| 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 | Kevin P High (PRESIDENT, HEALTH SYSTEM, WFBH) |
| Authorized Official Contact | 3367168021 |
| 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 | 03/17/2021 |
| Medicare PECOS PAC ID | 4486564952 |
|---|---|
| Medicare Enrollment ID | O20031105000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003803032 | NPI | - | NPPES |
| 07001 | Other | NC | BCBS |
| 89013KW | Medicaid | NC | |
| 2433646 | Other | NC | MCARE GROUP NUMBER - PODI |
| C08811 | Other | VA | MCARE GROUP - VIRGINIA ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Stephen Mills |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407851231 PECOS PAC ID: 0749184869 Enrollment ID: I20031120000911 |
| 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 | John A Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578548210 PECOS PAC ID: 8426953829 Enrollment ID: I20031126000556 |
| Provider Name | Jenyung A Chiu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770580136 PECOS PAC ID: 0941113195 Enrollment ID: I20031208000773 |
| 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 | Shanna G Stoter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205818564 PECOS PAC ID: 4183522600 Enrollment ID: I20031222000586 |
| 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 | Todd D Pennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790738995 PECOS PAC ID: 1759282205 Enrollment ID: I20040116000824 |
| Provider Name | Carol A Kinneman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215981899 PECOS PAC ID: 3971406182 Enrollment ID: I20040127000738 |
| 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 | Jon R Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871558072 PECOS PAC ID: 7113820663 Enrollment ID: I20040130000885 |
| 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 | Sarah G Bodin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023093150 PECOS PAC ID: 8022903194 Enrollment ID: I20040218000048 |
| 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 | Suzanne Marie Edmunds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689659716 PECOS PAC ID: 4880581982 Enrollment ID: I20040303000380 |
| 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 | Rosemary E Bisti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811995376 PECOS PAC ID: 9638161516 Enrollment ID: I20040331001270 |
| Provider Name | Loretta Kelly Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861450983 PECOS PAC ID: 2365437829 Enrollment ID: I20040415000865 |
| Provider Name | Omar P Sangueza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770569436 PECOS PAC ID: 5799770111 Enrollment ID: I20040415001346 |
| 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 | Debra Anita Neblett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679634455 PECOS PAC ID: 3476541541 Enrollment ID: I20040505001557 |
| Provider Name | Robert A Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780600023 PECOS PAC ID: 5395734107 Enrollment ID: I20040507000672 |
| Provider Name | William A Pincus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306806583 PECOS PAC ID: 3072502814 Enrollment ID: I20040507000933 |
| Provider Name | David W Kaminski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831295583 PECOS PAC ID: 7113916701 Enrollment ID: I20040510000210 |
| 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 | Patricia Lee Beckham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083783799 PECOS PAC ID: 1456341593 Enrollment ID: I20040519001355 |
| Provider Name | Patricia F Triplett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770503401 PECOS PAC ID: 6103817457 Enrollment ID: I20040524001125 |
| 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 | Thomas M Sweasey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396798732 PECOS PAC ID: 1052393402 Enrollment ID: I20040601001210 |
| 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 | Jane Elizabeth Duffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487681276 PECOS PAC ID: 4587648811 Enrollment ID: I20040615000998 |
| Provider Name | Michael G Hitchcock |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477527711 PECOS PAC ID: 8527042795 Enrollment ID: I20040615001409 |
| Provider Name | Ann B Oaks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659347078 PECOS PAC ID: 3971587155 Enrollment ID: I20040615001479 |
| Provider Name | Zhong Yu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952305831 PECOS PAC ID: 5193709301 Enrollment ID: I20040615001705 |
| 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 | William F Spillane |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902852734 PECOS PAC ID: 7810971629 Enrollment ID: I20040617000676 |
| 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 Parkhurst Luther |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538282645 PECOS PAC ID: 3678559101 Enrollment ID: I20040625000789 |
| Provider Name | Kurt Robert Daniel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083760417 PECOS PAC ID: 2264418508 Enrollment ID: I20040626000469 |
| Provider Name | Laurence B Givner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336124981 PECOS PAC ID: 1658357975 Enrollment ID: I20040628000631 |
| Provider Name | Brittany Bergin Clyne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396733820 PECOS PAC ID: 2466438585 Enrollment ID: I20040628001502 |
| 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 | Emma Hellinger Aycoth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295713485 PECOS PAC ID: 2466439245 Enrollment ID: I20040630000383 |
| 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 | Eric Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669401352 PECOS PAC ID: 4486632924 Enrollment ID: I20040710000284 |
| 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 | Scott Lewis Korn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346286697 PECOS PAC ID: 7315932944 Enrollment ID: I20040713001207 |
| 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 | David John Bohle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710966718 PECOS PAC ID: 0840279485 Enrollment ID: I20040716000449 |
| Provider Name | Wayne Meredith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568447639 PECOS PAC ID: 2668451048 Enrollment ID: I20040719000740 |
| 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 | Jane K Ybanez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548209562 PECOS PAC ID: 2668452772 Enrollment ID: I20040721000173 |
| Provider Name | Eric D Lance |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043292345 PECOS PAC ID: 5799765541 Enrollment ID: I20040722000269 |
| Provider Name | Katherine A Averill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033158399 PECOS PAC ID: 1951381722 Enrollment ID: I20040722000453 |
| Provider Name | Julie C Haviland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568557122 PECOS PAC ID: 6507762143 Enrollment ID: I20040723000230 |
| Provider Name | John Richard Leyendecker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033193990 PECOS PAC ID: 4789654286 Enrollment ID: I20040730000817 |
| Provider Name | John Mark Burkart |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669457891 PECOS PAC ID: 4880665124 Enrollment ID: I20040802001149 |
| Provider Name | Kesi T Kindle-suersin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528035268 PECOS PAC ID: 9931170164 Enrollment ID: I20040803000183 |
| Provider Name | Nancy Lee Curll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396721999 PECOS PAC ID: 9335110964 Enrollment ID: I20040805000481 |
| 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 F Malinda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134172851 PECOS PAC ID: 0547232548 Enrollment ID: I20040810001147 |
| Provider Name | John C Canon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699778639 PECOS PAC ID: 5294707915 Enrollment ID: I20040811001355 |
| 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 | John C Faris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215993423 PECOS PAC ID: 6406829936 Enrollment ID: I20040813000723 |
| Provider Name | Kirsten Brantley Feiereisel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669468724 PECOS PAC ID: 7113990185 Enrollment ID: I20040817001230 |
| Provider Name | Heather S Waddell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366427858 PECOS PAC ID: 5395719900 Enrollment ID: I20040820000291 |
| 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 | Sandra W Pena |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336198787 PECOS PAC ID: 3072587500 Enrollment ID: I20040821000051 |
| Provider Name | Linda Marie Sangiuliano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659352961 PECOS PAC ID: 3375517717 Enrollment ID: I20040823000608 |
| Provider Name | Mitra N Higgins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528000148 PECOS PAC ID: 3870567027 Enrollment ID: I20040823001484 |
| Provider Name | Peter Christian 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 | Susan Anitra Melin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528042058 PECOS PAC ID: 5698749711 Enrollment ID: I20040824001126 |
| Provider Name | Jeffrey Cabot Clevenger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801876909 PECOS PAC ID: 6507830544 Enrollment ID: I20040824001383 |
| Provider Name | Mary A Knovich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750365128 PECOS PAC ID: 2062486871 Enrollment ID: I20040825001308 |
| Provider Name | Heidi Debot Aldridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104869288 PECOS PAC ID: 7416922000 Enrollment ID: I20040827000446 |
| 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 | Robyn Kim Zanard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407834567 PECOS PAC ID: 8729060058 Enrollment ID: I20040827000759 |
| 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 | Robert Luther Rominger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386637247 PECOS PAC ID: 8820063183 Enrollment ID: I20040831000025 |
| Provider Name | Steve J Hodges |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144202755 PECOS PAC ID: 4981679131 Enrollment ID: I20040831000812 |
| Provider Name | Deanna L Schmehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912075417 PECOS PAC ID: 5799751145 Enrollment ID: I20040907001087 |
| Provider Name | Alisa L Starbuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962483297 PECOS PAC ID: 1951377308 Enrollment ID: I20040907001101 |
| 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 | Jon A Giometti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568405041 PECOS PAC ID: 3274500871 Enrollment ID: I20040915000844 |
| Provider Name | William G Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952380263 PECOS PAC ID: 8628046752 Enrollment ID: I20040917000101 |
| Provider Name | John H Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851374383 PECOS PAC ID: 7719955699 Enrollment ID: I20040918000167 |
| Provider Name | Lisa M Kistner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114919727 PECOS PAC ID: 8022086867 Enrollment ID: I20040920001176 |
| Provider Name | Ariel D Arus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942200597 PECOS PAC ID: 1850384058 Enrollment ID: I20040921000112 |
| Provider Name | Paul Wf Coughlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285650051 PECOS PAC ID: 9234107814 Enrollment ID: I20040921001133 |
| Provider Name | Lawrence Eskew |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104859305 PECOS PAC ID: 1456329044 Enrollment ID: I20040921001204 |
| Provider Name | Timothy Leon Mullins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730105404 PECOS PAC ID: 1052389640 Enrollment ID: I20040921001240 |
| Provider Name | Bradley J Stoneking |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336172543 PECOS PAC ID: 0941278543 Enrollment ID: I20040921001264 |
| Provider Name | Tiffeny S. Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174598585 PECOS PAC ID: 1355319971 Enrollment ID: I20040922000135 |
| Provider Name | Aldene Nelson Hawks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487689345 PECOS PAC ID: 0345219549 Enrollment ID: I20040924000731 |
| Provider Name | Dennis P Kimbleton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174502470 PECOS PAC ID: 7517936727 Enrollment ID: I20040924000826 |
| Provider Name | Robert S Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568514016 PECOS PAC ID: 4880663020 Enrollment ID: I20040925000026 |
| Provider Name | Lisa A Rudisill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881646842 PECOS PAC ID: 2860451309 Enrollment ID: I20041008000885 |
| Provider Name | Gregory Bracewell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316997497 PECOS PAC ID: 3173583309 Enrollment ID: I20041013000121 |
| Provider Name | Thomas Wesley Templeton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770568651 PECOS PAC ID: 5193785848 Enrollment ID: I20041016000050 |
| Provider Name | Vance F Merhoff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235112897 PECOS PAC ID: 3476514712 Enrollment ID: I20041020001105 |
| 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 | William J Mazzella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528158227 PECOS PAC ID: 8022079623 Enrollment ID: I20041026000486 |
| Provider Name | Sharon M Castellino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063496792 PECOS PAC ID: 2264400100 Enrollment ID: I20041027001164 |
| 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 | Wendell Stephen Myers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952389009 PECOS PAC ID: 1850354275 Enrollment ID: I20041108000138 |
| Provider Name | Henry C Watkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922060193 PECOS PAC ID: 4486618865 Enrollment ID: I20041116000293 |
| Provider Name | Laurie K Toman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346201837 PECOS PAC ID: 8921062829 Enrollment ID: I20041118001062 |
| Provider Name | Meredith Leigh Hnilica |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508903402 PECOS PAC ID: 8729042627 Enrollment ID: I20041118001083 |
| Provider Name | William B Newton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215912258 PECOS PAC ID: 0042275778 Enrollment ID: I20041122001153 |
| Provider Name | Deanna Marie Kirchmayer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265500250 PECOS PAC ID: 9234194762 Enrollment ID: I20041124000167 |
| Provider Name | Adrienne Charles Classen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750495016 PECOS PAC ID: 8729043997 Enrollment ID: I20041130000230 |
| Provider Name | Martha Jo Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932189990 PECOS PAC ID: 5698730695 Enrollment ID: I20041201000145 |
| Provider Name | Lisa A Petri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033102389 PECOS PAC ID: 1355308297 Enrollment ID: I20041213000775 |
| Provider Name | Heston C Lamar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023013869 PECOS PAC ID: 2264499888 Enrollment ID: I20041215000827 |
| Provider Name | Carmen G Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659354207 PECOS PAC ID: 9537126776 Enrollment ID: I20041220000291 |
| Provider Name | Richard A Aronson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861411431 PECOS PAC ID: 9739146168 Enrollment ID: I20041228000537 |
