395 PECOS PAC ID: 8325288731 Enrollment ID: I20151028002335 |
| Provider Name | Melanie Aydt Brost |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477933612 PECOS PAC ID: 1153631387 Enrollment ID: I20151030000783 |
| Provider Name | Benjamin Eric Dancy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386020873 PECOS PAC ID: 5799094025 Enrollment ID: I20151030001720 |
| Provider Name | Walter Sherwood Davis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285703801 PECOS PAC ID: 4789692609 Enrollment ID: I20151103000065 |
| Provider Name | Padageshwar Sunkara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154686921 PECOS PAC ID: 9739499591 Enrollment ID: I20151106000057 |
| Provider Name | Kanitra S Clyburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497131031 PECOS PAC ID: 3173833910 Enrollment ID: I20151109000174 |
| Provider Name | Rajesh Kumar Veeravally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750694386 PECOS PAC ID: 3173763182 Enrollment ID: I20151112000379 |
| Provider Name | Peter Nochajski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588034961 PECOS PAC ID: 9739499229 Enrollment ID: I20151112003100 |
| Provider Name | Laura a Granetzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699857797 PECOS PAC ID: 9739188228 Enrollment ID: I20151113002008 |
| Provider Name | Andrew Michael South |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639311103 PECOS PAC ID: 0042520488 Enrollment ID: I20151113002237 |
| Provider Name | Bradley Michael Harper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912275066 PECOS PAC ID: 7517129851 Enrollment ID: I20151117000002 |
| Provider Name | Roy Ervin Strowd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982830998 PECOS PAC ID: 1850528761 Enrollment ID: I20151118002385 |
| Provider Name | Jacy Killian Crocker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528444080 PECOS PAC ID: 1759681976 Enrollment ID: I20151119001853 |
| Provider Name | Daniel Joseph Neubauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730414327 PECOS PAC ID: 7315187721 Enrollment ID: I20151120001938 |
| Provider Name | Robin Edwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871756890 PECOS PAC ID: 1153467352 Enrollment ID: I20151120001986 |
| Provider Name | Linda Perkins Mcrae |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881879807 PECOS PAC ID: 8022318013 Enrollment ID: I20151123002951 |
| Provider Name | Ashley J Hussey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558730390 PECOS PAC ID: 0941500987 Enrollment ID: I20151124001720 |
| Provider Name | Russell Nathan Ludwig Worthen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093190795 PECOS PAC ID: 3577863349 Enrollment ID: I20151201000111 |
| Provider Name | William D Dansie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942670013 PECOS PAC ID: 4385944719 Enrollment ID: I20151207002836 |
| Provider Name | Sandra C Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891165015 PECOS PAC ID: 4183924533 Enrollment ID: I20151208000717 |
| Provider Name | Christy Lynn Wilbanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750444881 PECOS PAC ID: 8224124722 Enrollment ID: I20151209000391 |
| Provider Name | Stephanie Nicole Lisenby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386013480 PECOS PAC ID: 9931400801 Enrollment ID: I20151217002396 |
| Provider Name | Melvin Nelson Levers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851763361 PECOS PAC ID: 1850693276 Enrollment ID: I20151231000995 |
| Provider Name | Daniel Lewis Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871961573 PECOS PAC ID: 9032411319 Enrollment ID: I20160104000777 |
| Provider Name | Elizabeth Johan Whitman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619212750 PECOS PAC ID: 0840592911 Enrollment ID: I20160106001248 |
| Provider Name | Kameliya Radoslavova Hristova |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962872010 PECOS PAC ID: 1759683543 Enrollment ID: I20160111002684 |
| Provider Name | Lindsey E Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801268610 PECOS PAC ID: 0042513327 Enrollment ID: I20160120001156 |
| Provider Name | Melissa J Sadler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902261886 PECOS PAC ID: 2769786342 Enrollment ID: I20160202000179 |
| Provider Name | Sarah C Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982069993 PECOS PAC ID: 8123322419 Enrollment ID: I20160208000074 |
| Provider Name | Bradley S Fowler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922282110 PECOS PAC ID: 4183928401 Enrollment ID: I20160208000879 |
| Provider Name | Tammy Marietta Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992171227 PECOS PAC ID: 8820393556 Enrollment ID: I20160218000007 |
| Provider Name | Paula K Manser |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992160923 PECOS PAC ID: 9335444835 Enrollment ID: I20160222001063 |
| Provider Name | Jake Andrew Coffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194199349 PECOS PAC ID: 9436454857 Enrollment ID: I20160223002336 |
| Provider Name | Amy Lynn Arruda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073978854 PECOS PAC ID: 8921303991 Enrollment ID: I20160229002849 |
| Provider Name | Jennifer Gray Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518322338 PECOS PAC ID: 6002112687 Enrollment ID: I20160308000938 |
| Provider Name | Jason Allen Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568623569 PECOS PAC ID: 4385625599 Enrollment ID: I20160314001569 |
| Provider Name | Abbey a Schallhorn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174981237 PECOS PAC ID: 2860799913 Enrollment ID: I20160405000680 |
| Provider Name | Emma Bare Denny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154789170 PECOS PAC ID: 6800194903 Enrollment ID: I20160405002188 |
| Provider Name | Joseph B Padgett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154688349 PECOS PAC ID: 4587976451 Enrollment ID: I20160408001346 |
| Provider Name | Jill Susanne Hyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356703706 PECOS PAC ID: 0244538031 Enrollment ID: I20160412000340 |
| Provider Name | Jeffrey Forsyth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881053064 PECOS PAC ID: 9234437583 Enrollment ID: I20160420000086 |
| Provider Name | Maribeth Harrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598726119 PECOS PAC ID: 4880614700 Enrollment ID: I20160421000642 |
| Provider Name | Michael James Norton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437388675 PECOS PAC ID: 2264759984 Enrollment ID: I20160425001343 |
| Provider Name | Teah Nakesha Shante Doles-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062758 PECOS PAC ID: 6507165503 Enrollment ID: I20160426000651 |
| Provider Name | Amanda Marie Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285093260 PECOS PAC ID: 7618276627 Enrollment ID: I20160426000910 |
| Provider Name | Brittney N Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437521861 PECOS PAC ID: 4284933185 Enrollment ID: I20160427001600 |
| Provider Name | Venkata Praveen Kondreddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710135389 PECOS PAC ID: 3173657376 Enrollment ID: I20160513000239 |
| Provider Name | Megan Nancy Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851682165 PECOS PAC ID: 5193046480 Enrollment ID: I20160520001025 |
| Provider Name | Zeeba Anwar Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790812873 PECOS PAC ID: 7810080082 Enrollment ID: I20160523000561 |
| Provider Name | Eric Jason Marrotte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417272840 PECOS PAC ID: 6608009345 Enrollment ID: I20160603001618 |
| Provider Name | James David Turner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417213042 PECOS PAC ID: 3971893520 Enrollment ID: I20160609001869 |
| Provider Name | Jeffrey Russell Sachs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972824688 PECOS PAC ID: 6305156167 Enrollment ID: I20160610001267 |
| Provider Name | Fatima Zahra Aly |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801182431 PECOS PAC ID: 5799932885 Enrollment ID: I20160614002119 |
| Provider Name | Emily Kaitlin Henderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255789756 PECOS PAC ID: 6204127467 Enrollment ID: I20160617000684 |
| Provider Name | Alex Frederick Fertman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790911873 PECOS PAC ID: 1355507476 Enrollment ID: I20160617000712 |
| Provider Name | Angela Patricia Acevedo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528155058 PECOS PAC ID: 1052302486 Enrollment ID: I20160620000412 |
| Provider Name | Melissa Lee Kozakiewicz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861713901 PECOS PAC ID: 4486879574 Enrollment ID: I20160620000503 |
| Provider Name | Shailaja KS Raj |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1821144502 PECOS PAC ID: 4688750029 Enrollment ID: I20160621001654 |
| Provider Name | Justin Pike Ollis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932207701 PECOS PAC ID: 7618268657 Enrollment ID: I20160621002782 |
| Provider Name | Sarah Leonard Kittner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558627018 PECOS PAC ID: 9931490877 Enrollment ID: I20160623000534 |
| Provider Name | Devam Pareshkumar Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104164367 PECOS PAC ID: 1456659044 Enrollment ID: I20160624000580 |
| Provider Name | Daniel Joseph Presutti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740426055 PECOS PAC ID: 5193016962 Enrollment ID: I20160627000041 |
| Provider Name | Amritpal Sinan Pannu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013295641 PECOS PAC ID: 2769773332 Enrollment ID: I20160629001172 |
| Provider Name | Ramandeep Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013262765 PECOS PAC ID: 3476863358 Enrollment ID: I20160629002089 |
| Provider Name | Lowell L Hart |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1245221993 PECOS PAC ID: 1557433794 Enrollment ID: I20160706001572 |
| Provider Name | Martin D Avery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700107224 PECOS PAC ID: 8022330760 Enrollment ID: I20160713002095 |
| Provider Name | Beck D Mcallister |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437333846 PECOS PAC ID: 1759559032 Enrollment ID: I20160719002092 |
| Provider Name | Andrew M Nunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598990301 PECOS PAC ID: 9537072574 Enrollment ID: I20160722002198 |
| Provider Name | Nathaniel Dean Krupp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073875654 PECOS PAC ID: 9335432780 Enrollment ID: I20160722002217 |
| Provider Name | Brittany Christine Donaldson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457700999 PECOS PAC ID: 6204129562 Enrollment ID: I20160725000415 |
| Provider Name | Jennifer Betts Oliver |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1942599253 PECOS PAC ID: 2163745415 Enrollment ID: I20160725001292 |
| Provider Name | Rohesh Joseph Fernando |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255630927 PECOS PAC ID: 2365735404 Enrollment ID: I20160726003043 |
| Provider Name | Brian James Budzyn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386939775 PECOS PAC ID: 5092017079 Enrollment ID: I20160728000072 |
| Provider Name | Christine S Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336497437 PECOS PAC ID: 5294028098 Enrollment ID: I20160802002289 |
| Provider Name | Rachel Morgan Little |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922442979 PECOS PAC ID: 4183926991 Enrollment ID: I20160802003139 |
| Provider Name | Kristen Marie Butler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720307416 PECOS PAC ID: 1951547421 Enrollment ID: I20160803002823 |
| Provider Name | Jao Jih OU |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013232792 PECOS PAC ID: 1557534039 Enrollment ID: I20160804002321 |
| Provider Name | Michelle Keating |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942647391 PECOS PAC ID: 3678894284 Enrollment ID: I20160809000865 |
| Provider Name | Brittany B Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144678764 PECOS PAC ID: 9032403381 Enrollment ID: I20160809001322 |
| Provider Name | Jennifer L Holman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982915179 PECOS PAC ID: 0143514471 Enrollment ID: I20160810000678 |
| Provider Name | Sarah Arcara Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700236932 PECOS PAC ID: 2860786027 Enrollment ID: I20160810002063 |
| Provider Name | Patricia Christine Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851446728 PECOS PAC ID: 8022329465 Enrollment ID: I20160815001840 |
| Provider Name | Christina Cramer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184903205 PECOS PAC ID: 4082908934 Enrollment ID: I20160816000614 |
| Provider Name | Catherine Edenfield Price |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760719769 PECOS PAC ID: 3375838220 Enrollment ID: I20160817001299 |
| Provider Name | Alexander Mensah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982043261 PECOS PAC ID: 2567757222 Enrollment ID: I20160822000003 |
| Provider Name | April Milan Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396006276 PECOS PAC ID: 4082847116 Enrollment ID: I20160822000459 |
| Provider Name | Sumera Andleeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467892687 PECOS PAC ID: 5092000679 Enrollment ID: I20160822000754 |
| Provider Name | Penny Lingerfelt Hennessee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407207012 PECOS PAC ID: 5890080477 Enrollment ID: I20160822000817 |
| Provider Name | Gayle Beth Bodner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538246988 PECOS PAC ID: 9436283264 Enrollment ID: I20160822001636 |
| Provider Name | Nicolas Frederick Haller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588016620 PECOS PAC ID: 7012202666 Enrollment ID: I20160823000183 |
| Provider Name | Baker L Henson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013295195 PECOS PAC ID: 2860624798 Enrollment ID: I20160823002094 |
| Provider Name | Brianna Catherine Haller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669824173 PECOS PAC ID: 1557656063 Enrollment ID: I20160823002197 |
| Provider Name | Jonathan David Haywood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659698355 PECOS PAC ID: 2365737723 Enrollment ID: I20160824000775 |
| Provider Name | Devyn Walke Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730530445 PECOS PAC ID: 2062707243 Enrollment ID: I20160826001744 |
| Provider Name | Kristin Kelly Nanney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770036600 PECOS PAC ID: 3274828314 Enrollment ID: I20160829000480 |
| Provider Name | Mary Katherine Craven Cooke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134576101 PECOS PAC ID: 0244525285 Enrollment ID: I20160830000510 |
| Provider Name | Joshua D Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609030402 PECOS PAC ID: 6709959596 Enrollment ID: I20160906000774 |
| Provider Name | Kelly Renee Conner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295185635 PECOS PAC ID: 1456647130 Enrollment ID: I20160906001986 |
| Provider Name | Jimmy Brian Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396298014 PECOS PAC ID: 6507152287 Enrollment ID: I20160906002141 |
| Provider Name | Vincent J Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598117327 PECOS PAC ID: 9638465321 Enrollment ID: I20160906002372 |
| Provider Name | Matthew T Lisi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871736157 PECOS PAC ID: 0749576478 Enrollment ID: I20160907001017 |
| Provider Name | Jessica Piner Lyons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811340045 PECOS PAC ID: 1052607611 Enrollment ID: I20160907002193 |
| Provider Name | Max Joseph Vinograd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194171702 PECOS PAC ID: 8921394552 Enrollment ID: I20160908001376 |
| Provider Name | Samantha Culler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497105407 PECOS PAC ID: 5193011658 Enrollment ID: I20160908002388 |
| Provider Name | Kyle Michael Fargen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750544060 PECOS PAC ID: 1052547791 Enrollment ID: I20160908002726 |
| Provider Name | Jennifer Anne Fuqua |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205850591 PECOS PAC ID: 8527100098 Enrollment ID: I20160909000822 |
| Provider Name | Mary Margaret Holloman Jordan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629364385 PECOS PAC ID: 8921220518 Enrollment ID: I20160909000948 |
| Provider Name | Ashley Elizabeth Strickland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952854291 PECOS PAC ID: 8628364080 Enrollment ID: I20160912000002 |
| Provider Name | Sarah Leslie Bone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942232160 PECOS PAC ID: 7810910932 Enrollment ID: I20160916000403 |
| Provider Name | Alexandra Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417945049 PECOS PAC ID: 7517033269 Enrollment ID: I20160916001121 |
| Provider Name | Holly a Borders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669818076 PECOS PAC ID: 8325335490 Enrollment ID: I20160919000644 |
| Provider Name | Catherine M Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659695211 PECOS PAC ID: 0345553772 Enrollment ID: I20160919002579 |
| Provider Name | Erika L Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174971949 PECOS PAC ID: 7315234234 Enrollment ID: I20160921000580 |
| Provider Name | Brittany Nicosia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235501214 PECOS PAC ID: 6507153186 Enrollment ID: I20160926001121 |
| Provider Name | Bryson J Shepherd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316399082 PECOS PAC ID: 0446547970 Enrollment ID: I20160927000242 |
| Provider Name | Holly Tyler Paris Pilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891957478 PECOS PAC ID: 0840430195 Enrollment ID: I20160929002743 |
| Provider Name | Joy Elizabeth Bediako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437603107 PECOS PAC ID: 9133416316 Enrollment ID: I20161003001860 |
| Provider Name | Melanie N Bhambri |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215349006 PECOS PAC ID: 7012205222 Enrollment ID: I20161004000653 |
| Provider Name | Sean R Rudnick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700010907 PECOS PAC ID: 0941439657 Enrollment ID: I20161004001570 |
| Provider Name | Terrika Dene Stewart-simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669712840 PECOS PAC ID: 0840517652 Enrollment ID: I20161005001436 |
| Provider Name | Jessica Inkstar Berrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528330404 PECOS PAC ID: 7416245485 Enrollment ID: I20161006000360 |
| Provider Name | Karl Richardson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609194372 PECOS PAC ID: 0840588703 Enrollment ID: I20161007001282 |
| Provider Name | Stacy Siders Yancey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528514528 PECOS PAC ID: 7113215013 Enrollment ID: I20161010000332 |
| Provider Name | Wendy T Bartley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821545005 PECOS PAC ID: 8123316023 Enrollment ID: I20161010000641 |
| Provider Name | Denise Tickle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043401862 PECOS PAC ID: 6204124118 Enrollment ID: I20161010000721 |
| Provider Name | Paula Gangopadhyay |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346501939 PECOS PAC ID: 9830487784 Enrollment ID: I20161010002262 |
| Provider Name | Nazra Nuhman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033589098 PECOS PAC ID: 7810285590 Enrollment ID: I20161012001763 |
| Provider Name | Mia Yang |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316236649 PECOS PAC ID: 0345499190 Enrollment ID: I20161012001845 |
| Provider Name | Theodore Bourls Stem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538160049 PECOS PAC ID: 6507950805 Enrollment ID: I20161013000616 |
| Provider Name | Sarah Bradford Mccollum Graham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588012132 PECOS PAC ID: 6002104635 Enrollment ID: I20161013001215 |
| Provider Name | Rajiv E Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396986329 PECOS PAC ID: 0244383222 Enrollment ID: I20161014000469 |
| Provider Name | Jeffrey Lynn Deaton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730163817 PECOS PAC ID: 3173811783 Enrollment ID: I20161014001179 |
| Provider Name | Cole Christopher Podraza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043661432 PECOS PAC ID: 3274821640 Enrollment ID: I20161018001739 |
| Provider Name | Enrique Galang |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1518287291 PECOS PAC ID: 5597053819 Enrollment ID: I20161019000820 |
| Provider Name | Donna Lynn Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235582297 PECOS PAC ID: 4789972050 Enrollment ID: I20161019002403 |
| Provider Name | Jeanine Kennedy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245681097 PECOS PAC ID: 0749568947 Enrollment ID: I20161021002049 |
| Provider Name | Kristina Ericsson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366640658 PECOS PAC ID: 7012187909 Enrollment ID: I20161024000576 |
| Provider Name | Monica Zinsser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811296841 PECOS PAC ID: 1355529553 Enrollment ID: I20161025001482 |
| Provider Name | Nicole E Nadeau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497208490 PECOS PAC ID: 9335427236 Enrollment ID: I20161027001871 |
| Provider Name | Michael F Vollmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053767012 PECOS PAC ID: 9133407794 Enrollment ID: I20161102000761 |
| Provider Name | Brian Keith Nordgren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447361746 PECOS PAC ID: 5193618510 Enrollment ID: I20161103000397 |
| Provider Name | Erin Bray Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598118499 PECOS PAC ID: 1052699584 Enrollment ID: I20161103000503 |
| Provider Name | Courtney S Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306299532 PECOS PAC ID: 3072891548 Enrollment ID: I20161103001950 |
| Provider Name | Sara Elizabeth Atwater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861835993 PECOS PAC ID: 9830477314 Enrollment ID: I20161103002271 |
| Provider Name | Zachary S Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194271932 PECOS PAC ID: 3476831942 Enrollment ID: I20161104000721 |
| Provider Name | Reginald Frank Munden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891891347 PECOS PAC ID: 0648355701 Enrollment ID: I20161104001178 |
| Provider Name | Rachana Kaushal Gandhi Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134408776 PECOS PAC ID: 8527290816 Enrollment ID: I20161104001787 |
| Provider Name | Joseph R Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588018782 PECOS PAC ID: 1557640836 Enrollment ID: I20161109000026 |
| Provider Name | Samantha Dowless Barrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659723195 PECOS PAC ID: 1557640844 Enrollment ID: I20161109000387 |
| Provider Name | Lacy D Crane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841746278 PECOS PAC ID: 0648559856 Enrollment ID: I20161110001931 |
| Provider Name | Matthew E Albert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861865453 PECOS PAC ID: 8628357787 Enrollment ID: I20161111001052 |
| Provider Name | Nicole Anne Mcbride |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861948390 PECOS PAC ID: 8820377906 Enrollment ID: I20161111001809 |
| Provider Name | Kellie Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043668916 PECOS PAC ID: 7517246630 Enrollment ID: I20161114001077 |
| Provider Name | Rupali Roy Bhave |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134341993 PECOS PAC ID: 2668621665 Enrollment ID: I20161115000500 |
| Provider Name | Amy L Good |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083161632 PECOS PAC ID: 2769761741 Enrollment ID: I20161115001151 |
| Provider Name | Melissa Julian Hodapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902351810 PECOS PAC ID: 7214216217 Enrollment ID: I20161115001640 |
| Provider Name | Morgan K Neve |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588014237 PECOS PAC ID: 9931488954 Enrollment ID: I20161115002668 |
| Provider Name | Solianny Desouza Kennerly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780022335 PECOS PAC ID: 0345461687 Enrollment ID: I20161116002706 |
| Provider Name | Christopher M Runyan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558597922 PECOS PAC ID: 5092944637 Enrollment ID: I20161116002717 |
| Provider Name | Titorya Tiyoykiya Stover |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053670786 PECOS PAC ID: 7618256595 Enrollment ID: I20161116002785 |
| Provider Name | Katie Aileen Lamb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356897862 PECOS PAC ID: 3678852472 Enrollment ID: I20161118001325 |
| Provider Name | Courtney Denise Edwards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730530312 PECOS PAC ID: 7416237805 Enrollment ID: I20161130001492 |
| Provider Name | Farshad Farnejad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710172978 PECOS PAC ID: 0840449633 Enrollment ID: I20161201001721 |
| Provider Name | Wendy Doric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235687419 PECOS PAC ID: 3779863006 Enrollment ID: I20161202001559 |
| Provider Name | Colby a Robbins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073062733 PECOS PAC ID: 8426338609 Enrollment ID: I20161205001251 |
| Provider Name | Allie Thompson Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053861906 PECOS PAC ID: 1658651856 Enrollment ID: I20161205002007 |
| Provider Name | Emily Brooke Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770030058 PECOS PAC ID: 9133409360 Enrollment ID: I20161206000570 |
| Provider Name | Prashant D Bhave |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124155858 PECOS PAC ID: 0749424612 Enrollment ID: I20161206001166 |
| Provider Name | Emma Kelsey Ketner Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659820025 PECOS PAC ID: 4880974930 Enrollment ID: I20161206001856 |
| Provider Name | Margot C Wallin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609322676 PECOS PAC ID: 6608156781 Enrollment ID: I20161207000397 |
| Provider Name | Jaime P Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396293320 PECOS PAC ID: 4688954787 Enrollment ID: I20161207001165 |
| Provider Name | Whitney Benfield Lafleur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932657277 PECOS PAC ID: 1153601265 Enrollment ID: I20161207001488 |
| Provider Name | Ramesh K C |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396024055 PECOS PAC ID: 5991924466 Enrollment ID: I20161208001448 |
| Provider Name | Walker S Womble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497200117 PECOS PAC ID: 9830479658 Enrollment ID: I20161213000379 |
| Provider Name | Ankur Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366880197 PECOS PAC ID: 2567680069 Enrollment ID: I20161219000124 |
| Provider Name | Chelsey Elizabeth Cobb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720535248 PECOS PAC ID: 2668753104 Enrollment ID: I20161221001535 |
| Provider Name | Ryan E Love |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104375211 PECOS PAC ID: 3072894344 Enrollment ID: I20161228000238 |
| Provider Name | Tyler Wade Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548711385 PECOS PAC ID: 4284915588 Enrollment ID: I20161228001361 |
| Provider Name | Scott William Sutton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043578370 PECOS PAC ID: 4082995139 Enrollment ID: I20170103000956 |
| Provider Name | Nancy Smukler Rosenthal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467440255 PECOS PAC ID: 0042355885 Enrollment ID: I20170104000247 |
| Provider Name | Sara M Mcclintock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407398209 PECOS PAC ID: 0941581052 Enrollment ID: I20170104001066 |
| Provider Name | Jane Beebe Kehaya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528322948 PECOS PAC ID: 4183948797 Enrollment ID: I20170104002226 |
| Provider Name | Karen Marie Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578655643 PECOS PAC ID: 0244364230 Enrollment ID: I20170105001510 |
| Provider Name | Kimberly Dawn Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194269241 PECOS PAC ID: 9335421007 Enrollment ID: I20170113000631 |
| Provider Name | Laurel Katherine Berry |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1093079634 PECOS PAC ID: 6002065109 Enrollment ID: I20170117000613 |
| Provider Name | Kyndle W Faulkner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770032278 PECOS PAC ID: 7416239579 Enrollment ID: I20170125000754 |
| Provider Name | Tasha O Hutcherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548694284 PECOS PAC ID: 0345522447 Enrollment ID: I20170125002565 |
| Provider Name | Kelly Bilello Hammoudi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386909414 PECOS PAC ID: 4284884974 Enrollment ID: I20170130000248 |
| Provider Name | Shana a Crabtree |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124221981 PECOS PAC ID: 9739323106 Enrollment ID: I20170201002264 |
| Provider Name | Jennifer E Roper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124349428 PECOS PAC ID: 2163668781 Enrollment ID: I20170203002029 |
| Provider Name | Rommel Ramos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306807680 PECOS PAC ID: 8022083849 Enrollment ID: I20170217001235 |
| Provider Name | Christopher Ashby Macleod Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205254513 PECOS PAC ID: 3870896996 Enrollment ID: I20170222000650 |
| Provider Name | Andrew Ohar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528212982 PECOS PAC ID: 9436388535 Enrollment ID: I20170222001539 |
| Provider Name | Llewellyn Fiifi Bortsi Mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659703395 PECOS PAC ID: 2860796331 Enrollment ID: I20170301001150 |
| Provider Name | Emily Stone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790228278 PECOS PAC ID: 0749564110 Enrollment ID: I20170302000975 |
| Provider Name | Bridget M Renda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861937310 PECOS PAC ID: 3375827330 Enrollment ID: I20170313000241 |
| Provider Name | Fiesky a Nunez |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1811432727 PECOS PAC ID: 9032494042 Enrollment ID: I20170314000176 |
| Provider Name | Kasey Samantha Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801335443 PECOS PAC ID: 5597040212 Enrollment ID: I20170321000601 |
| Provider Name | Cherie Causey Avants |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033658257 PECOS PAC ID: 4082999503 Enrollment ID: I20170324001722 |
| Provider Name | Jennifer D Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518406354 PECOS PAC ID: 4981989324 Enrollment ID: I20170327000495 |
| Provider Name | Pedro E Cardama |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740600378 PECOS PAC ID: 9537480322 Enrollment ID: I20170328001493 |
| Provider Name | Karen Lynn Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801332119 PECOS PAC ID: 8426333709 Enrollment ID: I20170329001092 |
| Provider Name | Brittany P Suth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518328970 PECOS PAC ID: 1951600261 Enrollment ID: I20170404000039 |
| Provider Name | Charles Henry Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760872808 PECOS PAC ID: 5092023036 Enrollment ID: I20170410002261 |
| Provider Name | Olivia Faith Ogburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770023145 PECOS PAC ID: 2466738059 Enrollment ID: I20170413002362 |
| Provider Name | Nikki Brandon Canter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811434376 PECOS PAC ID: 2163708777 Enrollment ID: I20170414000632 |
| Provider Name | Kuber P Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205115359 PECOS PAC ID: 2163640905 Enrollment ID: I20170418000818 |
| Provider Name | Lisa Christian Nethery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992027239 PECOS PAC ID: 3678604261 Enrollment ID: I20170419001839 |
| Provider Name | Jantira Tara Thomas |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952660359 PECOS PAC ID: 9234450990 Enrollment ID: I20170502000235 |
| Provider Name | Allison Rose Cosentino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497297014 PECOS PAC ID: 3072890730 Enrollment ID: I20170505000587 |
| Provider Name | Maryjo L Cleveland |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598724148 PECOS PAC ID: 3779597455 Enrollment ID: I20170511001099 |
| Provider Name | Jessica Chester Harrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699213108 PECOS PAC ID: 8628345964 Enrollment ID: I20170517001101 |
| Provider Name | Amy Pitts Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578002309 PECOS PAC ID: 3678840725 Enrollment ID: I20170522001708 |
| Provider Name | Caryn Gee Morse |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295059434 PECOS PAC ID: 3779850755 Enrollment ID: I20170523000393 |
| Provider Name | Talla Motakef Widelock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265793145 PECOS PAC ID: 0042458473 Enrollment ID: I20170524001271 |
| Provider Name | Liliana Pantea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124135397 PECOS PAC ID: 4688806334 Enrollment ID: I20170530002036 |
| Provider Name | Ashley L Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396276952 PECOS PAC ID: 3375810039 Enrollment ID: I20170531000001 |
| Provider Name | Brandon L Williams |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1730400193 PECOS PAC ID: 2264734136 Enrollment ID: I20170605002113 |
| Provider Name | Joseph L Shoffner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164954772 PECOS PAC ID: 6507133931 Enrollment ID: I20170606001570 |
| Provider Name | Brandi Lynne Forbes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376074468 PECOS PAC ID: 1850668286 Enrollment ID: I20170606001651 |
| Provider Name | Peter F Guertin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134652332 PECOS PAC ID: 2163790585 Enrollment ID: I20170607002430 |
| Provider Name | Tracy L Dischiavi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386751766 PECOS PAC ID: 3577831940 Enrollment ID: I20170608001286 |
| Provider Name | Michael Stewart Northrop |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053585620 PECOS PAC ID: 1850453127 Enrollment ID: I20170615000608 |
| Provider Name | Catherine R Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952474355 PECOS PAC ID: 6103919535 Enrollment ID: I20170623001215 |
| Provider Name | Adam Sweeney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407149768 PECOS PAC ID: 3577832062 Enrollment ID: I20170626002420 |
| Provider Name | Chad Ryan Marion |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396910279 PECOS PAC ID: 8527389865 Enrollment ID: I20170628002942 |
| Provider Name | Donna M Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831394550 PECOS PAC ID: 5597866632 Enrollment ID: I20170705000631 |
| Provider Name | James Anthony Crisp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851650055 PECOS PAC ID: 0749559813 Enrollment ID: I20170705001569 |
| Provider Name | Kristen M Martyak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740720770 PECOS PAC ID: 7416226345 Enrollment ID: I20170707001692 |
| Provider Name | Christian Antonio Robles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336415306 PECOS PAC ID: 3678842358 Enrollment ID: I20170712001561 |
| Provider Name | Jennifer Ann Beatty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588043905 PECOS PAC ID: 6608184544 Enrollment ID: I20170712003417 |
| Provider Name | Lindsay a Nadeau Duy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194087346 PECOS PAC ID: 8022387612 Enrollment ID: I20170713002324 |
| Provider Name | Katelyn Helen Moser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750818977 PECOS PAC ID: 0648549238 Enrollment ID: I20170713002408 |
| Provider Name | Matthew P Goldman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992947808 PECOS PAC ID: 2567779192 Enrollment ID: I20170714000534 |
| Provider Name | Kelsey Ruth Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275860751 PECOS PAC ID: 8426239930 Enrollment ID: I20170714001401 |
| Provider Name | Rakesh Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417214404 PECOS PAC ID: 6204106867 Enrollment ID: I20170714001682 |
| Provider Name | Jessica Laurel Sullivan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023454162 PECOS PAC ID: 7416244843 Enrollment ID: I20170717000598 |
| Provider Name | Justin Kenneth Brooten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083024228 PECOS PAC ID: 3375855380 Enrollment ID: I20170717001365 |
| Provider Name | Paige Tesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528486511 PECOS PAC ID: 3870863392 Enrollment ID: I20170717001493 |
| Provider Name | Stephanie S Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972050938 PECOS PAC ID: 6709156250 Enrollment ID: I20170717002644 |
| Provider Name | Erin Whitney Barnes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780977215 PECOS PAC ID: 9234370750 Enrollment ID: I20170719001972 |
| Provider Name | Cameron Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144759960 PECOS PAC ID: 5193095297 Enrollment ID: I20170724000171 |
| Provider Name | Amanda J Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245657105 PECOS PAC ID: 1759605496 Enrollment ID: I20170731000767 |
| Provider Name | Sarah a Northrop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093919730 PECOS PAC ID: 4789854589 Enrollment ID: I20170731002024 |
| Provider Name | Eric E Vangeloff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992143366 PECOS PAC ID: 2163793738 Enrollment ID: I20170801002053 |
| Provider Name | Stephen Lee Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265842892 PECOS PAC ID: 0143443523 Enrollment ID: I20170801002184 |
| Provider Name | Cyril V Eyadiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396163481 PECOS PAC ID: 9032439047 Enrollment ID: I20170801003399 |
| Provider Name | Adam Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124346390 PECOS PAC ID: 3476799040 Enrollment ID: I20170802000581 |
| Provider Name | Laquetta Monet Planter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780017293 PECOS PAC ID: 1254569015 Enrollment ID: I20170802003114 |
| Provider Name | Rebecca Lynn Omlor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760826770 PECOS PAC ID: 2769799451 Enrollment ID: I20170803000901 |
| Provider Name | Jessica Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679020911 PECOS PAC ID: 4284905332 Enrollment ID: I20170808000560 |
| Provider Name | Deanna Nicole Jones |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760893051 PECOS PAC ID: 5597036582 Enrollment ID: I20170809003290 |
| Provider Name | Abbie Conney Eaton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780104190 PECOS PAC ID: 3678845468 Enrollment ID: I20170814001635 |
| Provider Name | Jonathan L Wilson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376727354 PECOS PAC ID: 1759524168 Enrollment ID: I20170814002205 |
| Provider Name | Heather J Mchughs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982984837 PECOS PAC ID: 3577888213 Enrollment ID: I20170814003262 |
| Provider Name | Timothy K Williams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851587398 PECOS PAC ID: 7810114824 Enrollment ID: I20170815000829 |
| Provider Name | Meredith M France |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245662774 PECOS PAC ID: 5294963187 Enrollment ID: I20170816001992 |
| Provider Name | Devon Ann Hoffner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922528611 PECOS PAC ID: 7719259308 Enrollment ID: I20170816002924 |
| Provider Name | Helen Brooks Yearley Dresser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629500145 PECOS PAC ID: 3870865215 Enrollment ID: I20170821001589 |
| Provider Name | Ashlyn Duke Hedgecock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174043418 PECOS PAC ID: 0345512448 Enrollment ID: I20170824002070 |
| Provider Name | Tara L Marion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366724817 PECOS PAC ID: 9739451725 Enrollment ID: I20170825002559 |
| Provider Name | Chinenyenwa Okechi Usoh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174813570 PECOS PAC ID: 3971892167 Enrollment ID: I20170828000206 |
| Provider Name | Kristin Strickland Houston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528589991 PECOS PAC ID: 6204108137 Enrollment ID: I20170828000858 |
| Provider Name | Alan Glenn Woodruff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750606778 PECOS PAC ID: 9436391893 Enrollment ID: I20170828001003 |
| Provider Name | Wendy Renee Rash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366963589 PECOS PAC ID: 1951673896 Enrollment ID: I20170828001255 |
| Provider Name | Samuel H Jordan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447788716 PECOS PAC ID: 2860764743 Enrollment ID: I20170828002771 |
| Provider Name | Megan E Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376073106 PECOS PAC ID: 6305118282 Enrollment ID: I20170828002833 |
| Provider Name | Jessica Ann Palakshappa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043530512 PECOS PAC ID: 3678734704 Enrollment ID: I20170829000447 |
| Provider Name | Caitlyn Michael Mckenzie Langford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336662774 PECOS PAC ID: 9931472859 Enrollment ID: I20170829000582 |
| Provider Name | Ashton Coffey Macdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538699715 PECOS PAC ID: 1254604705 Enrollment ID: I20170905000748 |
| Provider Name | Deepak Palakshappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750586293 PECOS PAC ID: 2567630825 Enrollment ID: I20170905001324 |
| Provider Name | Quang Vu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952745705 PECOS PAC ID: 2567735079 Enrollment ID: I20170905003322 |
| Provider Name | Robert W Hurley |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1598801193 PECOS PAC ID: 9335230994 Enrollment ID: I20170907000682 |
| Provider Name | Tyler Stanley Woodrum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124415955 PECOS PAC ID: 9032429253 Enrollment ID: I20170908002059 |
| Provider Name | Angela Michele Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487194189 PECOS PAC ID: 1355614587 Enrollment ID: I20170908002346 |
| Provider Name | Kenneth Tyler Leaphart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699295543 PECOS PAC ID: 1153694393 Enrollment ID: I20170908002891 |
| Provider Name | Samantha Arlyne Eksir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700204419 PECOS PAC ID: 7517230766 Enrollment ID: I20170908003313 |
| Provider Name | Kayla W Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700213824 PECOS PAC ID: 4587892492 Enrollment ID: I20170911000843 |
| Provider Name | Jordan Deandrade Rejeski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932546694 PECOS PAC ID: 2365716305 Enrollment ID: I20170914002627 |
| Provider Name | Rachel Katherine Fesperman Woodruff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154647519 PECOS PAC ID: 5597999235 Enrollment ID: I20170915001175 |
| Provider Name | Sukirti Bista |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629358742 PECOS PAC ID: 5193971034 Enrollment ID: I20170915002126 |
| Provider Name | Richard Samuel Guidetti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275976581 PECOS PAC ID: 8426350604 Enrollment ID: I20170918000425 |
| Provider Name | Brian R Waterman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518158724 PECOS PAC ID: 3274784822 Enrollment ID: I20170918001765 |
| Provider Name | Hafiz Shabbir Patwa |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801184437 PECOS PAC ID: 2163650565 Enrollment ID: I20170919002672 |
| Provider Name | Emmanuel Jean-jacques |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023253648 PECOS PAC ID: 5294905618 Enrollment ID: I20170920001316 |
| Provider Name | Kelley Osborne Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508386889 PECOS PAC ID: 1456625060 Enrollment ID: I20170920003399 |
| Provider Name | Meredith Claire Brandt Adams |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1467593590 PECOS PAC ID: 7719179092 Enrollment ID: I20170922000221 |
| Provider Name | Daniel a Pedersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316469497 PECOS PAC ID: 7911271366 Enrollment ID: I20170922002104 |
| Provider Name | Joseph Benjamin West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407371065 PECOS PAC ID: 8820362155 Enrollment ID: I20170925002633 |
| Provider Name | Jennifer Lynn Gerard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700310737 PECOS PAC ID: 4183998396 Enrollment ID: I20170926003043 |
| Provider Name | Julie a Freischlag |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730127614 PECOS PAC ID: 7719019793 Enrollment ID: I20170927000724 |
| Provider Name | Megan D Pinder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558881730 PECOS PAC ID: 4284908385 Enrollment ID: I20170927002836 |
| Provider Name | Michael Forbes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942561279 PECOS PAC ID: 6901198985 Enrollment ID: I20170928003278 |
| Provider Name | Christopher W V Schumacher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356635619 PECOS PAC ID: 3274829338 Enrollment ID: I20170929003341 |
| Provider Name | Margaret a Greven |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821380874 PECOS PAC ID: 3971735978 Enrollment ID: I20171002000464 |
| Provider Name | Jennifer Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851814859 PECOS PAC ID: 7113292046 Enrollment ID: I20171003006540 |
| Provider Name | Annebelle Joy Preske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659897692 PECOS PAC ID: 6406121342 Enrollment ID: I20171003006938 |
| Provider Name | Michael L Ervin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720048929 PECOS PAC ID: 5890870232 Enrollment ID: I20171005002559 |
| Provider Name | James E Meuth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073036265 PECOS PAC ID: 8426323007 Enrollment ID: I20171006002797 |
| Provider Name | Scott Ireland Otallah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427287994 PECOS PAC ID: 4486882008 Enrollment ID: I20171009002191 |
| Provider Name | Andrew C Seymore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467849034 PECOS PAC ID: 1557670239 Enrollment ID: I20171010002223 |
| Provider Name | Shawn Dean Redding |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023165313 PECOS PAC ID: 2769644756 Enrollment ID: I20171010003303 |
| Provider Name | Yolanda Enrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619498987 PECOS PAC ID: 9739454190 Enrollment ID: I20171011000679 |
| Provider Name | Rupak Thapa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689807216 PECOS PAC ID: 8123296506 Enrollment ID: I20171012002190 |
| Provider Name | Deborah Lynn Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760906457 PECOS PAC ID: 0446526644 Enrollment ID: I20171016001126 |
| Provider Name | Tiffany Marie Shin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114210663 PECOS PAC ID: 4082980115 Enrollment ID: I20171018000003 |
| Provider Name | Dara a Seelig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205351756 PECOS PAC ID: 5496021347 Enrollment ID: I20171021000085 |
| Provider Name | Katherine C Ansley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780983908 PECOS PAC ID: 0840566790 Enrollment ID: I20171021000106 |
| Provider Name | Mark G Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386643609 PECOS PAC ID: 4082519087 Enrollment ID: I20171023001705 |
| Provider Name | Kristie B Bryan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962927509 PECOS PAC ID: 6800162561 Enrollment ID: I20171024002708 |
| Provider Name | Malaka Baharah Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609806264 PECOS PAC ID: 6204849714 Enrollment ID: I20171027002511 |
| Provider Name | Michelle B Faulkner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356867162 PECOS PAC ID: 4688940026 Enrollment ID: I20171030002296 |
| Provider Name | Elanor Kiell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427360627 PECOS PAC ID: 3072889310 Enrollment ID: I20171101000199 |
| Provider Name | Brandon Scott Hays |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053637850 PECOS PAC ID: 8325304629 Enrollment ID: I20171101003143 |
| Provider Name | Jennifer Crawford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700308087 PECOS PAC ID: 1557627817 Enrollment ID: I20171102002326 |
| Provider Name | Anne R Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306140553 PECOS PAC ID: 7416187679 Enrollment ID: I20171102002751 |
| Provider Name | Carl Robert Grey |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558639575 PECOS PAC ID: 2264609601 Enrollment ID: I20171106002418 |
| Provider Name | Carla Nordstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982653192 PECOS PAC ID: 7012810849 Enrollment ID: I20171108002068 |
| Provider Name | Jean H Ashburn |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639398308 PECOS PAC ID: 1355507872 Enrollment ID: I20171108003504 |
| Provider Name | Deana Glasgow Starr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902345556 PECOS PAC ID: 4981960820 Enrollment ID: I20171109002493 |
| Provider Name | Jennifer Cashion Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154849107 PECOS PAC ID: 7315203114 Enrollment ID: I20171110001991 |
| Provider Name | Elizabeth W Mumaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841605979 PECOS PAC ID: 9537465844 Enrollment ID: I20171113001180 |
| Provider Name | Alexiss L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376072538 PECOS PAC ID: 7113283896 Enrollment ID: I20171113003219 |
| Provider Name | Sarah Shelton Edmonds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609304203 PECOS PAC ID: 5193081875 Enrollment ID: I20171113003407 |
| Provider Name | Lena Ee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386169266 PECOS PAC ID: 9234495680 Enrollment ID: I20171117001663 |
| Provider Name | Heidi Ann Mandry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285053355 PECOS PAC ID: 5890052211 Enrollment ID: I20171120001845 |
| Provider Name | Arya Mohammad Iranmanesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790043206 PECOS PAC ID: 9638482169 Enrollment ID: I20171120003355 |
| Provider Name | Joshua Blake Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760900286 PECOS PAC ID: 5294092482 Enrollment ID: I20171125000040 |
| Provider Name | Katalina Marie Eubanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396009 PECOS PAC ID: 9830456995 Enrollment ID: I20171127002924 |
| Provider Name | Kiena a Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598284580 PECOS PAC ID: 9931466018 Enrollment ID: I20171128000565 |
| Provider Name | Faith Marie Oakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336658392 PECOS PAC ID: 7517224603 Enrollment ID: I20171128000903 |
| Provider Name | Andrea Davis Triplett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093153041 PECOS PAC ID: 4789941741 Enrollment ID: I20171129000838 |
| Provider Name | Darcy Robin Dennison Harwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255850707 PECOS PAC ID: 8224395207 Enrollment ID: I20171129001855 |
| Provider Name | Alexei V Mikhailov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609133313 PECOS PAC ID: 4486911294 Enrollment ID: I20171204002224 |
| Provider Name | Ronald Kyle Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720598014 PECOS PAC ID: 5496012908 Enrollment ID: I20171207002156 |
| Provider Name | Benson Chukwuemeka Okeiyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770840761 PECOS PAC ID: 2961704937 Enrollment ID: I20171207003298 |
| Provider Name | Shane Christopher Leonard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598283293 PECOS PAC ID: 2062779515 Enrollment ID: I20171208000640 |
| Provider Name | Tracy a Mcqueen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053830877 PECOS PAC ID: 5698033181 Enrollment ID: I20171209000014 |
| Provider Name | Sherri Diane Shetley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023537099 PECOS PAC ID: 2860750353 Enrollment ID: I20171209000049 |
| Provider Name | Binaya Raman Dahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093067761 PECOS PAC ID: 8921310343 Enrollment ID: I20171211000606 |
| Provider Name | Robert Zachary Currence |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326550484 PECOS PAC ID: 2668730177 Enrollment ID: I20171211000719 |
| Provider Name | Samuel Wade Ross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225329816 PECOS PAC ID: 9537427083 Enrollment ID: I20171211002447 |
| Provider Name | Sarah Shepherd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295245447 PECOS PAC ID: 7618235094 Enrollment ID: I20171212001027 |
| Provider Name | Jessica K Bartfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235329327 PECOS PAC ID: 2961565247 Enrollment ID: I20171215002169 |
| Provider Name | Nancy Jean Prothero |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922027101 PECOS PAC ID: 1557368768 Enrollment ID: I20171218001601 |
| Provider Name | Sweiemy Tseng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194234161 PECOS PAC ID: 9931467081 Enrollment ID: I20171218002936 |
| Provider Name | Jessica Bergeron Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578072088 PECOS PAC ID: 6507124385 Enrollment ID: I20171228000586 |
| Provider Name | Richard Allen Vestal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780900886 PECOS PAC ID: 5193951895 Enrollment ID: I20171228001527 |
| Provider Name | Sarah Serrano Chwialkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679975767 PECOS PAC ID: 6305104035 Enrollment ID: I20171229000553 |
| Provider Name | Chi-cheng Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659369742 PECOS PAC ID: 5991745788 Enrollment ID: I20180102001254 |
| Provider Name | Charlotte a Cullipher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063923076 PECOS PAC ID: 9830457449 Enrollment ID: I20180102002536 |
| Provider Name | Celeste Watts Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154834513 PECOS PAC ID: 3173882784 Enrollment ID: I20180104001530 |
| Provider Name | Kimberly Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528414943 PECOS PAC ID: 2062701956 Enrollment ID: I20180108001728 |
| Provider Name | Jaclyn Marie Woods |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417474636 PECOS PAC ID: 7214296755 Enrollment ID: I20180109001229 |
| Provider Name | Zackary Daniel Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538679907 PECOS PAC ID: 1557620895 Enrollment ID: I20180112002629 |
| Provider Name | Zeynep Meltem Akkurt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982118782 PECOS PAC ID: 6608135876 Enrollment ID: I20180116000230 |
| Provider Name | Kristy K Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235649989 PECOS PAC ID: 3173882362 Enrollment ID: I20180116001009 |
| Provider Name | Kendall Hankins Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992156202 PECOS PAC ID: 1850650847 Enrollment ID: I20180119002130 |
| Provider Name | Christian W Neff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710350665 PECOS PAC ID: 8426325762 Enrollment ID: I20180122000590 |
| Provider Name | Tneshia Sweat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023317971 PECOS PAC ID: 4587889373 Enrollment ID: I20180125002643 |
| Provider Name | Brittany Michelle Chesnee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558885061 PECOS PAC ID: 6507126851 Enrollment ID: I20180205001969 |
| Provider Name | Bobbie Leanne Harmon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861909459 PECOS PAC ID: 9638439581 Enrollment ID: I20180214001081 |
| Provider Name | Samantha Turner Muqtasid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336656677 PECOS PAC ID: 1052672599 Enrollment ID: I20180226002296 |
| Provider Name | Jason Joung Woo Nam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689013054 PECOS PAC ID: 6901024785 Enrollment ID: I20180226002696 |
| Provider Name | Sarah Michele Nowak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518475763 PECOS PAC ID: 9234145111 Enrollment ID: I20180305000233 |
| Provider Name | Carlyle Peters Hamsher |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1619268893 PECOS PAC ID: 5294049722 Enrollment ID: I20180308001481 |
| Provider Name | Brett a Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174817 PECOS PAC ID: 1951616507 Enrollment ID: I20180314002287 |
| Provider Name | Lauren Sykes Eyadiel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780033464 PECOS PAC ID: 1850653569 Enrollment ID: I20180316001302 |
| Provider Name | Caitlin Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1700296407 PECOS PAC ID: 5294046595 Enrollment ID: I20180319002198 |
| Provider Name | Robyn Ann Poliner-johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962541433 PECOS PAC ID: 3072797307 Enrollment ID: I20180323000846 |
| Provider Name | Navneet Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710390596 PECOS PAC ID: 2062774391 Enrollment ID: I20180326000416 |
| Provider Name | Michele Marie Gandolfi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538486196 PECOS PAC ID: 9830461151 Enrollment ID: I20180326001392 |
| Provider Name | Elke Bachmann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629031844 PECOS PAC ID: 9739262510 Enrollment ID: I20180403001271 |
| Provider Name | James G Sowards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821050832 PECOS PAC ID: 4587656434 Enrollment ID: I20180404000799 |
| Provider Name | Paul Michael Bunch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306132154 PECOS PAC ID: 4183865348 Enrollment ID: I20180409000708 |
| Provider Name | Hina Khatri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902304454 PECOS PAC ID: 2961765565 Enrollment ID: I20180412002391 |
| Provider Name | Katelyn Ann Welch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154822468 PECOS PAC ID: 2769745926 Enrollment ID: I20180423000126 |
| Provider Name | Charles Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982661823 PECOS PAC ID: 7810885241 Enrollment ID: I20180423000566 |
| Provider Name | Jamie T Douthit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538661236 PECOS PAC ID: 9931462108 Enrollment ID: I20180423000610 |
| Provider Name | Edwin Andrew Stevens |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700066321 PECOS PAC ID: 5092846139 Enrollment ID: I20180423000804 |
| Provider Name | Julie R Kerth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023519543 PECOS PAC ID: 7911260005 Enrollment ID: I20180425000717 |
| Provider Name | Angela Maria Maier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609978154 PECOS PAC ID: 5496847006 Enrollment ID: I20180427000354 |
| Provider Name | Shanna Keneisha Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114427499 PECOS PAC ID: 1951665819 Enrollment ID: I20180502001609 |
| Provider Name | Caio Max Sao Pedro Rocha Lima |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023040094 PECOS PAC ID: 4082754098 Enrollment ID: I20180502002595 |
| Provider Name | Meredith Renae Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063735504 PECOS PAC ID: 1254456866 Enrollment ID: I20180511002293 |
| Provider Name | Luke Arthur Brenseke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699271098 PECOS PAC ID: 7517221849 Enrollment ID: I20180514000701 |
| Provider Name | Teresa Gish Perry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659651586 PECOS PAC ID: 2567726805 Enrollment ID: I20180514001042 |
| Provider Name | Cristina Webb Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790287928 PECOS PAC ID: 1951665215 Enrollment ID: I20180514002494 |
| Provider Name | Molly Amanda Hartzler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053757054 PECOS PAC ID: 1557502176 Enrollment ID: I20180515000094 |
| Provider Name | Gregory Scott Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164841102 PECOS PAC ID: 9830322494 Enrollment ID: I20180515002561 |
| Provider Name | Jamie Jonas Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699279711 PECOS PAC ID: 6305101288 Enrollment ID: I20180523002893 |
| Provider Name | Jessica Frances Doerrler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750637815 PECOS PAC ID: 7911156344 Enrollment ID: I20180524000836 |
| Provider Name | Catherine Leigh Gold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417471590 PECOS PAC ID: 5496010217 Enrollment ID: I20180529001538 |
| Provider Name | Shelli Ann Periard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093783573 PECOS PAC ID: 2668480203 Enrollment ID: I20180607000417 |
| Provider Name | Christie Dehoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598261703 PECOS PAC ID: 4587919725 Enrollment ID: I20180612002062 |
| Provider Name | Adeel Yousaf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922235563 PECOS PAC ID: 9931341609 Enrollment ID: I20180615002318 |
| Provider Name | Jagger C Koerner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356761183 PECOS PAC ID: 0840545786 Enrollment ID: I20180619000223 |
| Provider Name | Sophia G Caccavale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932605862 PECOS PAC ID: 5193070845 Enrollment ID: I20180620001694 |
| Provider Name | Daniel Leroy Coldren |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952720583 PECOS PAC ID: 7315292992 Enrollment ID: I20180622000846 |
| Provider Name | Atalie C Thompson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366852303 PECOS PAC ID: 9537414032 Enrollment ID: I20180625003490 |
| Provider Name | John M Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104280585 PECOS PAC ID: 0143515148 Enrollment ID: I20180628001714 |
| Provider Name | Aimee Ireland Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740770452 PECOS PAC ID: 2264788421 Enrollment ID: I20180702002758 |
| Provider Name | William Tessin Derry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669761698 PECOS PAC ID: 9739305640 Enrollment ID: I20180703000577 |
| Provider Name | Angela Grace Niehaus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932546819 PECOS PAC ID: 6103172937 Enrollment ID: I20180709001761 |
| Provider Name | Rita Poon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801277504 PECOS PAC ID: 2961712195 Enrollment ID: I20180709002100 |
| Provider Name | Bryan Edward Marchant |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982962403 PECOS PAC ID: 2466708219 Enrollment ID: I20180709002283 |
| Provider Name | Jessica Ware Hollingsworth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568840932 PECOS PAC ID: 9032427976 Enrollment ID: I20180716000722 |
| Provider Name | Carley Marie Zurfluh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477050508 PECOS PAC ID: 3577810027 Enrollment ID: I20180716001843 |
| Provider Name | Ashley Renee Stepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881198281 PECOS PAC ID: 4880941335 Enrollment ID: I20180716002095 |
| Provider Name | John Byron Darby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215179759 PECOS PAC ID: 6305193863 Enrollment ID: I20180716002284 |
| Provider Name | Cassie Elizabeth Stone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053845685 PECOS PAC ID: 9638440589 Enrollment ID: I20180717001330 |
| Provider Name | Jocelyn Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386834224 PECOS PAC ID: 7012033863 Enrollment ID: I20180725002664 |
| Provider Name | Maureen Kelly Sheehan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821007162 PECOS PAC ID: 5092748780 Enrollment ID: I20180725002713 |
| Provider Name | Kinchit K Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306230941 PECOS PAC ID: 5799032470 Enrollment ID: I20180726001744 |
| Provider Name | Zachary Mckee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639597149 PECOS PAC ID: 1658681242 Enrollment ID: I20180730000702 |
| Provider Name | Sarah Elizabeth White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144587072 PECOS PAC ID: 4880984731 Enrollment ID: I20180730001014 |
| Provider Name | Brent Daniel Frederick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053707307 PECOS PAC ID: 1850600693 Enrollment ID: I20180730002393 |
| Provider Name | Heather Douglas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558708339 PECOS PAC ID: 5092026245 Enrollment ID: I20180731000102 |
| Provider Name | Neal Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902225535 PECOS PAC ID: 8628390580 Enrollment ID: I20180801001195 |
| Provider Name | Jordan Miller Case |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225264948 PECOS PAC ID: 1850512971 Enrollment ID: I20180808000959 |
| Provider Name | William Childs Lippert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144601139 PECOS PAC ID: 6406104421 Enrollment ID: I20180808001858 |
| Provider Name | Kristin a Kirby |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578941423 PECOS PAC ID: 0143527150 Enrollment ID: I20180810001495 |
| Provider Name | Janus K Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306259015 PECOS PAC ID: 1557650454 Enrollment ID: I20180811000273 |
| Provider Name | Jacqueline Danielle Lippert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326429317 PECOS PAC ID: 5698023372 Enrollment ID: I20180813002439 |
| Provider Name | Geralyn Mary Campi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497890891 PECOS PAC ID: 5496055527 Enrollment ID: I20180815001857 |
| Provider Name | Ryan James Reichert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013337146 PECOS PAC ID: 5799059671 Enrollment ID: I20180816002019 |
| Provider Name | Ryan Richard Woods |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427316900 PECOS PAC ID: 8527375864 Enrollment ID: I20180816002421 |
| Provider Name | Shannon N Mumma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063891166 PECOS PAC ID: 5193034858 Enrollment ID: I20180817000053 |
| Provider Name | Saskia Coffey Anzola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063823714 PECOS PAC ID: 9234488503 Enrollment ID: I20180820001997 |
| Provider Name | Stephanie Maria Cohagan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811311244 PECOS PAC ID: 9234369505 Enrollment ID: I20180820002615 |
| Provider Name | Harsh Vinubhai Barot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629450515 PECOS PAC ID: 7911256201 Enrollment ID: I20180820002672 |
| Provider Name | Katherine M Painter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790278430 PECOS PAC ID: 0648529883 Enrollment ID: I20180821001426 |
| Provider Name | Kathryn Leigh Sylvester |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588150338 PECOS PAC ID: 8224387360 Enrollment ID: I20180822001623 |
| Provider Name | Maria Octavia Rangel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396005880 PECOS PAC ID: 8325356835 Enrollment ID: I20180823002599 |
| Provider Name | Giovanni Insuasti-beltran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568616084 PECOS PAC ID: 7517192867 Enrollment ID: I20180824000400 |
| Provider Name | Casey Hiatt Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649766379 PECOS PAC ID: 4385993286 Enrollment ID: I20180827002407 |
| Provider Name | Sara Jane Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366938631 PECOS PAC ID: 4486903218 Enrollment ID: I20180828000209 |
| Provider Name | Sahil Munjal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104266428 PECOS PAC ID: 6204185044 Enrollment ID: I20180828000299 |
| Provider Name | Kimberly Gayle Montez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073893186 PECOS PAC ID: 8426282617 Enrollment ID: I20180829000675 |
| Provider Name | Janelle Pakish Darby |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1528383163 PECOS PAC ID: 3476844713 Enrollment ID: I20180830001377 |
| Provider Name | Raisa Durrani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1285992552 PECOS PAC ID: 6406125699 Enrollment ID: I20180904001041 |
| Provider Name | Heather Ann Columbano |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073957494 PECOS PAC ID: 1759518608 Enrollment ID: I20180904001160 |
| Provider Name | Morgan Nicole Tucker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720572084 PECOS PAC ID: 2264782770 Enrollment ID: I20180904003006 |
| Provider Name | Trevor Joseph Royce |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831537240 PECOS PAC ID: 8921236555 Enrollment ID: I20180905001225 |
| Provider Name | Matthew Paul Abraham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588927891 PECOS PAC ID: 7315189842 Enrollment ID: I20180910000598 |
| Provider Name | Hugh Thomas Dowlen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184018202 PECOS PAC ID: 4587973334 Enrollment ID: I20180910001588 |
| Provider Name | Michael Marconi Maczis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265936595 PECOS PAC ID: 0840540035 Enrollment ID: I20180910001667 |
| Provider Name | Fadi Asfahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649653700 PECOS PAC ID: 1355635277 Enrollment ID: I20180911002014 |
| Provider Name | Alejandra Maria Mena Gutierrez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538324215 PECOS PAC ID: 3870786288 Enrollment ID: I20180914001823 |
| Provider Name | Kendall Wallace Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366938409 PECOS PAC ID: 6406107283 Enrollment ID: I20180918000773 |
| Provider Name | Jiandong Zhang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326367574 PECOS PAC ID: 7618266255 Enrollment ID: I20180919000917 |
| Provider Name | Sasmrita Belbase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366782039 PECOS PAC ID: 2668699943 Enrollment ID: I20180924000539 |
| Provider Name | Gillian Gabrielle Treadwell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205178688 PECOS PAC ID: 8820390198 Enrollment ID: I20180924000725 |
| Provider Name | Natalie Reid Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023504834 PECOS PAC ID: 1850642398 Enrollment ID: I20180924001053 |
| Provider Name | Stephen Leschak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760430029 PECOS PAC ID: 7315832805 Enrollment ID: I20180924002516 |
| Provider Name | Achint Dindayal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134508633 PECOS PAC ID: 8820302664 Enrollment ID: I20180924002868 |
| Provider Name | Bethann Mohamed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962848457 PECOS PAC ID: 7012229040 Enrollment ID: I20180924002898 |
| Provider Name | Steven Brian Clayton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144292459 PECOS PAC ID: 6800794751 Enrollment ID: I20180924003426 |
| Provider Name | Rebecca Diane Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386021921 PECOS PAC ID: 5092026500 Enrollment ID: I20180925000682 |
| Provider Name | Cynthia Lorena Aguirre Valdivieso |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720498132 PECOS PAC ID: 9032460381 Enrollment ID: I20180925003492 |
| Provider Name | Vincent John Pompili |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720008360 PECOS PAC ID: 8224124615 Enrollment ID: I20180926000846 |
| Provider Name | Kelsey N Ford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588156848 PECOS PAC ID: 7214288414 Enrollment ID: I20180927001772 |
| Provider Name | Michael Farris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063754430 PECOS PAC ID: 9739314204 Enrollment ID: I20180928001869 |
| Provider Name | Zineb Mashak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932528833 PECOS PAC ID: 7719238757 Enrollment ID: I20181001002651 |
| Provider Name | Laura B Doerfler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801158027 PECOS PAC ID: 6507171154 Enrollment ID: I20181001003421 |
| Provider Name | Michelle Mooney Yoder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437643228 PECOS PAC ID: 8527319581 Enrollment ID: I20181002000225 |
| Provider Name | Holly Ruth Hoey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780064113 PECOS PAC ID: 7618286303 Enrollment ID: I20181002001539 |
| Provider Name | Carol a Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598269748 PECOS PAC ID: 0042562050 Enrollment ID: I20181002002435 |
| Provider Name | Heather Elizabeth Triplett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568958692 PECOS PAC ID: 4981956828 Enrollment ID: I20181004001012 |
| Provider Name | Andrew William King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932588803 PECOS PAC ID: 4587953153 Enrollment ID: I20181004001887 |
| Provider Name | Grace Auton Teasdall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346736667 PECOS PAC ID: 9830441708 Enrollment ID: I20181004002149 |
| Provider Name | Merritt Alyse Mocock Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205215464 PECOS PAC ID: 1254640238 Enrollment ID: I20181008001453 |
| Provider Name | Jamie Arton Dietrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477806651 PECOS PAC ID: 5395997860 Enrollment ID: I20181011001050 |
| Provider Name | Cassendre Anne Larossa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255789905 PECOS PAC ID: 8224324462 Enrollment ID: I20181015000129 |
| Provider Name | Ashleigh W Medda |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477931020 PECOS PAC ID: 3173832243 Enrollment ID: I20181015001888 |
| Provider Name | Cristina Espindula Fernandes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013944685 PECOS PAC ID: 5294790408 Enrollment ID: I20181015002655 |
| Provider Name | Jonathan E Osborn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700384435 PECOS PAC ID: 8820340946 Enrollment ID: I20181017002156 |
| Provider Name | Sheila Louise Marceron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427544931 PECOS PAC ID: 2860744943 Enrollment ID: I20181018000740 |
| Provider Name | Michael F Reynolds |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982990636 PECOS PAC ID: 8325351927 Enrollment ID: I20181018002881 |
| Provider Name | Cody Douglas Blazek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770965725 PECOS PAC ID: 8820341951 Enrollment ID: I20181018003334 |
| Provider Name | Lucas Lucas Neff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578743076 PECOS PAC ID: 1153574041 Enrollment ID: I20181020000012 |
| Provider Name | Brandi Kay Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700388956 PECOS PAC ID: 1557614450 Enrollment ID: I20181023001172 |
| Provider Name | Erika Fink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366945990 PECOS PAC ID: 0648523407 Enrollment ID: I20181024000806 |
| Provider Name | Reginald Drew Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710468418 PECOS PAC ID: 8527311364 Enrollment ID: I20181025000889 |
| Provider Name | Meghna Rajesh Dalal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326527466 PECOS PAC ID: 3870846520 Enrollment ID: I20181025001487 |
| Provider Name | Amish Chandrakant Sura |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245285402 PECOS PAC ID: 8224035746 Enrollment ID: I20181026000844 |
| Provider Name | Alicia Winters Icenhour |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780165217 PECOS PAC ID: 1658624242 Enrollment ID: I20181029002304 |
| Provider Name | Sarah S Plyler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417439050 PECOS PAC ID: 2961755376 Enrollment ID: I20181101002372 |
| Provider Name | William Edward Cobb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568944411 PECOS PAC ID: 2264785583 Enrollment ID: I20181101003254 |
| Provider Name | Jordan Rea Atkins Andrews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356821003 PECOS PAC ID: 2668725920 Enrollment ID: I20181102001327 |
| Provider Name | Dana Lee Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265915201 PECOS PAC ID: 1850644055 Enrollment ID: I20181105000778 |
| Provider Name | Kimberly Ann Tate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639651771 PECOS PAC ID: 1052664224 Enrollment ID: I20181106000180 |
| Provider Name | Patricia Wiegand Grinton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497772362 PECOS PAC ID: 1658624820 Enrollment ID: I20181106000370 |
| Provider Name | Patricia Ann Brenner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942780614 PECOS PAC ID: 4981957164 Enrollment ID: I20181106000997 |
| Provider Name | Sue Adkins Fitzko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578044558 PECOS PAC ID: 2668726894 Enrollment ID: I20181107000108 |
| Provider Name | Briana Renee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172047 PECOS PAC ID: 7618221896 Enrollment ID: I20181107002238 |
| Provider Name | Sarah Bradford Kruyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881177186 PECOS PAC ID: 1759635931 Enrollment ID: I20181107002451 |
| Provider Name | Marlou Beth Mateo Cabaluna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995983 PECOS PAC ID: 7214162247 Enrollment ID: I20181107002660 |
| Provider Name | Thomas William Lycan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558627794 PECOS PAC ID: 7810208345 Enrollment ID: I20181112000143 |
| Provider Name | Ravi Agarwala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376582353 PECOS PAC ID: 9436256328 Enrollment ID: I20181113003309 |
| Provider Name | Swati Pawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679784896 PECOS PAC ID: 9133296122 Enrollment ID: I20181114002268 |
| Provider Name | Dean John Bonsall |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326071648 PECOS PAC ID: 9638108749 Enrollment ID: I20181114003327 |
| Provider Name | Amanda Marie Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821573353 PECOS PAC ID: 8123372885 Enrollment ID: I20181115000790 |
| Provider Name | Sarah Anne Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295210649 PECOS PAC ID: 8527312297 Enrollment ID: I20181115001107 |
| Provider Name | Nancy Cobb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205311081 PECOS PAC ID: 2163776725 Enrollment ID: I20181116002164 |
| Provider Name | Diana J Huggins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518448190 PECOS PAC ID: 0143574756 Enrollment ID: I20181119001054 |
| Provider Name | Hannah Fortwengler Rainey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003391251 PECOS PAC ID: 1759635287 Enrollment ID: I20181119002490 |
| Provider Name | Samantha Ryan Petrucelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235612441 PECOS PAC ID: 5395099600 Enrollment ID: I20181126000877 |
| Provider Name | John Michael Dye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346721750 PECOS PAC ID: 6002160389 Enrollment ID: I20181127000622 |
| Provider Name | Meghan B Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114409836 PECOS PAC ID: 4082958178 Enrollment ID: I20181129003229 |
| Provider Name | Jaime Stuart Swanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386097723 PECOS PAC ID: 9436443975 Enrollment ID: I20181203002953 |
| Provider Name | Lauren Elizabeth O'connor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477028215 PECOS PAC ID: 8022352970 Enrollment ID: I20181203003101 |
| Provider Name | Nathan C Page |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407210487 PECOS PAC ID: 5496040594 Enrollment ID: I20181204002114 |
| Provider Name | Devin Mccafferty Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891270336 PECOS PAC ID: 2769726595 Enrollment ID: I20181205003427 |
| Provider Name | Jennifer Lynn Belford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730656612 PECOS PAC ID: 1355685181 Enrollment ID: I20181205003641 |
| Provider Name | Sheena Renee Cooper Leonard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538635081 PECOS PAC ID: 5890039564 Enrollment ID: I20181206001746 |
| Provider Name | Caitlin Bumgarner Haupt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548744758 PECOS PAC ID: 1153665526 Enrollment ID: I20181212001446 |
| Provider Name | Dawn Antoinette Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508332727 PECOS PAC ID: 2466797592 Enrollment ID: I20181218003359 |
| Provider Name | Michael Supples |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689037988 PECOS PAC ID: 4981999828 Enrollment ID: I20181226001478 |
| Provider Name | Colleen L Jay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275700288 PECOS PAC ID: 4587813639 Enrollment ID: I20181229000077 |
| Provider Name | Kellie D Souther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558846527 PECOS PAC ID: 6709121205 Enrollment ID: I20190102000876 |
| Provider Name | Sharon Nicole Babcock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013275379 PECOS PAC ID: 7618298100 Enrollment ID: I20190107000054 |
| Provider Name | Anju Bakhshi Saraswat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700171386 PECOS PAC ID: 2466690607 Enrollment ID: I20190107001824 |
| Provider Name | Samuel Sparrow Pendergraft |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013492180 PECOS PAC ID: 8123364296 Enrollment ID: I20190110000569 |
| Provider Name | Erin Baxter Caldwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932674090 PECOS PAC ID: 0345586160 Enrollment ID: I20190115001428 |
| Provider Name | Marcus Hiller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073088290 PECOS PAC ID: 7911243738 Enrollment ID: I20190115001716 |
| Provider Name | Michael Steven Clemens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871852095 PECOS PAC ID: 2062758840 Enrollment ID: I20190116000360 |
| Provider Name | Vincent James Alderete |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235606575 PECOS PAC ID: 4789920430 Enrollment ID: I20190116003776 |
| Provider Name | Adam Judd Katz |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174692784 PECOS PAC ID: 0345258265 Enrollment ID: I20190117002979 |
| Provider Name | Katharine Talty Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780070854 PECOS PAC ID: 2860702602 Enrollment ID: I20190117003243 |
| Provider Name | Brittney Elizabeth Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265911176 PECOS PAC ID: 8426395914 Enrollment ID: I20190122001851 |
| Provider Name | Katie Ann Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487137527 PECOS PAC ID: 6002153418 Enrollment ID: I20190123002513 |
| Provider Name | Linda Jeanne Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184817371 PECOS PAC ID: 1052406022 Enrollment ID: I20190123003946 |
| Provider Name | Maggie Cameron Womack Hansell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124406079 PECOS PAC ID: 4486961828 Enrollment ID: I20190123004275 |
| Provider Name | Renee Miller Stakeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679049340 PECOS PAC ID: 5597002956 Enrollment ID: I20190123004292 |
| Provider Name | Kristin Nicole Boddu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245735018 PECOS PAC ID: 8820348485 Enrollment ID: I20190123004295 |
| Provider Name | Kimberly Kincaid Mcpeeks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629544689 PECOS PAC ID: 3779820915 Enrollment ID: I20190128000208 |
| Provider Name | Claire Elizabeth Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730323023 PECOS PAC ID: 2466682042 Enrollment ID: I20190129000149 |
| Provider Name | Sarah Gordon Spencer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609342013 PECOS PAC ID: 7012255698 Enrollment ID: I20190206000444 |
| Provider Name | Sarah Alexandra Solaka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659844249 PECOS PAC ID: 6608114293 Enrollment ID: I20190206000705 |
| Provider Name | Olivia Money Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083034417 PECOS PAC ID: 3375841240 Enrollment ID: I20190211000009 |
| Provider Name | Brandy Lanette Younts-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083106504 PECOS PAC ID: 9436497849 Enrollment ID: I20190211001040 |
| Provider Name | Carolyn Jean Park |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174917017 PECOS PAC ID: 1658699863 Enrollment ID: I20190212002559 |
| Provider Name | Andrew C Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790269009 PECOS PAC ID: 9931447109 Enrollment ID: I20190213001882 |
| Provider Name | Lance Henninger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437160249 PECOS PAC ID: 8123366317 Enrollment ID: I20190213002346 |
| Provider Name | Milton Randall Dalbow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972561314 PECOS PAC ID: 7012070683 Enrollment ID: I20190222000526 |
| Provider Name | Amber Lynn Sisenstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720509169 PECOS PAC ID: 6406128610 Enrollment ID: I20190226002066 |
| Provider Name | Nicole Michelle Millard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063986883 PECOS PAC ID: 5193064681 Enrollment ID: I20190227002347 |
| Provider Name | Ashish Kumar Khanna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356662084 PECOS PAC ID: 3072833664 Enrollment ID: I20190228000371 |
| Provider Name | Elimarie Caballero Quinones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780058594 PECOS PAC ID: 9830438902 Enrollment ID: I20190307000897 |
| Provider Name | Puja Prathmesh Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336627561 PECOS PAC ID: 0143560813 Enrollment ID: I20190314002603 |