| Provider Name | Todd Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215983978 PECOS PAC ID: 4486602547 Enrollment ID: I20050106000023 |
| Provider Name | Robert Dangelo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063497881 PECOS PAC ID: 8224086285 Enrollment ID: I20050106000107 |
| Provider Name | Brian Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730144536 PECOS PAC ID: 5092763706 Enrollment ID: I20050110000754 |
| Provider Name | Sam Jacubowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720043508 PECOS PAC ID: 3173571791 Enrollment ID: I20050110000854 |
| Provider Name | John Lane Molpus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578515763 PECOS PAC ID: 1557319191 Enrollment ID: I20050110001014 |
| Provider Name | Iva L Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962467167 PECOS PAC ID: 5496703035 Enrollment ID: I20050110001045 |
| Provider Name | Kevin E Steinl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447202635 PECOS PAC ID: 1759339393 Enrollment ID: I20050110001057 |
| Provider Name | Joseph Luke Zammit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811965726 PECOS PAC ID: 7012965668 Enrollment ID: I20050110001070 |
| Provider Name | Elliott L Wentz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447366430 PECOS PAC ID: 4082662630 Enrollment ID: I20050110001088 |
| Provider Name | Anthony T Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609828987 PECOS PAC ID: 4789632332 Enrollment ID: I20050110001102 |
| Provider Name | Robert Leon Beaton Jr. |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871557850 PECOS PAC ID: 2264480839 Enrollment ID: I20050111000021 |
| Provider Name | Linda Susan Obrien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790744696 PECOS PAC ID: 2567411994 Enrollment ID: I20050112000989 |
| Provider Name | Guy R Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184701872 PECOS PAC ID: 1153370382 Enrollment ID: I20050114000400 |
| 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 | Darren Thomas Absher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427039155 PECOS PAC ID: 2668422080 Enrollment ID: I20050202000803 |
| Provider Name | Katherine L Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538208517 PECOS PAC ID: 0749232759 Enrollment ID: I20050218000029 |
| 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 | Rita O Pichardo Geisinger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255316311 PECOS PAC ID: 4789638222 Enrollment ID: I20050308001034 |
| Provider Name | Herbert Stern |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306857784 PECOS PAC ID: 6305890682 Enrollment ID: I20050309000679 |
| Provider Name | Richard G Weaver |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326021031 PECOS PAC ID: 6507811262 Enrollment ID: I20050315000763 |
| Provider Name | Andrea Stephanie Fernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578546602 PECOS PAC ID: 0143275735 Enrollment ID: I20050316000783 |
| Provider Name | Pamela Kaye Emerson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841274719 PECOS PAC ID: 2668427055 Enrollment ID: I20050318000190 |
| Provider Name | Nancy E Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134298052 PECOS PAC ID: 5698720829 Enrollment ID: I20050321000469 |
| 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 | Vinod Nagji Mungalpara |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1942278668 PECOS PAC ID: 3870549124 Enrollment ID: I20050330000027 |
| Provider Name | Thomas K Mcmahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306880091 PECOS PAC ID: 8123075751 Enrollment ID: I20050407000252 |
| Provider Name | Michelle L Redman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598857039 PECOS PAC ID: 0244287696 Enrollment ID: I20050407000281 |
| Provider Name | Theresa G Sheehan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265504179 PECOS PAC ID: 0345297149 Enrollment ID: I20050412000357 |
| 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 | Jerry Lyle Pinkerton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679571772 PECOS PAC ID: 2668445297 Enrollment ID: I20050426001425 |
| Provider Name | Heather Lee Mertz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477533115 PECOS PAC ID: 9537109913 Enrollment ID: I20050504001150 |
| Provider Name | Charles Richards |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952315962 PECOS PAC ID: 3577503465 Enrollment ID: I20050510000943 |
| Provider Name | William M Satterwhite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063471654 PECOS PAC ID: 4981644200 Enrollment ID: I20050510001038 |
| Provider Name | Richard Ray Herber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023083599 PECOS PAC ID: 7911947700 Enrollment ID: I20050512000302 |
| Provider Name | Claudia Lucia Campos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043281033 PECOS PAC ID: 5496796831 Enrollment ID: I20050517000182 |
| Provider Name | Sohail Bazel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225003353 PECOS PAC ID: 4981645009 Enrollment ID: I20050519000239 |
| 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 | Timothy H Istock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366425068 PECOS PAC ID: 8628010907 Enrollment ID: I20050526000317 |
| 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 | 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 | 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 | Leslie Ann Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508964297 PECOS PAC ID: 9830091735 Enrollment ID: I20050628001141 |
| Provider Name | Sheikh Tejan-sie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346237617 PECOS PAC ID: 2264338524 Enrollment ID: I20050629000010 |
| 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 | Charles Kanayo Agunobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609864446 PECOS PAC ID: 0749220440 Enrollment ID: I20050711000131 |
| 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 | Charles Andre De Comarmond |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285614040 PECOS PAC ID: 3678500444 Enrollment ID: I20050722000813 |
| Provider Name | Matthew K Schwarz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568424737 PECOS PAC ID: 2769419548 Enrollment ID: I20050722000837 |
| Provider Name | Seth C Hawkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285696450 PECOS PAC ID: 3072540855 Enrollment ID: I20050722000882 |
| Provider Name | Richard Frank Loeser |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609851732 PECOS PAC ID: 3779510581 Enrollment ID: I20050725000039 |
| 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 | Alison R Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275517997 PECOS PAC ID: 4486681103 Enrollment ID: I20050725000230 |
| 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 | Christopher J Pollina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770511123 PECOS PAC ID: 7214965102 Enrollment ID: I20050802000066 |
| 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 | Paul F Burke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437232675 PECOS PAC ID: 1355370909 Enrollment ID: I20050804000630 |
| Provider Name | Karen Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851361729 PECOS PAC ID: 9739118282 Enrollment ID: I20050805000166 |
| Provider Name | Thomas Jackson Pulliam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205898103 PECOS PAC ID: 0244260982 Enrollment ID: I20050812000821 |
| 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 | Gail Karen Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780647172 PECOS PAC ID: 0941112007 Enrollment ID: I20050824000646 |
| 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 | Jonathan G Austin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154370807 PECOS PAC ID: 4688605884 Enrollment ID: I20050827000054 |
| Provider Name | Hany Shokry 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 | Marc Edward Caruana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912958927 PECOS PAC ID: 4486687118 Enrollment ID: I20050914000197 |
| 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 | Angela Sinclair Hilburn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043293285 PECOS PAC ID: 6103850821 Enrollment ID: I20050922000386 |
| Provider Name | Edward Hal Kincaid |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285617985 PECOS PAC ID: 3971537440 Enrollment ID: I20050923000392 |
| Provider Name | Sean E Ervin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013903418 PECOS PAC ID: 6800781055 Enrollment ID: I20050924000218 |
| Provider Name | Cedric W Lefebvre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336178011 PECOS PAC ID: 0446284764 Enrollment ID: I20050926000302 |
| Provider Name | Devainder Goli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528049517 PECOS PAC ID: 7012942709 Enrollment ID: I20050930000652 |
| Provider Name | Benjamin Leandro Antonio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508841479 PECOS PAC ID: 4981629284 Enrollment ID: I20051005001148 |
| Provider Name | Cristin M Ferguson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528042926 PECOS PAC ID: 3476526427 Enrollment ID: I20051005001181 |
| Provider Name | James Edward Peacock |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578548558 PECOS PAC ID: 2365467461 Enrollment ID: I20051007000543 |
| Provider Name | David C. Luoma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972591725 PECOS PAC ID: 1658396015 Enrollment ID: I20051014000028 |
| 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 | Georgia A Drumheller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568489110 PECOS PAC ID: 3870519689 Enrollment ID: I20051020000962 |
| 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 | Philip T Olshinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801855143 PECOS PAC ID: 6406872084 Enrollment ID: I20051022000173 |
| 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 | Jeffrey Rogers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073598140 PECOS PAC ID: 9638114275 Enrollment ID: I20051101001052 |
| Provider Name | Pamela C Nagle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235114190 PECOS PAC ID: 1153348768 Enrollment ID: I20051101001154 |
| Provider Name | Larkin Leo Selman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053367870 PECOS PAC ID: 9537187190 Enrollment ID: I20051102001145 |
| 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 | Renee L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548249402 PECOS PAC ID: 4284655002 Enrollment ID: I20051208000385 |
| 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 | David M Wesselman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801833280 PECOS PAC ID: 3375565989 Enrollment ID: I20051223000211 |
| Provider Name | Arnold Stephen Grandis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457307035 PECOS PAC ID: 3577585850 Enrollment ID: I20051230000012 |
| 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 | Carrie Alene Copeland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518095033 PECOS PAC ID: 2163445222 Enrollment ID: I20060104000788 |
| Provider Name | Michael David Altheimer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053423434 PECOS PAC ID: 5890718522 Enrollment ID: I20060109001031 |
| Provider Name | Yvette Easter Sisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427008820 PECOS PAC ID: 2163446998 Enrollment ID: I20060119000876 |
| Provider Name | Stuart Kossover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942317458 PECOS PAC ID: 1355365933 Enrollment ID: I20060123000328 |
| 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 | Robert Patrick Yeatts |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376526079 PECOS PAC ID: 3274547328 Enrollment ID: I20060127000778 |
| Provider Name | Timothy J Martin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053394767 PECOS PAC ID: 2163436221 Enrollment ID: I20060127000802 |
| Provider Name | Craig M Greven |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154304863 PECOS PAC ID: 9335153493 Enrollment ID: I20060127000810 |
| Provider Name | Paul J Dickinson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245213958 PECOS PAC ID: 7416961578 Enrollment ID: I20060127000818 |
| Provider Name | Keith A Walter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518940220 PECOS PAC ID: 7315951472 Enrollment ID: I20060127000826 |
| Provider Name | John J Mckinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780602185 PECOS PAC ID: 0749294734 Enrollment ID: I20060130000170 |
| 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 | Kenneth Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871556084 PECOS PAC ID: 9032123583 Enrollment ID: I20060203000428 |
| Provider Name | Allison Brashear |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881673713 PECOS PAC ID: 2567476039 Enrollment ID: I20060203000528 |
| Provider Name | Forrest Matt Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821094350 PECOS PAC ID: 5597779942 Enrollment ID: I20060206000623 |
| 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 | Louis F Heeden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659357986 PECOS PAC ID: 8022023894 Enrollment ID: I20060215000394 |
| Provider Name | Eileen M Quilty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891773008 PECOS PAC ID: 6709892250 Enrollment ID: I20060221000882 |
| Provider Name | Victoria Donovan Lackey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720005374 PECOS PAC ID: 8426064510 Enrollment ID: I20060227000634 |
| Provider Name | Marshall C Hall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881676484 PECOS PAC ID: 1456367358 Enrollment ID: I20060302000097 |
| Provider Name | Cherrie D Welch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134105307 PECOS PAC ID: 9931115565 Enrollment ID: I20060306000582 |
| Provider Name | Brian S Quigley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093794778 PECOS PAC ID: 0749297984 Enrollment ID: I20060314000365 |
| Provider Name | Bernadette H Fedziuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407821473 PECOS PAC ID: 0648287524 Enrollment ID: I20060317000292 |
| Provider Name | Celestina I Iheanacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619927530 PECOS PAC ID: 7911915558 Enrollment ID: I20060323000610 |
| 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 | Thomas Graham West |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194747675 PECOS PAC ID: 7214946540 Enrollment ID: I20060414000099 |
| Provider Name | Ndofunsu Mabeka Badika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114915758 PECOS PAC ID: 8426067687 Enrollment ID: I20060417000323 |
| 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 | James R Mcgukin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740240449 PECOS PAC ID: 0446263552 Enrollment ID: I20060712000352 |
| Provider Name | Kenneth Lennon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518966258 PECOS PAC ID: 9830102862 Enrollment ID: I20060717000168 |
| Provider Name | Mark Warburton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851390595 PECOS PAC ID: 1153302096 Enrollment ID: I20060718000295 |