| Provider Name | Emily Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003182411 PECOS PAC ID: 8921348640 Enrollment ID: I20190315001982 |
| Provider Name | Courtney Oxendine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598238644 PECOS PAC ID: 0042551962 Enrollment ID: I20190402002945 |
| Provider Name | Brian Cade Isley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750850491 PECOS PAC ID: 6406197185 Enrollment ID: I20190405001347 |
| Provider Name | Brittain Ciera Faircloth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265906531 PECOS PAC ID: 8527309186 Enrollment ID: I20190408002272 |
| Provider Name | Kandi Byrd Sams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114483013 PECOS PAC ID: 1456692979 Enrollment ID: I20190410002863 |
| Provider Name | Laura Anne Flashman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730131707 PECOS PAC ID: 4385662634 Enrollment ID: I20190415001793 |
| Provider Name | Samuel Michael Weiss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881187094 PECOS PAC ID: 5698017044 Enrollment ID: I20190503002125 |
| Provider Name | Cameron Anthony Caffaro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871042309 PECOS PAC ID: 5890073159 Enrollment ID: I20190503002237 |
| Provider Name | Melanie Renee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912485046 PECOS PAC ID: 1759623135 Enrollment ID: I20190506000542 |
| Provider Name | April Michelle Papineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093273252 PECOS PAC ID: 0042552226 Enrollment ID: I20190509000422 |
| Provider Name | Denise Marie Grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336600618 PECOS PAC ID: 5890037089 Enrollment ID: I20190509000728 |
| Provider Name | Brittany Shuffler England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285100354 PECOS PAC ID: 0840533626 Enrollment ID: I20190517001851 |
| Provider Name | Miraj Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245756261 PECOS PAC ID: 2062777212 Enrollment ID: I20190522000404 |
| Provider Name | Natalia Vladimirovna Sakhovskaya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588077408 PECOS PAC ID: 7416206461 Enrollment ID: I20190524002529 |
| Provider Name | Elissa Clair Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053873273 PECOS PAC ID: 5597008953 Enrollment ID: I20190528002628 |
| Provider Name | Kaila Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003395948 PECOS PAC ID: 3577806942 Enrollment ID: I20190528002719 |
| Provider Name | Helen Lucy Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023674371 PECOS PAC ID: 4981947264 Enrollment ID: I20190530001977 |
| Provider Name | Marc Daniel Benayoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790041861 PECOS PAC ID: 4587967013 Enrollment ID: I20190531002227 |
| Provider Name | Jaclyn Marie Martindale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922307438 PECOS PAC ID: 5496088452 Enrollment ID: I20190605002536 |
| Provider Name | Matthew Pagni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710320148 PECOS PAC ID: 1850531211 Enrollment ID: I20190607002556 |
| Provider Name | Christopher Thomas Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699120022 PECOS PAC ID: 8123311909 Enrollment ID: I20190611002761 |
| Provider Name | Caroline Abigail York |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861889222 PECOS PAC ID: 1355644642 Enrollment ID: I20190612000567 |
| Provider Name | Rebecca Jean Palmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598128050 PECOS PAC ID: 1658667324 Enrollment ID: I20190614002669 |
| Provider Name | Courtney Elizabeth Blodgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417415456 PECOS PAC ID: 9133452618 Enrollment ID: I20190617000252 |
| Provider Name | Courtney Leigh Russ-friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750621983 PECOS PAC ID: 4981842481 Enrollment ID: I20190617000303 |
| Provider Name | April River Russell Jarrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407410491 PECOS PAC ID: 6608109020 Enrollment ID: I20190617002513 |
| Provider Name | Lisa Gayle Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528625886 PECOS PAC ID: 9830423250 Enrollment ID: I20190618003419 |
| Provider Name | Ue Thao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710954805 PECOS PAC ID: 6002853942 Enrollment ID: I20190626000256 |
| Provider Name | Sierra Nicole Burgin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871974741 PECOS PAC ID: 6002124740 Enrollment ID: I20190626001422 |
| Provider Name | Matthew James Zuber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407243850 PECOS PAC ID: 9133436462 Enrollment ID: I20190702002731 |
| Provider Name | Andrew Wilson White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740693357 PECOS PAC ID: 1355662156 Enrollment ID: I20190722001368 |
| Provider Name | Jeffrey David Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467718668 PECOS PAC ID: 6507093283 Enrollment ID: I20190722002823 |
| Provider Name | Nicholas Paul Petit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174986517 PECOS PAC ID: 3274826581 Enrollment ID: I20190722003227 |
| Provider Name | Peter S Jeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356755391 PECOS PAC ID: 6709178080 Enrollment ID: I20190723002501 |
| Provider Name | Janardhana Ponnatapura Satyanarayana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629559000 PECOS PAC ID: 3870831399 Enrollment ID: I20190724002099 |
| Provider Name | Catherine Cadmus Browning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760041651 PECOS PAC ID: 4789910084 Enrollment ID: I20190724002617 |
| Provider Name | Catherine Lauren Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497118335 PECOS PAC ID: 6305172628 Enrollment ID: I20190724003152 |
| Provider Name | Joshua Richard Dilley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457706442 PECOS PAC ID: 6103110291 Enrollment ID: I20190725000329 |
| Provider Name | Carolyn Elizabeth Witman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174937262 PECOS PAC ID: 3577884113 Enrollment ID: I20190725002146 |
| Provider Name | Allison M. Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437528270 PECOS PAC ID: 4385970581 Enrollment ID: I20190725002303 |
| Provider Name | Joshua Stephens Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073976718 PECOS PAC ID: 0244525194 Enrollment ID: I20190726000921 |
| Provider Name | Randall Stephan Conrad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003279514 PECOS PAC ID: 9032402300 Enrollment ID: I20190729000346 |
| Provider Name | Christian Blake Lawrence |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194179671 PECOS PAC ID: 0648569111 Enrollment ID: I20190729003570 |
| Provider Name | Michael David Shapiro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215063920 PECOS PAC ID: 0547355182 Enrollment ID: I20190730000579 |
| Provider Name | James Russell Bateman |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1053756577 PECOS PAC ID: 5890919997 Enrollment ID: I20190730000613 |
| Provider Name | Matthew Allen Gorris |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982023172 PECOS PAC ID: 9335460880 Enrollment ID: I20190730001305 |
| Provider Name | Leila Hamzi Dewitt |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1770945958 PECOS PAC ID: 7810280872 Enrollment ID: I20190730002544 |
| Provider Name | Lucy Elizabeth Skeen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336602663 PECOS PAC ID: 5698001543 Enrollment ID: I20190730002714 |
| Provider Name | Cheryl L Sizer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245899806 PECOS PAC ID: 1658607544 Enrollment ID: I20190730004520 |
| Provider Name | Brian William Bernish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679134464 PECOS PAC ID: 4385971050 Enrollment ID: I20190805001156 |
| Provider Name | Tirrany T Osborne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306405162 PECOS PAC ID: 4688901143 Enrollment ID: I20190807001763 |
| Provider Name | Laura Michelle Welsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477114585 PECOS PAC ID: 4183951411 Enrollment ID: I20190809000949 |
| Provider Name | Luke Daniel Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154775468 PECOS PAC ID: 3678800877 Enrollment ID: I20190812000370 |
| Provider Name | Sheila Maria Maurer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689659161 PECOS PAC ID: 4486627221 Enrollment ID: I20190812004083 |
| Provider Name | Won Gin Jackson Bowman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841743747 PECOS PAC ID: 7012203763 Enrollment ID: I20190813001123 |
| Provider Name | Matthew Olen Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063833838 PECOS PAC ID: 8224365200 Enrollment ID: I20190814000739 |
| Provider Name | Halley Briglia Alexander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649614405 PECOS PAC ID: 3577791466 Enrollment ID: I20190814002533 |
| Provider Name | Purvi Dilip Surti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124682257 PECOS PAC ID: 4880921709 Enrollment ID: I20190814002971 |
| Provider Name | Megan Elizabeth Guest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538726047 PECOS PAC ID: 4082941935 Enrollment ID: I20190814004139 |
| Provider Name | Shrunjay R Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649667791 PECOS PAC ID: 9739493065 Enrollment ID: I20190820000919 |
| Provider Name | Jason Lee Cossey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497849939 PECOS PAC ID: 0042207169 Enrollment ID: I20190820001142 |
| Provider Name | Carolyn Fern Keyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942861711 PECOS PAC ID: 7810225570 Enrollment ID: I20190820002417 |
| Provider Name | Mary Beth Seegars |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184064073 PECOS PAC ID: 5597051219 Enrollment ID: I20190822003280 |
| Provider Name | Matthew Tyler Watson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619529351 PECOS PAC ID: 3870821218 Enrollment ID: I20190823000767 |
| Provider Name | Mandi Joy Irwin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811409121 PECOS PAC ID: 7214265545 Enrollment ID: I20190826000672 |
| Provider Name | Sarah Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730749870 PECOS PAC ID: 8426386673 Enrollment ID: I20190826002096 |
| Provider Name | Christine Ahn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588077747 PECOS PAC ID: 4880922046 Enrollment ID: I20190826002655 |
| Provider Name | Brittany Joyce Kemp |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215599055 PECOS PAC ID: 3971831173 Enrollment ID: I20190827000558 |
| Provider Name | Araya Puwanant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528274925 PECOS PAC ID: 5890925465 Enrollment ID: I20190828001312 |
| Provider Name | Eric K. Fitzcharles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851352173 PECOS PAC ID: 9931275997 Enrollment ID: I20190829001584 |
| Provider Name | Anne Elizabeth Argenta |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417103979 PECOS PAC ID: 8820382195 Enrollment ID: I20190829002524 |
| Provider Name | Heather Dawn Venoy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457752206 PECOS PAC ID: 0648570911 Enrollment ID: I20190829003416 |
| Provider Name | Maria Chiara Mariencheck |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659348746 PECOS PAC ID: 2769555812 Enrollment ID: I20190903000162 |
| Provider Name | Darius Andres Alan Jahann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861636425 PECOS PAC ID: 5395900906 Enrollment ID: I20190903001879 |
| Provider Name | John Kevin Bailey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710955794 PECOS PAC ID: 3577512011 Enrollment ID: I20190903002654 |
| Provider Name | Andrea Michelle Aitken |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437502754 PECOS PAC ID: 4082901574 Enrollment ID: I20190904002827 |
| Provider Name | Tara T Paterno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376104075 PECOS PAC ID: 7113256835 Enrollment ID: I20190905002218 |
| Provider Name | Samuel Paterson Carmichael |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164867594 PECOS PAC ID: 7719292127 Enrollment ID: I20190906000908 |
| Provider Name | Tarsha Marika Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861054074 PECOS PAC ID: 3678802287 Enrollment ID: I20190906002535 |
| Provider Name | Jon Taylor Golenbiewski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649618331 PECOS PAC ID: 2365673076 Enrollment ID: I20190909000123 |
| Provider Name | Katherine Ann Gershner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699118950 PECOS PAC ID: 6103155650 Enrollment ID: I20190909001107 |
| Provider Name | Candace Mitchell Waters |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457794893 PECOS PAC ID: 1254562341 Enrollment ID: I20190909002975 |
| Provider Name | Mohammad S Rasool |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962866020 PECOS PAC ID: 9739470444 Enrollment ID: I20190910000288 |
| Provider Name | Nathan Grant Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033563192 PECOS PAC ID: 6204125768 Enrollment ID: I20190910002023 |
| Provider Name | Amber Dawn Clapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518511625 PECOS PAC ID: 9335478429 Enrollment ID: I20190916001807 |
| Provider Name | Matthew Paul Horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851753230 PECOS PAC ID: 3072808997 Enrollment ID: I20190916002519 |
| Provider Name | Matthew Painter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396006797 PECOS PAC ID: 1456591767 Enrollment ID: I20190916003147 |
| Provider Name | Steven Joseph Warne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154632529 PECOS PAC ID: 0749473916 Enrollment ID: I20190916003215 |
| Provider Name | Michael Stevenson Hughes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689917205 PECOS PAC ID: 3375872385 Enrollment ID: I20190916003483 |
| Provider Name | Suman Madanlal Wasan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427027242 PECOS PAC ID: 7012921372 Enrollment ID: I20190918001762 |
| Provider Name | Reese Woodson Randle |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1508007485 PECOS PAC ID: 3476705351 Enrollment ID: I20190918003650 |
| Provider Name | Kara Marie Lowman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184276271 PECOS PAC ID: 8820328768 Enrollment ID: I20190919001658 |
| Provider Name | William Irvin Mariencheck |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114995909 PECOS PAC ID: 2668471046 Enrollment ID: I20190923002059 |
| Provider Name | Andrew Scott Colson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073044541 PECOS PAC ID: 0143591859 Enrollment ID: I20190925000861 |
| Provider Name | Marvin Eugene Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356411300 PECOS PAC ID: 8325145089 Enrollment ID: I20190925002393 |
| Provider Name | Mackenzie Katherine Helms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831743764 PECOS PAC ID: 7911237474 Enrollment ID: I20190925002889 |
| Provider Name | Allyson J Schlagheck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790347615 PECOS PAC ID: 8921338401 Enrollment ID: I20190925003815 |
| Provider Name | Erica Mathis Shore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609428887 PECOS PAC ID: 8729318209 Enrollment ID: I20190925003917 |
| Provider Name | Hajra Zehra Shah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427281542 PECOS PAC ID: 8729308622 Enrollment ID: I20190926003550 |
| Provider Name | Jacob Henry Schoeneck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619388352 PECOS PAC ID: 0244541373 Enrollment ID: I20190927001374 |
| Provider Name | Onengiya Harry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114190774 PECOS PAC ID: 5496085771 Enrollment ID: I20190930002029 |
| Provider Name | Jiselle Marie Bock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730449273 PECOS PAC ID: 8820380058 Enrollment ID: I20191001002885 |
| Provider Name | Kristy Marie Wolske |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396872024 PECOS PAC ID: 7719154947 Enrollment ID: I20191001003154 |
| Provider Name | Nikhil Mahesh Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902149792 PECOS PAC ID: 5597064758 Enrollment ID: I20191007000924 |
| Provider Name | Katherine Anne Butler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629335153 PECOS PAC ID: 2860742616 Enrollment ID: I20191007001336 |
| Provider Name | Casey Overcash Coates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245778570 PECOS PAC ID: 6901182799 Enrollment ID: I20191007003590 |
| Provider Name | Eldridge Coates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861768624 PECOS PAC ID: 5395900955 Enrollment ID: I20191007003666 |
| Provider Name | Kevin Zou Chang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922304393 PECOS PAC ID: 8527354398 Enrollment ID: I20191009000388 |
| Provider Name | Jessica Renee Valente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831584366 PECOS PAC ID: 4981959368 Enrollment ID: I20191009001665 |
| Provider Name | Charles Choi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174917165 PECOS PAC ID: 1456660315 Enrollment ID: I20191009002832 |
| Provider Name | Blake Alexander Mattox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073163226 PECOS PAC ID: 7810228590 Enrollment ID: I20191010001038 |
| Provider Name | Michael Donovan Schaffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336662444 PECOS PAC ID: 8820363260 Enrollment ID: I20191015000494 |
| Provider Name | Jennifer Lee Nall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760034649 PECOS PAC ID: 9739410150 Enrollment ID: I20191015003179 |
| Provider Name | Curtis Ray Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366002628 PECOS PAC ID: 5092046417 Enrollment ID: I20191015003242 |
| Provider Name | Ethan Christopher Rudge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992263545 PECOS PAC ID: 9739410192 Enrollment ID: I20191016000864 |
| Provider Name | Christy Everhart Osborne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942768049 PECOS PAC ID: 3274864525 Enrollment ID: I20191017000982 |
| Provider Name | Kellie Preslar Koontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255989943 PECOS PAC ID: 5991036253 Enrollment ID: I20191017001469 |
| Provider Name | Heather Johnston Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629628680 PECOS PAC ID: 1355672569 Enrollment ID: I20191018000758 |
| Provider Name | Brittany Nichole Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245684026 PECOS PAC ID: 7012298045 Enrollment ID: I20191021000430 |
| Provider Name | Anna Catherine Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758943 PECOS PAC ID: 1951633080 Enrollment ID: I20191023000489 |
| Provider Name | Brooke Stoner Greenwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497213557 PECOS PAC ID: 5294067138 Enrollment ID: I20191028000297 |
| Provider Name | Meredith Collins Ingle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396307534 PECOS PAC ID: 6204168982 Enrollment ID: I20191030000158 |
| Provider Name | Meredith Thompson Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568018091 PECOS PAC ID: 9638401318 Enrollment ID: I20191030000275 |
| Provider Name | Catherine Emily Cuite |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679560221 PECOS PAC ID: 3173581063 Enrollment ID: I20191031001292 |
| Provider Name | Diana Cristina Mehedint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790149581 PECOS PAC ID: 7719225291 Enrollment ID: I20191101000802 |
| Provider Name | Jeanna Dianne Blitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518076603 PECOS PAC ID: 4082619408 Enrollment ID: I20191102000344 |
| Provider Name | Isabel Cristina Jean |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184282634 PECOS PAC ID: 8123350543 Enrollment ID: I20191104001807 |
| Provider Name | Edmee Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871033076 PECOS PAC ID: 7810918323 Enrollment ID: I20191106000994 |
| Provider Name | Hannah Greene Kibler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386293934 PECOS PAC ID: 6800128190 Enrollment ID: I20191106002517 |
| Provider Name | Jennifer Thi Wing Krall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437577954 PECOS PAC ID: 9931417631 Enrollment ID: I20191106003363 |
| Provider Name | Lauren Allen Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386102218 PECOS PAC ID: 5496187767 Enrollment ID: I20191107002646 |
| Provider Name | Candace Curry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124466933 PECOS PAC ID: 6608208814 Enrollment ID: I20191108001593 |
| Provider Name | Sally Anne Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396392544 PECOS PAC ID: 5496187650 Enrollment ID: I20191111000321 |
| Provider Name | Jason Monroe Slabach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134779580 PECOS PAC ID: 1951733914 Enrollment ID: I20191112002552 |
| Provider Name | Allyson Elizabeth Blazejewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801446265 PECOS PAC ID: 5698107548 Enrollment ID: I20191114000019 |
| Provider Name | Sydney Anne Coldren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093264152 PECOS PAC ID: 7214293380 Enrollment ID: I20191115002663 |
| Provider Name | Indira Rianna Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780225490 PECOS PAC ID: 2264864990 Enrollment ID: I20191118001155 |
| Provider Name | Elizabeth Coble Pulliam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679124580 PECOS PAC ID: 5890127526 Enrollment ID: I20191118001246 |
| Provider Name | Hollis Ella Wells |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790326411 PECOS PAC ID: 7810329513 Enrollment ID: I20191119001122 |
| Provider Name | Laura Kathryn Tastad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518516244 PECOS PAC ID: 8729410238 Enrollment ID: I20191120003174 |
| Provider Name | Rebecca Craige Walsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891356473 PECOS PAC ID: 4789016205 Enrollment ID: I20191120003402 |
| Provider Name | Brandi Melissa Decriscio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619519428 PECOS PAC ID: 6406288901 Enrollment ID: I20191122000028 |
| Provider Name | Sharon Mccrary Donn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841849288 PECOS PAC ID: 4981037975 Enrollment ID: I20191205000629 |
| Provider Name | Nicole Lindsay Ashley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528526118 PECOS PAC ID: 5294168217 Enrollment ID: I20191205001910 |
| Provider Name | Paige August Dick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013551605 PECOS PAC ID: 0345673067 Enrollment ID: I20191210001557 |
| Provider Name | John David Bradshaw |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568807055 PECOS PAC ID: 9335381938 Enrollment ID: I20191210002989 |
| Provider Name | Kelly Mcpherson Hendrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538719315 PECOS PAC ID: 8022441781 Enrollment ID: I20191210003187 |
| Provider Name | Jessica Leigh Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457994097 PECOS PAC ID: 5698108389 Enrollment ID: I20191211001047 |
| Provider Name | Susan Rose Vishneski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568800381 PECOS PAC ID: 7113296369 Enrollment ID: I20191214000456 |
| Provider Name | Aaron William Pickens |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821484650 PECOS PAC ID: 5698084689 Enrollment ID: I20191216000168 |
| Provider Name | Mustapha Ahmad Ezzeddine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972534667 PECOS PAC ID: 3678594744 Enrollment ID: I20191216002752 |
| Provider Name | Cara Dawn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659929669 PECOS PAC ID: 9436583770 Enrollment ID: I20191219002662 |
| Provider Name | Diana Isabel Munoz Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487213047 PECOS PAC ID: 9335573518 Enrollment ID: I20191220001379 |
| Provider Name | Thomas Karr Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487681862 PECOS PAC ID: 3870765167 Enrollment ID: I20191231001736 |
| Provider Name | Deanna Renee Reary-ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497391809 PECOS PAC ID: 7315372901 Enrollment ID: I20200108000759 |
| Provider Name | Jessica Nicole Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982240032 PECOS PAC ID: 0840625448 Enrollment ID: I20200108001283 |
| Provider Name | Erika Andreja Swintosky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518500461 PECOS PAC ID: 9830524206 Enrollment ID: I20200113000581 |
| Provider Name | Katelynne Poole Simpson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073151965 PECOS PAC ID: 8325473770 Enrollment ID: I20200114000682 |
| Provider Name | Leah Catherine Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366007643 PECOS PAC ID: 4789019001 Enrollment ID: I20200115000734 |
| Provider Name | Suneeta Kumari Acharya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457763476 PECOS PAC ID: 5698016004 Enrollment ID: I20200115003399 |
| Provider Name | Scott Wilson Rose |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114371762 PECOS PAC ID: 0749579183 Enrollment ID: I20200127000316 |
| Provider Name | Sunia Ayeza Pervez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275889479 PECOS PAC ID: 0840590857 Enrollment ID: I20200127000891 |
| Provider Name | Alix Johanna Rothbart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902462146 PECOS PAC ID: 2264868710 Enrollment ID: I20200203000188 |
| Provider Name | Sarada Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174589063 PECOS PAC ID: 6305881442 Enrollment ID: I20200205000590 |
| Provider Name | Michael Joseph Mccormack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003179045 PECOS PAC ID: 7517217805 Enrollment ID: I20200205001026 |
| Provider Name | Karen Virginia Moody |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992344121 PECOS PAC ID: 7315373321 Enrollment ID: I20200211002993 |
| Provider Name | Kim Marion Carollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972072114 PECOS PAC ID: 5496095697 Enrollment ID: I20200221002630 |
| Provider Name | Aaron Wooten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104135706 PECOS PAC ID: 6103095088 Enrollment ID: I20200224000019 |
| Provider Name | Muhammad Ali Shazib |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770983355 PECOS PAC ID: 3678900040 Enrollment ID: I20200225000000 |
| Provider Name | Emily Claire Stefano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609416932 PECOS PAC ID: 2466889738 Enrollment ID: I20200226000930 |
| Provider Name | Steven Hodnett Warren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588204994 PECOS PAC ID: 6901234863 Enrollment ID: I20200309000703 |
| Provider Name | Lauren Katherine Mccormack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114281128 PECOS PAC ID: 2163770199 Enrollment ID: I20200312001420 |
| Provider Name | Margaux Venter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386284305 PECOS PAC ID: 8426486986 Enrollment ID: I20200316000996 |
| Provider Name | Elizabeth Tina Flynt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023640109 PECOS PAC ID: 4981032273 Enrollment ID: I20200320000225 |
| Provider Name | Jacquelyn Rose Holjencin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972832558 PECOS PAC ID: 7618010968 Enrollment ID: I20200323000370 |
| Provider Name | Jacqueline Parker Hatch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265832612 PECOS PAC ID: 1355779562 Enrollment ID: I20200323002302 |
| Provider Name | Mahesh Andani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053688549 PECOS PAC ID: 4880813237 Enrollment ID: I20200324002147 |
| Provider Name | Jacob Neil Orias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952935587 PECOS PAC ID: 6406284504 Enrollment ID: I20200324002806 |
| Provider Name | Joshua Blake Barber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689209249 PECOS PAC ID: 6103254123 Enrollment ID: I20200325000748 |
| Provider Name | Kathryn Bethany Muir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699039065 PECOS PAC ID: 2264860246 Enrollment ID: I20200325003331 |
| Provider Name | Wesley Chad Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013326834 PECOS PAC ID: 6103122940 Enrollment ID: I20200326003087 |
| Provider Name | Numan Gharaibeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265428544 PECOS PAC ID: 3173593274 Enrollment ID: I20200402002827 |
| Provider Name | Haley Jordan St Germain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982239745 PECOS PAC ID: 6305275686 Enrollment ID: I20200408000539 |
| Provider Name | Reinaldo a Livoti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346889649 PECOS PAC ID: 4183053481 Enrollment ID: I20200408001861 |
| Provider Name | Melissa Dellinger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023362712 PECOS PAC ID: 5890124945 Enrollment ID: I20200410002277 |
| Provider Name | Sheila Simone Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154969319 PECOS PAC ID: 1951731009 Enrollment ID: I20200414000846 |
| Provider Name | Jacinta Ingram Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962984187 PECOS PAC ID: 7719317684 Enrollment ID: I20200416000157 |
| Provider Name | Benjamin W Warner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437333770 PECOS PAC ID: 2062653272 Enrollment ID: I20200416000183 |
| Provider Name | Kaily Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801422480 PECOS PAC ID: 7214367184 Enrollment ID: I20200416000348 |
| Provider Name | Kristin E Calpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104450998 PECOS PAC ID: 8325478100 Enrollment ID: I20200417002830 |
| Provider Name | Nicholas Patrick Glover |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659906303 PECOS PAC ID: 9436589223 Enrollment ID: I20200417003335 |
| Provider Name | Kayce Leroy Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972135267 PECOS PAC ID: 9335579036 Enrollment ID: I20200421001184 |
| Provider Name | Tyrone Alexander Kyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174882500 PECOS PAC ID: 1456595719 Enrollment ID: I20200421002425 |
| Provider Name | Lisa Michelle Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437789682 PECOS PAC ID: 5991135584 Enrollment ID: I20200422002393 |
| Provider Name | Jacqueline Marie Doucette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174991590 PECOS PAC ID: 6901107853 Enrollment ID: I20200428000947 |
| Provider Name | Peter Anthony Costa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629411855 PECOS PAC ID: 3870924855 Enrollment ID: I20200506002311 |
| Provider Name | Safoa Afua Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689109225 PECOS PAC ID: 2365716149 Enrollment ID: I20200507002651 |
| Provider Name | Kristen Dumler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811460926 PECOS PAC ID: 1759712417 Enrollment ID: I20200513000270 |
| Provider Name | Rebecca West Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588285290 PECOS PAC ID: 3870924392 Enrollment ID: I20200515001358 |
| Provider Name | Kelsey Thomas Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992326714 PECOS PAC ID: 4385075852 Enrollment ID: I20200518000476 |
| Provider Name | Lorena Hernandez Tellez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396010658 PECOS PAC ID: 9931417151 Enrollment ID: I20200518003170 |
| Provider Name | Joanna Maria Robles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609294743 PECOS PAC ID: 3971934324 Enrollment ID: I20200519001263 |
| Provider Name | Jennifer S Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467088260 PECOS PAC ID: 7517388895 Enrollment ID: I20200522002340 |
| Provider Name | Kaitlyn Mcfarlane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568081123 PECOS PAC ID: 9234550435 Enrollment ID: I20200526001095 |
| Provider Name | John R Korona |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700231958 PECOS PAC ID: 4688968654 Enrollment ID: I20200526001836 |
| Provider Name | Christopher Peluso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104261593 PECOS PAC ID: 8921302431 Enrollment ID: I20200527002128 |
| Provider Name | Tyler Wilson Derr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922462357 PECOS PAC ID: 7719270164 Enrollment ID: I20200528001113 |
| Provider Name | Wessley R Mcknight |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285020180 PECOS PAC ID: 7517276181 Enrollment ID: I20200529000794 |
| Provider Name | Kiara Lynn Winsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316474158 PECOS PAC ID: 2264709906 Enrollment ID: I20200618000019 |
| Provider Name | Steven E Ovu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568876845 PECOS PAC ID: 3274955299 Enrollment ID: I20200622000763 |
| Provider Name | Akua Rosia Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508329541 PECOS PAC ID: 2769714419 Enrollment ID: I20200623001920 |
| Provider Name | Julia Prokesova |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972036416 PECOS PAC ID: 2860762903 Enrollment ID: I20200624001923 |
| Provider Name | Lisa Ann Gross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396375325 PECOS PAC ID: 8921420571 Enrollment ID: I20200626002158 |
| Provider Name | Emmaline Katherine Stilp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306468608 PECOS PAC ID: 0244652816 Enrollment ID: I20200629000659 |
| Provider Name | Kevin David Hiatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548689789 PECOS PAC ID: 6406164359 Enrollment ID: I20200630001678 |
| Provider Name | Ladonna Josey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598158974 PECOS PAC ID: 7214255066 Enrollment ID: I20200701000015 |
| Provider Name | Frederick Scott Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295155695 PECOS PAC ID: 2961710819 Enrollment ID: I20200701000986 |
| Provider Name | Renee Lizette Lewis-kensah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043535933 PECOS PAC ID: 3779724893 Enrollment ID: I20200706001548 |
| Provider Name | Nicholas W Macklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033641667 PECOS PAC ID: 2668741083 Enrollment ID: I20200707001470 |
| Provider Name | Burk Nash Schaible |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598154387 PECOS PAC ID: 7315296522 Enrollment ID: I20200707001611 |
| Provider Name | Wencheng Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023405131 PECOS PAC ID: 3971811811 Enrollment ID: I20200707001753 |
| Provider Name | Patrick Aaron Mccann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477086445 PECOS PAC ID: 3971873837 Enrollment ID: I20200708001168 |
| Provider Name | Katherine R Mclaughlin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992153589 PECOS PAC ID: 3678868247 Enrollment ID: I20200708003214 |
| Provider Name | Jesus Emanuel Hernandez Velez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780031138 PECOS PAC ID: 7618268913 Enrollment ID: I20200709001125 |
| Provider Name | Bibhusan Basnet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891101895 PECOS PAC ID: 8820396278 Enrollment ID: I20200709002231 |
| Provider Name | Ashley Hodges |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508229261 PECOS PAC ID: 9133412034 Enrollment ID: I20200714001627 |
| Provider Name | Kevin Alan Elmore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922620517 PECOS PAC ID: 5698198208 Enrollment ID: I20200714003145 |
| Provider Name | Xika Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740542299 PECOS PAC ID: 3072828284 Enrollment ID: I20200716001542 |
| Provider Name | George Edward Black |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538431994 PECOS PAC ID: 0547571754 Enrollment ID: I20200717000233 |
| Provider Name | Jacqueline Huff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871884049 PECOS PAC ID: 0547446932 Enrollment ID: I20200720003675 |
| Provider Name | Jonathan Edward Lambird |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447679113 PECOS PAC ID: 1658591565 Enrollment ID: I20200721000527 |
| Provider Name | Tabita Tavoc |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790309607 PECOS PAC ID: 0648694869 Enrollment ID: I20200721003522 |
| Provider Name | Amr Sherif Mohamed Rifaat El Haraki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003171539 PECOS PAC ID: 4587899406 Enrollment ID: I20200721003550 |
| Provider Name | Hima Bindu Darapu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700292786 PECOS PAC ID: 6608134796 Enrollment ID: I20200723002357 |
| Provider Name | Hiba Ikram Sheikh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891059671 PECOS PAC ID: 8527386390 Enrollment ID: I20200724000330 |
| Provider Name | Ravi Kumar Paluri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801030226 PECOS PAC ID: 5294986279 Enrollment ID: I20200724001910 |
| Provider Name | Sean Thomas Dieffenbaugher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083033971 PECOS PAC ID: 9739410895 Enrollment ID: I20200731000757 |
| Provider Name | Christopher Juan Diaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053852277 PECOS PAC ID: 5799060224 Enrollment ID: I20200806000806 |
| Provider Name | Emily Hughes Douglas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174941355 PECOS PAC ID: 5991927279 Enrollment ID: I20200810001214 |
| Provider Name | Christie Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659996445 PECOS PAC ID: 9133544000 Enrollment ID: I20200810001284 |
| Provider Name | Geoffrey Alexander Reid Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093337081 PECOS PAC ID: 6406271303 Enrollment ID: I20200810002192 |
| Provider Name | Sarah Ahmed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518584408 PECOS PAC ID: 1557787108 Enrollment ID: I20200813002296 |
| Provider Name | Anna Gambill |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265050983 PECOS PAC ID: 3173949575 Enrollment ID: I20200817000965 |
| Provider Name | Hinna Mahesh Andani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740714146 PECOS PAC ID: 2466878582 Enrollment ID: I20200819001715 |
| Provider Name | Suneel Kumar Parvathareddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235484213 PECOS PAC ID: 1254645708 Enrollment ID: I20200819001851 |
| Provider Name | Scott Robert Coleman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679954234 PECOS PAC ID: 9931525037 Enrollment ID: I20200820000120 |
| Provider Name | Nicholas S Powers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528410388 PECOS PAC ID: 4284050212 Enrollment ID: I20200820001546 |
| Provider Name | Sarah Elizabeth Connolly |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1285955229 PECOS PAC ID: 5294964763 Enrollment ID: I20200820002467 |
| Provider Name | Vadim Korogoda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851778005 PECOS PAC ID: 0941517700 Enrollment ID: I20200824000120 |
| Provider Name | Zoaib S Rasool |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497276646 PECOS PAC ID: 0749551018 Enrollment ID: I20200824000167 |
| Provider Name | Emily Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447876396 PECOS PAC ID: 8426474396 Enrollment ID: I20200824000289 |
| Provider Name | Kyle C Levitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912427923 PECOS PAC ID: 2769753110 Enrollment ID: I20200824002155 |
| Provider Name | Olivia Chasse Helseth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477929651 PECOS PAC ID: 4082912316 Enrollment ID: I20200824002536 |
| Provider Name | Alexandra M Bachyrycz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073984100 PECOS PAC ID: 0941582134 Enrollment ID: I20200825002042 |
| Provider Name | Lori Sansone Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376154591 PECOS PAC ID: 7517384969 Enrollment ID: I20200831000833 |
| Provider Name | Yael Miriam Shoshana Klionsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437506672 PECOS PAC ID: 6709179252 Enrollment ID: I20200904000593 |
| Provider Name | Megan Hicks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366862518 PECOS PAC ID: 4880818418 Enrollment ID: I20200911002796 |
| Provider Name | Sara Elizabeth Jackowicz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306486949 PECOS PAC ID: 3577981091 Enrollment ID: I20200916000437 |
| Provider Name | Anna Caroline Cochrane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306296975 PECOS PAC ID: 4789979774 Enrollment ID: I20200917002613 |
| Provider Name | Ryan T Hughes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205214848 PECOS PAC ID: 0345550471 Enrollment ID: I20200918001860 |
| Provider Name | George Michael Bodziock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316392665 PECOS PAC ID: 4981997228 Enrollment ID: I20200921000113 |
| Provider Name | Alex George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427265446 PECOS PAC ID: 1355769514 Enrollment ID: I20200921001019 |
| Provider Name | Jessica Rose Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992319115 PECOS PAC ID: 1951729136 Enrollment ID: I20200921001626 |
| Provider Name | Lauren Elizabeth Fennell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841803384 PECOS PAC ID: 3375961576 Enrollment ID: I20200921002576 |
| Provider Name | Kelsey Elizabeth Donovan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841804622 PECOS PAC ID: 2860811965 Enrollment ID: I20200923000419 |
| Provider Name | Valerie Ann Calkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598190894 PECOS PAC ID: 6800023854 Enrollment ID: I20200923002525 |
| Provider Name | Alexander Ivanov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356873657 PECOS PAC ID: 5698194314 Enrollment ID: I20200930000890 |
| Provider Name | Keri Olivia Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649821026 PECOS PAC ID: 8820417249 Enrollment ID: I20201002002043 |
| Provider Name | Michael Joseph Lacombe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558916114 PECOS PAC ID: 6709218365 Enrollment ID: I20201005002099 |
| Provider Name | Marianna Furr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689289589 PECOS PAC ID: 8022437433 Enrollment ID: I20201005002376 |
| Provider Name | Ruth Anne Barber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083223655 PECOS PAC ID: 0749609030 Enrollment ID: I20201006002917 |
| Provider Name | Bevin Renee Strickland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679031207 PECOS PAC ID: 2062832231 Enrollment ID: I20201009001155 |
| Provider Name | Lindsay Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518334994 PECOS PAC ID: 9931405479 Enrollment ID: I20201026002032 |