| Provider Name | Edward Weller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477552115 PECOS PAC ID: 4486667367 Enrollment ID: I20060718000326 |
| Provider Name | Holly I Turbyfill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861420549 PECOS PAC ID: 1456364884 Enrollment ID: I20060801000105 |
| 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 | Augustine Nnana Onwukwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215963343 PECOS PAC ID: 5890717219 Enrollment ID: I20060818000176 |
| Provider Name | Anne Zweifel Steiner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245274737 PECOS PAC ID: 1658374178 Enrollment ID: I20060822000492 |
| 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 | Chad Aaron Grotegut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760470959 PECOS PAC ID: 4789657180 Enrollment ID: I20060915000164 |
| Provider Name | Lane Mcneil Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144252750 PECOS PAC ID: 5597760991 Enrollment ID: I20060918000404 |
| Provider Name | Aimee Maree Wilkin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518942895 PECOS PAC ID: 4284639493 Enrollment ID: I20060921000495 |
| Provider Name | Andora Lynn Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508870668 PECOS PAC ID: 4183629116 Enrollment ID: I20060926000583 |
| Provider Name | Lauri Patrice Givens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841253135 PECOS PAC ID: 0244235950 Enrollment ID: I20060930000016 |
| Provider Name | Brian Edward Kouri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346273539 PECOS PAC ID: 0648275396 Enrollment ID: I20061002000308 |
| Provider Name | Walter Ang Tan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821010067 PECOS PAC ID: 8729084793 Enrollment ID: I20061013000578 |
| 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 | David J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053429373 PECOS PAC ID: 7214935824 Enrollment ID: I20061115000071 |
| Provider Name | John Frino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528098936 PECOS PAC ID: 4284632670 Enrollment ID: I20061120000022 |
| 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 | 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 | Heidi Diana Klepin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275551228 PECOS PAC ID: 0749289700 Enrollment ID: I20061220000494 |
| Provider Name | Anna Shaw Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396834339 PECOS PAC ID: 2466452057 Enrollment ID: I20070104000363 |
| 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 | John T Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508833146 PECOS PAC ID: 4082614425 Enrollment ID: I20070108000502 |
| 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 | Marina Nunez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700815479 PECOS PAC ID: 0648271767 Enrollment ID: I20070116000331 |
| Provider Name | Jonathan E Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982636510 PECOS PAC ID: 9032110176 Enrollment ID: I20070116000491 |
| Provider Name | Vrinda V Pickering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174614259 PECOS PAC ID: 1456352491 Enrollment ID: I20070118000241 |
| 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 K 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 | Noelle S Mclaurin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568534329 PECOS PAC ID: 0749281228 Enrollment ID: I20070125000508 |
| Provider Name | Vidula T Vachharajani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952323040 PECOS PAC ID: 4385645803 Enrollment ID: I20070126000260 |
| Provider Name | Hope L Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689772295 PECOS PAC ID: 7618978933 Enrollment ID: I20070129000444 |
| 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 | Keith J Handler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285695635 PECOS PAC ID: 5698777258 Enrollment ID: I20070210000016 |
| Provider Name | Hongtao M Guo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225134679 PECOS PAC ID: 6204938533 Enrollment ID: I20070216000375 |
| Provider Name | Amanda L Cook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043231707 PECOS PAC ID: 6901908243 Enrollment ID: I20070216000503 |
| Provider Name | James Lester Pirkle |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760411425 PECOS PAC ID: 3072615004 Enrollment ID: I20070222000368 |
| Provider Name | Nalini S Baijnath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578655668 PECOS PAC ID: 4082717400 Enrollment ID: I20070305000670 |
| Provider Name | Penny L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477628501 PECOS PAC ID: 0143323444 Enrollment ID: I20070306000729 |
| Provider Name | David Glick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497854319 PECOS PAC ID: 3577570530 Enrollment ID: I20070307000188 |
| 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 | Aboagye Agyenim-boateng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194758243 PECOS PAC ID: 0547363889 Enrollment ID: I20070307000329 |
| Provider Name | Andrew Deibler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558378364 PECOS PAC ID: 7517060635 Enrollment ID: I20070310000090 |
| 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 | Mary Annette Wittler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255361317 PECOS PAC ID: 5991809055 Enrollment ID: I20070329000084 |
| Provider Name | Steven H Berliner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487628285 PECOS PAC ID: 0648374470 Enrollment ID: I20070403000533 |
| Provider Name | Amir Azeem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265526339 PECOS PAC ID: 0446354237 Enrollment ID: I20070404000235 |
| 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 | Tomeka Allen Wormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790898005 PECOS PAC ID: 9335244516 Enrollment ID: I20070417000323 |
| Provider Name | Silvestro J Lijoi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780679118 PECOS PAC ID: 7012996135 Enrollment ID: I20070424000098 |
| 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 | Earl Parker Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861421455 PECOS PAC ID: 0749284982 Enrollment ID: I20070430000403 |
| Provider Name | Lasean Bost Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225045602 PECOS PAC ID: 8527164896 Enrollment ID: I20070502000487 |
| 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 | Ava M Swayze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073541678 PECOS PAC ID: 7810957875 Enrollment ID: I20070518000097 |
| Provider Name | Amber Michelle Reeves-daniel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184709370 PECOS PAC ID: 6305943788 Enrollment ID: I20070518000454 |
| 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 | Julia Ann Lawrence |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1174534697 PECOS PAC ID: 5193735801 Enrollment ID: I20070614000136 |
| 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 | 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 | Deborah J Flaherty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194788380 PECOS PAC ID: 6901905074 Enrollment ID: I20070702000139 |
| Provider Name | Carroll B Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063505394 PECOS PAC ID: 2769582808 Enrollment ID: I20070703000130 |
| Provider Name | Kathleen Elaine Heer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770567802 PECOS PAC ID: 4284603705 Enrollment ID: I20070703000679 |
| Provider Name | Lisa A Kiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063494417 PECOS PAC ID: 1153421086 Enrollment ID: I20070707000014 |
| 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 | Susan Jordan Turner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124236641 PECOS PAC ID: 4981704715 Enrollment ID: I20070710000362 |
| Provider Name | Geoffrey Jao |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1992885545 PECOS PAC ID: 5890890834 Enrollment ID: I20070710000372 |
| Provider Name | Heather B Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104846369 PECOS PAC ID: 7315047156 Enrollment ID: I20070710000407 |
| Provider Name | Paul J Sagerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174508451 PECOS PAC ID: 1850491390 Enrollment ID: I20070712000350 |
| Provider Name | Jacqueline S Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891840120 PECOS PAC ID: 4688774136 Enrollment ID: I20070712000427 |
| 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 | Chad T Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407984974 PECOS PAC ID: 4183724685 Enrollment ID: I20070712000822 |
| Provider Name | David Douglas Grier |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841375698 PECOS PAC ID: 2365542784 Enrollment ID: I20070713000240 |
| Provider Name | Chiedu Okocha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851409817 PECOS PAC ID: 9436051620 Enrollment ID: I20070723000326 |
| 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 | James Abram Mcshane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396854519 PECOS PAC ID: 8224051511 Enrollment ID: I20070725000764 |
| Provider Name | Aaron T Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598978009 PECOS PAC ID: 6305947946 Enrollment ID: I20070725000776 |
| Provider Name | Tatum Simon Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003924028 PECOS PAC ID: 7719918523 Enrollment ID: I20070727000167 |
| Provider Name | Gordon R Reeves |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760687552 PECOS PAC ID: 4880785070 Enrollment ID: I20070801000797 |
| Provider Name | Victor B Farrah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184713364 PECOS PAC ID: 4688765811 Enrollment ID: I20070802000308 |
| 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 | John B Hubbard |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1487875373 PECOS PAC ID: 3072604610 Enrollment ID: I20070810000265 |
| Provider Name | Annette Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184667651 PECOS PAC ID: 1658332580 Enrollment ID: I20070814000564 |
| Provider Name | Clifford Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861614430 PECOS PAC ID: 1153413448 Enrollment ID: I20070816000127 |
| Provider Name | Nathan Roger Pickering |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265647069 PECOS PAC ID: 6406948710 Enrollment ID: I20070816000316 |
| 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 | Rebecca Lee Dearmin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376741991 PECOS PAC ID: 3971695594 Enrollment ID: I20070827000587 |
| Provider Name | Kiru Korea Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548399413 PECOS PAC ID: 0547352072 Enrollment ID: I20070828000771 |
| Provider Name | Heather John H Montero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043321821 PECOS PAC ID: 1355434846 Enrollment ID: I20070829000256 |
| Provider Name | Natalia Eugenia Dixon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629269956 PECOS PAC ID: 0648363937 Enrollment ID: I20070831000296 |
| 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 | Diane Miller Samelak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801872973 PECOS PAC ID: 4183717291 Enrollment ID: I20070906000160 |
| 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 | 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 | Fredena Lucas Jaggers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336246289 PECOS PAC ID: 2264526896 Enrollment ID: I20070913000386 |
| 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 | 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 | Jen-jar Lin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194757633 PECOS PAC ID: 2769475573 Enrollment ID: I20070921000587 |
| Provider Name | Emmett C Willis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730281650 PECOS PAC ID: 9931197043 Enrollment ID: I20070924000787 |
| 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 M Cline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811970510 PECOS PAC ID: 8123113370 Enrollment ID: I20071002000854 |
| Provider Name | David A 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 | Elizabeth Whitaker Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609957174 PECOS PAC ID: 7113927542 Enrollment ID: I20071009000253 |
| Provider Name | Aubrey Evans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538389200 PECOS PAC ID: 1759476500 Enrollment ID: I20071009000287 |
| Provider Name | Gemekia Coleman Futrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417177668 PECOS PAC ID: 5991890741 Enrollment ID: I20071009000330 |
| Provider Name | Cynthia Sink Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306938758 PECOS PAC ID: 3779678545 Enrollment ID: I20071009000445 |
| Provider Name | Padonda B Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861692493 PECOS PAC ID: 4789770546 Enrollment ID: I20071010000254 |
| Provider Name | Megan Bumgarner Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841487741 PECOS PAC ID: 0345336103 Enrollment ID: I20071010000325 |
| Provider Name | Anita Joyce Thomas |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1023216298 PECOS PAC ID: 7012810427 Enrollment ID: I20071011000310 |
| 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 | Johanna F Culley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437345097 PECOS PAC ID: 4486740826 Enrollment ID: I20071017000523 |
| Provider Name | Peter Carson Messick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053409854 PECOS PAC ID: 0749288504 Enrollment ID: I20071018000485 |
| Provider Name | Lovinia Page Foreman Abernethy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508054222 PECOS PAC ID: 1850487885 Enrollment ID: I20071022000479 |
| Provider Name | Shomeet V 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 | Glendon Paul Rougeou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992719371 PECOS PAC ID: 5799709077 Enrollment ID: I20071108000141 |
| Provider Name | Renea W Shore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760677850 PECOS PAC ID: 3072601004 Enrollment ID: I20071108000528 |
| Provider Name | Courtney Anne Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164618906 PECOS PAC ID: 4880782812 Enrollment ID: I20071108000540 |
| 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 | Ashley Maner Tonidandel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831307875 PECOS PAC ID: 1052409984 Enrollment ID: I20071110000130 |
| Provider Name | Leena Kandula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770780959 PECOS PAC ID: 0840388492 Enrollment ID: I20071114000472 |
| Provider Name | Mark Vernon Jordan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881772309 PECOS PAC ID: 6507954146 Enrollment ID: I20071115000572 |
| 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 | Sandra L Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578520789 PECOS PAC ID: 7416046966 Enrollment ID: I20071205000562 |
| Provider Name | Kimberly A Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174718266 PECOS PAC ID: 2264521608 Enrollment ID: I20071207000513 |
| Provider Name | Jennifer L Hannum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639273634 PECOS PAC ID: 2668486721 Enrollment ID: I20071207000594 |
| Provider Name | Jasmine Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932393014 PECOS PAC ID: 4486744653 Enrollment ID: I20071212000515 |
| 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 | Megan B Lovorn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629268149 PECOS PAC ID: 5890885685 Enrollment ID: I20071217000665 |
| Provider Name | Reza Rezai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891881959 PECOS PAC ID: 9436249232 Enrollment ID: I20071217000746 |
| Provider Name | Mebrahtom Woldu Tesfai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023297397 PECOS PAC ID: 0941390751 Enrollment ID: I20071217000788 |
| Provider Name | Athena Crotts Brummett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942490370 PECOS PAC ID: 1052401874 Enrollment ID: I20071217000864 |
| Provider Name | Garland L Hughes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144286964 PECOS PAC ID: 2163490533 Enrollment ID: I20071218000236 |
| Provider Name | Darren C Decker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982890398 PECOS PAC ID: 4082704598 Enrollment ID: I20071220000698 |
| Provider Name | Jason E Lang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326006347 PECOS PAC ID: 8527061159 Enrollment ID: I20071221000413 |
| Provider Name | Carroll Chambers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528045507 PECOS PAC ID: 9335038587 Enrollment ID: I20071224000031 |
| 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 E Winslow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003890492 PECOS PAC ID: 7810077716 Enrollment ID: I20080104000312 |
| 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 | Marissa Michelle Howard-mcnatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609974237 PECOS PAC ID: 7517945108 Enrollment ID: I20080202000024 |
| Provider Name | Douglas Guy Browning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659355162 PECOS PAC ID: 3779666201 Enrollment ID: I20080207000170 |
| Provider Name | Sebastian Gabriel Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639245012 PECOS PAC ID: 7214011733 Enrollment ID: I20080222000126 |
| Provider Name | Terrence William Burt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053374330 PECOS PAC ID: 1658466792 Enrollment ID: I20080222000238 |
| Provider Name | Robert S Wilkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801073424 PECOS PAC ID: 7911081864 Enrollment ID: I20080301000021 |
| Provider Name | Charles M Graeub |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437253879 PECOS PAC ID: 4587578307 Enrollment ID: I20080306000466 |
| Provider Name | Stacy Wentworth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073792974 PECOS PAC ID: 3678658051 Enrollment ID: I20080310000317 |
| Provider Name | Beaulisa Metcalf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114956042 PECOS PAC ID: 4385729631 Enrollment ID: I20080311000243 |
| Provider Name | Leanne K Willis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750337929 PECOS PAC ID: 1658457379 Enrollment ID: I20080320000574 |
| Provider Name | Stephen Samuel Mcnatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912091505 PECOS PAC ID: 8820022841 Enrollment ID: I20080415000257 |
| Provider Name | William L Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336103357 PECOS PAC ID: 1557456605 Enrollment ID: I20080423000412 |
| Provider Name | Thomas L Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497714711 PECOS PAC ID: 8729166210 Enrollment ID: I20080424000175 |
| Provider Name | Temple Vashti Day |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013932565 PECOS PAC ID: 3971682444 Enrollment ID: I20080508000601 |
| Provider Name | Melanie Joy Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598843518 PECOS PAC ID: 9638248743 Enrollment ID: I20080515000291 |
| Provider Name | Daphne K Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518012350 PECOS PAC ID: 6002985132 Enrollment ID: I20080516000153 |
| Provider Name | Jeffrey Bruce Feldman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427035575 PECOS PAC ID: 4789753799 Enrollment ID: I20080516000479 |
| Provider Name | Elizabeth Mayfield Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679557631 PECOS PAC ID: 8426127440 Enrollment ID: I20080516000564 |
| 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 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 | George William Sawyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497706295 PECOS PAC ID: 2365512811 Enrollment ID: I20080610000400 |
| Provider Name | David Edward Bouska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962446914 PECOS PAC ID: 3072683523 Enrollment ID: I20080610000408 |
| 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 | William J Scarpa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962476747 PECOS PAC ID: 2466340377 Enrollment ID: I20080611000728 |
| 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 | 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 | Michelle Mccleaf Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891974671 PECOS PAC ID: 2769554427 Enrollment ID: I20080712000033 |
| 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 | Daniel J Pearce |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245415132 PECOS PAC ID: 6103999594 Enrollment ID: I20080717000603 |
| Provider Name | Martha J Arietti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164480232 PECOS PAC ID: 0345313789 Enrollment ID: I20080718000294 |
| Provider Name | Michele Polidoro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780652909 PECOS PAC ID: 9638242977 Enrollment ID: I20080721000449 |
| Provider Name | Gretchen Anne Brenes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972587921 PECOS PAC ID: 6507939725 Enrollment ID: I20080722000311 |
| Provider Name | Modupeola Oluwatoyin Akinola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003946393 PECOS PAC ID: 3971676719 Enrollment ID: I20080726000084 |
| Provider Name | Brian Douglas Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548450778 PECOS PAC ID: 3476627134 Enrollment ID: I20080730000278 |
| Provider Name | Tene Osahar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962689729 PECOS PAC ID: 7214002120 Enrollment ID: I20080812000395 |
| Provider Name | Vijaya Bhaskar 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 | 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 | Nayana Abrol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497956205 PECOS PAC ID: 5294800231 Enrollment ID: I20080826000440 |
| Provider Name | William G Smith |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730366519 PECOS PAC ID: 9830264803 Enrollment ID: I20080826000764 |
| 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 | Amy Nicole Hildreth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881715399 PECOS PAC ID: 9931275591 Enrollment ID: I20080904000566 |
| Provider Name | Christopher J Tuohy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578574042 PECOS PAC ID: 0648277913 Enrollment ID: I20080908000147 |
| Provider Name | Nilesh Prahlad Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700916384 PECOS PAC ID: 7416023932 Enrollment ID: I20080908000324 |
| 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 | Marcie K Drury Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609822139 PECOS PAC ID: 1850468679 Enrollment ID: I20080920000130 |
| 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 | Caron Boyd Dover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255321360 PECOS PAC ID: 1557458080 Enrollment ID: I20081003000698 |
| Provider Name | Remy Rene Coeytaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326143645 PECOS PAC ID: 5597833426 Enrollment ID: I20081006000390 |
| Provider Name | Mark Patrick Youens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952550766 PECOS PAC ID: 5193893725 Enrollment ID: I20081008000750 |
| Provider Name | Samira S Tahtawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831244946 PECOS PAC ID: 4880762426 Enrollment ID: I20081008000792 |
| Provider Name | Karla H Cromer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528217338 PECOS PAC ID: 9830267137 Enrollment ID: I20081013000574 |
| Provider Name | Rima Joy Jarrah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750574240 PECOS PAC ID: 4385712637 Enrollment ID: I20081014000270 |
| Provider Name | Nathan Mowery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295882009 PECOS PAC ID: 8022100809 Enrollment ID: I20081014000324 |
| Provider Name | Mira Margaret Boone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053511642 PECOS PAC ID: 1658461710 Enrollment ID: I20081014000507 |
| Provider Name | Yvon F Bryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912965013 PECOS PAC ID: 6103870571 Enrollment ID: I20081017000133 |
| Provider Name | Lucian G Vlad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629290523 PECOS PAC ID: 7416015516 Enrollment ID: I20081017000623 |
| Provider Name | Adrian L Lata |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255514188 PECOS PAC ID: 7113085267 Enrollment ID: I20081020000071 |
| Provider Name | Allyson J Whyte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629261250 PECOS PAC ID: 8426138389 Enrollment ID: I20081021000395 |
| 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 | Simret K Dev-raman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932297991 PECOS PAC ID: 9638183544 Enrollment ID: I20081027000415 |
| Provider Name | Jon Wesley Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659552347 PECOS PAC ID: 5597823195 Enrollment ID: I20081027000422 |
| Provider Name | Upma Hemal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770666950 PECOS PAC ID: 1951300961 Enrollment ID: I20081029000698 |
| Provider Name | Richard Patrick Mcquellon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275518623 PECOS PAC ID: 6800955204 Enrollment ID: I20081029000829 |
| Provider Name | Michael D Chan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225151152 PECOS PAC ID: 5698834745 Enrollment ID: I20081105000190 |
| Provider Name | Shadi A Qasem |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942410329 PECOS PAC ID: 0446319495 Enrollment ID: I20081105000234 |
| 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 | Sam S Somsook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942324926 PECOS PAC ID: 4284711946 Enrollment ID: I20081110000694 |
| 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 | Nadine M Lesko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255316683 PECOS PAC ID: 7810057007 Enrollment ID: I20081118000344 |
| Provider Name | Hollins Peel Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699750679 PECOS PAC ID: 2769542968 Enrollment ID: I20081118000497 |
| Provider Name | Raymond Bruce Dyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134103435 PECOS PAC ID: 8123188331 Enrollment ID: I20081118000503 |
| Provider Name | Allen Devaney Elster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053396515 PECOS PAC ID: 0547320624 Enrollment ID: I20081119000327 |
| Provider Name | Michael Oliphant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639157001 PECOS PAC ID: 5890690259 Enrollment ID: I20081119000443 |
| Provider Name | Stephen Mcneil Coarsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205815222 PECOS PAC ID: 7416017504 Enrollment ID: I20081119000451 |
| Provider Name | Lisa K Washburn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609850684 PECOS PAC ID: 8022178136 Enrollment ID: I20081119000596 |
| 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 | Jasmeet Singh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023266103 PECOS PAC ID: 2264592989 Enrollment ID: I20081125000209 |
| Provider Name | Johanna Regina Jorizzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043295322 PECOS PAC ID: 3072674670 Enrollment ID: I20081201000461 |
| Provider Name | Evelyn Anthony |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225014491 PECOS PAC ID: 1557313160 Enrollment ID: I20081201000569 |
| 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 | Ramon Velez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396727996 PECOS PAC ID: 4789745332 Enrollment ID: I20081202000234 |
| Provider Name | Dariel L Rathmell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760475008 PECOS PAC ID: 5890856207 Enrollment ID: I20081203000896 |
| Provider Name | Daniel Walter Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104800184 PECOS PAC ID: 1153482914 Enrollment ID: I20081211000570 |
| Provider Name | Darryl A Kalil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457395816 PECOS PAC ID: 8426119207 Enrollment ID: I20081211000747 |
| Provider Name | Erica Lynn Frechman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578716429 PECOS PAC ID: 8123180593 Enrollment ID: I20081218000302 |
| Provider Name | Ross Parker Davis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235312679 PECOS PAC ID: 6901968890 Enrollment ID: I20081231000466 |
| Provider Name | Anita Rippenger Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245215896 PECOS PAC ID: 1951464601 Enrollment ID: I20090107000337 |
| Provider Name | Margaret M Bovender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821260829 PECOS PAC ID: 4981767225 Enrollment ID: I20090112000758 |
| Provider Name | Denise Ray Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467603431 PECOS PAC ID: 5193888477 Enrollment ID: I20090113000369 |
| Provider Name | Mark Elliott Romanoff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841289758 PECOS PAC ID: 5294898359 Enrollment ID: I20090115000314 |
| Provider Name | Todd Harold St John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457506909 PECOS PAC ID: 8426111378 Enrollment ID: I20090120000532 |
| Provider Name | Scott David Wuertzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750584348 PECOS PAC ID: 5991869828 Enrollment ID: I20090121000555 |
| Provider Name | Christopher Nils Spongberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982762662 PECOS PAC ID: 4880758606 Enrollment ID: I20090122000647 |
| Provider Name | Raghava Nagaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609026046 PECOS PAC ID: 4284798950 Enrollment ID: I20090123000422 |
| Provider Name | Alexander Ong Sy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144297748 PECOS PAC ID: 7810981578 Enrollment ID: I20090211000600 |
| Provider Name | Karla Oxendine Castrovinci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831170802 PECOS PAC ID: 3072678762 Enrollment ID: I20090212000309 |
| Provider Name | Jerry D. Cade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861427304 PECOS PAC ID: 3678586138 Enrollment ID: I20090212000722 |
| Provider Name | Karyn Gordon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144213414 PECOS PAC ID: 8729143284 Enrollment ID: I20090217000180 |
| Provider Name | Olga Marie Otter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386620136 PECOS PAC ID: 7911062104 Enrollment ID: I20090223000635 |
| 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 | Teresa Taffe Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447495007 PECOS PAC ID: 8123184264 Enrollment ID: I20090225000598 |
| Provider Name | Hope Miles Neese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588772891 PECOS PAC ID: 3072679885 Enrollment ID: I20090303000528 |
| Provider Name | Megan Moyle Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467438739 PECOS PAC ID: 6103982616 Enrollment ID: I20090309000446 |