| Provider Name | Jennifer Barefoot Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558970939 PECOS PAC ID: 1153731419 Enrollment ID: I20201028001177 |
| Provider Name | Caitlin Marie Clement |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356956122 PECOS PAC ID: 2860802014 Enrollment ID: I20201029001943 |
| Provider Name | Meredith Abernethy Yates |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528673423 PECOS PAC ID: 2769892876 Enrollment ID: I20201030002125 |
| Provider Name | Nicholas Ryan Tuttle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003421751 PECOS PAC ID: 6204246358 Enrollment ID: I20201102001015 |
| Provider Name | Clare Haley Ealley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770198962 PECOS PAC ID: 6406266410 Enrollment ID: I20201103001533 |
| Provider Name | Brittany Nicole Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790384113 PECOS PAC ID: 2567872435 Enrollment ID: I20201104000692 |
| Provider Name | Luke Bostow Mellish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821604794 PECOS PAC ID: 6709296627 Enrollment ID: I20201104002842 |
| Provider Name | Todd Alan Stevens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639784093 PECOS PAC ID: 5698185460 Enrollment ID: I20201105002096 |
| Provider Name | Sydney Nicole Rowan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639722713 PECOS PAC ID: 8921418617 Enrollment ID: I20201109001891 |
| Provider Name | Anthony Raymond Manecci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992327282 PECOS PAC ID: 8527478031 Enrollment ID: I20201111001267 |
| Provider Name | Sarah Katherine Winter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548877939 PECOS PAC ID: 7012327554 Enrollment ID: I20201111002526 |
| Provider Name | Nick Ly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518156181 PECOS PAC ID: 9335314483 Enrollment ID: I20201112000945 |
| Provider Name | Richard Kazibwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356780043 PECOS PAC ID: 0244451573 Enrollment ID: I20201113002208 |
| Provider Name | Sally Shin Yee Ong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497194666 PECOS PAC ID: 1850648304 Enrollment ID: I20201116000200 |
| Provider Name | Melanie Hope Craft |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295335529 PECOS PAC ID: 3173934536 Enrollment ID: I20201117000225 |
| Provider Name | Leah Miraglia Tanou |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588972178 PECOS PAC ID: 3072799691 Enrollment ID: I20201119000860 |
| Provider Name | Natalie Loflin Cannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205436482 PECOS PAC ID: 7719398833 Enrollment ID: I20201121000196 |
| Provider Name | Ernesto Luis Aranda Aguirre |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245683275 PECOS PAC ID: 7719273325 Enrollment ID: I20201124001944 |
| Provider Name | Elizabeth Ione Parsons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619576360 PECOS PAC ID: 8022429976 Enrollment ID: I20201124002836 |
| Provider Name | Dana Chopra |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194189183 PECOS PAC ID: 9739450578 Enrollment ID: I20201208001188 |
| Provider Name | Gillian Grace Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801495387 PECOS PAC ID: 1254743727 Enrollment ID: I20201208001307 |
| Provider Name | Morgan Presley Bredow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629679105 PECOS PAC ID: 6901218288 Enrollment ID: I20201210000146 |
| Provider Name | Arnaz Siganporia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467056705 PECOS PAC ID: 8426460627 Enrollment ID: I20201211001816 |
| Provider Name | Eric Hsi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619934817 PECOS PAC ID: 1850394982 Enrollment ID: I20201218001308 |
| Provider Name | Willie Jr Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184041675 PECOS PAC ID: 0345472833 Enrollment ID: I20201221000692 |
| Provider Name | Christian Ashley Jasper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629598032 PECOS PAC ID: 7315212883 Enrollment ID: I20201221001503 |
| Provider Name | Tara Mainali |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093319998 PECOS PAC ID: 2567875131 Enrollment ID: I20201229001682 |
| Provider Name | Aaron R Elliott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023083789 PECOS PAC ID: 0547673469 Enrollment ID: I20210113001341 |
| Provider Name | Olufunso Mercy Ogunjobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003439639 PECOS PAC ID: 9739592429 Enrollment ID: I20210120000978 |
| Provider Name | Rebecca Jo Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174189153 PECOS PAC ID: 1153735840 Enrollment ID: I20210120001158 |
| Provider Name | Rafael Alberto Torres Fajardo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124301189 PECOS PAC ID: 8820329394 Enrollment ID: I20210120003117 |
| Provider Name | Ashley Belle Pellerin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588289995 PECOS PAC ID: 9931513439 Enrollment ID: I20210125001046 |
| Provider Name | Olivia Addis Ray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548859598 PECOS PAC ID: 3577977628 Enrollment ID: I20210201000967 |
| Provider Name | Kelsey Killeen Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588264584 PECOS PAC ID: 0941614010 Enrollment ID: I20210201001989 |
| Provider Name | Mary Quentin Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144574930 PECOS PAC ID: 5294149274 Enrollment ID: I20210203000450 |
| Provider Name | Melissa D Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629180849 PECOS PAC ID: 2466867049 Enrollment ID: I20210211002333 |
| Provider Name | Anthony Michael Gentile |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598375032 PECOS PAC ID: 9739594177 Enrollment ID: I20210218000062 |
| Provider Name | Jennifer Kaitlyn Halama |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851947691 PECOS PAC ID: 1850706037 Enrollment ID: I20210222000414 |
| Provider Name | Mary Ann Thenganatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598923856 PECOS PAC ID: 3870779861 Enrollment ID: I20210226001927 |
| Provider Name | Latanya Nicole Parchment |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275146409 PECOS PAC ID: 6608282553 Enrollment ID: I20210302000153 |
| Provider Name | Carmen Elizabeth Kiper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619219763 PECOS PAC ID: 9032403696 Enrollment ID: I20210302000928 |
| Provider Name | Cara Elizabeth Harrity Wolf |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811386600 PECOS PAC ID: 6002137361 Enrollment ID: I20210303003050 |
| Provider Name | William Frederick Shaw |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467517631 PECOS PAC ID: 5294790945 Enrollment ID: I20210305001838 |
| Provider Name | Jared Daniel Latham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770176299 PECOS PAC ID: 8729494232 Enrollment ID: I20210309000227 |
| Provider Name | Maria Andreyevna Belaya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346855095 PECOS PAC ID: 6103245832 Enrollment ID: I20210309000684 |
| Provider Name | Joanna Grace Asselin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992395339 PECOS PAC ID: 2163838160 Enrollment ID: I20210316001876 |
| Provider Name | Amelia Jeanne Kirby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184929101 PECOS PAC ID: 1456575794 Enrollment ID: I20210318002323 |
| Provider Name | Lynsey Rebecca Zuar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669714150 PECOS PAC ID: 8921221094 Enrollment ID: I20210319001557 |
| Provider Name | Heather Leigh Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235727686 PECOS PAC ID: 2668889585 Enrollment ID: I20210322000022 |
| Provider Name | Amanda Lackaye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023669272 PECOS PAC ID: 3375955644 Enrollment ID: I20210324002133 |
| Provider Name | Elizabeth Mackenzie Baumeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508322751 PECOS PAC ID: 9739501404 Enrollment ID: I20210326001581 |
| Provider Name | Aaron Shaun Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649826942 PECOS PAC ID: 5799192910 Enrollment ID: I20210405001855 |
| Provider Name | Heather Strickland Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912591280 PECOS PAC ID: 3375950546 Enrollment ID: I20210406001195 |
| Provider Name | Elijah S Vernon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316539729 PECOS PAC ID: 5597173583 Enrollment ID: I20210412001218 |
| Provider Name | Marcy Carpenter Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427641745 PECOS PAC ID: 0840608733 Enrollment ID: I20210414000000 |
| Provider Name | Shana Elizabeth Key Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578029062 PECOS PAC ID: 5395087332 Enrollment ID: I20210416001374 |
| Provider Name | Jennifer Kneezel Potter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669904561 PECOS PAC ID: 9537445481 Enrollment ID: I20210419002093 |
| Provider Name | Cameron Taylor Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639795487 PECOS PAC ID: 5698183069 Enrollment ID: I20210423001334 |
| Provider Name | Ashley Pappas Minton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457991721 PECOS PAC ID: 9739597121 Enrollment ID: I20210423001997 |
| Provider Name | Sara Patricia Bladon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740865351 PECOS PAC ID: 8224446539 Enrollment ID: I20210426000648 |
| Provider Name | Sarah Poplawski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629206784 PECOS PAC ID: 6204972201 Enrollment ID: I20210428000372 |
| Provider Name | Heather H Schwartz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679985147 PECOS PAC ID: 2769891993 Enrollment ID: I20210429001270 |
| Provider Name | Larry Lee Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861433971 PECOS PAC ID: 6002973997 Enrollment ID: I20210505001679 |
| Provider Name | Gayle Ann Kostyack |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548350796 PECOS PAC ID: 9739598533 Enrollment ID: I20210507000297 |
| Provider Name | Richard Rozier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174020895 PECOS PAC ID: 7810247111 Enrollment ID: I20210513001960 |
| Provider Name | William Tommy Sparks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366040503 PECOS PAC ID: 5698184109 Enrollment ID: I20210513002391 |
| Provider Name | Julie Ann Conklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144817560 PECOS PAC ID: 3476962796 Enrollment ID: I20210517001627 |
| Provider Name | Sarah Bounds Mccullough |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609169044 PECOS PAC ID: 8224272638 Enrollment ID: I20210518000112 |
| Provider Name | Nickolas Sam Widener |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669063582 PECOS PAC ID: 8224447503 Enrollment ID: I20210518000783 |
| Provider Name | James Pinto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780898858 PECOS PAC ID: 8527123454 Enrollment ID: I20210518001313 |
| Provider Name | Sarah Elizabeth Maus |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740777440 PECOS PAC ID: 4587063672 Enrollment ID: I20210521001150 |
| Provider Name | Christina Mia Rinaldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811491079 PECOS PAC ID: 1557611852 Enrollment ID: I20210602001046 |
| Provider Name | Alicia Claire Firestone |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144724139 PECOS PAC ID: 9133471782 Enrollment ID: I20210607000666 |
| Provider Name | Tamour Khan Tareen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396277067 PECOS PAC ID: 3971855008 Enrollment ID: I20210608000621 |
| Provider Name | James Decarlo Artis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104406131 PECOS PAC ID: 2466852637 Enrollment ID: I20210609001209 |
| Provider Name | Nicklaus Ashburn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346744521 PECOS PAC ID: 1456601897 Enrollment ID: I20210614000168 |
| Provider Name | Olivia Lorraine Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386211860 PECOS PAC ID: 9335549328 Enrollment ID: I20210614000469 |
| Provider Name | Dillon Casey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043703556 PECOS PAC ID: 0143570986 Enrollment ID: I20210615000742 |
| Provider Name | Vikram Sai Shivaji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770947822 PECOS PAC ID: 3072806959 Enrollment ID: I20210616001496 |
| Provider Name | Kristy Ford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316444243 PECOS PAC ID: 8729338132 Enrollment ID: I20210616002725 |
| Provider Name | Daniel Bintrim |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1639531452 PECOS PAC ID: 0941631725 Enrollment ID: I20210621000915 |
| Provider Name | Sarah Grace Downs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235661786 PECOS PAC ID: 7416356852 Enrollment ID: I20210621001519 |
| Provider Name | William Brandon Winfrey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871081992 PECOS PAC ID: 4486906260 Enrollment ID: I20210622000519 |
| Provider Name | Victoria Rose Shada |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578096772 PECOS PAC ID: 3870870918 Enrollment ID: I20210622001760 |
| Provider Name | Leah Denyse Snipe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184111213 PECOS PAC ID: 4486904778 Enrollment ID: I20210623001516 |
| Provider Name | Salena E Linberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043704737 PECOS PAC ID: 3870994973 Enrollment ID: I20210628000804 |
| Provider Name | William Joseph Cantwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316526403 PECOS PAC ID: 4082015888 Enrollment ID: I20210630003843 |
| Provider Name | Sandhya Nallu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720375199 PECOS PAC ID: 8325348451 Enrollment ID: I20210701000237 |
| Provider Name | Alexandra Ashley Mcclory |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245711407 PECOS PAC ID: 0840536553 Enrollment ID: I20210701003061 |
| Provider Name | Jimmy Yao Lin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336672484 PECOS PAC ID: 0749681377 Enrollment ID: I20210702000201 |
| Provider Name | Shelby Marie Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548794290 PECOS PAC ID: 2062784473 Enrollment ID: I20210702001115 |
| Provider Name | Advaita Punjala-patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598293029 PECOS PAC ID: 2769756956 Enrollment ID: I20210702001652 |
| Provider Name | Dillon James Magalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982100509 PECOS PAC ID: 5991055444 Enrollment ID: I20210707001100 |
| Provider Name | Jeffrey Daniel Hoffmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679837355 PECOS PAC ID: 1052713591 Enrollment ID: I20210707001445 |
| Provider Name | Raju Century |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700039245 PECOS PAC ID: 7315084415 Enrollment ID: I20210709001105 |
| Provider Name | David Lee Mclawhorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407427339 PECOS PAC ID: 2062814239 Enrollment ID: I20210709002101 |
| Provider Name | Jennifer Lynne Barger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922532043 PECOS PAC ID: 7214264142 Enrollment ID: I20210712003509 |
| Provider Name | Erin Michelle Saner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083101364 PECOS PAC ID: 6901155795 Enrollment ID: I20210713003390 |
| Provider Name | Clint Adam Draney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922527266 PECOS PAC ID: 0840566618 Enrollment ID: I20210715000487 |
| Provider Name | Amit Khanal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235622093 PECOS PAC ID: 9234531906 Enrollment ID: I20210719000222 |
| Provider Name | Theresa Michelle Oniffrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164097572 PECOS PAC ID: 5698177368 Enrollment ID: I20210719000233 |
| Provider Name | Haiyan Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306202130 PECOS PAC ID: 5991108615 Enrollment ID: I20210719002500 |
| Provider Name | Nicholas Steven Viole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619472511 PECOS PAC ID: 8123378411 Enrollment ID: I20210719002623 |
| Provider Name | Gabrielle Marie Horstman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508286394 PECOS PAC ID: 7012245491 Enrollment ID: I20210719002747 |
| Provider Name | Sarah Norah Maria Burch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841869211 PECOS PAC ID: 3577966241 Enrollment ID: I20210720000519 |
| Provider Name | William Tyler Cecil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003279779 PECOS PAC ID: 9537452917 Enrollment ID: I20210720000961 |
| Provider Name | Izzah Vasim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568812485 PECOS PAC ID: 4082986484 Enrollment ID: I20210720001555 |
| Provider Name | Bradley Cagle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518317569 PECOS PAC ID: 5991093510 Enrollment ID: I20210720003908 |
| Provider Name | Ryan Maxwell Maves |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407826670 PECOS PAC ID: 1951552751 Enrollment ID: I20210720004178 |
| Provider Name | Jenna Chantae Kerby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700381670 PECOS PAC ID: 2668722059 Enrollment ID: I20210721001379 |
| Provider Name | Kayla Marie Peksenar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790354959 PECOS PAC ID: 8123421633 Enrollment ID: I20210721002798 |
| Provider Name | Jobira Anbessie Woldemichael |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548600281 PECOS PAC ID: 2769788371 Enrollment ID: I20210722000598 |
| Provider Name | Ann Honor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912394180 PECOS PAC ID: 5991009284 Enrollment ID: I20210722001000 |
| Provider Name | Cassidy Danae Vigil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073183034 PECOS PAC ID: 6507269974 Enrollment ID: I20210722001060 |
| Provider Name | Delaney Elisabeth Provenza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750957262 PECOS PAC ID: 0749683142 Enrollment ID: I20210722002223 |
| Provider Name | Ilona Davidovna Goukassian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952762965 PECOS PAC ID: 8729366414 Enrollment ID: I20210722002493 |
| Provider Name | Kayla Lauren Lyon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417489873 PECOS PAC ID: 7113299504 Enrollment ID: I20210722002552 |
| Provider Name | Benjamin Woodress Rush |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306227160 PECOS PAC ID: 9133438047 Enrollment ID: I20210722003085 |
| Provider Name | Brent Clayton Breedlove |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417525304 PECOS PAC ID: 0941603179 Enrollment ID: I20210727000254 |
| Provider Name | Altaf Lakhani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831581388 PECOS PAC ID: 6305150921 Enrollment ID: I20210729001863 |
| Provider Name | Kaytlyn Alyse Ly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518534288 PECOS PAC ID: 8729481684 Enrollment ID: I20210729001968 |
| Provider Name | Silanath Terpenning |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447493580 PECOS PAC ID: 1951565092 Enrollment ID: I20210803002560 |
| Provider Name | Pedrom Cyrus Sioshansi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386062495 PECOS PAC ID: 5092140012 Enrollment ID: I20210804000348 |
| Provider Name | Charles Thomas Alexander Semelka |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1992238828 PECOS PAC ID: 1658645999 Enrollment ID: I20210804000674 |
| Provider Name | Neelam Ambalal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598260408 PECOS PAC ID: 3678820701 Enrollment ID: I20210804001711 |
| Provider Name | Dennis Edward Mayer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992817092 PECOS PAC ID: 2961496096 Enrollment ID: I20210805001649 |
| Provider Name | Kathleen Anne Leavitt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285689398 PECOS PAC ID: 0042291742 Enrollment ID: I20210806000261 |
| Provider Name | Johan Pieter Suyderhoud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013917855 PECOS PAC ID: 2163698309 Enrollment ID: I20210806001579 |
| Provider Name | Alexis Marie Albarran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902471139 PECOS PAC ID: 3072917467 Enrollment ID: I20210806001773 |
| Provider Name | John Paul Bonvillian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336677046 PECOS PAC ID: 1951674043 Enrollment ID: I20210809001050 |
| Provider Name | Christopher Scott Mclaughlin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447606496 PECOS PAC ID: 7214222892 Enrollment ID: I20210810000687 |
| Provider Name | Jaclyn Janine White |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750724134 PECOS PAC ID: 7517288368 Enrollment ID: I20210810003636 |
| Provider Name | Cassidy Rae Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821680067 PECOS PAC ID: 5799189916 Enrollment ID: I20210811000176 |
| Provider Name | Sana Tariq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639668023 PECOS PAC ID: 8426306010 Enrollment ID: I20210816001933 |
| Provider Name | Stacey Jefferson Coats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548934847 PECOS PAC ID: 0941605729 Enrollment ID: I20210817000979 |
| Provider Name | Nnamdi Chukwuma Maduabum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710475553 PECOS PAC ID: 4587069372 Enrollment ID: I20210817001543 |
| Provider Name | Bennett White Calder |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1972899342 PECOS PAC ID: 2567712318 Enrollment ID: I20210817002911 |
| Provider Name | James Aitken |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770944555 PECOS PAC ID: 2163709882 Enrollment ID: I20210818000036 |
| Provider Name | Yasmine Kahok Alimena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821582099 PECOS PAC ID: 2062768195 Enrollment ID: I20210818000042 |
| Provider Name | Jason Michael Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558938126 PECOS PAC ID: 2163827916 Enrollment ID: I20210818000076 |
| Provider Name | Courtney Elizabeth Cash |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972176725 PECOS PAC ID: 7315342011 Enrollment ID: I20210818002381 |
| Provider Name | Kyle Edward Robinson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013394964 PECOS PAC ID: 1557766128 Enrollment ID: I20210819001539 |
| Provider Name | Jessica Marie Meister Berger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992151872 PECOS PAC ID: 6406195791 Enrollment ID: I20210820000797 |
| Provider Name | Abigail Rose Gifford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255863874 PECOS PAC ID: 7416227566 Enrollment ID: I20210825001070 |
| Provider Name | Kaylee Dowell Ehart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083389431 PECOS PAC ID: 8224433396 Enrollment ID: I20210827000925 |
| Provider Name | Daniella Marie Dinizo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902250509 PECOS PAC ID: 7214220722 Enrollment ID: I20210830000801 |
| Provider Name | Aaryn Kelli Hammond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538554431 PECOS PAC ID: 9638482433 Enrollment ID: I20210830000806 |
| Provider Name | Muna Kumari Timsina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619431475 PECOS PAC ID: 9830595834 Enrollment ID: I20210830003451 |
| Provider Name | Cameon Nichole Ford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750953634 PECOS PAC ID: 7214333228 Enrollment ID: I20210831000223 |
| Provider Name | Noella Olsen Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457849861 PECOS PAC ID: 2264782044 Enrollment ID: I20210831002169 |
| Provider Name | Dana Edwin King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144338195 PECOS PAC ID: 7012944010 Enrollment ID: I20210831003482 |
| Provider Name | Sandra Merlini Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376002949 PECOS PAC ID: 2466858337 Enrollment ID: I20210901003029 |
| Provider Name | Ricardo Jorge Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225147580 PECOS PAC ID: 1759488067 Enrollment ID: I20210901003050 |
| Provider Name | Jordan Scott Ingram |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497324776 PECOS PAC ID: 8628474426 Enrollment ID: I20210902000441 |
| Provider Name | Christian Ann Bowlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730699596 PECOS PAC ID: 6002175379 Enrollment ID: I20210903000989 |
| Provider Name | Timothy Saang Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932494655 PECOS PAC ID: 3173857430 Enrollment ID: I20210903001983 |
| Provider Name | Ruth M Benca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932175940 PECOS PAC ID: 3274605928 Enrollment ID: I20210907000288 |
| Provider Name | Rachel Renae Hooven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396313144 PECOS PAC ID: 9830595586 Enrollment ID: I20210907000787 |
| Provider Name | Victoria Catherine Shirk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881152973 PECOS PAC ID: 0345646832 Enrollment ID: I20210908004006 |
| Provider Name | James Alan Senft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003909169 PECOS PAC ID: 8426184912 Enrollment ID: I20210909000030 |
| Provider Name | Rachel Elizabeth Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972953131 PECOS PAC ID: 3274827787 Enrollment ID: I20210909000378 |
| Provider Name | Lisa Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073189841 PECOS PAC ID: 6204232549 Enrollment ID: I20210910002700 |
| Provider Name | Rhianon Borghese Brady |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053865451 PECOS PAC ID: 2860788056 Enrollment ID: I20210914002216 |
| Provider Name | John Thomas Mckay |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841671914 PECOS PAC ID: 9335450865 Enrollment ID: I20210915000216 |
| Provider Name | Alton George Sutter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922493352 PECOS PAC ID: 3072889740 Enrollment ID: I20210915000583 |
| Provider Name | Jessica Brooke Koontz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841721313 PECOS PAC ID: 1557638582 Enrollment ID: I20210915000631 |
| Provider Name | Peter Michael Waters |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1962428763 PECOS PAC ID: 5799874491 Enrollment ID: I20210915003507 |
| Provider Name | Marc Albino Colaco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467872291 PECOS PAC ID: 8628398708 Enrollment ID: I20210916003397 |
| Provider Name | Sara Elizabeth Zabroske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720651797 PECOS PAC ID: 6709283781 Enrollment ID: I20210916003497 |
| Provider Name | Danielle Lynn Simpson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609448687 PECOS PAC ID: 5890192652 Enrollment ID: I20210921001485 |
| Provider Name | Audrey Blaire Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245909837 PECOS PAC ID: 7810394525 Enrollment ID: I20210923000343 |
| Provider Name | Nicholas Anthony Trasolini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417330242 PECOS PAC ID: 0042565376 Enrollment ID: I20210923001172 |
| Provider Name | Jasmyn Briana Alexander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871166298 PECOS PAC ID: 3870990443 Enrollment ID: I20210923003121 |
| Provider Name | Brooke Killian Joines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588339709 PECOS PAC ID: 4486051000 Enrollment ID: I20210924001293 |
| Provider Name | Pranathi Rao Sundaragiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942556568 PECOS PAC ID: 5991017279 Enrollment ID: I20210929003846 |
| Provider Name | Lazarina Diomaris Baez Marinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548830771 PECOS PAC ID: 7618374877 Enrollment ID: I20210930002225 |
| Provider Name | Philip Donald Spencer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386317642 PECOS PAC ID: 8729486709 Enrollment ID: I20211005002075 |
| Provider Name | Courtney Craft Woodall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821556887 PECOS PAC ID: 5496153496 Enrollment ID: I20211005003361 |
| Provider Name | David Neil Leimberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497429823 PECOS PAC ID: 5193123107 Enrollment ID: I20211005003569 |
| Provider Name | Sara Victoria Spyris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568826741 PECOS PAC ID: 4082907639 Enrollment ID: I20211014000178 |
| Provider Name | Meredith Lea Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700449063 PECOS PAC ID: 7416355912 Enrollment ID: I20211014000595 |
| Provider Name | Emily Taylor Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912582529 PECOS PAC ID: 0345648853 Enrollment ID: I20211014001006 |
| Provider Name | Brittany Alexis Schaefer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659831774 PECOS PAC ID: 3971901356 Enrollment ID: I20211015001317 |
| Provider Name | Kevin Christian Flores |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306517115 PECOS PAC ID: 2769880152 Enrollment ID: I20211015001478 |
| Provider Name | Erin Francis Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528403441 PECOS PAC ID: 5092113480 Enrollment ID: I20211015001679 |
| Provider Name | Joselline Iveth Garcia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194399709 PECOS PAC ID: 8426456823 Enrollment ID: I20211015001846 |
| Provider Name | Ali Boyce Cosgrove |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609116854 PECOS PAC ID: 6103061536 Enrollment ID: I20211027000568 |
| Provider Name | Madison Mckenzie Bakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386315158 PECOS PAC ID: 1557759396 Enrollment ID: I20211027000955 |
| Provider Name | Mary Ann Wilmoth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851960173 PECOS PAC ID: 6305234162 Enrollment ID: I20211027001916 |
| Provider Name | Kelsie Johanna Pierre |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801271556 PECOS PAC ID: 4385032051 Enrollment ID: I20211028003221 |
| Provider Name | Christopher Michael Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417274010 PECOS PAC ID: 3072758044 Enrollment ID: I20211101000667 |
| Provider Name | Rajbir Singh Hundal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346620366 PECOS PAC ID: 6709194483 Enrollment ID: I20211101002544 |
| Provider Name | Brianne Elizabeth Eva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154099521 PECOS PAC ID: 7517355084 Enrollment ID: I20211103000025 |
| Provider Name | Kinsey Lea Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245901628 PECOS PAC ID: 1951790351 Enrollment ID: I20211104002572 |
| Provider Name | Lia Kay Thibodaux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891384681 PECOS PAC ID: 2961818737 Enrollment ID: I20211110000328 |
| Provider Name | Jennifer Marie Feagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356974901 PECOS PAC ID: 9234528258 Enrollment ID: I20211112002140 |
| Provider Name | Lisa Vang Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033889357 PECOS PAC ID: 7719376532 Enrollment ID: I20211117002168 |
| Provider Name | Brian Edward Conrad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013505163 PECOS PAC ID: 8729477302 Enrollment ID: I20211122000073 |
| Provider Name | Kristopher Neal Priddy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659995710 PECOS PAC ID: 2567851157 Enrollment ID: I20211122000437 |
| Provider Name | Joseph Demari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356876486 PECOS PAC ID: 2062784390 Enrollment ID: I20211122002383 |
| Provider Name | Lauren Elizabeth Bradford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790162774 PECOS PAC ID: 8628389616 Enrollment ID: I20211123000007 |
| Provider Name | Jonathan Jonah Mayl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477059616 PECOS PAC ID: 4082004478 Enrollment ID: I20211129000349 |
| Provider Name | Caitlin Jean Crowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760159156 PECOS PAC ID: 8224428628 Enrollment ID: I20211129000962 |
| Provider Name | William Spang Zackowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912448762 PECOS PAC ID: 6204107998 Enrollment ID: I20211129002218 |
| Provider Name | Bhavita Jayesh Gaglani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548662349 PECOS PAC ID: 3779847025 Enrollment ID: I20211201001422 |
| Provider Name | Sean D Reyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063185759 PECOS PAC ID: 3072903244 Enrollment ID: I20211201002449 |
| Provider Name | Peter Roy Badalamente |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942880265 PECOS PAC ID: 5890185003 Enrollment ID: I20211202001029 |
| Provider Name | Levi David Kauffman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508245762 PECOS PAC ID: 5799094009 Enrollment ID: I20211206000353 |
| Provider Name | Shelby Leigh Burns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780204982 PECOS PAC ID: 4284024241 Enrollment ID: I20211206001553 |
| Provider Name | Ansley Bos Hazouri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427693068 PECOS PAC ID: 1254721228 Enrollment ID: I20211206002049 |
| Provider Name | Katheryn Taylor Duggins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932862448 PECOS PAC ID: 7719377605 Enrollment ID: I20211208002358 |
| Provider Name | Shontillious Devonique Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346904182 PECOS PAC ID: 9537559422 Enrollment ID: I20211208002366 |
| Provider Name | Nicole Leigh Beverly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457016206 PECOS PAC ID: 3375934938 Enrollment ID: I20211215003014 |
| Provider Name | Kimber Leann Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891452280 PECOS PAC ID: 4587055603 Enrollment ID: I20211229000080 |
| Provider Name | Kelly Anne Franzese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386312601 PECOS PAC ID: 6507257573 Enrollment ID: I20211230000144 |
| Provider Name | Anthony J Barile |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467445031 PECOS PAC ID: 1557434222 Enrollment ID: I20220103000097 |
| Provider Name | Travis Dillon Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548899313 PECOS PAC ID: 9739507211 Enrollment ID: I20220103001382 |
| Provider Name | Carleen Grady Mckenna |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861068389 PECOS PAC ID: 4284025172 Enrollment ID: I20220104001286 |
| Provider Name | Raja Rajeswara Rao Paladugu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972570232 PECOS PAC ID: 3274570742 Enrollment ID: I20220104001888 |
| Provider Name | Brianna Hodges Lance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437814027 PECOS PAC ID: 4789075508 Enrollment ID: I20220104002946 |
| Provider Name | Fowler Richards Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578227930 PECOS PAC ID: 5395137962 Enrollment ID: I20220112001293 |
| Provider Name | Vani Shanker Khajuria |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205405479 PECOS PAC ID: 7315339645 Enrollment ID: I20220119001408 |
| Provider Name | Sarah Elizabeth Gray Mikac |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376021485 PECOS PAC ID: 6406190784 Enrollment ID: I20220119002917 |
| Provider Name | Justin Paul Hicks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629458658 PECOS PAC ID: 6507158755 Enrollment ID: I20220121000696 |
| Provider Name | Rushdan Islam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043820962 PECOS PAC ID: 6305238429 Enrollment ID: I20220124001589 |
| Provider Name | Leslie J Kellam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699445056 PECOS PAC ID: 2961894795 Enrollment ID: I20220127002439 |
| Provider Name | Melanie Nicole Chase |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124673728 PECOS PAC ID: 4385036136 Enrollment ID: I20220127003029 |
| Provider Name | Christine Marie Samuel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982367348 PECOS PAC ID: 3779975537 Enrollment ID: I20220128000238 |
| Provider Name | Jessica Rose Walukonis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770248627 PECOS PAC ID: 7719379593 Enrollment ID: I20220128001398 |
| Provider Name | Barbara Ludmila Nye |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083933790 PECOS PAC ID: 5395963052 Enrollment ID: I20220128001900 |
| Provider Name | Oluwatoyin Alaba Fadeyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033861117 PECOS PAC ID: 1153714332 Enrollment ID: I20220210002663 |
| Provider Name | Bryson Wayne Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104585603 PECOS PAC ID: 0941693857 Enrollment ID: I20220216001941 |
| Provider Name | April Lynn Greissinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225559164 PECOS PAC ID: 7719370659 Enrollment ID: I20220217000116 |
| Provider Name | Sarah Yates Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477211530 PECOS PAC ID: 7719371608 Enrollment ID: I20220217002233 |
| Provider Name | Nayun Han |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649924945 PECOS PAC ID: 5597159434 Enrollment ID: I20220218001525 |
| Provider Name | Aimee Herin Han |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932864147 PECOS PAC ID: 9234523085 Enrollment ID: I20220222000731 |
| Provider Name | Michael Shane Stalvey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710085782 PECOS PAC ID: 0648347088 Enrollment ID: I20220222001799 |
| Provider Name | Brynlee Parker Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154913010 PECOS PAC ID: 6002200789 Enrollment ID: I20220222002632 |
| Provider Name | Stephanie Renee Bias Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396496600 PECOS PAC ID: 0648665265 Enrollment ID: I20220317002516 |
| Provider Name | Carly Michelle Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477205631 PECOS PAC ID: 8022403500 Enrollment ID: I20220318002273 |
| Provider Name | Patrice Mary Minder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316489909 PECOS PAC ID: 2466733365 Enrollment ID: I20220320000028 |
| Provider Name | Carolyn Hall Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942968763 PECOS PAC ID: 7618362138 Enrollment ID: I20220321001409 |
| Provider Name | Amy Miller Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669044368 PECOS PAC ID: 2466847876 Enrollment ID: I20220322002383 |
| Provider Name | Maggie E Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366054629 PECOS PAC ID: 9133514458 Enrollment ID: I20220322003160 |
| Provider Name | Ashley Dawn Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831842111 PECOS PAC ID: 4385039544 Enrollment ID: I20220324002875 |
| Provider Name | Maxwell Franklin Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114672664 PECOS PAC ID: 8921493081 Enrollment ID: I20220328001667 |
| Provider Name | Lori-anne Patricia Schillaci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124300801 PECOS PAC ID: 0840510186 Enrollment ID: I20220401000102 |
| Provider Name | Drew Donovan Kiraly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356785372 PECOS PAC ID: 8224308127 Enrollment ID: I20220404000350 |
| Provider Name | Joshua James Hutchinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588269799 PECOS PAC ID: 0345636924 Enrollment ID: I20220407000969 |
| Provider Name | Peter Okechukwu Nwafor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477737740 PECOS PAC ID: 6406930056 Enrollment ID: I20220407001373 |
| Provider Name | Veronica Wiltshire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023394269 PECOS PAC ID: 3577700368 Enrollment ID: I20220407001621 |
| Provider Name | Andrea Mozelle Hutchinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114521374 PECOS PAC ID: 8426444811 Enrollment ID: I20220412002095 |
| Provider Name | Kelley Lauren Lowery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760133235 PECOS PAC ID: 5991192007 Enrollment ID: I20220420000140 |
| Provider Name | Rafael Rosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508260183 PECOS PAC ID: 3173745825 Enrollment ID: I20220421000134 |
| Provider Name | Alberto Leopoldo De Hoyos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851355333 PECOS PAC ID: 8820066905 Enrollment ID: I20220421002775 |
| Provider Name | Thomas Patrick Sullivan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1154687549 PECOS PAC ID: 0941503007 Enrollment ID: I20220422001763 |
| Provider Name | Jessica Leigh Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114672540 PECOS PAC ID: 7719374651 Enrollment ID: I20220425001401 |
| Provider Name | Yanjun Hou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992123392 PECOS PAC ID: 7214259365 Enrollment ID: I20220426001040 |
| Provider Name | Stephanie J Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760140198 PECOS PAC ID: 4082001888 Enrollment ID: I20220426001520 |
| Provider Name | Tia Rose Wisdo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427642263 PECOS PAC ID: 2961899760 Enrollment ID: I20220426001695 |
| Provider Name | Kristy Mcleod Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265185227 PECOS PAC ID: 2961899703 Enrollment ID: I20220426003162 |
| Provider Name | Martina Gabra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336594423 PECOS PAC ID: 5092006064 Enrollment ID: I20220429002147 |
| Provider Name | Shayla Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679824064 PECOS PAC ID: 5890945810 Enrollment ID: I20220520000905 |
| Provider Name | Leigh Anne Charles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497855951 PECOS PAC ID: 4587042825 Enrollment ID: I20220527001350 |
| Provider Name | Brittany Miles James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184370892 PECOS PAC ID: 8123406956 Enrollment ID: I20220607000118 |
| Provider Name | Hannah Clark St. Jeor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023598059 PECOS PAC ID: 4486905627 Enrollment ID: I20220608003277 |
| Provider Name | Darcy J Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811121254 PECOS PAC ID: 7618027871 Enrollment ID: I20220609000070 |
| Provider Name | Ronald Glenn Washburn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245252717 PECOS PAC ID: 4385816586 Enrollment ID: I20220609000424 |
| Provider Name | Lauren Elizabeth-kraics Mckay |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508245119 PECOS PAC ID: 7416268198 Enrollment ID: I20220613002871 |
| Provider Name | Daniel Baquet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063972461 PECOS PAC ID: 7719220029 Enrollment ID: I20220614000705 |
| Provider Name | Kimberly Kurtz Hayden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366890873 PECOS PAC ID: 3173819695 Enrollment ID: I20220614001616 |
| Provider Name | Teddy E Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013351808 PECOS PAC ID: 2466760392 Enrollment ID: I20220614002312 |
| Provider Name | Rachel Lynn Graves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437648714 PECOS PAC ID: 2163801416 Enrollment ID: I20220617000045 |