| Provider Name | John D Mcconnell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841259983 PECOS PAC ID: 3375539604 Enrollment ID: I20090313000299 |
| 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 A D Allura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| 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 | Elizabeth Voris Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881833531 PECOS PAC ID: 3375690563 Enrollment ID: I20090403000343 |
| Provider Name | David Nathaniel Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780780031 PECOS PAC ID: 9830276476 Enrollment ID: I20090406000634 |
| Provider Name | Sheila M Orem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457561987 PECOS PAC ID: 6709974157 Enrollment ID: I20090414000320 |
| Provider Name | Danielle S Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821040015 PECOS PAC ID: 0345397147 Enrollment ID: I20090414000451 |
| Provider Name | Mary K Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942299789 PECOS PAC ID: 1254489594 Enrollment ID: I20090427000074 |
| Provider Name | Robert Joshua Caudle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639328669 PECOS PAC ID: 3375691124 Enrollment ID: I20090504000679 |
| Provider Name | Robert G Zeller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225009012 PECOS PAC ID: 2264496090 Enrollment ID: I20090507000350 |
| Provider Name | Erik Insko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770550667 PECOS PAC ID: 9436124740 Enrollment ID: I20090512000494 |
| Provider Name | Fernanda Isabel Moreira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124140769 PECOS PAC ID: 0143379677 Enrollment ID: I20090512000626 |
| 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 | Larry V Carson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588764385 PECOS PAC ID: 4183600893 Enrollment ID: I20090520000460 |
| Provider Name | Murthy Venkata Madduri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750498515 PECOS PAC ID: 2264414127 Enrollment ID: I20090521000607 |
| 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 | Billy Keith Cash |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265424246 PECOS PAC ID: 7911057591 Enrollment ID: I20090603000320 |
| Provider Name | Barry R Seltzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720048788 PECOS PAC ID: 3678623758 Enrollment ID: I20090611000194 |
| Provider Name | James Hoekstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255315651 PECOS PAC ID: 0749187656 Enrollment ID: I20090611000421 |
| Provider Name | James F Black |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184600314 PECOS PAC ID: 5698825685 Enrollment ID: I20090612000479 |
| Provider Name | Jason Thomas Stombaugh |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1447484555 PECOS PAC ID: 2466502182 Enrollment ID: I20090617000701 |
| Provider Name | Delila Bailey Modzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760625834 PECOS PAC ID: 8628129335 Enrollment ID: I20090619000061 |
| 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 | James M Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275659658 PECOS PAC ID: 6901957307 Enrollment ID: I20090624000754 |
| Provider Name | Paul Channing Harkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992849921 PECOS PAC ID: 4284785130 Enrollment ID: I20090706000478 |
| Provider Name | Chon Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366655631 PECOS PAC ID: 8426109208 Enrollment ID: I20090708000298 |
| 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 | 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 | Nona Olivia Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215009998 PECOS PAC ID: 6901959865 Enrollment ID: I20090725000096 |
| 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 | Kristy Barnes Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275582207 PECOS PAC ID: 8628977261 Enrollment ID: I20090804000589 |
| Provider Name | Alexander K Powers |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134397714 PECOS PAC ID: 7315090610 Enrollment ID: I20090804000647 |
| Provider Name | Timothy Sebastian Pardee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740386010 PECOS PAC ID: 7719030014 Enrollment ID: I20090804000700 |
| Provider Name | Changlee S Pang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962695064 PECOS PAC ID: 0143373191 Enrollment ID: I20090808000124 |
| 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 | Jennifer L Stoeber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669694402 PECOS PAC ID: 4880748060 Enrollment ID: I20090822000189 |
| Provider Name | James Michael Kidder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447432166 PECOS PAC ID: 3971657164 Enrollment ID: I20090822000201 |
| 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 Kathryn 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 | Donna Kay Lo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487892287 PECOS PAC ID: 7810042637 Enrollment ID: I20090831000610 |
| Provider Name | Kathleen Mcmanus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851589287 PECOS PAC ID: 6709944366 Enrollment ID: I20090831000676 |
| Provider Name | Charlene M Fleming |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235313081 PECOS PAC ID: 4789739459 Enrollment ID: I20090901000478 |
| Provider Name | Mindy Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487674578 PECOS PAC ID: 5991850505 Enrollment ID: I20090903000465 |
| Provider Name | Tiffany Ramseur Cowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386876100 PECOS PAC ID: 1052466687 Enrollment ID: I20090903000613 |
| Provider Name | Edward Gus Shaw |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538141585 PECOS PAC ID: 9638224066 Enrollment ID: I20090908000342 |
| 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 | Shamsher Singh Ahluwalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497943286 PECOS PAC ID: 9537217385 Enrollment ID: I20090914000424 |
| Provider Name | Kathryn M Greven |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972585339 PECOS PAC ID: 3173679172 Enrollment ID: I20090916000343 |
| Provider Name | Lisa Traunero |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891980926 PECOS PAC ID: 0941356984 Enrollment ID: I20090916000701 |
| Provider Name | Holly C Hanes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609058338 PECOS PAC ID: 9436205309 Enrollment ID: I20090917000238 |
| Provider Name | Nagajyothi J Gavini |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992846943 PECOS PAC ID: 2466508304 Enrollment ID: I20090918000186 |
| Provider Name | Sandi Goughenour Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316181357 PECOS PAC ID: 2163578964 Enrollment ID: I20090921000184 |
| Provider Name | Medge Denise Owen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225013352 PECOS PAC ID: 0648326355 Enrollment ID: I20090922000540 |
| Provider Name | Victor Ortega |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821266453 PECOS PAC ID: 6103852694 Enrollment ID: I20090924000717 |
| Provider Name | Sandy Casey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609109230 PECOS PAC ID: 8820144157 Enrollment ID: I20090928000649 |
| Provider Name | Elena W Meadows |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295068625 PECOS PAC ID: 5597811885 Enrollment ID: I20090929000419 |
| Provider Name | Cheryl Ross-cammock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689615015 PECOS PAC ID: 4981658002 Enrollment ID: I20090929000710 |
| 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 | Katrina L Hales |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730413907 PECOS PAC ID: 9133265242 Enrollment ID: I20091002000585 |
| Provider Name | Elijah Hamilton Beaty |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447430061 PECOS PAC ID: 0749360220 Enrollment ID: I20091005000658 |
| 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 | Mark A Pashayan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114919321 PECOS PAC ID: 5698811487 Enrollment ID: I20091008000286 |
| Provider Name | Chad Robert Haldeman Englert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013109594 PECOS PAC ID: 1850437658 Enrollment ID: I20091008000317 |
| Provider Name | Jason M Caldwell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548441702 PECOS PAC ID: 9436295243 Enrollment ID: I20091008000471 |
| 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 | Donald W Wickline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790998300 PECOS PAC ID: 4587730858 Enrollment ID: I20091013000254 |
| Provider Name | Shiva Jarrahi Kincaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063404283 PECOS PAC ID: 9032255617 Enrollment ID: I20091013000262 |
| Provider Name | Shelley R Kreiter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255323465 PECOS PAC ID: 6305982893 Enrollment ID: I20091014000501 |
| Provider Name | David R Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801889175 PECOS PAC ID: 7214073642 Enrollment ID: I20091015000113 |
| Provider Name | Matthew S Edwards |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699750752 PECOS PAC ID: 8729124169 Enrollment ID: I20091015000166 |
| Provider Name | Brian A Opitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043491897 PECOS PAC ID: 4385781707 Enrollment ID: I20091016000258 |
| 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 | Elma F Callis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093048522 PECOS PAC ID: 2860539897 Enrollment ID: I20091023000669 |
| Provider Name | Peter William Robie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538152871 PECOS PAC ID: 8224175179 Enrollment ID: I20091026000175 |
| Provider Name | Kevin Stuart Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811004302 PECOS PAC ID: 4183708191 Enrollment ID: I20091027000525 |
| Provider Name | Stephanie Rotan Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760665640 PECOS PAC ID: 6305984840 Enrollment ID: I20091103000644 |
| Provider Name | Whitney M Plunkett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144403379 PECOS PAC ID: 0749328136 Enrollment ID: I20091104000547 |
| Provider Name | Konstantinos I Votanopoulos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023212974 PECOS PAC ID: 1951498351 Enrollment ID: I20091109000570 |
| Provider Name | April Palumbo-rasch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578764866 PECOS PAC ID: 9537252861 Enrollment ID: I20091110000681 |
| Provider Name | George Hosni Yacoub |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881876241 PECOS PAC ID: 8426196536 Enrollment ID: I20091110000769 |
| Provider Name | Daniel Jordan Forest |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093999369 PECOS PAC ID: 2961540075 Enrollment ID: I20091110000786 |
| Provider Name | Laurie W Albertini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962526715 PECOS PAC ID: 2062550007 Enrollment ID: I20091111000332 |
| Provider Name | Jonathan L Lozevski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548386337 PECOS PAC ID: 3678611514 Enrollment ID: I20091112000517 |
| Provider Name | Christopher Marcus Lack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427222454 PECOS PAC ID: 3375681133 Enrollment ID: I20091116000499 |
| Provider Name | James Conrad Eisenach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932184801 PECOS PAC ID: 3779621362 Enrollment ID: I20091119000431 |
| Provider Name | Randolph Geary |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245215300 PECOS PAC ID: 1658410246 Enrollment ID: I20091119000563 |
| Provider Name | Tyler A Miller-bost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841525060 PECOS PAC ID: 2264571892 Enrollment ID: I20091120000190 |
| Provider Name | Angeline L Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881826907 PECOS PAC ID: 9032258603 Enrollment ID: I20091120000544 |
| Provider Name | David William Lacey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205838968 PECOS PAC ID: 4587764311 Enrollment ID: I20091120000556 |
| Provider Name | John Bednar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902833775 PECOS PAC ID: 5597804765 Enrollment ID: I20091201000240 |
| Provider Name | Erika Beth Johnston-macananny |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548325871 PECOS PAC ID: 6901945187 Enrollment ID: I20091201000292 |
| Provider Name | Jamie N Deis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639266778 PECOS PAC ID: 3678679289 Enrollment ID: I20091201000545 |
| Provider Name | Robert J Evans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477549707 PECOS PAC ID: 9931248754 Enrollment ID: I20091208000017 |
| Provider Name | Mary Joanna Fitzmaurice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699905711 PECOS PAC ID: 7315087046 Enrollment ID: I20091210000540 |
| 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 | Timothy M Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760408967 PECOS PAC ID: 1153461413 Enrollment ID: I20091216000627 |
| Provider Name | Diana S Deviney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942422571 PECOS PAC ID: 7810037074 Enrollment ID: I20091218000213 |
| 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 | Daniel B Jobe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033149299 PECOS PAC ID: 0345381091 Enrollment ID: I20100104000430 |
| Provider Name | Richard S Weinbaum |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427019033 PECOS PAC ID: 2365583978 Enrollment ID: I20100105000234 |
| Provider Name | Nicola Joseph Jacobucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780617639 PECOS PAC ID: 2466593082 Enrollment ID: I20100105000329 |
| Provider Name | Elisabeth M Stambaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366438152 PECOS PAC ID: 4688715246 Enrollment ID: I20100105000633 |
| Provider Name | Brent D Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992704712 PECOS PAC ID: 7416098843 Enrollment ID: I20100107000634 |
| Provider Name | Richard L Orr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992735864 PECOS PAC ID: 7810038106 Enrollment ID: I20100108000468 |
| 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 | Rafaela M Aguiar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679599096 PECOS PAC ID: 6608917612 Enrollment ID: I20100112000499 |
| 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 - Diagnostic 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 | Kenneth C Shull |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013948025 PECOS PAC ID: 0446392195 Enrollment ID: I20100119000732 |
| Provider Name | Douglas K Louk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114945524 PECOS PAC ID: 8527100288 Enrollment ID: I20100119000747 |
| Provider Name | Monica E Doerr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952337271 PECOS PAC ID: 3072655539 Enrollment ID: I20100121000227 |
| Provider Name | Robert P Heine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568545713 PECOS PAC ID: 4880736099 Enrollment ID: I20100127000242 |
| Provider Name | Susan Ann Kidwell Williford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851313332 PECOS PAC ID: 9830231992 Enrollment ID: I20100127000789 |
| Provider Name | Nitin P Shenoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851356315 PECOS PAC ID: 0042352130 Enrollment ID: I20100128000086 |
| Provider Name | F D Blazek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912938010 PECOS PAC ID: 2567504574 Enrollment ID: I20100128000424 |
| Provider Name | Douglas A Shields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891717815 PECOS PAC ID: 5294633657 Enrollment ID: I20100129000199 |
| Provider Name | Jason Douglas Huff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245298587 PECOS PAC ID: 5698788149 Enrollment ID: I20100201000612 |
| Provider Name | Donna Fraser Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215165907 PECOS PAC ID: 7315080041 Enrollment ID: I20100203000688 |
| Provider Name | Christopher L Dugan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669702387 PECOS PAC ID: 3274676812 Enrollment ID: I20100204000842 |
| Provider Name | Steven J Tilles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003860990 PECOS PAC ID: 1557404043 Enrollment ID: I20100205000378 |
| Provider Name | Martha Katherine Linker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801957949 PECOS PAC ID: 4183767684 Enrollment ID: I20100205000459 |
| 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 | Matthew Adam Weingold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053368464 PECOS PAC ID: 0345383600 Enrollment ID: I20100209000190 |
| Provider Name | Gary Robert Kuzma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316984610 PECOS PAC ID: 9335041193 Enrollment ID: I20100209000199 |
| Provider Name | Robert G Steele |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710956297 PECOS PAC ID: 6305814328 Enrollment ID: I20100210000672 |
| 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 | Christina Natale Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962684514 PECOS PAC ID: 4284790007 Enrollment ID: I20100219000508 |
| Provider Name | Robert Stephen Weller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386629244 PECOS PAC ID: 8921142548 Enrollment ID: I20100220000336 |
| Provider Name | Christine R Wright |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770544306 PECOS PAC ID: 5890870562 Enrollment ID: I20100222000351 |
| 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 | Michael J Piazza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598729345 PECOS PAC ID: 7911001755 Enrollment ID: I20100222000804 |
| Provider Name | Ryan A Holton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346574100 PECOS PAC ID: 7810031267 Enrollment ID: I20100223000365 |
| 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 | James Joseph O Brien |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013992148 PECOS PAC ID: 0345384533 Enrollment ID: I20100225000943 |
| Provider Name | Stephen Jeffrey Copeland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073598108 PECOS PAC ID: 5890830087 Enrollment ID: I20100226000072 |
| Provider Name | Scott L Vogler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013978253 PECOS PAC ID: 7214072420 Enrollment ID: I20100226000389 |
| Provider Name | Joseph Raphael Tobin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467437590 PECOS PAC ID: 7810032067 Enrollment ID: I20100226000765 |
| 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 | Boyce David Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518920610 PECOS PAC ID: 8921193061 Enrollment ID: I20100301000873 |
| Provider Name | Chris N 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 | Jeffrey Scott Kelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477538353 PECOS PAC ID: 2365587169 Enrollment ID: I20100304000448 |
| 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 | Robert A Strickland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073599403 PECOS PAC ID: 0244375988 Enrollment ID: I20100304000934 |
| Provider Name | Sheila Ann Billings |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316920457 PECOS PAC ID: 2668517202 Enrollment ID: I20100306000168 |
| Provider Name | John A Wilson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467432047 PECOS PAC ID: 5890830442 Enrollment ID: I20100306000231 |
| Provider Name | Howard Andrew Blumstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801870209 PECOS PAC ID: 5698810299 Enrollment ID: I20100308000279 |
| Provider Name | Richard W Lord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346224854 PECOS PAC ID: 8921143462 Enrollment ID: I20100308000829 |
| Provider Name | Charles R Clinch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053395566 PECOS PAC ID: 4183769631 Enrollment ID: I20100308000855 |
| Provider Name | David Duane Hurd |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962481879 PECOS PAC ID: 3678618121 Enrollment ID: I20100308000921 |
| 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 | 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 | Kenneth Stuart O Rourke |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972588309 PECOS PAC ID: 2264577626 Enrollment ID: I20100310000182 |
| Provider Name | Charles L Branch |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821078403 PECOS PAC ID: 9335284710 Enrollment ID: I20100310000401 |
| 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 | Melissa Cousins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396821724 PECOS PAC ID: 0840284899 Enrollment ID: I20100310001002 |
| Provider Name | Simon Bergman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871577304 PECOS PAC ID: 6709921067 Enrollment ID: I20100311000224 |
| Provider Name | Mark R Hess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124003082 PECOS PAC ID: 6305981671 Enrollment ID: I20100311000277 |
| Provider Name | Deneice D Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952632374 PECOS PAC ID: 3971648254 Enrollment ID: I20100311000354 |
| Provider Name | David E Manthey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285618686 PECOS PAC ID: 6002951381 Enrollment ID: I20100311000414 |
| Provider Name | Kathleen Gibson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922082981 PECOS PAC ID: 5890830186 Enrollment ID: I20100311000450 |
| 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 | Peter Morris |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083699102 PECOS PAC ID: 7517092802 Enrollment ID: I20100311000559 |
| Provider Name | Michael Coates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013991439 PECOS PAC ID: 0244365534 Enrollment ID: I20100311000563 |
| Provider Name | Leslie Danese Kammire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295718328 PECOS PAC ID: 0941335236 Enrollment ID: I20100311000583 |
| Provider Name | Francis O Walker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639155724 PECOS PAC ID: 2466587787 Enrollment ID: I20100311000827 |
| Provider Name | Faiza Rais-reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982732558 PECOS PAC ID: 0446385777 Enrollment ID: I20100311000956 |
| 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 | James O Cappellari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649254012 PECOS PAC ID: 4789719907 Enrollment ID: I20100312000857 |
| 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 | Kenneth Louis Koch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588649925 PECOS PAC ID: 8921133166 Enrollment ID: I20100312000971 |
| 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 | Mary C Obrien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013992163 PECOS PAC ID: 0446385520 Enrollment ID: I20100315000352 |
| 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 | Karl Patrick Ober |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720063167 PECOS PAC ID: 6901931096 Enrollment ID: I20100315000457 |
| 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 | 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 | Michael Glock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033194006 PECOS PAC ID: 0042345027 Enrollment ID: I20100316000450 |
| Provider Name | Wendy Colleen Moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235112376 PECOS PAC ID: 8820123854 Enrollment ID: I20100316000946 |
| Provider Name | Deborah M Whelan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457336299 PECOS PAC ID: 7618002643 Enrollment ID: I20100316000968 |
| Provider Name | Kenneth Edward Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114902244 PECOS PAC ID: 7911032958 Enrollment ID: I20100316001028 |
| 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 | Mary Fennell Lyles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861477804 PECOS PAC ID: 9537294475 Enrollment ID: I20100317001049 |
| 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 | Burton V Reifler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285618256 PECOS PAC ID: 4183759855 Enrollment ID: I20100319000338 |
| Provider Name | Peter Riback Lichstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154303519 PECOS PAC ID: 1052446721 Enrollment ID: I20100319000377 |
| Provider Name | William Brown Applegate |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730163197 PECOS PAC ID: 9931019403 Enrollment ID: I20100319000429 |
| Provider Name | Robert Joseph Applegate |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740265032 PECOS PAC ID: 4284769985 Enrollment ID: I20100319000678 |
| 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 | Franklyn Milton Millman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841277084 PECOS PAC ID: 6103951827 Enrollment ID: I20100320000021 |
| Provider Name | Michael Anthony Kutcher |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568447845 PECOS PAC ID: 6901931625 Enrollment ID: I20100320000028 |
| 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 | Thomas Durward Dubose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164405874 PECOS PAC ID: 8527193143 Enrollment ID: I20100320000061 |
| Provider Name | Sergiu Stefanescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215919261 PECOS PAC ID: 2860527488 Enrollment ID: I20100320000090 |
| 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 | Karen Lea Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578547980 PECOS PAC ID: 4385779909 Enrollment ID: I20100320000119 |
| Provider Name | William Yates Rice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306823547 PECOS PAC ID: 2466587084 Enrollment ID: I20100320000142 |
| Provider Name | Killian Conor Robinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073598363 PECOS PAC ID: 3375678907 Enrollment ID: I20100320000248 |
| 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 | William Gregory Hundley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194700484 PECOS PAC ID: 6901931542 Enrollment ID: I20100320000280 |
| 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 | Sally P Hauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437134566 PECOS PAC ID: 7810023066 Enrollment ID: I20100327000188 |
| Provider Name | Robert Douglas Teasdall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720062110 PECOS PAC ID: 5991831141 Enrollment ID: I20100327000197 |
| Provider Name | Neal D Kon |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992788699 PECOS PAC ID: 4880720044 Enrollment ID: I20100327000218 |
| Provider Name | Tamison Jewett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770567729 PECOS PAC ID: 0042346207 Enrollment ID: I20100327000245 |
| 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 | Wesley Kenneth Haisty |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033194311 PECOS PAC ID: 6406982560 Enrollment ID: I20100327000365 |
| Provider Name | Stephen Paul Peters |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598740656 PECOS PAC ID: 4183750250 Enrollment ID: I20100327000435 |
| Provider Name | Roy L Alson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811971211 PECOS PAC ID: 4981744398 Enrollment ID: I20100327000491 |
| 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 | Alan Bernard Fleischer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730165002 PECOS PAC ID: 2567598600 Enrollment ID: I20100329000591 |
| Provider Name | Stephen I Kramer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154305100 PECOS PAC ID: 3173659216 Enrollment ID: I20100329000613 |
| Provider Name | Steven Richard Feldman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720063175 PECOS PAC ID: 7911033063 Enrollment ID: I20100329000726 |
| Provider Name | Phillip M Williford |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518943943 PECOS PAC ID: 0143356196 Enrollment ID: I20100329000779 |
| Provider Name | Kurt L Klinepeter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639153927 PECOS PAC ID: 3274669221 Enrollment ID: I20100329000828 |
| Provider Name | John Owen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366427411 PECOS PAC ID: 0345376307 Enrollment ID: I20100329000856 |
| Provider Name | Mitchell C Sokolosky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457335853 PECOS PAC ID: 3870629850 Enrollment ID: I20100329001057 |
| Provider Name | Sherry Leigh Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760445431 PECOS PAC ID: 9032245014 Enrollment ID: I20100329001089 |
| 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 | Mark P Knudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073597035 PECOS PAC ID: 3476689209 Enrollment ID: I20100331000142 |
| Provider Name | Gregory S Waters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003893629 PECOS PAC ID: 3577699297 Enrollment ID: I20100331001052 |
| Provider Name | Jodi Hawn Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669658001 PECOS PAC ID: 3779619309 Enrollment ID: I20100407000232 |
| Provider Name | Lloyd Dermot Lohr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861467268 PECOS PAC ID: 1355478843 Enrollment ID: I20100414000405 |
| Provider Name | Gregory Jay Pomper |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184608572 PECOS PAC ID: 3173650694 Enrollment ID: I20100414000810 |
| Provider Name | Gretchen Wells |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740265958 PECOS PAC ID: 0840327250 Enrollment ID: I20100416000038 |
| Provider Name | Jasper Simmons Riggan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700882982 PECOS PAC ID: 7810995115 Enrollment ID: I20100416000560 |
| Provider Name | Kevin R Hansen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912220997 PECOS PAC ID: 7416084710 Enrollment ID: I20100419000299 |
| Provider Name | Ruth A Lininger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306932918 PECOS PAC ID: 9537296850 Enrollment ID: I20100419000472 |
| Provider Name | Kasturi Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457513806 PECOS PAC ID: 2062549314 Enrollment ID: I20100419000779 |
| Provider Name | William C Wall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902138894 PECOS PAC ID: 1759418932 Enrollment ID: I20100420000434 |
| Provider Name | Angela Paige Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124002423 PECOS PAC ID: 9436286622 Enrollment ID: I20100420000492 |
| Provider Name | John Green Malone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992773287 PECOS PAC ID: 8426185513 Enrollment ID: I20100421000701 |
| 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 | Elizabeth C Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487639464 PECOS PAC ID: 7618004557 Enrollment ID: I20100423000493 |