| Provider Name | James Francis Mooney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841213972 PECOS PAC ID: 0446235527 Enrollment ID: I20220617001020 |
| Provider Name | Charles Daniel Cammock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043259500 PECOS PAC ID: 4587607742 Enrollment ID: I20220620000022 |
| Provider Name | Jennifer Lynne Thompson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326332362 PECOS PAC ID: 9931404217 Enrollment ID: I20220621000048 |
| Provider Name | James Buck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477057214 PECOS PAC ID: 1153670948 Enrollment ID: I20220621000552 |
| Provider Name | Christina Maria Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003377870 PECOS PAC ID: 2567705122 Enrollment ID: I20220623001930 |
| Provider Name | Tonya Caudill Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699412585 PECOS PAC ID: 2668851304 Enrollment ID: I20220627000933 |
| Provider Name | Wesley Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952860942 PECOS PAC ID: 0749516813 Enrollment ID: I20220627003509 |
| Provider Name | Piers Pravdo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902260441 PECOS PAC ID: 8921487521 Enrollment ID: I20220628000058 |
| Provider Name | Samantha Newing Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376006148 PECOS PAC ID: 2264812817 Enrollment ID: I20220629002010 |
| Provider Name | Jiaqian Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407318165 PECOS PAC ID: 8022341262 Enrollment ID: I20220629003650 |
| Provider Name | Julie Reeves Eckelbarger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659832889 PECOS PAC ID: 7719212067 Enrollment ID: I20220629003829 |
| Provider Name | Cynthia Reynolds Lanning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215504618 PECOS PAC ID: 5092195560 Enrollment ID: I20220630002632 |
| Provider Name | Rachel Cassandra Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194470211 PECOS PAC ID: 4789064106 Enrollment ID: I20220701001532 |
| Provider Name | Alexander William Fender |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1073074951 PECOS PAC ID: 2567796592 Enrollment ID: I20220706001877 |
| Provider Name | Sarah Neal Deen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063759660 PECOS PAC ID: 5799914941 Enrollment ID: I20220707003587 |
| Provider Name | Allyson Elizabeth Mentock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942763784 PECOS PAC ID: 9931436706 Enrollment ID: I20220711000099 |
| Provider Name | Teresa Anne Starke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073965679 PECOS PAC ID: 7315230554 Enrollment ID: I20220712002124 |
| Provider Name | David Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508095431 PECOS PAC ID: 2567699051 Enrollment ID: I20220712002651 |
| Provider Name | Mariah Corbin Stanick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639830813 PECOS PAC ID: 0648651299 Enrollment ID: I20220714000533 |
| Provider Name | Pamela Lyn Hutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528797917 PECOS PAC ID: 2264813765 Enrollment ID: I20220714002751 |
| Provider Name | Jonathan Brock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871927269 PECOS PAC ID: 8022381631 Enrollment ID: I20220714003134 |
| Provider Name | Leselle Andrea Norville |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154856573 PECOS PAC ID: 5294007613 Enrollment ID: I20220719003814 |
| Provider Name | Alexander Meritt Quattlebaum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578128419 PECOS PAC ID: 3870820186 Enrollment ID: I20220721000251 |
| Provider Name | Christopher Francis Dibble |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518348655 PECOS PAC ID: 3779897681 Enrollment ID: I20220726000231 |
| Provider Name | Sheila Lynn Hostetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437881141 PECOS PAC ID: 8426439209 Enrollment ID: I20220726000837 |
| Provider Name | Michael Dietzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912434150 PECOS PAC ID: 4688944838 Enrollment ID: I20220726003502 |
| Provider Name | Kristen Stearns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629575576 PECOS PAC ID: 7911328927 Enrollment ID: I20220727000756 |
| Provider Name | Case Hammond Peters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578138012 PECOS PAC ID: 1658753223 Enrollment ID: I20220728001803 |
| Provider Name | Bartlomiej Robert Imielski |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1235557190 PECOS PAC ID: 9537459417 Enrollment ID: I20220729001179 |
| Provider Name | Grace Catherine Loeffler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346970571 PECOS PAC ID: 1153703509 Enrollment ID: I20220801002442 |
| Provider Name | Robert David Dorrell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245897198 PECOS PAC ID: 4486986163 Enrollment ID: I20220803000884 |
| Provider Name | Kathleen Whitley Barber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043943863 PECOS PAC ID: 0941682090 Enrollment ID: I20220805001019 |
| Provider Name | Cameron James Sutton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710419320 PECOS PAC ID: 3870864846 Enrollment ID: I20220811001873 |
| Provider Name | Jessica Lynne Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497419220 PECOS PAC ID: 9436532264 Enrollment ID: I20220811002217 |
| Provider Name | Gregory Ray Stettler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629496625 PECOS PAC ID: 0749591345 Enrollment ID: I20220811002998 |
| Provider Name | Ashley Lutrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942863782 PECOS PAC ID: 3971839234 Enrollment ID: I20220813000281 |
| Provider Name | Natalie Halapin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881049310 PECOS PAC ID: 4082909627 Enrollment ID: I20220816002616 |
| Provider Name | Marisa Mcghee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184158958 PECOS PAC ID: 1052683463 Enrollment ID: I20220817000468 |
| Provider Name | Lorin Tyler Roemhildt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548999246 PECOS PAC ID: 2567845902 Enrollment ID: I20220817001425 |
| Provider Name | Dhruba Prasad Kandel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932620069 PECOS PAC ID: 1850645664 Enrollment ID: I20220817001831 |
| Provider Name | Emilia Lee Wunderlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881326718 PECOS PAC ID: 9739562141 Enrollment ID: I20220818000183 |
| Provider Name | Joseph Georges Dakermandji |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639477409 PECOS PAC ID: 3274719661 Enrollment ID: I20220818000759 |
| Provider Name | Valeree Elizabeth Rose Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821745860 PECOS PAC ID: 4183007412 Enrollment ID: I20220818001425 |
| Provider Name | Bowen Niu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871026914 PECOS PAC ID: 7416234182 Enrollment ID: I20220818003634 |
| Provider Name | Camille-macie Rumph |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710626940 PECOS PAC ID: 1052794369 Enrollment ID: I20220819000740 |
| Provider Name | Flavia Lynn Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760865729 PECOS PAC ID: 1355644766 Enrollment ID: I20220822000026 |
| Provider Name | Sarah Cunningham Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720216690 PECOS PAC ID: 4688925001 Enrollment ID: I20220823000537 |
| Provider Name | Felicity Nicole Mayberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326785916 PECOS PAC ID: 7719360726 Enrollment ID: I20220823003108 |
| Provider Name | Andrew Todd Greene |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326547704 PECOS PAC ID: 1951726595 Enrollment ID: I20220824000683 |
| Provider Name | Anna Elizabeth Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073244729 PECOS PAC ID: 4981087954 Enrollment ID: I20220824001853 |
| Provider Name | Anne Maureen Wagner Wofford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255785051 PECOS PAC ID: 0749574770 Enrollment ID: I20220825000561 |
| Provider Name | Shannon Mcshea Jewell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649828278 PECOS PAC ID: 2668856600 Enrollment ID: I20220825000825 |
| Provider Name | Elizabeth Claire Mappus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790411528 PECOS PAC ID: 3870977838 Enrollment ID: I20220825001621 |
| Provider Name | Hannah Marie Frantz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356076749 PECOS PAC ID: 8325422215 Enrollment ID: I20220825003600 |
| Provider Name | Ceshae Cemonique Alexia Harding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063973147 PECOS PAC ID: 5395129092 Enrollment ID: I20220830000857 |
| Provider Name | Garrett Michael Snipes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013449941 PECOS PAC ID: 3375815939 Enrollment ID: I20220830001327 |
| Provider Name | Nicholas Milligan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114332731 PECOS PAC ID: 8729462155 Enrollment ID: I20220901003248 |
| Provider Name | Zachary Stephen Vaughan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639802762 PECOS PAC ID: 6204210644 Enrollment ID: I20220901003672 |
| Provider Name | Taylor Erin Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154091718 PECOS PAC ID: 5294119632 Enrollment ID: I20220901003704 |
| Provider Name | Akhila Sunkara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710448790 PECOS PAC ID: 6709260029 Enrollment ID: I20220903000449 |
| Provider Name | Rebecca Gardner Sheldon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225769490 PECOS PAC ID: 7618351966 Enrollment ID: I20220906000615 |
| Provider Name | Jennifer Leigh Hendren |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174144570 PECOS PAC ID: 2567889967 Enrollment ID: I20220906001809 |
| Provider Name | Allison Kay Schleutker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407587496 PECOS PAC ID: 7719361096 Enrollment ID: I20220906001813 |
| Provider Name | Douglas Joseph Banz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104551209 PECOS PAC ID: 3870977994 Enrollment ID: I20220908001295 |
| Provider Name | Meredith Mcdaniel Pulliam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801532403 PECOS PAC ID: 5092190959 Enrollment ID: I20220914001325 |
| Provider Name | Heli Ashish Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467866418 PECOS PAC ID: 7810291663 Enrollment ID: I20220915000052 |
| Provider Name | Bradley Joseph Seger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518481605 PECOS PAC ID: 3375928047 Enrollment ID: I20220915002666 |
| Provider Name | Ashton Lavette Joyner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679208037 PECOS PAC ID: 7315322930 Enrollment ID: I20220919001635 |
| Provider Name | Ashley Dibbert Flye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376277186 PECOS PAC ID: 9032594502 Enrollment ID: I20220920000866 |
| Provider Name | Santosh Kumar Dhungana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598324329 PECOS PAC ID: 5193100675 Enrollment ID: I20220920001039 |
| Provider Name | Karl Zakhia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194387100 PECOS PAC ID: 4880079300 Enrollment ID: I20220920002686 |
| Provider Name | Jeremiah Daniel Gaddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760862114 PECOS PAC ID: 3971810417 Enrollment ID: I20220922002502 |
| Provider Name | Katherine Leigh Woodburn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861886962 PECOS PAC ID: 8729380811 Enrollment ID: I20220926003256 |
| Provider Name | Sabrina Ratna Shakya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851026173 PECOS PAC ID: 6204212467 Enrollment ID: I20220926003370 |
| Provider Name | Elizabeth Lester Chapman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992330526 PECOS PAC ID: 4082090170 Enrollment ID: I20220927001299 |
| Provider Name | Danielle Smith Oxendine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336876457 PECOS PAC ID: 6901282037 Enrollment ID: I20220927003198 |
| Provider Name | Matthew Martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265894513 PECOS PAC ID: 4284928714 Enrollment ID: I20220928000060 |
| Provider Name | Ryan Gabriel Wilkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386195154 PECOS PAC ID: 3779832795 Enrollment ID: I20220928003779 |
| Provider Name | Mark Justin Hylarides |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285194662 PECOS PAC ID: 8820474604 Enrollment ID: I20220930002517 |
| Provider Name | Colton Harrison Walker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548796675 PECOS PAC ID: 4587941844 Enrollment ID: I20220930002669 |
| Provider Name | Daniel B Willingham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639704828 PECOS PAC ID: 3870979578 Enrollment ID: I20221004001754 |
| Provider Name | Timothy Scott Zage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336888361 PECOS PAC ID: 1052797768 Enrollment ID: I20221004001787 |
| Provider Name | Cheyenne Alicia Lashmit |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184345316 PECOS PAC ID: 8325424906 Enrollment ID: I20221005001585 |
| Provider Name | Catherine Bates Bonifay |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619480167 PECOS PAC ID: 3870979313 Enrollment ID: I20221006000614 |
| Provider Name | Elyse Rae Kouri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174241061 PECOS PAC ID: 8729464276 Enrollment ID: I20221006000808 |
| Provider Name | Elizabeth Barbara Brantley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356814040 PECOS PAC ID: 4880936236 Enrollment ID: I20221007001230 |
| Provider Name | Deepal Pankaj Shah-zamora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285088070 PECOS PAC ID: 1658663737 Enrollment ID: I20221010000858 |
| Provider Name | Brady Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750842761 PECOS PAC ID: 8729314620 Enrollment ID: I20221010002735 |
| Provider Name | Cassidy Taylor Shoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376171983 PECOS PAC ID: 1759767007 Enrollment ID: I20221010003072 |
| Provider Name | Karen Arispe Angulo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841644267 PECOS PAC ID: 6305222696 Enrollment ID: I20221011001162 |
| Provider Name | Meredith Ann Schuster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467186239 PECOS PAC ID: 3577939800 Enrollment ID: I20221011002999 |
| Provider Name | Mahdi S Agha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720548977 PECOS PAC ID: 5890176648 Enrollment ID: I20221012000552 |
| Provider Name | Allison Ann Slijepcevic |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770936726 PECOS PAC ID: 5092116053 Enrollment ID: I20221013000280 |
| Provider Name | Sarah Elizabeth Waddle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598492092 PECOS PAC ID: 9133595374 Enrollment ID: I20221013000881 |
| Provider Name | Katherine Cole Townsend |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447970157 PECOS PAC ID: 7214303304 Enrollment ID: I20221013003817 |
| Provider Name | Gnanaraj Joseph |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700847738 PECOS PAC ID: 1254391774 Enrollment ID: I20221017001436 |
| Provider Name | Joshua Bahos Silva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679180095 PECOS PAC ID: 8729477211 Enrollment ID: I20221018000925 |
| Provider Name | Mohamed-omar Samir Arafeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265810808 PECOS PAC ID: 4385959030 Enrollment ID: I20221019000234 |
| Provider Name | Alexis Olivia Caudle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871221697 PECOS PAC ID: 4183090939 Enrollment ID: I20221019000368 |
| Provider Name | Aaron Robert Lloyd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396130332 PECOS PAC ID: 1052628641 Enrollment ID: I20221019000434 |
| Provider Name | Sara Danielle Lynch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265166763 PECOS PAC ID: 9638545437 Enrollment ID: I20221019002298 |
| Provider Name | Lorren Baines Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720712623 PECOS PAC ID: 3870969462 Enrollment ID: I20221024000727 |
| Provider Name | Alejandro Jose Marquez-lara |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417211947 PECOS PAC ID: 6800189648 Enrollment ID: I20221025001288 |
| Provider Name | Emma Bly Beck Foster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093449753 PECOS PAC ID: 2961878368 Enrollment ID: I20221025003239 |
| Provider Name | Rebecca Marie Burke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396155057 PECOS PAC ID: 2365661295 Enrollment ID: I20221026002389 |
| Provider Name | Kingsley Asamoah Lartey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376510289 PECOS PAC ID: 4880623966 Enrollment ID: I20221027000118 |
| Provider Name | Karuna Puttur Rajkumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871989640 PECOS PAC ID: 0143507657 Enrollment ID: I20221029000091 |
| Provider Name | Chase Richard Countryman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639707789 PECOS PAC ID: 7012338676 Enrollment ID: I20221029000134 |
| Provider Name | Katy Wormley Martin-fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326604174 PECOS PAC ID: 0345617684 Enrollment ID: I20221031000706 |
| Provider Name | Kirsten Westberg Metz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326772559 PECOS PAC ID: 8628445996 Enrollment ID: I20221031002058 |
| Provider Name | Callista Rose Addis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386318772 PECOS PAC ID: 5294102463 Enrollment ID: I20221031002508 |
| Provider Name | Whitney Erin Miner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285031781 PECOS PAC ID: 9931423134 Enrollment ID: I20221101000057 |
| Provider Name | Moradeke Omolola Ojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679291629 PECOS PAC ID: 9739556952 Enrollment ID: I20221101001374 |
| Provider Name | Jakita Baldwin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558754283 PECOS PAC ID: 6800130311 Enrollment ID: I20221101001583 |
| Provider Name | Courtney Nicole Rasmussen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902530215 PECOS PAC ID: 2163899394 Enrollment ID: I20221101002010 |
| Provider Name | Matthew Joseph Wieduwilt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124227483 PECOS PAC ID: 4981873965 Enrollment ID: I20221102001443 |
| Provider Name | Patrice Lashay Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093431736 PECOS PAC ID: 7719354810 Enrollment ID: I20221102001798 |
| Provider Name | Lora Lee Burleyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063167138 PECOS PAC ID: 7113394164 Enrollment ID: I20221103000776 |
| Provider Name | Chelsea Kennedy Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356976161 PECOS PAC ID: 0648647644 Enrollment ID: I20221103003013 |
| Provider Name | Jessica K Mccool |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215234687 PECOS PAC ID: 8426299090 Enrollment ID: I20221104001576 |
| Provider Name | May Yin Suen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952463473 PECOS PAC ID: 2567566151 Enrollment ID: I20221107001011 |
| Provider Name | Andrea Alexandra Hillen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750015822 PECOS PAC ID: 3678940350 Enrollment ID: I20221109002173 |
| Provider Name | Emily Kathryn Elizabeth Mccracken |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427324961 PECOS PAC ID: 5395040471 Enrollment ID: I20221109002518 |
| Provider Name | Jesse James Ray Jordan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699497008 PECOS PAC ID: 2365819943 Enrollment ID: I20221110003282 |
| Provider Name | Tracy Bruton Nunn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619433877 PECOS PAC ID: 9335516855 Enrollment ID: I20221111002034 |
| Provider Name | Molly Elizabeth Reissmann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053843334 PECOS PAC ID: 4385910157 Enrollment ID: I20221115000552 |
| Provider Name | Christopher Joseph Webb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487008439 PECOS PAC ID: 6507150679 Enrollment ID: I20221123001308 |
| Provider Name | Kevin M Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093955494 PECOS PAC ID: 4082082904 Enrollment ID: I20221128002193 |
| Provider Name | Cortlin Paige Hartness |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225759475 PECOS PAC ID: 4183093503 Enrollment ID: I20221207000940 |
| Provider Name | Shivam Prakash Kalan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861781932 PECOS PAC ID: 8325264948 Enrollment ID: I20221210000306 |
| Provider Name | Marcus Austin Robison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154042331 PECOS PAC ID: 6103295217 Enrollment ID: I20221213000811 |
| Provider Name | Cheryl Lynn Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518980374 PECOS PAC ID: 4385833581 Enrollment ID: I20221213002947 |
| Provider Name | Mitchell Ryan Ladd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275875007 PECOS PAC ID: 6406096742 Enrollment ID: I20221214000962 |
| Provider Name | Erealda Prendaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982997060 PECOS PAC ID: 4082986450 Enrollment ID: I20221216002208 |
| Provider Name | Aleah Catherine Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871213009 PECOS PAC ID: 0840660569 Enrollment ID: I20221221001286 |
| Provider Name | Ashley Denise Jarrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326673039 PECOS PAC ID: 2365812047 Enrollment ID: I20221222000598 |
| Provider Name | Aerika Nicole Hutchens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023743606 PECOS PAC ID: 0941670566 Enrollment ID: I20221222002652 |
| Provider Name | Maureen Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750002903 PECOS PAC ID: 8224408794 Enrollment ID: I20221227000411 |
| Provider Name | Kristyn M Pocock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184041279 PECOS PAC ID: 0941425086 Enrollment ID: I20221228000284 |
| Provider Name | Alejandro Remigio Rodriguez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740489376 PECOS PAC ID: 3577733989 Enrollment ID: I20221230001752 |
| Provider Name | Emily Elaine Bellfi Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275259541 PECOS PAC ID: 9234509480 Enrollment ID: I20230104000168 |
| Provider Name | Douglas Ray Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447971494 PECOS PAC ID: 7315317575 Enrollment ID: I20230104000637 |
| Provider Name | Yong Bradley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114998366 PECOS PAC ID: 0547211245 Enrollment ID: I20230104002607 |
| Provider Name | Racquel Marie Hammonds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508328659 PECOS PAC ID: 8325418197 Enrollment ID: I20230112001361 |
| Provider Name | Sandra Anastasia Poplin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841756962 PECOS PAC ID: 9234500034 Enrollment ID: I20230113000194 |
| Provider Name | Joseph Pierce Mathis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639882053 PECOS PAC ID: 5698146439 Enrollment ID: I20230113002082 |
| Provider Name | Suzanne Michelle Gerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609584143 PECOS PAC ID: 1254702780 Enrollment ID: I20230120001260 |
| Provider Name | Timothy Phalen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366446148 PECOS PAC ID: 7214012095 Enrollment ID: I20230123000273 |
| Provider Name | Laura Ann Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366909467 PECOS PAC ID: 8426429804 Enrollment ID: I20230123000718 |
| Provider Name | Loretta Lee Muchow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790413193 PECOS PAC ID: 2466824313 Enrollment ID: I20230202001958 |
| Provider Name | Lauren Nicole Mcgee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548986029 PECOS PAC ID: 9032581855 Enrollment ID: I20230203002161 |
| Provider Name | Nandini Vijayakanthi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063896256 PECOS PAC ID: 5991177511 Enrollment ID: I20230208001614 |
| Provider Name | Sarah Floyd Vess |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932833282 PECOS PAC ID: 2961874417 Enrollment ID: I20230208003321 |
| Provider Name | Lindsay Acheson Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558305433 PECOS PAC ID: 7911944137 Enrollment ID: I20230209000334 |
| Provider Name | So Young Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194448175 PECOS PAC ID: 6800268285 Enrollment ID: I20230213000607 |
| Provider Name | Ruben Anthony Mesa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962480475 PECOS PAC ID: 3476595125 Enrollment ID: I20230215000445 |
| Provider Name | Meredith Marie Clary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235573379 PECOS PAC ID: 1052696903 Enrollment ID: I20230215000962 |
| Provider Name | Mara Lee Duncan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538894290 PECOS PAC ID: 3678945797 Enrollment ID: I20230217001035 |
| Provider Name | Jared Shoji Pate |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528487600 PECOS PAC ID: 1052633930 Enrollment ID: I20230217001703 |
| Provider Name | Caroline Robinson Carmichael |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093449571 PECOS PAC ID: 8224401120 Enrollment ID: I20230223001473 |
| Provider Name | Marcus Raymond Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750623690 PECOS PAC ID: 2860788528 Enrollment ID: I20230227000362 |
| Provider Name | John Mathew Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699489484 PECOS PAC ID: 6608249206 Enrollment ID: I20230301002815 |
| Provider Name | Leona Marie Cammock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346238326 PECOS PAC ID: 0345272019 Enrollment ID: I20230303001682 |
| Provider Name | Morgan Bruce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295433316 PECOS PAC ID: 7416320866 Enrollment ID: I20230306000723 |
| Provider Name | Eric Lauren Gold |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972000248 PECOS PAC ID: 9638424542 Enrollment ID: I20230306000870 |
| Provider Name | Sarah Patton Supples |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477915791 PECOS PAC ID: 1052605128 Enrollment ID: I20230306001404 |
| Provider Name | Jordan Daniel Fett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336599273 PECOS PAC ID: 1658607999 Enrollment ID: I20230310000999 |
| Provider Name | Jordan Goranson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679101133 PECOS PAC ID: 4688005077 Enrollment ID: I20230310001835 |
| Provider Name | Gabriel John Dascanio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083215529 PECOS PAC ID: 7618389040 Enrollment ID: I20230313001443 |
| Provider Name | Bradley Baggett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619593738 PECOS PAC ID: 6002204070 Enrollment ID: I20230317000989 |
| Provider Name | Mckenzie Ann Loos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235837733 PECOS PAC ID: 4688048473 Enrollment ID: I20230317001071 |
| Provider Name | Haodong Xu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639181563 PECOS PAC ID: 9931203734 Enrollment ID: I20230320000336 |
| Provider Name | Brock Sparks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528764172 PECOS PAC ID: 3173997723 Enrollment ID: I20230321002624 |
| Provider Name | Luke Seminara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033821236 PECOS PAC ID: 2365816873 Enrollment ID: I20230324000835 |
| Provider Name | Jennifer Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144934688 PECOS PAC ID: 8426422734 Enrollment ID: I20230327002758 |
| Provider Name | Davis James Kappert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518692375 PECOS PAC ID: 9931573250 Enrollment ID: I20230328000296 |
| Provider Name | Karna Raju Mangrola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598320673 PECOS PAC ID: 4284067075 Enrollment ID: I20230329000983 |
| Provider Name | Megan Ruhe Jodrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851049357 PECOS PAC ID: 1052785227 Enrollment ID: I20230330000707 |
| Provider Name | Ettore Crimi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891821211 PECOS PAC ID: 0840478970 Enrollment ID: I20230403000196 |
| Provider Name | Christina G Lee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629770417 PECOS PAC ID: 3173998218 Enrollment ID: I20230404000245 |
| Provider Name | Claire Louise Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528767126 PECOS PAC ID: 1557736402 Enrollment ID: I20230407000915 |
| Provider Name | Taylor Anne Andrews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366155509 PECOS PAC ID: 1355716036 Enrollment ID: I20230411001860 |
| Provider Name | Bradley Scott Horne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295186633 PECOS PAC ID: 6002103272 Enrollment ID: I20230412000771 |
| Provider Name | Jordan Causey Seaback |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093343717 PECOS PAC ID: 1052742194 Enrollment ID: I20230412002514 |
| Provider Name | Rebecca Lynn Spurling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619687449 PECOS PAC ID: 4284009861 Enrollment ID: I20230413000188 |
| Provider Name | Dorothy Owensby Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811609621 PECOS PAC ID: 8820463235 Enrollment ID: I20230417000554 |
| Provider Name | Rex Daniel Dodge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184297012 PECOS PAC ID: 9436524857 Enrollment ID: I20230417000746 |
| Provider Name | Sonal Dangda |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255986527 PECOS PAC ID: 3779812961 Enrollment ID: I20230424000468 |
| Provider Name | James Earl Crowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902849508 PECOS PAC ID: 0648212183 Enrollment ID: I20230424002567 |
| Provider Name | Luis Cosme Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154016384 PECOS PAC ID: 1951766955 Enrollment ID: I20230426002211 |
| Provider Name | Christina Renee Chuchuru |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558915439 PECOS PAC ID: 9234468695 Enrollment ID: I20230427000859 |
| Provider Name | Gwendolyn Mary Clay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154785939 PECOS PAC ID: 8224493184 Enrollment ID: I20230427001616 |
| Provider Name | Sara Lin-eviston Brainard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639296882 PECOS PAC ID: 7911362801 Enrollment ID: I20230427002804 |
| Provider Name | Nathan Michael Krueger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881393486 PECOS PAC ID: 0143685040 Enrollment ID: I20230428000343 |
| Provider Name | Sara Daffron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518498153 PECOS PAC ID: 3971841495 Enrollment ID: I20230501001894 |
| Provider Name | Amanda Allen Mounce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740553429 PECOS PAC ID: 3173988813 Enrollment ID: I20230502000571 |
| Provider Name | Ralph Russell Dailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912949975 PECOS PAC ID: 3779548425 Enrollment ID: I20230502002579 |
| Provider Name | Meagan Wingler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023577186 PECOS PAC ID: 1658607312 Enrollment ID: I20230507000131 |
| Provider Name | Elizabeth Chinke Ichite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780144865 PECOS PAC ID: 3476889148 Enrollment ID: I20230510001771 |
| Provider Name | Ryan Fitzpatrick Loll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386341113 PECOS PAC ID: 1850757188 Enrollment ID: I20230511002214 |
| Provider Name | Lori Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902566920 PECOS PAC ID: 3072979913 Enrollment ID: I20230518000538 |
| Provider Name | Kiri Wiggins Bagley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972923753 PECOS PAC ID: 7012132632 Enrollment ID: I20230518002690 |
| Provider Name | Matthew Chauviere |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235396094 PECOS PAC ID: 5597017277 Enrollment ID: I20230519002634 |
| Provider Name | Matthew John Hulsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497457287 PECOS PAC ID: 7618334129 Enrollment ID: I20230526001381 |
| Provider Name | Ramon Llull Cerda |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1467166116 PECOS PAC ID: 0143687673 Enrollment ID: I20230526002542 |
| Provider Name | Cecilia Miranda Albers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992155162 PECOS PAC ID: 9931492774 Enrollment ID: I20230530001910 |
| Provider Name | Kasey E Chmelik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518674290 PECOS PAC ID: 4587021993 Enrollment ID: I20230530003137 |
| Provider Name | Preston David Easterday |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154824977 PECOS PAC ID: 5395095061 Enrollment ID: I20230530003430 |
| Provider Name | Robert Peter Busch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801374566 PECOS PAC ID: 9931452455 Enrollment ID: I20230602000377 |
| Provider Name | Katherine Ann Bozylinsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487808523 PECOS PAC ID: 0749455715 Enrollment ID: I20230605000461 |
| Provider Name | Memu-iye Kamara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154947141 PECOS PAC ID: 5496170425 Enrollment ID: I20230608000667 |
| Provider Name | Kristen Suzich Godwin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720549595 PECOS PAC ID: 0042677767 Enrollment ID: I20230612000114 |
| Provider Name | Stephanie Renee Brauch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508579640 PECOS PAC ID: 3173981412 Enrollment ID: I20230620001297 |
| Provider Name | Yashika Amin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1467983759 PECOS PAC ID: 1153730718 Enrollment ID: I20230622002952 |
| Provider Name | Patrick Michael Kozak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073900551 PECOS PAC ID: 9931402286 Enrollment ID: I20230623002202 |
| Provider Name | John Michael Provenza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508399346 PECOS PAC ID: 8224315049 Enrollment ID: I20230626000116 |
| Provider Name | Mitchell Ray Hooven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790311736 PECOS PAC ID: 2163852443 Enrollment ID: I20230628002352 |
| Provider Name | Shaji Das Skaria |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699971432 PECOS PAC ID: 7315063104 Enrollment ID: I20230628002905 |
| Provider Name | Jessica Tompkins Wieduwilt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558699090 PECOS PAC ID: 6406980630 Enrollment ID: I20230629000044 |
| Provider Name | William John Dugal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659704138 PECOS PAC ID: 6608149281 Enrollment ID: I20230629001212 |
| Provider Name | Christopher Alvin Grimes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538664172 PECOS PAC ID: 6406106160 Enrollment ID: I20230630000047 |
| Provider Name | Alex Avery Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144858036 PECOS PAC ID: 0749601631 Enrollment ID: I20230703001401 |
| Provider Name | Andrew Bestler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821626474 PECOS PAC ID: 7911338256 Enrollment ID: I20230705000742 |
| Provider Name | Davidson Mckinley Pollock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215628631 PECOS PAC ID: 8123487279 Enrollment ID: I20230707000263 |
| Provider Name | Akshay Rao Mentreddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538664008 PECOS PAC ID: 4183004963 Enrollment ID: I20230707001215 |
| Provider Name | Zachary Blaze Wunrow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306196 PECOS PAC ID: 0648503490 Enrollment ID: I20230707001675 |
| Provider Name | William Taymans Malouf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184158610 PECOS PAC ID: 9436409885 Enrollment ID: I20230710000064 |
| Provider Name | Fatema Bhinderwala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740701820 PECOS PAC ID: 5294194296 Enrollment ID: I20230710001013 |
| Provider Name | Kent Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184935983 PECOS PAC ID: 5395165757 Enrollment ID: I20230710001413 |
| Provider Name | Alexandria Jade Sutton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275162299 PECOS PAC ID: 7416379409 Enrollment ID: I20230711004225 |
| Provider Name | Greg Scott Rosenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114327574 PECOS PAC ID: 4385955624 Enrollment ID: I20230712002249 |
| Provider Name | Salvador E Pena |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215498605 PECOS PAC ID: 0749516672 Enrollment ID: I20230712002459 |
| Provider Name | Bradley Alan Rowland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801423918 PECOS PAC ID: 5395175020 Enrollment ID: I20230712003325 |
| Provider Name | Scott Allen Amrhein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255968350 PECOS PAC ID: 4981035771 Enrollment ID: I20230712004455 |
| Provider Name | Julia Christine Cook |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619469103 PECOS PAC ID: 1355743857 Enrollment ID: I20230718002211 |
| Provider Name | Stefanie Laine Musick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295358505 PECOS PAC ID: 7517385586 Enrollment ID: I20230719003186 |
| Provider Name | Matthew Calkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780145326 PECOS PAC ID: 8820322175 Enrollment ID: I20230721000078 |
| Provider Name | Benjamin Aaron Bell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023712866 PECOS PAC ID: 0345600300 Enrollment ID: I20230721002549 |
| Provider Name | Jeniece Renee Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457812034 PECOS PAC ID: 1557698255 Enrollment ID: I20230721003257 |
| Provider Name | Nathan Koali'i Barron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336761196 PECOS PAC ID: 9032536412 Enrollment ID: I20230724001032 |
| Provider Name | Alexandra Leigh Lawson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619661089 PECOS PAC ID: 1658731518 Enrollment ID: I20230724003359 |
| Provider Name | Stephen Robert Hannaford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518461805 PECOS PAC ID: 7214398908 Enrollment ID: I20230727002002 |
| Provider Name | Ryan Michael Wolf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992237515 PECOS PAC ID: 3779853577 Enrollment ID: I20230727003191 |
| Provider Name | Christina C Fulton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265822464 PECOS PAC ID: 0648568303 Enrollment ID: I20230728000235 |
| Provider Name | Madhura Chitnavis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699266312 PECOS PAC ID: 9335497577 Enrollment ID: I20230802002363 |
| Provider Name | Nicole Jean Prendergast |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073018081 PECOS PAC ID: 1951785096 Enrollment ID: I20230802004195 |
| Provider Name | Onna Suzette Whiteman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871942219 PECOS PAC ID: 4082901921 Enrollment ID: I20230804000499 |
| Provider Name | Nathan Scott Floyd |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447243670 PECOS PAC ID: 8527027473 Enrollment ID: I20230804003147 |
| Provider Name | Richard Jean-louis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598391443 PECOS PAC ID: 3577974575 Enrollment ID: I20230807002998 |
| Provider Name | Deven Ali Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881382836 PECOS PAC ID: 3779944764 Enrollment ID: I20230808000506 |
| Provider Name | Sophia Nicole Brancazio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275094161 PECOS PAC ID: 0749516383 Enrollment ID: I20230809001209 |
| Provider Name | James Swanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437690757 PECOS PAC ID: 3971878794 Enrollment ID: I20230810000218 |
| Provider Name | Zachary Stoner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639855521 PECOS PAC ID: 4385006154 Enrollment ID: I20230810001028 |
| Provider Name | Lam Ngoc Pham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225532823 PECOS PAC ID: 9537539945 Enrollment ID: I20230815000302 |
| Provider Name | Afua Gyamfi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205397585 PECOS PAC ID: 8224364195 Enrollment ID: I20230815001087 |
| Provider Name | Elizabeth Aneskewich Little |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306043708 PECOS PAC ID: 6901266733 Enrollment ID: I20230815003256 |
| Provider Name | Tyler Gast |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689380727 PECOS PAC ID: 5193187672 Enrollment ID: I20230815003623 |
| Provider Name | Connor Anders Moseley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598226458 PECOS PAC ID: 3678935731 Enrollment ID: I20230822000915 |
| Provider Name | Jim Patrick Ellison |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811251291 PECOS PAC ID: 0749402139 Enrollment ID: I20230822003723 |
| Provider Name | Allison Clarke Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669114997 PECOS PAC ID: 4486017514 Enrollment ID: I20230822004325 |
| Provider Name | Josefina Aguayo Munoz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356911879 PECOS PAC ID: 7416310412 Enrollment ID: I20230823003589 |
| Provider Name | Christina Marie Mezes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255837472 PECOS PAC ID: 0143571281 Enrollment ID: I20230824001297 |
| Provider Name | William Edmundson Geer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558046565 PECOS PAC ID: 3375906340 Enrollment ID: I20230824002062 |
| Provider Name | Madelyn Elizabeth Szewczyk Burkart |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760846935 PECOS PAC ID: 7517249303 Enrollment ID: I20230824004303 |
| Provider Name | Joshua James Penninger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730863945 PECOS PAC ID: 3476916396 Enrollment ID: I20230824004420 |
| Provider Name | Swethika Harini Sundaravel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386095958 PECOS PAC ID: 8224371315 Enrollment ID: I20230825000467 |
| Provider Name | Yaoyun Sarah Shen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427444603 PECOS PAC ID: 8224491022 Enrollment ID: I20230828000407 |
| Provider Name | Miya Mcknight |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801391073 PECOS PAC ID: 1456750959 Enrollment ID: I20230828001724 |
| Provider Name | Alexander Leng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649968512 PECOS PAC ID: 6103289855 Enrollment ID: I20230828003209 |
| Provider Name | Franco Abad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154017440 PECOS PAC ID: 1850754524 Enrollment ID: I20230828004176 |
| Provider Name | Jena Mary Seddon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760173736 PECOS PAC ID: 4082077789 Enrollment ID: I20230829001118 |
| Provider Name | Olivia Nicole Lardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487282166 PECOS PAC ID: 0648692640 Enrollment ID: I20230831000824 |
| Provider Name | Mary Alyce Mccullough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548791361 PECOS PAC ID: 1850662818 Enrollment ID: I20230901000196 |
| Provider Name | Mary Caitlin Samuels Heintzelman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619654241 PECOS PAC ID: 5597128819 Enrollment ID: I20230901002799 |
| Provider Name | Amanda Catherine Maderia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063197408 PECOS PAC ID: 5890158141 Enrollment ID: I20230905000225 |
| Provider Name | Laura Elizabeth Schmit |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154005353 PECOS PAC ID: 1456714641 Enrollment ID: I20230906001962 |
| Provider Name | Alexis Marcia Lacewell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861178980 PECOS PAC ID: 8628432754 Enrollment ID: I20230907004245 |
| Provider Name | Shaiba Sandhu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548767809 PECOS PAC ID: 2062763204 Enrollment ID: I20230908001216 |
| Provider Name | Skylar Selene Holder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073296786 PECOS PAC ID: 0941664940 Enrollment ID: I20230908003059 |
| Provider Name | Christine E Mcgough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295295327 PECOS PAC ID: 0749650216 Enrollment ID: I20230911002782 |
| Provider Name | Kristen Jean Wilkinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316639867 PECOS PAC ID: 8628432515 Enrollment ID: I20230911003337 |
| Provider Name | Matthew Laws |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023696382 PECOS PAC ID: 3971904244 Enrollment ID: I20230911003401 |
| Provider Name | Hiral Banker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386115392 PECOS PAC ID: 7810351715 Enrollment ID: I20230911003738 |
| Provider Name | Veena Aswath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134741093 PECOS PAC ID: 8628495009 Enrollment ID: I20230912001892 |
| Provider Name | Juliana Damilola Adedoyin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235758053 PECOS PAC ID: 0244651859 Enrollment ID: I20230912003852 |
| Provider Name | Travis Lemar Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215914445 PECOS PAC ID: 0244282986 Enrollment ID: I20230914001937 |
| Provider Name | Alexander Michael Chiaramonti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891145207 PECOS PAC ID: 3870879984 Enrollment ID: I20230915001655 |
| Provider Name | Karrie Ann Stephens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720708316 PECOS PAC ID: 0749666766 Enrollment ID: I20230915001932 |
| Provider Name | Ashley Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659942894 PECOS PAC ID: 2264837228 Enrollment ID: I20230918002977 |
| Provider Name | Alexandra Marie Cameron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841950987 PECOS PAC ID: 4789048042 Enrollment ID: I20230919004347 |
| Provider Name | Joshua Keith Mick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336222652 PECOS PAC ID: 8921009291 Enrollment ID: I20230920000862 |
| Provider Name | Maxwell Owen Mercer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285985606 PECOS PAC ID: 0648624601 Enrollment ID: I20230925001471 |
| Provider Name | Marissa Elizabeth Cain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093380495 PECOS PAC ID: 3072915065 Enrollment ID: I20230925002402 |
| Provider Name | Amber Autumn Barnlund |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780041525 PECOS PAC ID: 6901102383 Enrollment ID: I20230926004176 |
| Provider Name | Michael J Madigan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194245167 PECOS PAC ID: 5496027237 Enrollment ID: I20230927002914 |
| Provider Name | Stephen Andrew Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912684655 PECOS PAC ID: 1759735202 Enrollment ID: I20231002002906 |
| Provider Name | Caitlin Jan Follansbee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144838137 PECOS PAC ID: 1355766148 Enrollment ID: I20231002003690 |
| Provider Name | Candace Brooke Locklear |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043993959 PECOS PAC ID: 5799139267 Enrollment ID: I20231003000220 |
| Provider Name | Eva Maria Reina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992234116 PECOS PAC ID: 2769800481 Enrollment ID: I20231003002089 |
| Provider Name | Natalie Wallis Harper |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730447814 PECOS PAC ID: 4688986854 Enrollment ID: I20231004001732 |
| Provider Name | Eric Richard Gillespie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326728940 PECOS PAC ID: 5092169482 Enrollment ID: I20231004001809 |
| Provider Name | Elizabeth Marie Presutto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407316953 PECOS PAC ID: 0446686489 Enrollment ID: I20231004002973 |
| Provider Name | Hailey Mackensie Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992418115 PECOS PAC ID: 3971958398 Enrollment ID: I20231004003315 |
| Provider Name | Mandy S Shumate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467130831 PECOS PAC ID: 4789039108 Enrollment ID: I20231004003335 |
| Provider Name | Dmitry Portnoy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639239437 PECOS PAC ID: 0446309652 Enrollment ID: I20231004003714 |
| Provider Name | Anna Mei-ching Kuan-celarier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497118418 PECOS PAC ID: 2769837194 Enrollment ID: I20231004003977 |
| Provider Name | Jayme Brooke Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457030884 PECOS PAC ID: 7517312952 Enrollment ID: I20231005000045 |
| Provider Name | Aruj Chawla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649709676 PECOS PAC ID: 6305291758 Enrollment ID: I20231005000241 |
| Provider Name | Jacob Tucker Sherrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700587052 PECOS PAC ID: 9537514849 Enrollment ID: I20231005003547 |
| Provider Name | Ramya Singireddy Mentreddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528529781 PECOS PAC ID: 2062823339 Enrollment ID: I20231006000474 |
| Provider Name | Brent Edward Heideman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790218998 PECOS PAC ID: 6608147822 Enrollment ID: I20231006000969 |
| Provider Name | Alan William Warner Reynolds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922531714 PECOS PAC ID: 9436417938 Enrollment ID: I20231009003085 |
| Provider Name | Hillary Ohlsson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578192431 PECOS PAC ID: 2567892466 Enrollment ID: I20231010002133 |
| Provider Name | Samantha Lynne Puhl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477283414 PECOS PAC ID: 6901271006 Enrollment ID: I20231010004109 |
| Provider Name | Heather Ann Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669108361 PECOS PAC ID: 0547631780 Enrollment ID: I20231011002480 |
| Provider Name | Natalie Joy Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528580917 PECOS PAC ID: 8628343357 Enrollment ID: I20231016001428 |
| Provider Name | Zachary Bahr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790306322 PECOS PAC ID: 7517389638 Enrollment ID: I20231017000595 |
| Provider Name | Kimberly Ann Auci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518741149 PECOS PAC ID: 5496100083 Enrollment ID: I20231017003576 |
| Provider Name | Ashlee Elizabeth Stutsrim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508097940 PECOS PAC ID: 8022292317 Enrollment ID: I20231017004070 |
| Provider Name | Carma Helen Goldstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023542149 PECOS PAC ID: 7911369053 Enrollment ID: I20231018000202 |
| Provider Name | Rebecca Grace Dugal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013526037 PECOS PAC ID: 8820413941 Enrollment ID: I20231018004184 |
| Provider Name | Evbusogie Nekpen Ogbeide |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659714400 PECOS PAC ID: 2961703665 Enrollment ID: I20231019000006 |
| Provider Name | Michael Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770017964 PECOS PAC ID: 4082959903 Enrollment ID: I20231019002643 |
| Provider Name | Molly Kellam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124702832 PECOS PAC ID: 5597111054 Enrollment ID: I20231019003456 |
| Provider Name | Xiuwei Cai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831887181 PECOS PAC ID: 8729434170 Enrollment ID: I20231023000075 |
| Provider Name | Colin Edward Kleinguetl |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700233582 PECOS PAC ID: 1951682160 Enrollment ID: I20231024000502 |
| Provider Name | Girish Raghunathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801022660 PECOS PAC ID: 6709939796 Enrollment ID: I20231024000665 |
| Provider Name | Thomas Charles Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700462389 PECOS PAC ID: 8921400094 Enrollment ID: I20231024001658 |
| Provider Name | Abbey Pfister Donahue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679136659 PECOS PAC ID: 2365775145 Enrollment ID: I20231026003675 |
| Provider Name | Christine Baughman Harbour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972381440 PECOS PAC ID: 9830545789 Enrollment ID: I20231027003508 |
| Provider Name | Turgut Bora Cengiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952968059 PECOS PAC ID: 5890020051 Enrollment ID: I20231030003769 |
| Provider Name | Laika Rose Simeon-thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598253783 PECOS PAC ID: 3971857574 Enrollment ID: I20231031001896 |
| Provider Name | Cynthia Aileen Solis Vallejo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598546442 PECOS PAC ID: 2769838564 Enrollment ID: I20231031001972 |
| Provider Name | Sarah Nullmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700413770 PECOS PAC ID: 9830520725 Enrollment ID: I20231031003945 |
| Provider Name | Melanie Voss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043849144 PECOS PAC ID: 2961857479 Enrollment ID: I20231102000188 |
| Provider Name | Jennifer Lauren Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134481062 PECOS PAC ID: 2961859558 Enrollment ID: I20231102003321 |
| Provider Name | Luisa Maria Paredes Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700345725 PECOS PAC ID: 2567846306 Enrollment ID: I20231103000277 |
| Provider Name | Louis Dwayne Atchison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083308571 PECOS PAC ID: 7719334234 Enrollment ID: I20231106001113 |
| Provider Name | Erica Christine Kerr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497434393 PECOS PAC ID: 1951758325 Enrollment ID: I20231106003644 |
| Provider Name | Parker Patterson Suit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225525082 PECOS PAC ID: 9436556933 Enrollment ID: I20231109002618 |
| Provider Name | Joseph Daniel Dragonetti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962813394 PECOS PAC ID: 1658728894 Enrollment ID: I20231109003384 |
| Provider Name | Justin Michael Cirone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780070961 PECOS PAC ID: 6507165370 Enrollment ID: I20231113003451 |
| Provider Name | Miles Edward Dewayne Hairston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932980802 PECOS PAC ID: 3577910587 Enrollment ID: I20231114000378 |
| Provider Name | Douglas Charles Hoerner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891749982 PECOS PAC ID: 4183639651 Enrollment ID: I20231114003572 |
| Provider Name | Mark H Enker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477600260 PECOS PAC ID: 2163562471 Enrollment ID: I20231115002327 |
| Provider Name | Erin Harrison Jarrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902219843 PECOS PAC ID: 3779930458 Enrollment ID: I20231117001276 |
| Provider Name | Daniel Dwayne Day |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942982442 PECOS PAC ID: 6507214285 Enrollment ID: I20231120001618 |
| Provider Name | Emily Worrell Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851176671 PECOS PAC ID: 1355799859 Enrollment ID: I20231121004041 |
| Provider Name | Kaitlan Mountain Clower-money |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215374632 PECOS PAC ID: 2264880673 Enrollment ID: I20231127000104 |
| Provider Name | Jennifer L Harmon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083078224 PECOS PAC ID: 1456709807 Enrollment ID: I20231127001590 |
| Provider Name | Allan Dong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780145813 PECOS PAC ID: 7214385582 Enrollment ID: I20231127002551 |
| Provider Name | Avery Joelle Christian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922533439 PECOS PAC ID: 3971869884 Enrollment ID: I20231127003335 |
| Provider Name | Anna C Blackley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588448401 PECOS PAC ID: 8628426913 Enrollment ID: I20231127003357 |
| Provider Name | Katharine Elizabeth Duckworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821300666 PECOS PAC ID: 8527416825 Enrollment ID: I20231128000315 |
| Provider Name | Scott Daniel Crofts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700663002 PECOS PAC ID: 7012365067 Enrollment ID: I20231130003132 |
| Provider Name | Taylor Marie Redding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861271082 PECOS PAC ID: 2365890241 Enrollment ID: I20231204001010 |
| Provider Name | Maria Noyola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811253099 PECOS PAC ID: 2769831460 Enrollment ID: I20231206002927 |
| Provider Name | Richard Ralph Walo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184249559 PECOS PAC ID: 0143644229 Enrollment ID: I20231207003962 |
| Provider Name | Shannon Rebekah James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144903709 PECOS PAC ID: 9638528193 Enrollment ID: I20231208001491 |
| Provider Name | Dhishna Chaudhary Manam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457885055 PECOS PAC ID: 6002185329 Enrollment ID: I20231208002419 |
| Provider Name | David Charles Moore |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467912584 PECOS PAC ID: 8224368816 Enrollment ID: I20231212004075 |
| Provider Name | Laura Elizabeth Moore |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1881154318 PECOS PAC ID: 0547590176 Enrollment ID: I20231213002056 |
| Provider Name | James Edward Han |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225424476 PECOS PAC ID: 5991069403 Enrollment ID: I20231214002207 |
| Provider Name | Nakedra Lasha'e Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780366906 PECOS PAC ID: 4880043967 Enrollment ID: I20231214002324 |
| Provider Name | Amy Diane Lowther |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033737853 PECOS PAC ID: 1456700418 Enrollment ID: I20231215001596 |
| Provider Name | Lee Potter Dresser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225068307 PECOS PAC ID: 1052491032 Enrollment ID: I20231218003137 |
| Provider Name | Amanda Bock Blair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215155197 PECOS PAC ID: 1254528771 Enrollment ID: I20231220003909 |
| Provider Name | Kelly Limmer Bowman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801677877 PECOS PAC ID: 0244680577 Enrollment ID: I20231228000871 |
| Provider Name | Gregory N Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689952145 PECOS PAC ID: 6305296534 Enrollment ID: I20231229000945 |
| Provider Name | Katherine Gatewood Hyland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275090383 PECOS PAC ID: 3971837170 Enrollment ID: I20231229001063 |
| Provider Name | Makayla Tysinger Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346014685 PECOS PAC ID: 3779933973 Enrollment ID: I20240101000223 |
| Provider Name | Sarpitha Rajamreddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588246300 PECOS PAC ID: 1254731458 Enrollment ID: I20240102002804 |
| Provider Name | Sheila Ann Conway |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245423441 PECOS PAC ID: 7214009901 Enrollment ID: I20240102003530 |
| Provider Name | Michele Tidwell Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396939443 PECOS PAC ID: 9931550811 Enrollment ID: I20240104002014 |
| Provider Name | Lindsay Kate Seigenthaler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801462767 PECOS PAC ID: 9133570096 Enrollment ID: I20240104004757 |
| Provider Name | Evie Cristina Davyromano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841754744 PECOS PAC ID: 2466803077 Enrollment ID: I20240108006265 |
| Provider Name | Charity Celeste Glass |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568726321 PECOS PAC ID: 8527316645 Enrollment ID: I20240110003621 |
| Provider Name | Jackson Kisuke Kojima |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598419848 PECOS PAC ID: 2860888310 Enrollment ID: I20240112001386 |
| Provider Name | Taewoo Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033649819 PECOS PAC ID: 7719252568 Enrollment ID: I20240124002059 |
| Provider Name | Cynthia Rena Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598106171 PECOS PAC ID: 8426401696 Enrollment ID: I20240124003393 |
| Provider Name | Jennifer Michelle Menke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316667595 PECOS PAC ID: 5991180010 Enrollment ID: I20240129002916 |
| Provider Name | Carol Logan Vincent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134489602 PECOS PAC ID: 5597981084 Enrollment ID: I20240201004221 |
| Provider Name | Jigishkumar Bipinchandra Vyas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730813924 PECOS PAC ID: 6800239898 Enrollment ID: I20240206004977 |
| Provider Name | Jeanne Carette Reynolds |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003515891 PECOS PAC ID: 6002259967 Enrollment ID: I20240207002524 |
| Provider Name | Demetra Sarah Ashley Obusez Gibson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972941763 PECOS PAC ID: 2466685268 Enrollment ID: I20240208000959 |
| Provider Name | Robert Phillips Whelan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750322277 PECOS PAC ID: 7719980960 Enrollment ID: I20240209003303 |
| Provider Name | Krisha Lamonica Arnold-robichaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548412042 PECOS PAC ID: 9739522137 Enrollment ID: I20240213000222 |
| Provider Name | Holly Dawn Weisse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659838936 PECOS PAC ID: 6103269519 Enrollment ID: I20240213000656 |
| Provider Name | Alexis Lee Fiebernitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700659588 PECOS PAC ID: 8426491895 Enrollment ID: I20240213002807 |
| Provider Name | Joel Thomas Hicks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437912375 PECOS PAC ID: 0648614743 Enrollment ID: I20240216001481 |
| Provider Name | Brian De Palma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700380458 PECOS PAC ID: 3072859404 Enrollment ID: I20240216002157 |
| Provider Name | Laura Elizabeth Saine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376805374 PECOS PAC ID: 4486807849 Enrollment ID: I20240219001328 |
| Provider Name | Marcus Raymond Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750623690 PECOS PAC ID: 2860788528 Enrollment ID: I20240220000795 |
| Provider Name | Le'starr Monique Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619391109 PECOS PAC ID: 2163866757 Enrollment ID: I20240222002229 |
| Provider Name | Mary Mcevilly Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104688753 PECOS PAC ID: 0840635256 Enrollment ID: I20240226001180 |
| Provider Name | Sarah Elizabeth Hiscocks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245913961 PECOS PAC ID: 7810332095 Enrollment ID: I20240227003398 |
| Provider Name | Rosalinda Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417413774 PECOS PAC ID: 6608211818 Enrollment ID: I20240228000088 |
| Provider Name | Kimura Garcia Chermez's Jacobs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053949354 PECOS PAC ID: 5890189286 Enrollment ID: I20240229004414 |
| Provider Name | Lance Christopher Ward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568231611 PECOS PAC ID: 3375989858 Enrollment ID: I20240306003289 |
| Provider Name | Erica Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639681687 PECOS PAC ID: 2264878644 Enrollment ID: I20240307001837 |
| Provider Name | Elizabeth Leah Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215115357 PECOS PAC ID: 1153467105 Enrollment ID: I20240307002348 |
| Provider Name | Erin Madison Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659134112 PECOS PAC ID: 8921444357 Enrollment ID: I20240307003809 |
| Provider Name | David Johnston Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093114175 PECOS PAC ID: 4688010044 Enrollment ID: I20240308000401 |
| Provider Name | Rhonda Lee Skiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871934463 PECOS PAC ID: 5294978904 Enrollment ID: I20240311000705 |
| Provider Name | Carla Walkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396185054 PECOS PAC ID: 1254568280 Enrollment ID: I20240311001358 |
| Provider Name | Shea Roper Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790540722 PECOS PAC ID: 4082050141 Enrollment ID: I20240311004035 |
| Provider Name | Taylor Lacey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063195493 PECOS PAC ID: 0042656951 Enrollment ID: I20240314001068 |
| Provider Name | Deborah Lee Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700595444 PECOS PAC ID: 3173995461 Enrollment ID: I20240315001994 |
| Provider Name | Yvette Marie Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053811570 PECOS PAC ID: 1951664903 Enrollment ID: I20240318001221 |
| Provider Name | Xianyong Gui |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780858597 PECOS PAC ID: 1759452691 Enrollment ID: I20240319003149 |
| Provider Name | Sarah Pardue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821612292 PECOS PAC ID: 9335564996 Enrollment ID: I20240322001520 |
| Provider Name | Christopher Edison Villarraga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710456157 PECOS PAC ID: 6406191451 Enrollment ID: I20240323000000 |
| Provider Name | Samantha Skye Mallory |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538836630 PECOS PAC ID: 1052709169 Enrollment ID: I20240326001242 |
| Provider Name | Tate Johnathan Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861269359 PECOS PAC ID: 3375980329 Enrollment ID: I20240326001854 |
| Provider Name | Tracy Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457830440 PECOS PAC ID: 4284970260 Enrollment ID: I20240326001988 |
| Provider Name | Kiran Mullur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164982880 PECOS PAC ID: 2264769181 Enrollment ID: I20240329001574 |
| Provider Name | Josephine Rose Barrier Compeau |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467159970 PECOS PAC ID: 3274992474 Enrollment ID: I20240329002680 |
| Provider Name | Masood Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073069332 PECOS PAC ID: 9830486174 Enrollment ID: I20240402001855 |
| Provider Name | Alissa Allen Meads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851776850 PECOS PAC ID: 1951749167 Enrollment ID: I20240408001693 |
| Provider Name | Brianna Rebecca Charpie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275383796 PECOS PAC ID: 1456799451 Enrollment ID: I20240410001736 |
| Provider Name | Brittainy Adkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588309975 PECOS PAC ID: 1153769062 Enrollment ID: I20240410002283 |
| Provider Name | Andrea Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417311085 PECOS PAC ID: 7113211269 Enrollment ID: I20240410003425 |
| Provider Name | Jamila Michelle Hinton Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336904630 PECOS PAC ID: 1951740083 Enrollment ID: I20240422002183 |
| Provider Name | Kathy Lee Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750822243 PECOS PAC ID: 4385911262 Enrollment ID: I20240425000270 |
| Provider Name | Erin Mikala Dickerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386211167 PECOS PAC ID: 0345680161 Enrollment ID: I20240426002412 |
| Provider Name | Sydnie Christmas Bottorff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477321909 PECOS PAC ID: 7416397120 Enrollment ID: I20240429002180 |
| Provider Name | Dakota Clinton Bradley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740831353 PECOS PAC ID: 3678908951 Enrollment ID: I20240429003242 |
| Provider Name | Mark Edward Saine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992051262 PECOS PAC ID: 7517116254 Enrollment ID: I20240430004162 |
| Provider Name | Elizabeth Bost White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619470549 PECOS PAC ID: 9234567892 Enrollment ID: I20240501004212 |
| Provider Name | Walter Alan Boyle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093733727 PECOS PAC ID: 0345382651 Enrollment ID: I20240507000002 |
| Provider Name | Patricia Anne Suits |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053024414 PECOS PAC ID: 4183095243 Enrollment ID: I20240507001653 |
| Provider Name | Jenna Lee Bivens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083348080 PECOS PAC ID: 7012358930 Enrollment ID: I20240509002066 |
| Provider Name | Madeline Grace Harkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467141044 PECOS PAC ID: 4789025594 Enrollment ID: I20240510002107 |
| Provider Name | Harry Nonez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740819945 PECOS PAC ID: 4385085786 Enrollment ID: I20240516001874 |
| Provider Name | Izabelle Marlene Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861182669 PECOS PAC ID: 7113368416 Enrollment ID: I20240517001762 |
| Provider Name | Shelby Culler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770348450 PECOS PAC ID: 9830531011 Enrollment ID: I20240521001068 |
| Provider Name | Nicholas Rapheal Punch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538508734 PECOS PAC ID: 8123329018 Enrollment ID: I20240522003516 |
| Provider Name | Kristen Koberstein Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750153227 PECOS PAC ID: 6204278138 Enrollment ID: I20240523002674 |
| Provider Name | Caitlin Swayze Rierson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508642786 PECOS PAC ID: 7315389145 Enrollment ID: I20240524002349 |
| Provider Name | Marissa Kay Bare Burchette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750965349 PECOS PAC ID: 5597107011 Enrollment ID: I20240529001427 |
| Provider Name | Jason Chin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780205930 PECOS PAC ID: 1153743224 Enrollment ID: I20240530002784 |
| Provider Name | Jigisha Srivastav |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144808981 PECOS PAC ID: 9931509221 Enrollment ID: I20240530002795 |
| Provider Name | Tyson L Kudrna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558983437 PECOS PAC ID: 6507288826 Enrollment ID: I20240531001579 |
| Provider Name | Joseph Mcilwain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225616659 PECOS PAC ID: 5395145734 Enrollment ID: I20240605000566 |
| Provider Name | Jennifer Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417728627 PECOS PAC ID: 3870035728 Enrollment ID: I20240606001249 |
| Provider Name | Laura Lee Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891486775 PECOS PAC ID: 4082156781 Enrollment ID: I20240610002811 |
| Provider Name | Clarissa Jonas Diamantidis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871798538 PECOS PAC ID: 4789716648 Enrollment ID: I20240610003151 |
| Provider Name | Garrett Stephen Casey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588253462 PECOS PAC ID: 8729495890 Enrollment ID: I20240619001470 |
| Provider Name | Lekeishia Michelle Staton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467939116 PECOS PAC ID: 1456894203 Enrollment ID: I20240620003203 |
| Provider Name | Min Soo Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417584731 PECOS PAC ID: 0244651222 Enrollment ID: I20240620003533 |
| Provider Name | Joseph Charles Byouk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326627548 PECOS PAC ID: 2062811698 Enrollment ID: I20240626004449 |
| Provider Name | Lindsay Rae Bartram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881953404 PECOS PAC ID: 4082866603 Enrollment ID: I20240628001489 |
| Provider Name | Nicole Isabel Cillis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861079378 PECOS PAC ID: 1658771480 Enrollment ID: I20240702004029 |
| Provider Name | Megan Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437736055 PECOS PAC ID: 0042610925 Enrollment ID: I20240703002303 |
| Provider Name | Kari Ann Kudrna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528747763 PECOS PAC ID: 8729433867 Enrollment ID: I20240711001295 |
| Provider Name | Navid Azar Nafissi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609263805 PECOS PAC ID: 7214244557 Enrollment ID: I20240712000188 |
| Provider Name | Shambo Guha Roy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376029926 PECOS PAC ID: 8921543026 Enrollment ID: I20240712003089 |
| Provider Name | Melley Zeru Fesseha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154950863 PECOS PAC ID: 1759703291 Enrollment ID: I20240715004232 |
| Provider Name | John Mason Kalada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528646932 PECOS PAC ID: 4688083017 Enrollment ID: I20240717001797 |
| Provider Name | Zachary David Pruitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124606702 PECOS PAC ID: 8022427830 Enrollment ID: I20240718001220 |
| Provider Name | Jingmei Lin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588787147 PECOS PAC ID: 8325218514 Enrollment ID: I20240719000216 |
| Provider Name | Kelly Connelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891333258 PECOS PAC ID: 1153757828 Enrollment ID: I20240722001579 |
| Provider Name | Lauren Marie Bianco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538755905 PECOS PAC ID: 8022554278 Enrollment ID: I20240724000162 |
| Provider Name | Scott Taylor Thiesfeldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982281804 PECOS PAC ID: 6901205319 Enrollment ID: I20240724000855 |
| Provider Name | Daniel Duong Phan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538622873 PECOS PAC ID: 5395070387 Enrollment ID: I20240726002681 |
| Provider Name | Lindsay Katherine Lesavage |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083296479 PECOS PAC ID: 0941601504 Enrollment ID: I20240726003957 |
| Provider Name | Lillie Elizabeth Pitts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659959542 PECOS PAC ID: 8325449671 Enrollment ID: I20240726003998 |
| Provider Name | John Vernon Hillson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922880665 PECOS PAC ID: 2567908460 Enrollment ID: I20240729000020 |
| Provider Name | Carolyn Antoinette Allman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114362696 PECOS PAC ID: 2769707553 Enrollment ID: I20240729001656 |
| Provider Name | Jonathan Michael Doyle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144807686 PECOS PAC ID: 2961801378 Enrollment ID: I20240729001712 |
| Provider Name | Bryan Matthew Koppa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316525199 PECOS PAC ID: 8628478286 Enrollment ID: I20240729002734 |
| Provider Name | Rishi Raj Rikhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952806879 PECOS PAC ID: 6406110972 Enrollment ID: I20240729003142 |
| Provider Name | Kelci Popovnak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023853371 PECOS PAC ID: 7315484128 Enrollment ID: I20240730000122 |
| Provider Name | Kimberly Woodward |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851552640 PECOS PAC ID: 2769601566 Enrollment ID: I20240730001406 |
| Provider Name | Philip Maghen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316524242 PECOS PAC ID: 5799184461 Enrollment ID: I20240730002039 |
| Provider Name | Adeel Haq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962018382 PECOS PAC ID: 9537606231 Enrollment ID: I20240730004121 |
| Provider Name | Ericson Isaak Stoen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295267748 PECOS PAC ID: 9931470911 Enrollment ID: I20240731001381 |
| Provider Name | Andrew Robert Petrilli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629531918 PECOS PAC ID: 8820331986 Enrollment ID: I20240731003983 |
| Provider Name | Summer Hien-ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083236608 PECOS PAC ID: 9032536453 Enrollment ID: I20240801001115 |
| Provider Name | Cristiana Cavallari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952939365 PECOS PAC ID: 1254719339 Enrollment ID: I20240806000297 |
| Provider Name | Matthew George Cravens |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942761036 PECOS PAC ID: 9133452402 Enrollment ID: I20240806004801 |
| Provider Name | Domiziana Eisner De Eisenhof |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558110361 PECOS PAC ID: 9739626896 Enrollment ID: I20240807000396 |
| Provider Name | Andruw Hamilton Woodrow Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215765698 PECOS PAC ID: 4880131960 Enrollment ID: I20240807001446 |
| Provider Name | Maria Alejandra Gomez Mihalik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427895978 PECOS PAC ID: 9638616741 Enrollment ID: I20240807002673 |
| Provider Name | Ravi Sanjay Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891291720 PECOS PAC ID: 7113277278 Enrollment ID: I20240807003715 |
| Provider Name | Mark Amirault |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356802441 PECOS PAC ID: 4587086228 Enrollment ID: I20240808001737 |
| Provider Name | William Morrow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548827736 PECOS PAC ID: 3779819149 Enrollment ID: I20240808003101 |
| Provider Name | Charles Rinehart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891174504 PECOS PAC ID: 6901271683 Enrollment ID: I20240808004106 |
| Provider Name | Steven Jay Lavine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801863469 PECOS PAC ID: 6406877679 Enrollment ID: I20240809000050 |
| Provider Name | Victoria Ivantchev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871179622 PECOS PAC ID: 5092117275 Enrollment ID: I20240809001078 |
| Provider Name | Charles Joseph Pophal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003435504 PECOS PAC ID: 3072936111 Enrollment ID: I20240812001144 |
| Provider Name | Jeffrey Conner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619408937 PECOS PAC ID: 8729341821 Enrollment ID: I20240813001651 |
| Provider Name | Heather Lynn Clark |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215424270 PECOS PAC ID: 3971856378 Enrollment ID: I20240813002432 |
| Provider Name | Dana Sylvestre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891255618 PECOS PAC ID: 0547596074 Enrollment ID: I20240813003015 |
| Provider Name | Brooke Johnson Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285478917 PECOS PAC ID: 2365980018 Enrollment ID: I20240813003846 |
| Provider Name | Ryan Matthew Calpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992559298 PECOS PAC ID: 8022556588 Enrollment ID: I20240814004546 |
| Provider Name | Hassan Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922534205 PECOS PAC ID: 9537406954 Enrollment ID: I20240815004498 |
| Provider Name | Marc Herr |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134139595 PECOS PAC ID: 0345477303 Enrollment ID: I20240819003358 |
| Provider Name | Ifeanyi Sharon Walson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982267381 PECOS PAC ID: 2264768084 Enrollment ID: I20240821003323 |
| Provider Name | Catherine Terese Coughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548001381 PECOS PAC ID: 7810435898 Enrollment ID: I20240821003992 |
| Provider Name | Gillian Leigh Hoshal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518487198 PECOS PAC ID: 6002188265 Enrollment ID: I20240822002760 |
| Provider Name | Mohammad Kazem Fallahzadeh Abarghouei |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063802148 PECOS PAC ID: 0244535946 Enrollment ID: I20240822004808 |
| Provider Name | Zeyad T Sahli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356845069 PECOS PAC ID: 0446508543 Enrollment ID: I20240823002552 |
| Provider Name | Alexandra Vaughn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790312858 PECOS PAC ID: 3971925264 Enrollment ID: I20240825000002 |
| Provider Name | Mattie Elizabeth Raiford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720548175 PECOS PAC ID: 8729408786 Enrollment ID: I20240828000135 |
| Provider Name | Omaditya Khanna |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326402082 PECOS PAC ID: 8123318078 Enrollment ID: I20240828001169 |
| Provider Name | Joseph Glenn Sinnwell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518457373 PECOS PAC ID: 0749535755 Enrollment ID: I20240828003379 |
| Provider Name | David Benjamin Riffe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841753373 PECOS PAC ID: 9739415142 Enrollment ID: I20240829000418 |
| Provider Name | Grace Victoria Morrow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194560946 PECOS PAC ID: 0941749329 Enrollment ID: I20240829001059 |
| Provider Name | John Craig Flood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154054914 PECOS PAC ID: 2961941364 Enrollment ID: I20240829001783 |
| Provider Name | Karen Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770161176 PECOS PAC ID: 8921408980 Enrollment ID: I20240829002345 |
| Provider Name | Hannah Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861078388 PECOS PAC ID: 6103226592 Enrollment ID: I20240829002819 |
| Provider Name | Aleksandra Augustynowicz Krokhmal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205333127 PECOS PAC ID: 2466799903 Enrollment ID: I20240829003126 |
| Provider Name | Hannah Carroll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770089385 PECOS PAC ID: 0345587309 Enrollment ID: I20240903004275 |
| Provider Name | Brooke Nicole Vinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679151252 PECOS PAC ID: 6901206804 Enrollment ID: I20240904000785 |
| Provider Name | Nataly Bullock Osorio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861221822 PECOS PAC ID: 6103366182 Enrollment ID: I20240904004885 |
| Provider Name | Nichole Marianne Bonzano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003485756 PECOS PAC ID: 9537562913 Enrollment ID: I20240906000527 |
| Provider Name | Christopher F Koch |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1558780262 PECOS PAC ID: 4486998523 Enrollment ID: I20240908000054 |
| Provider Name | Luckricia Olivacce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053788422 PECOS PAC ID: 5698075679 Enrollment ID: I20240909001744 |
| Provider Name | Twinkle Kumar Samudra Pandian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649566928 PECOS PAC ID: 5092961912 Enrollment ID: I20240909002838 |
| Provider Name | Alexander Ivanovich Sorokin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508448150 PECOS PAC ID: 1456750108 Enrollment ID: I20240909003633 |
| Provider Name | Shivani Vaidya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013545714 PECOS PAC ID: 6103366810 Enrollment ID: I20240909003919 |
| Provider Name | Kathleen Rose Ruddiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487216578 PECOS PAC ID: 7810377918 Enrollment ID: I20240911000452 |
| Provider Name | Ahmed Mohamed Saad Elzanaty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619462876 PECOS PAC ID: 6507113131 Enrollment ID: I20240911000494 |
| Provider Name | Jacob Charles Maus |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710484225 PECOS PAC ID: 9032469481 Enrollment ID: I20240912000109 |
| Provider Name | Katherine Adams Gossett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932692696 PECOS PAC ID: 3072866870 Enrollment ID: I20240912002109 |
| Provider Name | Amalie Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154881241 PECOS PAC ID: 7012375363 Enrollment ID: I20240913003113 |
| Provider Name | Hatem Abdallah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205276052 PECOS PAC ID: 2769815166 Enrollment ID: I20240916000187 |
| Provider Name | Jacob Stout |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184111916 PECOS PAC ID: 0941552988 Enrollment ID: I20240917001525 |
| Provider Name | Evan Christopher Pohl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528563251 PECOS PAC ID: 5597098731 Enrollment ID: I20240917003596 |
| Provider Name | Charity Starkes Sorensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861100075 PECOS PAC ID: 4688046592 Enrollment ID: I20240917004398 |
| Provider Name | Jonathan James Poplin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780241687 PECOS PAC ID: 0042751026 Enrollment ID: I20240917004925 |
| Provider Name | Anthony Edwards Peters |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528455235 PECOS PAC ID: 6800103573 Enrollment ID: I20240918000660 |
| Provider Name | Aaron Lerner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558859991 PECOS PAC ID: 0345595393 Enrollment ID: I20240919003852 |
| Provider Name | Lindsey Kathryn Hoots Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730917865 PECOS PAC ID: 1052852720 Enrollment ID: I20240920002884 |
| Provider Name | Alexis Victoria Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346071032 PECOS PAC ID: 0446791008 Enrollment ID: I20240923002244 |
| Provider Name | Abigail Lynn Koch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992149108 PECOS PAC ID: 9739471459 Enrollment ID: I20240924001082 |
| Provider Name | Jyoti Risal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922266766 PECOS PAC ID: 1759405780 Enrollment ID: I20240924004826 |
| Provider Name | Jordan Matthew Poles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831718667 PECOS PAC ID: 4183087901 Enrollment ID: I20240926001323 |
| Provider Name | George Alyateem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326576125 PECOS PAC ID: 6406387711 Enrollment ID: I20240926004108 |
| Provider Name | Reed Weston Kamyszek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962063891 PECOS PAC ID: 6305171505 Enrollment ID: I20240930000789 |
| Provider Name | Anna Elizabeth Hochhalter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801631130 PECOS PAC ID: 1850822909 Enrollment ID: I20241001001446 |
| Provider Name | Jordan Ueberroth |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558999821 PECOS PAC ID: 0547791600 Enrollment ID: I20241001001992 |
| Provider Name | Erica Emmons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407351919 PECOS PAC ID: 0547516288 Enrollment ID: I20241002001354 |
| Provider Name | Megan Hentschel Crisp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073359345 PECOS PAC ID: 5597296442 Enrollment ID: I20241002001431 |
| Provider Name | Katherine Marie Davis Francois |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003444860 PECOS PAC ID: 6901220656 Enrollment ID: I20241003001988 |