| Provider Name | David Coker Joslin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316998495 PECOS PAC ID: 4284761123 Enrollment ID: I20100423000585 |
| 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 | Erik Christian Summers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235111642 PECOS PAC ID: 1658304175 Enrollment ID: I20100506000578 |
| Provider Name | Sarah Robertson Dralle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902120462 PECOS PAC ID: 1153459441 Enrollment ID: I20100506000673 |
| Provider Name | Peter E Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194787473 PECOS PAC ID: 4587740931 Enrollment ID: I20100506000730 |
| Provider Name | Robert Lee Sprinkle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689613432 PECOS PAC ID: 6608904776 Enrollment ID: I20100512000778 |
| 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 | Meidad Baruch Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720278427 PECOS PAC ID: 6103992714 Enrollment ID: I20100518000313 |
| 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 | Michael Steven Heller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336141621 PECOS PAC ID: 0648262816 Enrollment ID: I20100519000763 |
| 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 | 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 | Theresa M Terlecki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801989389 PECOS PAC ID: 4183621527 Enrollment ID: I20100621000564 |
| Provider Name | Sherri L Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649214545 PECOS PAC ID: 5193763613 Enrollment ID: I20100621000599 |
| 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 | Graham Eric Parks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154503662 PECOS PAC ID: 2264563949 Enrollment ID: I20100624000017 |
| 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 | Daniel Culp Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063616423 PECOS PAC ID: 8820129521 Enrollment ID: I20100624000259 |
| Provider Name | Julian Manuel Thomas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417926221 PECOS PAC ID: 1658395397 Enrollment ID: I20100624000636 |
| Provider Name | Amy Tackett Campos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922281310 PECOS PAC ID: 0547391104 Enrollment ID: I20100625000117 |
| Provider Name | Bharathi Upadhya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730381989 PECOS PAC ID: 3476684887 Enrollment ID: I20100629000665 |
| Provider Name | Gigi Milou Macdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508036328 PECOS PAC ID: 3375674575 Enrollment ID: I20100702000418 |
| Provider Name | Kamal Sami Ajam |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1306922117 PECOS PAC ID: 6103862032 Enrollment ID: I20100709000355 |
| Provider Name | Vijay Kumar Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972736023 PECOS PAC ID: 0143352120 Enrollment ID: I20100712000215 |
| Provider Name | Stephen Davis Lucey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932152527 PECOS PAC ID: 3678605334 Enrollment ID: I20100715000169 |
| Provider Name | Connie Lea Calvert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770757775 PECOS PAC ID: 5799848032 Enrollment ID: I20100720000644 |
| Provider Name | Jennifer Cannon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356464846 PECOS PAC ID: 3678605029 Enrollment ID: I20100720000815 |
| Provider Name | Terri Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346314143 PECOS PAC ID: 9931231198 Enrollment ID: I20100723000225 |
| Provider Name | Dmitriy Petrovich Berenzon |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1669631479 PECOS PAC ID: 8820120934 Enrollment ID: I20100724000025 |
| 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 | Ivo A Pestana |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1881861730 PECOS PAC ID: 8022141878 Enrollment ID: I20100730000960 |
| Provider Name | Emily Poole Pharr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104009745 PECOS PAC ID: 4486787231 Enrollment ID: I20100730000971 |
| 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 | Leland J Cook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235192261 PECOS PAC ID: 3870626542 Enrollment ID: I20100802000327 |
| Provider Name | Wells Stewart |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700801255 PECOS PAC ID: 8729111463 Enrollment ID: I20100803000107 |
| 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 | Ishaq Y Syed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104082676 PECOS PAC ID: 2961535471 Enrollment ID: I20100804000983 |
| Provider Name | Peter H Bradshaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295798155 PECOS PAC ID: 3779616164 Enrollment ID: I20100805000648 |
| 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 Norman Atkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104808476 PECOS PAC ID: 3173656345 Enrollment ID: I20100809000957 |
| Provider Name | Kevin N Largen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609970045 PECOS PAC ID: 3173657251 Enrollment ID: I20100811000128 |
| Provider Name | Nikhil Balakrishnan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396993184 PECOS PAC ID: 3870627953 Enrollment ID: I20100811000164 |
| 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 | Lauren Nicola |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376663344 PECOS PAC ID: 3173657079 Enrollment ID: I20100813000774 |
| Provider Name | Gary Michael Graham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801871702 PECOS PAC ID: 4688708589 Enrollment ID: I20100813000819 |
| 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 | Frank Edward Pollock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538127303 PECOS PAC ID: 4688708977 Enrollment ID: I20100823000889 |
| Provider Name | Owen T Regan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518074889 PECOS PAC ID: 9537178413 Enrollment ID: I20100823001055 |
| Provider Name | Jonathan A Moseley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871796961 PECOS PAC ID: 2062561343 Enrollment ID: I20100824000110 |
| Provider Name | Rebecca L Lord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619150836 PECOS PAC ID: 3173647393 Enrollment ID: I20100825000299 |
| Provider Name | Joseph Richard Barber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821279795 PECOS PAC ID: 3678697844 Enrollment ID: I20100825000928 |
| 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 | Sunghye Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386821924 PECOS PAC ID: 7618091752 Enrollment ID: I20100826000738 |
| Provider Name | Leonardo Kapural |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447355029 PECOS PAC ID: 2860434925 Enrollment ID: I20100827000611 |
| 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 | Barney R Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164526505 PECOS PAC ID: 8426172305 Enrollment ID: I20100830000307 |
| Provider Name | Gary Lee Ray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811990815 PECOS PAC ID: 7012031750 Enrollment ID: I20100901000432 |
| Provider Name | Robin Laird Chaves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205810199 PECOS PAC ID: 6507980273 Enrollment ID: I20100901000827 |
| Provider Name | Ewain P Wilson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558462937 PECOS PAC ID: 7113088584 Enrollment ID: I20100902000432 |
| Provider Name | Kevin Kuzma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871751487 PECOS PAC ID: 9739203324 Enrollment ID: I20100903000202 |
| Provider Name | Kethandapatti Chakravarthy Balaji |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558314484 PECOS PAC ID: 6507874567 Enrollment ID: I20100903000231 |
| Provider Name | Michael P Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366450033 PECOS PAC ID: 0941381503 Enrollment ID: I20100903000326 |
| Provider Name | Steven Muscoreil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427008374 PECOS PAC ID: 7618092974 Enrollment ID: I20100910000455 |
| 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 | Kathy Chilton Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770723249 PECOS PAC ID: 7113042276 Enrollment ID: I20100913000583 |
| Provider Name | Marcel Ikwuoma Akuneme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336398387 PECOS PAC ID: 2466577556 Enrollment ID: I20100913000896 |
| Provider Name | Philippe Jude Zamor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881734382 PECOS PAC ID: 5698729051 Enrollment ID: I20100914001081 |
| Provider Name | Deborah Floyd Haimes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528037025 PECOS PAC ID: 5092830802 Enrollment ID: I20100916001358 |
| 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 | Anne Caroline Garnier Norman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083880132 PECOS PAC ID: 2567587124 Enrollment ID: I20100920000498 |
| 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 | 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 | Rachel L Curtis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609873546 PECOS PAC ID: 4183603012 Enrollment ID: I20100924000866 |
| Provider Name | George John Hatsios |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770566515 PECOS PAC ID: 5799801916 Enrollment ID: I20100924001204 |
| 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 | Sally Metcalf Lambeth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760539589 PECOS PAC ID: 2668598699 Enrollment ID: I20100928000780 |
| Provider Name | Suma Menon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013235464 PECOS PAC ID: 2264624642 Enrollment ID: I20101004000628 |
| Provider Name | Shanna G Steelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912152927 PECOS PAC ID: 6709079361 Enrollment ID: I20101015000468 |
| Provider Name | Randolph N Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093852097 PECOS PAC ID: 8628121274 Enrollment ID: I20101021000139 |
| Provider Name | Samuel R Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235115049 PECOS PAC ID: 0345433207 Enrollment ID: I20101023000032 |
| 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 | Denny M Rodenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669436994 PECOS PAC ID: 0749475028 Enrollment ID: I20101111001392 |
| Provider Name | Sherry Morgan Close |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679873608 PECOS PAC ID: 1759576648 Enrollment ID: I20101117001233 |
| Provider Name | Obinna Ogbonnaya Ikwechegh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952582967 PECOS PAC ID: 0749476372 Enrollment ID: I20101122001184 |
| Provider Name | Daniel Kleven |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619180742 PECOS PAC ID: 2365638541 Enrollment ID: I20101130000907 |
| 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 | 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 | Judson S Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730498486 PECOS PAC ID: 4082801550 Enrollment ID: I20101209000505 |
| 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 Shahmehdi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| 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 | Rashid M Janjua |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124239355 PECOS PAC ID: 9830225861 Enrollment ID: I20110104000577 |
| Provider Name | Georgia Kantrales Olympio |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619945649 PECOS PAC ID: 9739378720 Enrollment ID: I20110106000220 |
| Provider Name | Jennifer Willard Osborne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366750564 PECOS PAC ID: 2860681608 Enrollment ID: I20110111000185 |
| Provider Name | Courage Emokpae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033175401 PECOS PAC ID: 2466346697 Enrollment ID: I20110112000137 |
| Provider Name | Travonia W Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326340217 PECOS PAC ID: 1658550926 Enrollment ID: I20110119001093 |
| 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 | Heather Joy Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821399742 PECOS PAC ID: 8426237231 Enrollment ID: I20110126000465 |
| Provider Name | Jerry L Brittain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972516367 PECOS PAC ID: 0446439830 Enrollment ID: I20110201000778 |
| Provider Name | Michael Francis Fina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053378984 PECOS PAC ID: 4587653571 Enrollment ID: I20110209001003 |
| Provider Name | Christian Edward Shield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740499490 PECOS PAC ID: 1951581784 Enrollment ID: I20110210000475 |
| 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 | Ted William Parcel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942409057 PECOS PAC ID: 0446304166 Enrollment ID: I20110307000814 |
| 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 | Abinet Mulat Boku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477731248 PECOS PAC ID: 2062567845 Enrollment ID: I20110318000720 |
| 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 | Mary Therese Silvia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720018146 PECOS PAC ID: 9335144294 Enrollment ID: I20110331000063 |
| Provider Name | Susan E Steelman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578860375 PECOS PAC ID: 5991989378 Enrollment ID: I20110408000384 |
| Provider Name | Jill Patton Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356649818 PECOS PAC ID: 6800070020 Enrollment ID: I20110413000652 |
| Provider Name | Debby Crosley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285824961 PECOS PAC ID: 1153404868 Enrollment ID: I20110413000911 |
| Provider Name | Ashton Chen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215128459 PECOS PAC ID: 1951586734 Enrollment ID: I20110420000384 |
| Provider Name | Heather M Spry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154432862 PECOS PAC ID: 9830375690 Enrollment ID: I20110512000733 |
| Provider Name | Matthew Harry Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104033281 PECOS PAC ID: 2365628831 Enrollment ID: I20110517000820 |
| Provider Name | David B Chapman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154504181 PECOS PAC ID: 3870770530 Enrollment ID: I20110606000399 |
| Provider Name | David Story |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548435795 PECOS PAC ID: 7810023686 Enrollment ID: I20110606000768 |
| Provider Name | Jonathan Douglas Jaffe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023289378 PECOS PAC ID: 0941487649 Enrollment ID: I20110607000005 |
| Provider Name | David Matthews Hatch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346429628 PECOS PAC ID: 0840477543 Enrollment ID: I20110607000016 |
| Provider Name | Matthew S Shepherd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205809084 PECOS PAC ID: 2062695323 Enrollment ID: I20110607000049 |
| Provider Name | Timothy Michael Galey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770756157 PECOS PAC ID: 1153508858 Enrollment ID: I20110607000059 |
| Provider Name | Carlos Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023192820 PECOS PAC ID: 5991833345 Enrollment ID: I20110608000360 |
| Provider Name | Jessica Leigh Booth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710168398 PECOS PAC ID: 2264619766 Enrollment ID: I20110609000828 |