| Provider Name | Alysha Mary Hall Piper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538915541 PECOS PAC ID: 6507397205 Enrollment ID: I20241004003433 |
| Provider Name | Kevin Andrew Hachey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861856411 PECOS PAC ID: 0345534541 Enrollment ID: I20241004003718 |
| Provider Name | Jewel E Breadmore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992495386 PECOS PAC ID: 9335596428 Enrollment ID: I20241007001189 |
| Provider Name | Eleftherios Makris |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1194102103 PECOS PAC ID: 8820529456 Enrollment ID: I20241007001258 |
| Provider Name | Sky Elizabeth Dainty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881214740 PECOS PAC ID: 3577094127 Enrollment ID: I20241007001993 |
| Provider Name | Elizabeth Renee Lemoine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093336463 PECOS PAC ID: 8527480979 Enrollment ID: I20241009000156 |
| Provider Name | Timothy Allen Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669228078 PECOS PAC ID: 2769914175 Enrollment ID: I20241010000430 |
| Provider Name | Jennifer Lea Fichera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548009848 PECOS PAC ID: 0749712032 Enrollment ID: I20241010004245 |
| Provider Name | Arianna Elizabeth Cabrales |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104316397 PECOS PAC ID: 2163777889 Enrollment ID: I20241014000890 |
| Provider Name | Thomas Norman Steele |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477085686 PECOS PAC ID: 5698046670 Enrollment ID: I20241014002716 |
| Provider Name | Heath Blankenship |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780145045 PECOS PAC ID: 3173859030 Enrollment ID: I20241015000234 |
| Provider Name | Ana Elena Kouri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770103798 PECOS PAC ID: 1557792793 Enrollment ID: I20241015000246 |
| Provider Name | Benjamin Thomas Buterbaugh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275153074 PECOS PAC ID: 8224459813 Enrollment ID: I20241015000568 |
| Provider Name | Tara Renee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235779646 PECOS PAC ID: 9830527423 Enrollment ID: I20241015000732 |
| Provider Name | Thomas Andrew Crilley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245791516 PECOS PAC ID: 4385970227 Enrollment ID: I20241015001033 |
| Provider Name | Kinga Joanna Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336970862 PECOS PAC ID: 5991237968 Enrollment ID: I20241015002953 |
| Provider Name | Jancarla Marie Ocampo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144857574 PECOS PAC ID: 3072935162 Enrollment ID: I20241015004854 |
| Provider Name | Christopher Darius Saleh Ghiathi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285096156 PECOS PAC ID: 1254621329 Enrollment ID: I20241016000077 |
| Provider Name | John Sherrill Mingo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790516516 PECOS PAC ID: 2062944937 Enrollment ID: I20241016003090 |
| Provider Name | Alana Marie Zeitany |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578142949 PECOS PAC ID: 1153721402 Enrollment ID: I20241018003704 |
| Provider Name | Mohammed Hoque |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336482702 PECOS PAC ID: 5092064204 Enrollment ID: I20241019000350 |
| Provider Name | Kailee Ann Alred |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598503542 PECOS PAC ID: 8527590132 Enrollment ID: I20241021000137 |
| Provider Name | Nicholas a Deebel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114480456 PECOS PAC ID: 2062748445 Enrollment ID: I20241021002243 |
| Provider Name | Jeffrey Corbett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669964201 PECOS PAC ID: 0446503726 Enrollment ID: I20241021004462 |
| Provider Name | Holly a Nunn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376241463 PECOS PAC ID: 6002348596 Enrollment ID: I20241022004284 |
| Provider Name | Joseph Daniel Wortman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962021295 PECOS PAC ID: 9931522471 Enrollment ID: I20241023004799 |
| Provider Name | Joanna Schober Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538866678 PECOS PAC ID: 2365975638 Enrollment ID: I20241024002489 |
| Provider Name | Mary Catherine Hyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144050279 PECOS PAC ID: 8224561584 Enrollment ID: I20241025001465 |
| Provider Name | Emily Robinson Mangubat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376114462 PECOS PAC ID: 4183007800 Enrollment ID: I20241025002500 |
| Provider Name | Grace Kelli Culpepper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619735396 PECOS PAC ID: 3173056355 Enrollment ID: I20241025002715 |
| Provider Name | Rajeev Dhupar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750559761 PECOS PAC ID: 1153547575 Enrollment ID: I20241028002065 |
| Provider Name | Sorin Munteanu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285274357 PECOS PAC ID: 6800223686 Enrollment ID: I20241029002857 |
| Provider Name | Rami Camille Zebian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558635730 PECOS PAC ID: 2062668601 Enrollment ID: I20241031000835 |
| Provider Name | Adam Olson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841826799 PECOS PAC ID: 4981025707 Enrollment ID: I20241031003939 |
| Provider Name | Alisa Diane Geier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760942924 PECOS PAC ID: 1658804331 Enrollment ID: I20241102000369 |
| Provider Name | Megan Lee Maguire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457191736 PECOS PAC ID: 6406380096 Enrollment ID: I20241105001013 |
| Provider Name | Catharine Chu Pena |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154168367 PECOS PAC ID: 0547794174 Enrollment ID: I20241105002705 |
| Provider Name | Molly K Wiggins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164050449 PECOS PAC ID: 7810328465 Enrollment ID: I20241105003849 |
| Provider Name | Taylar Albertini Ritzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730761222 PECOS PAC ID: 2163825654 Enrollment ID: I20241105003858 |
| Provider Name | Hannah W Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518549500 PECOS PAC ID: 2466986948 Enrollment ID: I20241106001250 |
| Provider Name | Thomas Cowan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669934410 PECOS PAC ID: 1052644986 Enrollment ID: I20241106001648 |
| Provider Name | Ila Bowers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700626892 PECOS PAC ID: 7214461763 Enrollment ID: I20241106004122 |
| Provider Name | Evan Jones Rey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073175055 PECOS PAC ID: 4981939857 Enrollment ID: I20241107000609 |
| Provider Name | Liliane Rebecca Ernst |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659877173 PECOS PAC ID: 3072863083 Enrollment ID: I20241107002701 |
| Provider Name | Jonathan Ostman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669932240 PECOS PAC ID: 1759740996 Enrollment ID: I20241107004334 |
| Provider Name | Kimberly Ellis Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366277667 PECOS PAC ID: 4789118050 Enrollment ID: I20241108001186 |
| Provider Name | Isatta Ndure |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053149435 PECOS PAC ID: 8123552403 Enrollment ID: I20241108001716 |
| Provider Name | Mark C Bucy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639194723 PECOS PAC ID: 3870027170 Enrollment ID: I20241108002610 |
| Provider Name | Eman Hossam Abdelraouf Elsheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568102143 PECOS PAC ID: 7517341787 Enrollment ID: I20241108003238 |
| Provider Name | Cameron Josef Weekley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023647468 PECOS PAC ID: 2769804756 Enrollment ID: I20241111001504 |
| Provider Name | Emma Winslow |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093394652 PECOS PAC ID: 2163831272 Enrollment ID: I20241111001674 |
| Provider Name | Marie Elizabeth Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437788692 PECOS PAC ID: 8325572498 Enrollment ID: I20241112002118 |
| Provider Name | Jessica Ashley Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053845461 PECOS PAC ID: 3072850759 Enrollment ID: I20241112003248 |
| Provider Name | Jessica Bon Field |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902849243 PECOS PAC ID: 4183520737 Enrollment ID: I20241113000029 |
| Provider Name | Margaret Anne Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689253866 PECOS PAC ID: 3173925641 Enrollment ID: I20241113003325 |
| Provider Name | Eswara Moorthy Sellamuthu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649923293 PECOS PAC ID: 5597299305 Enrollment ID: I20241114004478 |
| Provider Name | Haley Jane Brewer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154044964 PECOS PAC ID: 2961875224 Enrollment ID: I20241115000158 |
| Provider Name | Luke Alexander Gillis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053042077 PECOS PAC ID: 7517349731 Enrollment ID: I20241115000526 |
| Provider Name | Caroline Suzanne Vaile |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912605031 PECOS PAC ID: 0840724613 Enrollment ID: I20241115002007 |
| Provider Name | Kashif Nadeem Chaudhry |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760755714 PECOS PAC ID: 3072759489 Enrollment ID: I20241115003142 |
| Provider Name | John Robert Edminister |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265060404 PECOS PAC ID: 5193147734 Enrollment ID: I20241118001996 |
| Provider Name | Emily Lisa Brekke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851929509 PECOS PAC ID: 9234553280 Enrollment ID: I20241119000289 |
| Provider Name | Ryan Michael Reiher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932974086 PECOS PAC ID: 5092240762 Enrollment ID: I20241119002235 |
| Provider Name | Habtemariam Kumelachew Dessie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154959492 PECOS PAC ID: 8426583030 Enrollment ID: I20241119004255 |
| Provider Name | Rachel Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710611660 PECOS PAC ID: 6709311327 Enrollment ID: I20241119004644 |
| Provider Name | Allison Paige O'neill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023854775 PECOS PAC ID: 4981139417 Enrollment ID: I20241121000516 |
| Provider Name | Joshua Elliott Capra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629754841 PECOS PAC ID: 4082149547 Enrollment ID: I20241121001835 |
| Provider Name | Emily Christine Moya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205672862 PECOS PAC ID: 3274068630 Enrollment ID: I20241121002307 |
| Provider Name | Jamell Joseph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689405128 PECOS PAC ID: 8022543453 Enrollment ID: I20241122000223 |
| Provider Name | Barbara H Carden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225467707 PECOS PAC ID: 3870721400 Enrollment ID: I20241122001281 |
| Provider Name | Bryan Starrett Monroe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538628680 PECOS PAC ID: 4082940986 Enrollment ID: I20241122001518 |
| Provider Name | Ariel Dominique Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700657152 PECOS PAC ID: 6002259017 Enrollment ID: I20241122002874 |
| Provider Name | Alexis Marie White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841876695 PECOS PAC ID: 0749688448 Enrollment ID: I20241125004342 |
| Provider Name | Chloe Kellogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467150565 PECOS PAC ID: 2264807353 Enrollment ID: I20241126000512 |
| Provider Name | Emily Renae Dunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417419110 PECOS PAC ID: 4880920792 Enrollment ID: I20241126003155 |
| Provider Name | Krisha Vipulkumar Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114751377 PECOS PAC ID: 3072048065 Enrollment ID: I20241127003503 |
| Provider Name | Mallory Alexa Choplin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013699511 PECOS PAC ID: 4981139805 Enrollment ID: I20241130000337 |
| Provider Name | Basil Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679684872 PECOS PAC ID: 4082694955 Enrollment ID: I20241202000982 |
| Provider Name | Anne Byrd Mahoney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144727744 PECOS PAC ID: 1153856000 Enrollment ID: I20241202001053 |
| Provider Name | Alexander Wesley Zirulnik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881223741 PECOS PAC ID: 5799210647 Enrollment ID: I20241202001086 |
| Provider Name | Nicholas Patrick Comeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356073407 PECOS PAC ID: 6608302450 Enrollment ID: I20241204001526 |
| Provider Name | Usha Jayagurunathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780106823 PECOS PAC ID: 0244585149 Enrollment ID: I20241204001962 |
| Provider Name | Melissa Charlene Romano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235960741 PECOS PAC ID: 3476089137 Enrollment ID: I20241205001598 |
| Provider Name | Rupesh Khanal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578979803 PECOS PAC ID: 3476897067 Enrollment ID: I20241205003550 |
| Provider Name | Alexandria Danielle Cremeans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588161616 PECOS PAC ID: 1052668761 Enrollment ID: I20241209001283 |
| Provider Name | Mary Courtenay Hamblen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760069405 PECOS PAC ID: 0840646501 Enrollment ID: I20241210000943 |
| Provider Name | Claudia Delgado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952967176 PECOS PAC ID: 0941736177 Enrollment ID: I20241211000161 |
| Provider Name | Randall Robert Mccafferty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679672406 PECOS PAC ID: 5799938031 Enrollment ID: I20241211004340 |
| Provider Name | Matthew Thomas Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760224174 PECOS PAC ID: 3476089574 Enrollment ID: I20241212003086 |
| Provider Name | Melissa Jane Knudson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841649225 PECOS PAC ID: 7618205428 Enrollment ID: I20241212003284 |
| Provider Name | Erika Morgan Lott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689408791 PECOS PAC ID: 4587191416 Enrollment ID: I20241217001687 |
| Provider Name | Lindsey Hannah Panter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174055586 PECOS PAC ID: 4385911445 Enrollment ID: I20241217002239 |
| Provider Name | Robert Goodrich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437713575 PECOS PAC ID: 3072840685 Enrollment ID: I20241217002542 |
| Provider Name | Supraja Sarada Swamy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720584659 PECOS PAC ID: 1153679188 Enrollment ID: I20241217003643 |
| Provider Name | Nicole Beth Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124854708 PECOS PAC ID: 4486181260 Enrollment ID: I20241217004201 |
| Provider Name | Michael Niccolo Ramos Mangubat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124413349 PECOS PAC ID: 7113255316 Enrollment ID: I20241218000075 |
| Provider Name | Luwam a Ghidei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164804415 PECOS PAC ID: 1254636053 Enrollment ID: I20241220001244 |
| Provider Name | Aderonke Oluponle Adeniyi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407090095 PECOS PAC ID: 8820376502 Enrollment ID: I20241220002614 |
| Provider Name | James Michael Warrilow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508215112 PECOS PAC ID: 8527350297 Enrollment ID: I20241220003215 |
| Provider Name | Audrey Marie Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821787292 PECOS PAC ID: 3779010236 Enrollment ID: I20241220003631 |
| Provider Name | Sara Anne Foster Fabiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083033419 PECOS PAC ID: 4981926870 Enrollment ID: I20241221000206 |
| Provider Name | Darcie Rae Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912410317 PECOS PAC ID: 5698202166 Enrollment ID: I20241221000221 |
| Provider Name | Victoria Ann Dowling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467147025 PECOS PAC ID: 1759738131 Enrollment ID: I20241223000222 |
| Provider Name | Meagan Grogan Britt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780426353 PECOS PAC ID: 7719414002 Enrollment ID: I20241227001328 |
| Provider Name | Peter Schlossberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063483154 PECOS PAC ID: 9739149147 Enrollment ID: I20250102001980 |
| Provider Name | Julie Kathleen Silver |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437130689 PECOS PAC ID: 7416965348 Enrollment ID: I20250109000851 |
| Provider Name | Takeki Suzuki |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1780747709 PECOS PAC ID: 2365696671 Enrollment ID: I20250110003444 |
| Provider Name | Arianna Fahmieh Nassar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265251854 PECOS PAC ID: 6901334317 Enrollment ID: I20250114000382 |
| Provider Name | Emily Ann Dailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831844018 PECOS PAC ID: 2062940349 Enrollment ID: I20250114003729 |
| Provider Name | Timothy Lee Heath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255424107 PECOS PAC ID: 5991233280 Enrollment ID: I20250115000014 |
| Provider Name | Justin Trevor Lackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497333512 PECOS PAC ID: 8224430798 Enrollment ID: I20250115003247 |
| Provider Name | Fabian Mccartney Johnston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770770604 PECOS PAC ID: 7719136787 Enrollment ID: I20250117000065 |
| Provider Name | Jennifer Diaz Sobejana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174359392 PECOS PAC ID: 4183153174 Enrollment ID: I20250121000473 |
| Provider Name | Joseph Anthony Accetta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548742638 PECOS PAC ID: 5294132130 Enrollment ID: I20250121001943 |
| Provider Name | Paul Latterman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114488376 PECOS PAC ID: 8325478753 Enrollment ID: I20250122000273 |
| Provider Name | Timothy David Immelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245088186 PECOS PAC ID: 2567991300 Enrollment ID: I20250123003604 |
| Provider Name | Kristen Ashleigh Carter Mangold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972200822 PECOS PAC ID: 0143759993 Enrollment ID: I20250123003870 |
| Provider Name | Ashley Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902465115 PECOS PAC ID: 7113456898 Enrollment ID: I20250124001769 |
| Provider Name | Rebecca Marie Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952719510 PECOS PAC ID: 2860717808 Enrollment ID: I20250127000472 |
| Provider Name | Adrianne Dwanna Dorsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285251884 PECOS PAC ID: 9537589221 Enrollment ID: I20250129001271 |
| Provider Name | Megan Elizabeth Gould |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700405149 PECOS PAC ID: 4082039045 Enrollment ID: I20250129003320 |
| Provider Name | Amanda Creed Chilton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184442634 PECOS PAC ID: 2466981642 Enrollment ID: I20250203001472 |
| Provider Name | Natasha Butkevits Collier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902534134 PECOS PAC ID: 1759810948 Enrollment ID: I20250203001847 |
| Provider Name | Neil Goldhaber |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114093598 PECOS PAC ID: 6507769759 Enrollment ID: I20250204000062 |
| Provider Name | Emma Grace Librizzi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427893502 PECOS PAC ID: 3779013917 Enrollment ID: I20250204000907 |
| Provider Name | Caroline Allison Stottler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104583459 PECOS PAC ID: 9436689460 Enrollment ID: I20250206001009 |
| Provider Name | Jessica Marie Azcarate Branower |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639914542 PECOS PAC ID: 0042740003 Enrollment ID: I20250206001859 |
| Provider Name | Yumi Otsuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508616137 PECOS PAC ID: 5597295329 Enrollment ID: I20250210001742 |
| Provider Name | Christopher John Schrank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770105546 PECOS PAC ID: 1456778851 Enrollment ID: I20250212001229 |
| Provider Name | Andrew Bennett Lee Price |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922691419 PECOS PAC ID: 1951716091 Enrollment ID: I20250212002346 |
| Provider Name | Alok Sinha |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609439686 PECOS PAC ID: 5092172593 Enrollment ID: I20250212002489 |
| Provider Name | Stephanie W Heindel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609830652 PECOS PAC ID: 3870480742 Enrollment ID: I20250218003779 |
| Provider Name | Kyla Marie Beckman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639582000 PECOS PAC ID: 4183841125 Enrollment ID: I20250224001546 |
| Provider Name | Daniel Patrick Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316294358 PECOS PAC ID: 8022269059 Enrollment ID: I20250224003731 |
| Provider Name | Madison Marie Hinkle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144982083 PECOS PAC ID: 8224558671 Enrollment ID: I20250228000797 |
| Provider Name | Sarwat Salim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114999471 PECOS PAC ID: 8729975511 Enrollment ID: I20250228002784 |
| Provider Name | Eduardo Manuel Galvez Guerra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285913624 PECOS PAC ID: 9537488325 Enrollment ID: I20250228002934 |
| Provider Name | Atilio Edgardo Palma |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598183279 PECOS PAC ID: 3870803471 Enrollment ID: I20250312002265 |
| Provider Name | Derek Pyland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659802882 PECOS PAC ID: 2668743691 Enrollment ID: I20250313000774 |
| Provider Name | Samantha Helen Hess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477281871 PECOS PAC ID: 5799161063 Enrollment ID: I20250313001367 |
| Provider Name | Cheryl Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780496406 PECOS PAC ID: 6305368739 Enrollment ID: I20250314002034 |
| Provider Name | Christopher Stewart Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619535853 PECOS PAC ID: 7719217835 Enrollment ID: I20250317001899 |
| Provider Name | Raveen Shundrell Mooney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194392506 PECOS PAC ID: 0648675918 Enrollment ID: I20250317002237 |
| Provider Name | Kirsten Leann Schneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699589184 PECOS PAC ID: 9931621505 Enrollment ID: I20250324002409 |
| Provider Name | Leslie Stephens Brewer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346963790 PECOS PAC ID: 3274901830 Enrollment ID: I20250328002526 |
| Provider Name | Gabrielle Proto Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275197543 PECOS PAC ID: 8426448606 Enrollment ID: I20250330000041 |
| Provider Name | Sophia M Karas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215469937 PECOS PAC ID: 7012397581 Enrollment ID: I20250401000360 |
| Provider Name | Rachel a Vasaly Burti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669240628 PECOS PAC ID: 0143743096 Enrollment ID: I20250401001670 |
| Provider Name | Taylor John Noel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194221192 PECOS PAC ID: 2163772526 Enrollment ID: I20250402000822 |
| Provider Name | Omar Naji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962630392 PECOS PAC ID: 6901030279 Enrollment ID: I20250403002464 |
| Provider Name | Jeffrey Peter Yourshaw |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003109869 PECOS PAC ID: 5890912869 Enrollment ID: I20250404000467 |
| Provider Name | Zachariah James Usey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174127849 PECOS PAC ID: 6406370097 Enrollment ID: I20250404000539 |
| Provider Name | Austin Matthew Bond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467849208 PECOS PAC ID: 2668789025 Enrollment ID: I20250407000167 |
| Provider Name | Keyona Hicks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740087709 PECOS PAC ID: 3971027350 Enrollment ID: I20250407002886 |
| Provider Name | Caleb Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972131571 PECOS PAC ID: 9133541345 Enrollment ID: I20250408000832 |
| Provider Name | Gabrielle Rose Kolesar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699523803 PECOS PAC ID: 7012431398 Enrollment ID: I20250408002017 |
| Provider Name | John Bartley Mcgowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538831383 PECOS PAC ID: 0547659799 Enrollment ID: I20250410001053 |
| Provider Name | Mckenzie Brooke Montana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922688480 PECOS PAC ID: 1557765146 Enrollment ID: I20250410001432 |
| Provider Name | Blake Irvan Gereb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639989569 PECOS PAC ID: 6901320951 Enrollment ID: I20250411000033 |
| Provider Name | Michelle Neuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538698972 PECOS PAC ID: 3375801574 Enrollment ID: I20250411000211 |
| Provider Name | Robert Fount Palmer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376101287 PECOS PAC ID: 1759618077 Enrollment ID: I20250411000249 |
| Provider Name | Miguel Rosado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043771314 PECOS PAC ID: 1557699097 Enrollment ID: I20250411000686 |
| Provider Name | Katherine Stuart Donovan Lambert |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679851307 PECOS PAC ID: 5496279325 Enrollment ID: I20250411002399 |
| Provider Name | Yaron Barac |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356894810 PECOS PAC ID: 6507380409 Enrollment ID: I20250414000340 |
| Provider Name | Kasi Cox Shay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558175125 PECOS PAC ID: 3173047073 Enrollment ID: I20250414000560 |
| Provider Name | Eseosa Ighodaro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679139687 PECOS PAC ID: 9739414921 Enrollment ID: I20250415000433 |
| Provider Name | Sasha Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154146397 PECOS PAC ID: 9234654062 Enrollment ID: I20250415000937 |
| Provider Name | Katherine Maryann Wasowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073227583 PECOS PAC ID: 5092230771 Enrollment ID: I20250415002098 |
| Provider Name | Sidney Ray Rhodes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154198422 PECOS PAC ID: 7810412327 Enrollment ID: I20250417000411 |
| Provider Name | Peter Andrew Wheeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134142151 PECOS PAC ID: 1153382114 Enrollment ID: I20250417002312 |
| Provider Name | Peri Louise Munday |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811737489 PECOS PAC ID: 5294250668 Enrollment ID: I20250417002448 |
| Provider Name | Hannah Marie Walter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881355261 PECOS PAC ID: 1355866617 Enrollment ID: I20250418001087 |
| Provider Name | Ashanti Nichelle Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215741657 PECOS PAC ID: 9335664416 Enrollment ID: I20250422001313 |
| Provider Name | Jasmine Shavonn Jackowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053137489 PECOS PAC ID: 4082130810 Enrollment ID: I20250424002557 |
| Provider Name | Abigail C Emerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114757291 PECOS PAC ID: 5092231621 Enrollment ID: I20250428001783 |
| Provider Name | Michal Kaczor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710148614 PECOS PAC ID: 8224205109 Enrollment ID: I20250428004286 |
| Provider Name | Mia Taylor Chandler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982021341 PECOS PAC ID: 0840417598 Enrollment ID: I20250430000605 |
| Provider Name | Nikki Elizabeth Yourshaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366741993 PECOS PAC ID: 7517184856 Enrollment ID: I20250501002556 |
| Provider Name | Kaitlin Christine Merritt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992568026 PECOS PAC ID: 2860919685 Enrollment ID: I20250506001223 |
| Provider Name | Melissa Stephanie Ayala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962208447 PECOS PAC ID: 0941727598 Enrollment ID: I20250507000793 |
| Provider Name | Summer Nicole Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225838295 PECOS PAC ID: 2860919990 Enrollment ID: I20250512002161 |
| Provider Name | Alison Jane Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346046810 PECOS PAC ID: 7113445750 Enrollment ID: I20250516002123 |
| Provider Name | Olivier Belizaire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093308363 PECOS PAC ID: 6608278882 Enrollment ID: I20250528003142 |
| Provider Name | Raymond Scott Duffett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740270990 PECOS PAC ID: 5496717084 Enrollment ID: I20250603003927 |
| Provider Name | Alexis Marie Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174088306 PECOS PAC ID: 4789194606 Enrollment ID: I20250610002221 |
| Provider Name | Emily Caroline Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275348435 PECOS PAC ID: 6103337613 Enrollment ID: I20250612002609 |
| Provider Name | Melanie Christine Womble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427850650 PECOS PAC ID: 9234640087 Enrollment ID: I20250618000692 |
| Provider Name | Gregory Harron Gorman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588683825 PECOS PAC ID: 0042493199 Enrollment ID: I20250623002453 |
| Provider Name | Chance Huntsman Bloomer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245819895 PECOS PAC ID: 2567861214 Enrollment ID: I20250625002150 |
| Provider Name | Sarah Razavi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932639168 PECOS PAC ID: 1759654304 Enrollment ID: I20250627001695 |
| Provider Name | James William Whelan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598754772 PECOS PAC ID: 9335363449 Enrollment ID: I20250630002075 |
| Provider Name | Ryan Paul Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750170304 PECOS PAC ID: 6103332572 Enrollment ID: I20250722003418 |
| Provider Name | Connie Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306424684 PECOS PAC ID: 5092124735 Enrollment ID: I20250725003630 |
| Provider Name | Jessica Lauren Remy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306588843 PECOS PAC ID: 3274913249 Enrollment ID: I20250728000246 |
| Provider Name | Charles Cleveland Colhoun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881486009 PECOS PAC ID: 6305353145 Enrollment ID: I20250728001679 |
| Provider Name | Sneha Chebrolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174263404 PECOS PAC ID: 4486034840 Enrollment ID: I20250729001056 |
| Provider Name | Drake Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174263735 PECOS PAC ID: 3577943935 Enrollment ID: I20250730004309 |
| Provider Name | Frank Louis Ventura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487395737 PECOS PAC ID: 0143600106 Enrollment ID: I20250806004595 |
| Provider Name | Seth Harrison Hensley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891486676 PECOS PAC ID: 5092157115 Enrollment ID: I20250812001489 |
| Provider Name | Skyler Gentry Jones |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073180642 PECOS PAC ID: 8921409723 Enrollment ID: I20250814001063 |
| Provider Name | Julia Celeste Peay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386105195 PECOS PAC ID: 7416287347 Enrollment ID: I20250814003768 |
| Provider Name | David Nathaniel Tryon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508391350 PECOS PAC ID: 3577980010 Enrollment ID: I20250815000068 |
| Provider Name | Oluwatoyin Bamgbola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851369334 PECOS PAC ID: 9335163393 Enrollment ID: I20250815000622 |
| Provider Name | Steven Thomas Abriola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215564794 PECOS PAC ID: 7214358118 Enrollment ID: I20250815003161 |
| Provider Name | Elliott Grant Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326489063 PECOS PAC ID: 6305089350 Enrollment ID: I20250818002837 |
| Provider Name | Honey Lou Vedar Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669233821 PECOS PAC ID: 7618476466 Enrollment ID: I20250818004405 |
| Provider Name | Justine Lynn Balasubramanian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487282133 PECOS PAC ID: 6103238092 Enrollment ID: I20250819003798 |
| Provider Name | Jacqueline Paige Vaquera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174282586 PECOS PAC ID: 9234520537 Enrollment ID: I20250819004001 |
| Provider Name | Joshua Richard Giordano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093344095 PECOS PAC ID: 2567962020 Enrollment ID: I20250820003653 |
| Provider Name | Jessica Ashley Hedrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821899378 PECOS PAC ID: 4789184185 Enrollment ID: I20250820004948 |
| Provider Name | Jamie Beth Hadley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295269512 PECOS PAC ID: 9436427085 Enrollment ID: I20250821001412 |
| Provider Name | Anvi Raina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881042364 PECOS PAC ID: 3072806553 Enrollment ID: I20250822000087 |
| Provider Name | Lindsey Severud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982440301 PECOS PAC ID: 8426558545 Enrollment ID: I20250823000297 |
| Provider Name | Deyette Kay Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760253249 PECOS PAC ID: 8628579091 Enrollment ID: I20250827004944 |
| Provider Name | John Crawford Hunting |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386389906 PECOS PAC ID: 4486034634 Enrollment ID: I20250828001846 |
| Provider Name | Abdullah Kilic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053007492 PECOS PAC ID: 2567963796 Enrollment ID: I20250829000548 |
| Provider Name | Joanna Kee-sampson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790063667 PECOS PAC ID: 0446541858 Enrollment ID: I20250829001306 |
| Provider Name | Emma Fay Fiore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265260707 PECOS PAC ID: 2961903968 Enrollment ID: I20250830000667 |
| Provider Name | Benjamin Christopher Stewart-bates |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1821626896 PECOS PAC ID: 2769803931 Enrollment ID: I20250903001631 |
| Provider Name | Jeremy Wayne Weeks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750275954 PECOS PAC ID: 8921500356 Enrollment ID: I20250905001236 |
| Provider Name | David John Tudhope |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649058140 PECOS PAC ID: 9234631680 Enrollment ID: I20250905001678 |
| Provider Name | Genelle Wager Hix |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215049580 PECOS PAC ID: 6002319589 Enrollment ID: I20250911001018 |
| Provider Name | Ian Campbell Murphy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548780687 PECOS PAC ID: 1355613167 Enrollment ID: I20250911001788 |
| Provider Name | Courtney Marie Vandermeersch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326625716 PECOS PAC ID: 2062812902 Enrollment ID: I20250911002106 |
| Provider Name | Emily Addison Bardolph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154783314 PECOS PAC ID: 9739471632 Enrollment ID: I20250915001283 |
| Provider Name | Abhimanyu Aggarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447605704 PECOS PAC ID: 7618365511 Enrollment ID: I20250915001479 |
| Provider Name | Huy Nam DO |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881263127 PECOS PAC ID: 3173026010 Enrollment ID: I20250915002506 |
| Provider Name | Ricardo Bello Martinez |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1164945309 PECOS PAC ID: 3476899469 Enrollment ID: I20250915003068 |
| Provider Name | Maria Beane Dickenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275326845 PECOS PAC ID: 6406350107 Enrollment ID: I20250916004485 |
| Provider Name | Ethan Murray Duane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154880466 PECOS PAC ID: 5890029144 Enrollment ID: I20250919000189 |
| Provider Name | Sabrina Zainub Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821611682 PECOS PAC ID: 8820412281 Enrollment ID: I20250919002479 |
| Provider Name | Dina Fayez Khamash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841854981 PECOS PAC ID: 2860874708 Enrollment ID: I20250924000017 |
| Provider Name | Gregory Louis Backes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558997486 PECOS PAC ID: 5597189746 Enrollment ID: I20250925002093 |
| Provider Name | Matthew Joseph Arnold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235972621 PECOS PAC ID: 4082119599 Enrollment ID: I20250925002490 |
| Provider Name | Sean Alexander Weber |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164050217 PECOS PAC ID: 0547664393 Enrollment ID: I20250925003570 |
| Provider Name | Marybeth Gail Diaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992541155 PECOS PAC ID: 7012413131 Enrollment ID: I20250929002045 |
| Provider Name | Taylor Baker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285208470 PECOS PAC ID: 4284033655 Enrollment ID: I20250930002850 |
| Provider Name | Colton Riner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629655527 PECOS PAC ID: 5698297893 Enrollment ID: I20251001000779 |
| Provider Name | Kaitlyn Shoaf Sells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114811619 PECOS PAC ID: 0042716797 Enrollment ID: I20251001002191 |
| Provider Name | Natalie Keane Domeisen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366070492 PECOS PAC ID: 4880011766 Enrollment ID: I20251001002379 |
| Provider Name | Lindsay Alexandra Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629643218 PECOS PAC ID: 8123428265 Enrollment ID: I20251001003404 |
| Provider Name | Justin Cates |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780768895 PECOS PAC ID: 7214964501 Enrollment ID: I20251001004004 |
| Provider Name | Courtney Lane Rowland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033868138 PECOS PAC ID: 3072993419 Enrollment ID: I20251001004863 |
| Provider Name | Emily Anne Gaid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356929939 PECOS PAC ID: 9931508090 Enrollment ID: I20251002003051 |
| Provider Name | Soroush Rais-bahrami |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851660849 PECOS PAC ID: 4688894728 Enrollment ID: I20251002003154 |
| Provider Name | Ashley Lynn Berridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053106849 PECOS PAC ID: 0143726695 Enrollment ID: I20251002003757 |
| Provider Name | Sara Kate Hrivnak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619610573 PECOS PAC ID: 9931589033 Enrollment ID: I20251006000863 |
| Provider Name | David Paul Kunz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164414157 PECOS PAC ID: 2769387125 Enrollment ID: I20251006003002 |
| Provider Name | Pir Saad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972168094 PECOS PAC ID: 1850762253 Enrollment ID: I20251007000072 |
| Provider Name | Benjamin Ambrose Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447991641 PECOS PAC ID: 6800274507 Enrollment ID: I20251007001770 |
| Provider Name | Cassidy Ann Guida |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831775261 PECOS PAC ID: 4082142658 Enrollment ID: I20251009001245 |
| Provider Name | Michelle Marie Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952136848 PECOS PAC ID: 4981101482 Enrollment ID: I20251009003472 |
| Provider Name | Scott Andrew Sylvester |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356737969 PECOS PAC ID: 2365751906 Enrollment ID: I20251009004114 |
| Provider Name | Jessica Lynn Hinaman Destefano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093344970 PECOS PAC ID: 7113336090 Enrollment ID: I20251010000121 |
| Provider Name | Murraysha Orlandra Barnes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437942174 PECOS PAC ID: 1153828405 Enrollment ID: I20251010002969 |
| Provider Name | Mohammed Elsadany |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235652546 PECOS PAC ID: 2860999133 Enrollment ID: I20251010003304 |
| Provider Name | Owen Louis Krueger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457930356 PECOS PAC ID: 6901207968 Enrollment ID: I20251011000484 |
| Provider Name | Krishna Prasad Joshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164808168 PECOS PAC ID: 2769799097 Enrollment ID: I20251013004024 |
| Provider Name | Helen Jean Macmillan Malone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366402190 PECOS PAC ID: 8123258126 Enrollment ID: I20251014002709 |
| Provider Name | Whitney Allen Goering |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205248531 PECOS PAC ID: 8325535073 Enrollment ID: I20251015004094 |
| Provider Name | Peyton Alexandra Mckean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003625088 PECOS PAC ID: 7214424910 Enrollment ID: I20251016000024 |
| Provider Name | Khoa Lam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225318827 PECOS PAC ID: 1254753429 Enrollment ID: I20251016003333 |
| Provider Name | Zachary Forrest Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023646072 PECOS PAC ID: 7719309350 Enrollment ID: I20251016004483 |
| Provider Name | Sharon Guarino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336883255 PECOS PAC ID: 8527447572 Enrollment ID: I20251017002156 |
| Provider Name | Neil B Thackar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144845363 PECOS PAC ID: 1759704562 Enrollment ID: I20251021003058 |
| Provider Name | Japri Nicole Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295476596 PECOS PAC ID: 0749668457 Enrollment ID: I20251021003875 |
| Provider Name | Racquel Spegele |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669059572 PECOS PAC ID: 7911307517 Enrollment ID: I20251021004118 |
| Provider Name | Rachael Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770473605 PECOS PAC ID: 9234627209 Enrollment ID: I20251022000139 |
| Provider Name | Alexander Peyton Nesmith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679139992 PECOS PAC ID: 4587152558 Enrollment ID: I20251022000220 |
| Provider Name | Katlyn Elizabeth Scheppegrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629719901 PECOS PAC ID: 7719360627 Enrollment ID: I20251022000247 |
| Provider Name | Sarah Elizabeth Stim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871487694 PECOS PAC ID: 2264920255 Enrollment ID: I20251022000835 |
| Provider Name | Philip O Mendy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013641356 PECOS PAC ID: 4082102934 Enrollment ID: I20251022002732 |
| Provider Name | Russell Lindbergh Platt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801545512 PECOS PAC ID: 8921489766 Enrollment ID: I20251022004541 |
| Provider Name | Alaina Giacobbe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528680626 PECOS PAC ID: 4486075801 Enrollment ID: I20251022004747 |
| Provider Name | Melissa Harris Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740078468 PECOS PAC ID: 7315435245 Enrollment ID: I20251023000036 |
| Provider Name | Ryan Andrew Chapman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649910571 PECOS PAC ID: 7012399587 Enrollment ID: I20251023000806 |
| Provider Name | Marc-edwin Gabriel Saint-louis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215513262 PECOS PAC ID: 5092251181 Enrollment ID: I20251023001193 |
| Provider Name | Weronika Julia Rakowska |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760216162 PECOS PAC ID: 9638667447 Enrollment ID: I20251023001715 |
| Provider Name | Courtney Renee Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649092313 PECOS PAC ID: 0244768513 Enrollment ID: I20251023003866 |
| Provider Name | Kyle Joseph Jonas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336035302 PECOS PAC ID: 5890283584 Enrollment ID: I20251023004219 |
| Provider Name | Sneha Rao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902367154 PECOS PAC ID: 3173055878 Enrollment ID: I20251023004683 |
| Provider Name | Mariah Leigh Wright-nadkarni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578026225 PECOS PAC ID: 4789911850 Enrollment ID: I20251023004833 |
| Provider Name | Karol Cardenas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699400580 PECOS PAC ID: 3971986902 Enrollment ID: I20251024000780 |
| Provider Name | Tyler Preston Ray Harper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255918132 PECOS PAC ID: 2466861588 Enrollment ID: I20251024001806 |
| Provider Name | Alexandra Jane Prescott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295465458 PECOS PAC ID: 4688162175 Enrollment ID: I20251025000045 |
| Provider Name | Zachary Emmanuel Zeller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730715608 PECOS PAC ID: 0446661052 Enrollment ID: I20251027002749 |
| Provider Name | Jessica Saunders Lennon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396254256 PECOS PAC ID: 4789944141 Enrollment ID: I20251028000673 |
| Provider Name | Casey Catherine Morrone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205464856 PECOS PAC ID: 9436570264 Enrollment ID: I20251030000256 |
| Provider Name | Nabil Rahoui |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437772076 PECOS PAC ID: 7315436326 Enrollment ID: I20251030000472 |
| Provider Name | Justin Trevor Little |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083260509 PECOS PAC ID: 9638593254 Enrollment ID: I20251030000563 |
| Provider Name | Ashley Jalisa Crosby |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932781671 PECOS PAC ID: 9234539982 Enrollment ID: I20251030002648 |
| Provider Name | Tracie Lynn Reamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114620689 PECOS PAC ID: 3072978402 Enrollment ID: I20251030003481 |
| Provider Name | Mary Oluwaseun Olowere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922726090 PECOS PAC ID: 4789173519 Enrollment ID: I20251030003727 |
| Provider Name | Samantha Elizabeth Horowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841949351 PECOS PAC ID: 4587045638 Enrollment ID: I20251104000478 |
| Provider Name | Yilmaz Ates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790568772 PECOS PAC ID: 6507356904 Enrollment ID: I20251105000515 |
| Provider Name | Kapilkumar Nalinbhai Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356416531 PECOS PAC ID: 1456350057 Enrollment ID: I20251105003599 |
| Provider Name | Hayden Presley Barrett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467075606 PECOS PAC ID: 7113345935 Enrollment ID: I20251105004422 |
| Provider Name | Allison Mary Johns |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598129918 PECOS PAC ID: 0042506180 Enrollment ID: I20251105004659 |
| Provider Name | Kaitlin Samantha Jenkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114813748 PECOS PAC ID: 1456841600 Enrollment ID: I20251106000422 |
| Provider Name | John Pistner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518349752 PECOS PAC ID: 3476863143 Enrollment ID: I20251106000863 |
| Provider Name | Amirhossein Moaddab |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043742232 PECOS PAC ID: 3274870399 Enrollment ID: I20251107001379 |
| Provider Name | Lauren Claire Cooper |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154957165 PECOS PAC ID: 9133541840 Enrollment ID: I20251108000389 |
| Provider Name | Leon Bernal-mizrachi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942336920 PECOS PAC ID: 6901907781 Enrollment ID: I20251111000068 |
| Provider Name | Neelam Ashish Makhijani |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1063615409 PECOS PAC ID: 7416027925 Enrollment ID: I20251111003656 |
| Provider Name | Jennifer Carol White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538899745 PECOS PAC ID: 6800387408 Enrollment ID: I20251111003660 |
| Provider Name | Olivia Fukui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861952822 PECOS PAC ID: 3072849710 Enrollment ID: I20251111003749 |
| Provider Name | Nichole Marie Like Perry |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1215490206 PECOS PAC ID: 1850815200 Enrollment ID: I20251112000000 |
| Provider Name | Andy Adisorn Nakmanee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326781527 PECOS PAC ID: 1658862214 Enrollment ID: I20251112001604 |
| Provider Name | Arianna Armin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710627021 PECOS PAC ID: 9335529437 Enrollment ID: I20251112001887 |
| Provider Name | Katherine Margaret Sharkey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679607329 PECOS PAC ID: 0446341929 Enrollment ID: I20251114002422 |
| Provider Name | Timothy Jude Savoie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386637205 PECOS PAC ID: 6002873080 Enrollment ID: I20251114002634 |
| Provider Name | Sara Ann Barlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346828407 PECOS PAC ID: 2769883313 Enrollment ID: I20251118000107 |
| Provider Name | Alaina Grimes Maddox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396528378 PECOS PAC ID: 7012408131 Enrollment ID: I20251118000118 |
| Provider Name | Alexandra Anamaria Dias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821583766 PECOS PAC ID: 9638570674 Enrollment ID: I20251118003698 |
| Provider Name | Donald Scholten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386176964 PECOS PAC ID: 2062782964 Enrollment ID: I20251119000028 |
| Provider Name | Katherine Anne Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104714500 PECOS PAC ID: 9234620121 Enrollment ID: I20251119000099 |
| Provider Name | Mariam Kharbat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528956695 PECOS PAC ID: 7719479518 Enrollment ID: I20251119003742 |
| Provider Name | Erich Mussak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639343148 PECOS PAC ID: 2264698471 Enrollment ID: I20251120001790 |
| Provider Name | Jessica Reed Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154214724 PECOS PAC ID: 0446742027 Enrollment ID: I20251121000081 |
| Provider Name | Anna Margaret Steel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104713338 PECOS PAC ID: 5395237978 Enrollment ID: I20251121000112 |
| Provider Name | Sylvester Antoine Homsy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093207771 PECOS PAC ID: 0345587648 Enrollment ID: I20251124000454 |
| Provider Name | Alexa Rose Bumgarner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205654829 PECOS PAC ID: 7012409345 Enrollment ID: I20251125000276 |
| Provider Name | Emily Paige Simonson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033003066 PECOS PAC ID: 3375035389 Enrollment ID: I20251125004888 |
| Provider Name | Kang Rui Xiang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518429802 PECOS PAC ID: 4486989209 Enrollment ID: I20251126001521 |
| Provider Name | Shannon Marie Mcnally Rex |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689551996 PECOS PAC ID: 5395237226 Enrollment ID: I20251126002730 |
| Provider Name | Susan Toalson Kendall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942083928 PECOS PAC ID: 5890287759 Enrollment ID: I20251126003715 |
| Provider Name | Thea Marie Pflum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629964903 PECOS PAC ID: 8527550409 Enrollment ID: I20251128000210 |
| Provider Name | Samran Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982023396 PECOS PAC ID: 1153623392 Enrollment ID: I20251129000288 |
| Provider Name | Marisa Christine Britz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356769970 PECOS PAC ID: 3678803301 Enrollment ID: I20251202001483 |
| Provider Name | Andrew Charles Storm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427357839 PECOS PAC ID: 2860641180 Enrollment ID: I20251202002144 |
| Provider Name | Alexandria Jane Ficarro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619866233 PECOS PAC ID: 0941793426 Enrollment ID: I20251203001832 |
| Provider Name | Brandon James Zwick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780317958 PECOS PAC ID: 4284018391 Enrollment ID: I20251203003935 |
| Provider Name | Tyler Combs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669095840 PECOS PAC ID: 2961827191 Enrollment ID: I20251204000542 |
| Provider Name | Demetrica Hagler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124869995 PECOS PAC ID: 0345733762 Enrollment ID: I20251204000786 |
| Provider Name | Rikita Jitendrakumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881334829 PECOS PAC ID: 8820581143 Enrollment ID: I20251204004000 |
| Provider Name | Rachel Leigh Honig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003376997 PECOS PAC ID: 6406181775 Enrollment ID: I20251208000635 |
| Provider Name | Morgan Ann Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477085058 PECOS PAC ID: 7517238702 Enrollment ID: I20251209001136 |
| Provider Name | Fulfilled Iwosa Ighalo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811558539 PECOS PAC ID: 8628308731 Enrollment ID: I20251210000615 |
| Provider Name | Jelena Popov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740923515 PECOS PAC ID: 3870087224 Enrollment ID: I20251212000373 |
| Provider Name | Kinley Morgan Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750260758 PECOS PAC ID: 2466946702 Enrollment ID: I20251212003716 |
| Provider Name | Kiran Regmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851522585 PECOS PAC ID: 7719202548 Enrollment ID: I20251215000589 |
| Provider Name | Satyam Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356608707 PECOS PAC ID: 0143574251 Enrollment ID: I20251216002922 |
| Provider Name | Rojina Pant |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336454040 PECOS PAC ID: 1153627948 Enrollment ID: I20251217001721 |
| Provider Name | Victoria Yvonne Voorhees |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770078701 PECOS PAC ID: 7517452535 Enrollment ID: I20251217003234 |
| Provider Name | Kayla Marie Gallucci |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932943842 PECOS PAC ID: 0345735163 Enrollment ID: I20251219000484 |
| Provider Name | Harsh M Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730528340 PECOS PAC ID: 4789994500 Enrollment ID: I20251219001682 |
| Provider Name | Lynnee Kay Vaught |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144965799 PECOS PAC ID: 6800277492 Enrollment ID: I20251219004072 |
| Provider Name | Jessica Judith Fritson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215569215 PECOS PAC ID: 7719472380 Enrollment ID: I20251220000037 |
| Provider Name | Kristopher Lin Dixon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699270728 PECOS PAC ID: 6406106285 Enrollment ID: I20251222001715 |
| Provider Name | Navjot Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447925151 PECOS PAC ID: 2769900273 Enrollment ID: I20251222003110 |
| Provider Name | Jacob Crawford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033748983 PECOS PAC ID: 7214477595 Enrollment ID: I20251223002339 |
| Provider Name | Caitlin Ann Kimberly-baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043848575 PECOS PAC ID: 8729403514 Enrollment ID: I20251223002850 |
| Provider Name | Bhumi Kirit Kesar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649665258 PECOS PAC ID: 7911297361 Enrollment ID: I20251230000849 |
| Provider Name | Morgan Brooke Feimster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255203519 PECOS PAC ID: 2062908023 Enrollment ID: I20251230001392 |
| Provider Name | Kevin Charles Diehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588307110 PECOS PAC ID: 0749660041 Enrollment ID: I20251230002772 |
| Provider Name | Jennifer Michelle Labrano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205625563 PECOS PAC ID: 0446746192 Enrollment ID: I20251231003045 |
| Provider Name | Darinisha Sierra Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902588510 PECOS PAC ID: 9436506185 Enrollment ID: I20251231003605 |
| Provider Name | Nitya Tangada Rao |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700451077 PECOS PAC ID: 3779079454 Enrollment ID: I20251231003822 |
| Provider Name | Grace Faith Chao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861928715 PECOS PAC ID: 1557632577 Enrollment ID: I20251231004132 |
| Provider Name | Brittany Michelle Andrade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316670102 PECOS PAC ID: 8224524921 Enrollment ID: I20251231004198 |
| Provider Name | Shehab Foiz Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669098604 PECOS PAC ID: 8527414804 Enrollment ID: I20260102003457 |
| Provider Name | Zachary James Mcdowell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447637400 PECOS PAC ID: 8123425410 Enrollment ID: I20260106000110 |
| Provider Name | Benjamin Isaac Roland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144917956 PECOS PAC ID: 2860978145 Enrollment ID: I20260107002589 |
| Provider Name | Mena Isnassuos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124438981 PECOS PAC ID: 9537577069 Enrollment ID: I20260107003949 |
| Provider Name | Kush Bhorania |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982023180 PECOS PAC ID: 1951676956 Enrollment ID: I20260107004147 |
| Provider Name | Christina Lozada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841795549 PECOS PAC ID: 6204224058 Enrollment ID: I20260108002584 |
| Provider Name | Daniel Kindell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841788940 PECOS PAC ID: 9931463544 Enrollment ID: I20260108003589 |
| Provider Name | Ruth Ann Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225909229 PECOS PAC ID: 5597241406 Enrollment ID: I20260110000120 |
| Provider Name | Samantha Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265321277 PECOS PAC ID: 1850877580 Enrollment ID: I20260112002914 |
| Provider Name | Alexis Andrea Webber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871097865 PECOS PAC ID: 5294063434 Enrollment ID: I20260113000322 |
| Provider Name | Briana Leigh Goddard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144859091 PECOS PAC ID: 7113403825 Enrollment ID: I20260113001357 |
| Provider Name | Christopher Yen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942098694 PECOS PAC ID: 7113403635 Enrollment ID: I20260114002111 |
| Provider Name | Krystal Simone Rene Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992597645 PECOS PAC ID: 2769968205 Enrollment ID: I20260114002757 |
| Provider Name | Varun Kesar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922493857 PECOS PAC ID: 7719235720 Enrollment ID: I20260115000120 |
| Provider Name | Sarah Danielle Price |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326615196 PECOS PAC ID: 8921584335 Enrollment ID: I20260115000474 |
| Provider Name | Megan Hui-hen Mapes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902797467 PECOS PAC ID: 5799261129 Enrollment ID: I20260115001160 |
| Provider Name | Kendall Rebecca Mcdill |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982353660 PECOS PAC ID: 0244612596 Enrollment ID: I20260115002273 |
| Provider Name | Obafunbi O Abimbola-awopetu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154941037 PECOS PAC ID: 7315378734 Enrollment ID: I20260115002376 |
| Provider Name | Meagan Prevatte Bachmann |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326213331 PECOS PAC ID: 8426541350 Enrollment ID: I20260115002809 |
| Provider Name | Abbey Paulsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457021156 PECOS PAC ID: 6608261136 Enrollment ID: I20260115003190 |
| Provider Name | Justin Fitts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164230876 PECOS PAC ID: 2062999295 Enrollment ID: I20260120001619 |
| Provider Name | Kierstin Baucom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306620265 PECOS PAC ID: 7911484043 Enrollment ID: I20260121000507 |
| Provider Name | Haden Andrew Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134910656 PECOS PAC ID: 1658858790 Enrollment ID: I20260121000779 |
| Provider Name | Ashleigh Jordan Starnes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902510449 PECOS PAC ID: 3072090125 Enrollment ID: I20260121000969 |
| Provider Name | Meyha Natasha Swaroop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649859810 PECOS PAC ID: 8224447123 Enrollment ID: I20260121001536 |
| Provider Name | Priya Priyambada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649535519 PECOS PAC ID: 6204129760 Enrollment ID: I20260121003078 |
| Provider Name | Aaron James Blevins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285375550 PECOS PAC ID: 8921488917 Enrollment ID: I20260122000776 |
| Provider Name | Albert Thomas Anastasio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861954828 PECOS PAC ID: 0042797912 Enrollment ID: I20260122001065 |
| Provider Name | Brady Stephen Workman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902438716 PECOS PAC ID: 0749767630 Enrollment ID: I20260122001508 |
| Provider Name | Asher Reuel Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497597215 PECOS PAC ID: 4880132695 Enrollment ID: I20260122002002 |
| Provider Name | Shriman Narayan Balasubramanian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548848674 PECOS PAC ID: 7618470188 Enrollment ID: I20260122002265 |
| Provider Name | Amanda Kington Karp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679213839 PECOS PAC ID: 9638558786 Enrollment ID: I20260122003013 |
| Provider Name | Amanda Joy Prozeralik |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689569345 PECOS PAC ID: 6406346097 Enrollment ID: I20260122003023 |
| Provider Name | Parminder Singh Dhingra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457882599 PECOS PAC ID: 2264856434 Enrollment ID: I20260123002851 |
| Provider Name | Matthew Boisvert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043897069 PECOS PAC ID: 7113326604 Enrollment ID: I20260125000007 |
| Provider Name | Apurva Ashok Bonde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699157289 PECOS PAC ID: 9931415031 Enrollment ID: I20260127002956 |
| Provider Name | Cole James Cibu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780575092 PECOS PAC ID: 7416435847 Enrollment ID: I20260128001748 |
| Provider Name | Tanureet Kochar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255782215 PECOS PAC ID: 3678869302 Enrollment ID: I20260128003329 |
| Provider Name | Parker Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396618419 PECOS PAC ID: 3476031592 Enrollment ID: I20260130001132 |
| Provider Name | Caleb Steven Holmes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346133535 PECOS PAC ID: 7012495013 Enrollment ID: I20260131000061 |
| Provider Name | Ashley Streseman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821627530 PECOS PAC ID: 4284112285 Enrollment ID: I20260131000133 |
| Provider Name | Curtis James Wurz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306502018 PECOS PAC ID: 4688069545 Enrollment ID: I20260202002309 |
| Provider Name | Savannah Skye Flemming |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245106376 PECOS PAC ID: 8628556461 Enrollment ID: I20260202002713 |
| Provider Name | Leyanet Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841752060 PECOS PAC ID: 3476933946 Enrollment ID: I20260202003406 |
| Provider Name | Leigha Doxtad Landreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730921776 PECOS PAC ID: 2567940349 Enrollment ID: I20260203000211 |
| Provider Name | Bradley Norman Reames |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023246220 PECOS PAC ID: 2567779242 Enrollment ID: I20260203001156 |
| Provider Name | Yoji Ogura |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558075325 PECOS PAC ID: 4880055912 Enrollment ID: I20260203001322 |
| Provider Name | Carolyn Nicole Masters |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164055208 PECOS PAC ID: 8325526064 Enrollment ID: I20260203001778 |
| Provider Name | Michael Joseph Pierro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336671130 PECOS PAC ID: 1456787795 Enrollment ID: I20260203004104 |
| Provider Name | Reddy Sreeniva Singasani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578882627 PECOS PAC ID: 7416378401 Enrollment ID: I20260204000376 |
| Provider Name | Christian Rubio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497499941 PECOS PAC ID: 6002299344 Enrollment ID: I20260205001813 |
| Provider Name | Darryl Glenn Beauchamp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770850752 PECOS PAC ID: 0143709600 Enrollment ID: I20260205002244 |
| Provider Name | Kanika Thapar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568924959 PECOS PAC ID: 5496295396 Enrollment ID: I20260206001017 |
| Provider Name | Richard Carlton Cutchin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629021829 PECOS PAC ID: 3577545094 Enrollment ID: I20260206002059 |
| Provider Name | Prerana Aghamkar Williamson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114344207 PECOS PAC ID: 7214416569 Enrollment ID: I20260207000821 |
| Provider Name | Collin James Innis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437788858 PECOS PAC ID: 5597178152 Enrollment ID: I20260208000024 |
| Provider Name | Jaideep Shrinivas Joshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972572592 PECOS PAC ID: 8123922283 Enrollment ID: I20260208000092 |
| Provider Name | Madison Leigh Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982359568 PECOS PAC ID: 1456731694 Enrollment ID: I20260209000369 |
| Provider Name | Tasmia Bano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306717814 PECOS PAC ID: 9931688116 Enrollment ID: I20260209001206 |
| Provider Name | Hana Cecilia Kuwabara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164116117 PECOS PAC ID: 1759860851 Enrollment ID: I20260209003968 |
| Provider Name | Anna Kathryn Huber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285048561 PECOS PAC ID: 0749645653 Enrollment ID: I20260210000219 |
| Provider Name | Garrett Anderson Vass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629726641 PECOS PAC ID: 3476928144 Enrollment ID: I20260211001002 |
| Provider Name | Dominique Anna Gelmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033851589 PECOS PAC ID: 4385026012 Enrollment ID: I20260211001735 |
| Provider Name | Jenifer Telma Centeno Gavica |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922685460 PECOS PAC ID: 0547662975 Enrollment ID: I20260211001829 |
| Provider Name | Marianne Milazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467263368 PECOS PAC ID: 9234618000 Enrollment ID: I20260211002601 |
| Provider Name | Charu Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073870002 PECOS PAC ID: 6608186127 Enrollment ID: I20260212000112 |
| Provider Name | Cherie Seara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972994218 PECOS PAC ID: 1052486081 Enrollment ID: I20260212001312 |
| Provider Name | Dena Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568320604 PECOS PAC ID: 7517447253 Enrollment ID: I20260212003685 |
| Provider Name | Christopher Robert Mcgirt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184599094 PECOS PAC ID: 6709366172 Enrollment ID: I20260214000558 |
| Provider Name | Ric Bradford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396754719 PECOS PAC ID: 1658326301 Enrollment ID: I20260216000065 |
| Provider Name | Melanie Carol Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104321017 PECOS PAC ID: 4385124767 Enrollment ID: I20260216000297 |
| Provider Name | Shayna Lee Desando |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154902468 PECOS PAC ID: 0840691556 Enrollment ID: I20260216002818 |
| Provider Name | Jonathan Elliot Jennings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760419337 PECOS PAC ID: 3072557495 Enrollment ID: I20260216003275 |
| Provider Name | Laila Alexandria Hussein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104486000 PECOS PAC ID: 0547692402 Enrollment ID: I20260217003299 |
| Provider Name | Rebecca Kate Prettyman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265222772 PECOS PAC ID: 0042790065 Enrollment ID: I20260217003665 |
| Provider Name | Martha Elaine Orcutt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992054977 PECOS PAC ID: 3173012762 Enrollment ID: I20260218000430 |
| Provider Name | Alisha Brooke Baggett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265995997 PECOS PAC ID: 3971839556 Enrollment ID: I20260218001666 |
| Provider Name | Orlin Hadjiev |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528269719 PECOS PAC ID: 7719030493 Enrollment ID: I20260218001732 |
| Provider Name | Elisabeth Amy Barrar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932741147 PECOS PAC ID: 2668952516 Enrollment ID: I20260218002653 |
| Provider Name | Hannah Elizabeth Porter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508440330 PECOS PAC ID: 9436559671 Enrollment ID: I20260218003681 |
| Provider Name | Autumn Elizabeth Anne Brewer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164001848 PECOS PAC ID: 8729579271 Enrollment ID: I20260219000271 |
| Provider Name | Katie Lynn Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245103977 PECOS PAC ID: 4789164559 Enrollment ID: I20260219001647 |
| Provider Name | Chandu Siripuram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700134079 PECOS PAC ID: 4486961851 Enrollment ID: I20260220001674 |
| Provider Name | Merritt Grace Tuttle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073044566 PECOS PAC ID: 7810237278 Enrollment ID: I20260221000390 |
| Provider Name | Julian Bernardo Herrera Acevedo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427758838 PECOS PAC ID: 9931680501 Enrollment ID: I20260221000449 |
| Provider Name | Emma Clare Sutovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356204697 PECOS PAC ID: 5496236028 Enrollment ID: I20260223000833 |
| Provider Name | Alexander Brigantty-vazquez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063914562 PECOS PAC ID: 7719225622 Enrollment ID: I20260223002993 |
| Provider Name | Jason Simpore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518617885 PECOS PAC ID: 6204214315 Enrollment ID: I20260224002107 |
| Provider Name | Neel Venkat Vellanki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841872926 PECOS PAC ID: 8820490105 Enrollment ID: I20260224003183 |
| Provider Name | Jay Edmond Allard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023094976 PECOS PAC ID: 0547443582 Enrollment ID: I20260224004623 |
| Provider Name | Brandon Ellis Bolton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548147390 PECOS PAC ID: 5395226674 Enrollment ID: I20260225000790 |
| Provider Name | Kacey Min Chae |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992362115 PECOS PAC ID: 7810220225 Enrollment ID: I20260225001760 |
| Provider Name | Jimmy Ching Man Leung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750370714 PECOS PAC ID: 1759370349 Enrollment ID: I20260225003057 |
| Provider Name | Steven Charles Eastlack |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417578709 PECOS PAC ID: 8325469851 Enrollment ID: I20260225003090 |
| Provider Name | Anthony Fappiano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598342461 PECOS PAC ID: 5890175665 Enrollment ID: I20260225003116 |
| Provider Name | Shingo Kihira |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134652753 PECOS PAC ID: 2062752447 Enrollment ID: I20260225003849 |
| Provider Name | Gibson Klapthor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063049518 PECOS PAC ID: 2062813736 Enrollment ID: I20260225004550 |
| Provider Name | Megan Frances Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275161499 PECOS PAC ID: 3678082674 Enrollment ID: I20260226000761 |
| Provider Name | Laura Morgan Welch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922976232 PECOS PAC ID: 8325529415 Enrollment ID: I20260226001685 |
| Provider Name | Lieuko Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235289364 PECOS PAC ID: 3870721293 Enrollment ID: I20260226002041 |
| Provider Name | Jordan Elizabeth Nogle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558003186 PECOS PAC ID: 0749662989 Enrollment ID: I20260226002430 |
| Provider Name | Mohamad Abed Asfour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306423744 PECOS PAC ID: 3678977519 Enrollment ID: I20260226002910 |
| Provider Name | Pallavi Mishra |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164983680 PECOS PAC ID: 0749637973 Enrollment ID: I20260226003784 |
| Provider Name | Victoria Ifedinma Udochu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437048162 PECOS PAC ID: 1456832328 Enrollment ID: I20260227003115 |
| Provider Name | Dor Shalom Shoshan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710448204 PECOS PAC ID: 9830429539 Enrollment ID: I20260227003779 |
| Provider Name | Lauren Nicole Cozart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053041376 PECOS PAC ID: 5395227292 Enrollment ID: I20260228000036 |
| Provider Name | Kellie Breawn Shell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487231957 PECOS PAC ID: 0840693289 Enrollment ID: I20260228000129 |
| Provider Name | Kristen Mary Phillips |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518252485 PECOS PAC ID: 9638651540 Enrollment ID: I20260228000208 |
| Provider Name | Leonard Haynes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679349492 PECOS PAC ID: 8628510674 Enrollment ID: I20260228000248 |
| Provider Name | Kyle Matthew Fredrickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134869696 PECOS PAC ID: 2264814870 Enrollment ID: I20260228000280 |
| Provider Name | Adam Fine Petraglia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649809591 PECOS PAC ID: 3779907712 Enrollment ID: I20260228000349 |
| Provider Name | Anil Yashoda Tumu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508094756 PECOS PAC ID: 3779895537 Enrollment ID: I20260228000386 |
| Provider Name | Kaysey Michelle Llorente |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487116315 PECOS PAC ID: 3274860119 Enrollment ID: I20260228000405 |
| Provider Name | Suzan Farris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770161358 PECOS PAC ID: 5698175628 Enrollment ID: I20260303002198 |
| Provider Name | Hanadi Abdelaziz Osman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447830310 PECOS PAC ID: 9830507342 Enrollment ID: I20260303002463 |
| Provider Name | Vidhyulatha Sanata |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578237731 PECOS PAC ID: 6002398724 Enrollment ID: I20260303002553 |
| Provider Name | Isaac Carter Foster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043940026 PECOS PAC ID: 0345722070 Enrollment ID: I20260303002774 |
| Provider Name | Abigail Mary Ann Reynolds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992590269 PECOS PAC ID: 1951883370 Enrollment ID: I20260304004270 |
| Provider Name | Lisa Marie Cosgrove |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336527225 PECOS PAC ID: 6608177738 Enrollment ID: I20260306000109 |
| Provider Name | Hannah Labarge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285497594 PECOS PAC ID: 1355789868 Enrollment ID: I20260309000435 |
| Provider Name | Emily Elizabeth Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780467761 PECOS PAC ID: 6002399003 Enrollment ID: I20260309000843 |
| Provider Name | Barbara Elizabeth Kissam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881689362 PECOS PAC ID: 3678712916 Enrollment ID: I20260310000480 |
| Provider Name | Elizabeth Marie Strom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003703810 PECOS PAC ID: 7416430178 Enrollment ID: I20260311000286 |
| Provider Name | Kirby Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033001979 PECOS PAC ID: 3971086604 Enrollment ID: I20260311002241 |
| Provider Name | Ingrid Gunther Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104216134 PECOS PAC ID: 2365761939 Enrollment ID: I20260311002410 |
| Provider Name | Erin Elizabeth Steffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235092362 PECOS PAC ID: 1153804638 Enrollment ID: I20260312002258 |
| Provider Name | Benjamin Edward Kanzigg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124986617 PECOS PAC ID: 2163905514 Enrollment ID: I20260313000603 |
| Provider Name | Danielle Grace Mcmanus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598657108 PECOS PAC ID: 9234612573 Enrollment ID: I20260313003311 |
| Provider Name | Alexandra Jean Valencik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205404944 PECOS PAC ID: 9739584020 Enrollment ID: I20260317000806 |
| Provider Name | Rachel Lee Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881329688 PECOS PAC ID: 7911389481 Enrollment ID: I20260317001602 |
| Provider Name | Lauren Renea Parker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629860580 PECOS PAC ID: 4880178904 Enrollment ID: I20260317003477 |
| Provider Name | Stephanie Michelle Miles Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861081796 PECOS PAC ID: 5991163479 Enrollment ID: I20260318000889 |
| Provider Name | Patrick Cepeda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083246011 PECOS PAC ID: 6002289188 Enrollment ID: I20260319000301 |
| Provider Name | Meredith Wall Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750252813 PECOS PAC ID: 8729562509 Enrollment ID: I20260319001627 |
| Provider Name | Amoli Anand Kothari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295695021 PECOS PAC ID: 5698259307 Enrollment ID: I20260320001189 |
| Provider Name | Jasmine Rose Essa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437031564 PECOS PAC ID: 2163906603 Enrollment ID: I20260323001417 |
| Provider Name | Mason Reed Mcmanus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487237236 PECOS PAC ID: 3476037839 Enrollment ID: I20260324001955 |
| Provider Name | Christine M Peverini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568640019 PECOS PAC ID: 2668537002 Enrollment ID: I20260327001482 |
| Provider Name | William Scott Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902871429 PECOS PAC ID: 7012942881 Enrollment ID: I20260327002142 |
| Provider Name | Jordan House Creasy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568341774 PECOS PAC ID: 3678058427 Enrollment ID: I20260330002075 |
| Provider Name | Jordan Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205457256 PECOS PAC ID: 9133543192 Enrollment ID: I20260330003186 |
| Provider Name | Kristen Grosso |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588546428 PECOS PAC ID: 7416432943 Enrollment ID: I20260401002403 |
| Provider Name | Sarah Ann Melos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285457580 PECOS PAC ID: 2163907668 Enrollment ID: I20260402001302 |
| Provider Name | Akshat Jyotir Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548770886 PECOS PAC ID: 6800150426 Enrollment ID: I20260402002110 |
| Provider Name | Stephanie Alexandria Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861358707 PECOS PAC ID: 2062987027 Enrollment ID: I20260407002059 |
| Provider Name | Mariela Roman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861230658 PECOS PAC ID: 4284109984 Enrollment ID: I20260410000307 |
| Provider Name | Deja Davinity Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619853934 PECOS PAC ID: 0446725071 Enrollment ID: I20260410001277 |
| Provider Name | Catherine Crabtree |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316531205 PECOS PAC ID: 5890101216 Enrollment ID: I20260410001534 |
| Provider Name | Robert Banks Basinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770085516 PECOS PAC ID: 8729553367 Enrollment ID: I20260410001796 |
| Provider Name | Kinsley Echezona Ojukwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811516933 PECOS PAC ID: 4981067212 Enrollment ID: I20260413003207 |
| Provider Name | Chase Andrew Sherman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285262063 PECOS PAC ID: 3274992003 Enrollment ID: I20260415001246 |
| Provider Name | Charles Adam Mccoy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144516162 PECOS PAC ID: 5193964468 Enrollment ID: I20260417001014 |
| Provider Name | Marc Albert Alger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730998998 PECOS PAC ID: 7719453315 Enrollment ID: I20260421002076 |
| Provider Name | Meridith J Englander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437233293 PECOS PAC ID: 3476586363 Enrollment ID: I20260421002578 |
| Provider Name | Kellye Raja Truesdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740130418 PECOS PAC ID: 9830666213 Enrollment ID: I20260422002887 |
| Provider Name | Christopher Michael Capizzi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932892726 PECOS PAC ID: 7618335746 Enrollment ID: I20260429000511 |
| Provider Name | Kendall Anne Carroll |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942927017 PECOS PAC ID: 7214404060 Enrollment ID: I20260429002020 |
| Provider Name | Melissa Anderson Wright |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255745576 PECOS PAC ID: 0648490482 Enrollment ID: I20260501000192 |
| Provider Name | Tara Laurae Schoenbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164710620 PECOS PAC ID: 4688843196 Enrollment ID: I20260505000248 |
| Provider Name | Nyckolas Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003767443 PECOS PAC ID: 5193293371 Enrollment ID: I20260506000999 |
| Provider Name | Tanna Rose Dorshorst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164380390 PECOS PAC ID: 8224506357 Enrollment ID: I20260507001043 |
| Provider Name | Andrew Albert Tully |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811375983 PECOS PAC ID: 3375837917 Enrollment ID: I20260513001187 |
| Provider Name | Moore B Shoemaker |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699815282 PECOS PAC ID: 7012136609 Enrollment ID: I20260514002286 |
| Provider Name | Benjamin Taylor Corona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255910345 PECOS PAC ID: 8921407511 Enrollment ID: I20260515000407 |
| Provider Name | Rakhee Kisan Sansgiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932420999 PECOS PAC ID: 3476866708 Enrollment ID: I20260515001046 |
| Provider Name | Brianna Marie Prim-reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285319558 PECOS PAC ID: 2466921259 Enrollment ID: I20260521001797 |
| Provider Name | Ashleigh Laura Clickett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275826539 PECOS PAC ID: 1951549484 Enrollment ID: I20260521002837 |
| Provider Name | Burhan Butt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780316935 PECOS PAC ID: 8325428204 Enrollment ID: I20260522002796 |
| Provider Name | Michael V. Robison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548848898 PECOS PAC ID: 4981174182 Enrollment ID: I20260529000101 |
| Provider Name | Kathleen Perry Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285227553 PECOS PAC ID: 2365913985 Enrollment ID: I20260604002778 |
| Provider Name | Kendal Mary Swertfeger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972483121 PECOS PAC ID: 2769953397 Enrollment ID: I20260604002979 |
| Provider Name | Shem Kearney Blackley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649857202 PECOS PAC ID: 0840694147 Enrollment ID: I20260604003586 |
| Provider Name | Christian Cagle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497410054 PECOS PAC ID: 1355812868 Enrollment ID: I20260605001418 |
| Provider Name | Jared Birnberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770436149 PECOS PAC ID: 2668943036 Enrollment ID: I20260605003267 |
| Provider Name | Lindsay Catherine Crow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598565608 PECOS PAC ID: 3678045507 Enrollment ID: I20260611002912 |
| Provider Name | Janerys Del Mar Munoz Feliciano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770458077 PECOS PAC ID: 7719459445 Enrollment ID: I20260615000598 |
| Provider Name | Brittany Shavon Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982354023 PECOS PAC ID: 0345621660 Enrollment ID: I20260616000375 |
| Provider Name | Zain Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548957426 PECOS PAC ID: 8123590593 Enrollment ID: I20260617000104 |
| Provider Name | Jelani Kayode Grant |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679070353 PECOS PAC ID: 3476071135 Enrollment ID: I20260619000297 |
| Provider Name | Abigail Layton Ellington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023711496 PECOS PAC ID: 3577036334 Enrollment ID: I20260623003343 |
| Provider Name | Corey Jacob Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174227961 PECOS PAC ID: 0143675280 Enrollment ID: I20260625001452 |
Mccorkle Laboratory Enterprise LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W 5th St Ste 800, Winston Salem, NC 27101 Phone: 336-800-5227 |
Clinica San Felipe Winston-salem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Waughtown St, Winston Salem, NC 27107 Phone: 336-726-5090 |
Novant Health Virtual Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 336-277-8770 Fax: 704-316-9181 |
Kintegra at Flat Rock Middle Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4648 Ebert Rd, Winston Salem, NC 27127 Phone: 336-703-6762 Fax: 336-703-6760 |
Atrium Health Wake Forest Baptist Family Medicine - Westbrook Plaza Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 Westbrook Plaza Dr, Winston Salem, NC 27103 Phone: 336-760-8380 Fax: 336-760-8388 |
Preventative Wellness Solutions I PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3878 Oxford Station Way, Winston Salem, NC 27103 Phone: 336-517-0072 |