| Provider Name | Aarti Sarwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043321011 PECOS PAC ID: 3173700671 Enrollment ID: I20110609000829 |
| Provider Name | Melissa Lynn Downing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699936567 PECOS PAC ID: 0244429330 Enrollment ID: I20110609000830 |
| 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 | Philip Clair Yount |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285675348 PECOS PAC ID: 0749478295 Enrollment ID: I20110624000385 |
| 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 | Michael David Quartermain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033257720 PECOS PAC ID: 8022114693 Enrollment ID: I20110721000013 |
| Provider Name | Chaudry Nasir Majeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| 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 | Michael C Mccrory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306998034 PECOS PAC ID: 1557530821 Enrollment ID: I20110803000695 |
| Provider Name | Anne Marie Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033400916 PECOS PAC ID: 9335318443 Enrollment ID: I20110805000818 |
| Provider Name | Laura H Glick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831363746 PECOS PAC ID: 2567631450 Enrollment ID: I20110810000401 |
| Provider Name | David F Crudo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851382931 PECOS PAC ID: 9537338132 Enrollment ID: I20110817000293 |
| Provider Name | Doris R Brown |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326165663 PECOS PAC ID: 8527237023 Enrollment ID: I20110817000316 |
| Provider Name | Pradeep Yarra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033406731 PECOS PAC ID: 1557530052 Enrollment ID: I20110817000412 |
| 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 | Christina S Long |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518107747 PECOS PAC ID: 4789854134 Enrollment ID: I20110823000499 |
| 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 | Martine T Silver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801035779 PECOS PAC ID: 9032389218 Enrollment ID: I20110825000358 |
| Provider Name | Renu Syal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992773030 PECOS PAC ID: 9133181506 Enrollment ID: I20110829000008 |
| Provider Name | Olukayode Oluseun Onasanya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649500158 PECOS PAC ID: 9032389135 Enrollment ID: I20110829000258 |
| 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 | William W Huang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629272455 PECOS PAC ID: 9436329182 Enrollment ID: I20110907001072 |
| 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 Michelle Linton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598962896 PECOS PAC ID: 0547453219 Enrollment ID: I20110915000871 |
| 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 | Simanta Dutta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083903975 PECOS PAC ID: 8820269913 Enrollment ID: I20110921000558 |
| Provider Name | Stephanie Jane Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144480716 PECOS PAC ID: 5496926594 Enrollment ID: I20110921000672 |
| Provider Name | Cari B Triplett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245510486 PECOS PAC ID: 0143491019 Enrollment ID: I20110926000607 |
| Provider Name | Thomas Norton Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366601684 PECOS PAC ID: 7911178819 Enrollment ID: I20110926000920 |
| Provider Name | Mike Malek Gassemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679544720 PECOS PAC ID: 7810034634 Enrollment ID: I20110928000127 |
| Provider Name | Jerome Dorian Boltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578510384 PECOS PAC ID: 2062683766 Enrollment ID: I20110928000473 |
| 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 | 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 | Dana Renee Winn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508024290 PECOS PAC ID: 2769655562 Enrollment ID: I20111021000468 |
| Provider Name | Timothy Mark Corbett |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1447457437 PECOS PAC ID: 6204009079 Enrollment ID: I20111024000655 |
| Provider Name | Katherine T Hawes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497036909 PECOS PAC ID: 6204009921 Enrollment ID: I20111025000485 |
| Provider Name | Christopher Yancey Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942370119 PECOS PAC ID: 9739196734 Enrollment ID: I20111025000562 |
| Provider Name | Nikhil Teppara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003042409 PECOS PAC ID: 8820261571 Enrollment ID: I20111025000918 |
| Provider Name | Cathrine Constantacos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841433596 PECOS PAC ID: 8628241239 Enrollment ID: I20111026000836 |
| Provider Name | Aruna C Hulme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952618332 PECOS PAC ID: 3375716996 Enrollment ID: I20111026000966 |
| 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 | Alison M Lane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851671036 PECOS PAC ID: 3274706379 Enrollment ID: I20111107000337 |
| Provider Name | John Joseph Botti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003870189 PECOS PAC ID: 6204028178 Enrollment ID: I20111111000541 |
| 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 | 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 | Darren S Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558302737 PECOS PAC ID: 4183898430 Enrollment ID: I20111122000649 |
| Provider Name | Dana Caroline Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265687339 PECOS PAC ID: 0749454098 Enrollment ID: I20111122000750 |
| 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 | Wesley Covitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154305878 PECOS PAC ID: 7517927700 Enrollment ID: I20111123000247 |
| Provider Name | Ebere Chukwu |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1093908535 PECOS PAC ID: 0345414660 Enrollment ID: I20111123000475 |
| 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 | Kelly R Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639456379 PECOS PAC ID: 8729253398 Enrollment ID: I20111209000010 |
| Provider Name | Kathleen Hosmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609095926 PECOS PAC ID: 7517027162 Enrollment ID: I20111212000899 |
| Provider Name | Lorraine T Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942313556 PECOS PAC ID: 3577544295 Enrollment ID: I20111212000920 |
| Provider Name | Lindsey M Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336421015 PECOS PAC ID: 9335314608 Enrollment ID: I20111215000050 |
| Provider Name | Lisa B Clayton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447532874 PECOS PAC ID: 8123293404 Enrollment ID: I20111215000102 |
| Provider Name | Michael A Bellamy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932246774 PECOS PAC ID: 4385819580 Enrollment ID: I20111216000745 |
| Provider Name | Brian Andrew Farah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174552079 PECOS PAC ID: 2264608322 Enrollment ID: I20111221000001 |
| Provider Name | Cory J Sessoms |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871751222 PECOS PAC ID: 8224204136 Enrollment ID: I20111227000333 |
| Provider Name | Sarah L Berga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124054218 PECOS PAC ID: 5294648648 Enrollment ID: I20120109000967 |
| Provider Name | Jose R Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922009190 PECOS PAC ID: 8628087459 Enrollment ID: I20120124000514 |
| Provider Name | Hendren Bajillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164622080 PECOS PAC ID: 8426173378 Enrollment ID: I20120201000014 |
| Provider Name | Gayla S Lowery |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841377363 PECOS PAC ID: 3779616446 Enrollment ID: I20120207000704 |
| Provider Name | Evelyn S Rawcliffe-kimbrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285715482 PECOS PAC ID: 5395840649 Enrollment ID: I20120220000894 |
| Provider Name | Mark Timothy Hix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134191380 PECOS PAC ID: 5890760094 Enrollment ID: I20120228000232 |
| Provider Name | Jeffrey Roy Medoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255467247 PECOS PAC ID: 5890955488 Enrollment ID: I20120319000407 |
| Provider Name | Julie Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790056075 PECOS PAC ID: 5991965659 Enrollment ID: I20120404000711 |
| Provider Name | Toni Lucinda Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659643328 PECOS PAC ID: 9638330350 Enrollment ID: I20120405000294 |
| Provider Name | Jamie Elizabeth Castle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447525845 PECOS PAC ID: 1951562446 Enrollment ID: I20120410000325 |
| Provider Name | Robert Neal Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407889397 PECOS PAC ID: 5991728800 Enrollment ID: I20120417000036 |
| 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 | Natalie M Hayes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922274612 PECOS PAC ID: 9931250578 Enrollment ID: I20120515000002 |
| Provider Name | Carly Anne Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104192533 PECOS PAC ID: 6608039888 Enrollment ID: I20120525000543 |
| Provider Name | Jonathan Edward Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982851663 PECOS PAC ID: 1759545643 Enrollment ID: I20120605000374 |
| Provider Name | Kenneth Joseph Sauve |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124288006 PECOS PAC ID: 9436313236 Enrollment ID: I20120607000000 |
| Provider Name | Brock Hampton Helms |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780812511 PECOS PAC ID: 8325202062 Enrollment ID: I20120611000101 |
| 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 | Shane Christopher Masters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053595439 PECOS PAC ID: 4385808922 Enrollment ID: I20120612000511 |
| Provider Name | Stephen Thomas Rancour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013177021 PECOS PAC ID: 7214191790 Enrollment ID: I20120613000375 |
| 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 | Lashanda Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154616332 PECOS PAC ID: 1254596877 Enrollment ID: I20120705000691 |
| Provider Name | Dipendra Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326200825 PECOS PAC ID: 4587829114 Enrollment ID: I20120706000057 |
| Provider Name | Daniel Russell Hatcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518953769 PECOS PAC ID: 6406816883 Enrollment ID: I20120710000076 |
| Provider Name | Nada Kais El Husseini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912171398 PECOS PAC ID: 9931364163 Enrollment ID: I20120713000020 |
| Provider Name | Jillian L Crouchley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518184415 PECOS PAC ID: 8426214503 Enrollment ID: I20120717000457 |
| Provider Name | Jason T Fancey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255386629 PECOS PAC ID: 6507055043 Enrollment ID: I20120718000089 |
| Provider Name | Waseem Ghannam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306080510 PECOS PAC ID: 5092971085 Enrollment ID: I20120718000878 |
| Provider Name | Judith K Messura |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134230741 PECOS PAC ID: 0042476087 Enrollment ID: I20120720000008 |
| Provider Name | David P Kretzschmar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1225121957 PECOS PAC ID: 5597921536 Enrollment ID: I20120720000014 |
| Provider Name | Robert Peter Lockwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104082874 PECOS PAC ID: 2860658341 Enrollment ID: I20120727000396 |
| 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 | Elisa Stein |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144494931 PECOS PAC ID: 7416113824 Enrollment ID: I20120730000032 |
| 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 | Chad A Ruechel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710149497 PECOS PAC ID: 2769638899 Enrollment ID: I20120806000637 |
| 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 | Tiare Rena Scates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912289950 PECOS PAC ID: 4981850856 Enrollment ID: I20120808000510 |
| 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 - Neurology |
| 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 | 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 | Jordan Lee Wallin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811177652 PECOS PAC ID: 8729235999 Enrollment ID: I20120822000574 |
| Provider Name | Justin M Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558590042 PECOS PAC ID: 1153578273 Enrollment ID: I20120824000495 |
| Provider Name | Rhonda Lynn Bitting |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245361245 PECOS PAC ID: 3274603766 Enrollment ID: I20120827000306 |
| Provider Name | Christopher B Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295081123 PECOS PAC ID: 7416104427 Enrollment ID: I20120827000770 |
| Provider Name | Ziyan Salih |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568647352 PECOS PAC ID: 7113085085 Enrollment ID: I20120828000407 |
| 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 | Clancy J Clark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053455444 PECOS PAC ID: 3870627979 Enrollment ID: I20120907000736 |
| Provider Name | Susanna S Ringeman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700097060 PECOS PAC ID: 2062674740 Enrollment ID: I20120907000754 |
| Provider Name | Kimberly Dawn Zander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477609063 PECOS PAC ID: 5395807473 Enrollment ID: I20120910000054 |
| Provider Name | Angela Tatiana Alistar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831349745 PECOS PAC ID: 5092992867 Enrollment ID: I20120910000570 |
| Provider Name | Jamy D Ard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184679441 PECOS PAC ID: 7012033137 Enrollment ID: I20120910000571 |
| Provider Name | Shenita S Moore |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902032097 PECOS PAC ID: 8325296767 Enrollment ID: I20120910000829 |
| Provider Name | Stephen Walter Kohut |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932336831 PECOS PAC ID: 4486819083 Enrollment ID: I20120912000161 |
| 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 | Amit B Mori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053548891 PECOS PAC ID: 7719135706 Enrollment ID: I20120917000633 |
| Provider Name | Sarah League Lycan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144559303 PECOS PAC ID: 8921143991 Enrollment ID: I20120918000870 |
| Provider Name | Thomas Bennet Russell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770622789 PECOS PAC ID: 6204084064 Enrollment ID: I20120919000800 |
| Provider Name | Jennifer F Check |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679790562 PECOS PAC ID: 7416105119 Enrollment ID: I20120921000728 |
| Provider Name | Matthew Alan Hazle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750487740 PECOS PAC ID: 6800893181 Enrollment ID: I20120925000300 |
| Provider Name | Amit Hiralal Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568615722 PECOS PAC ID: 1850424862 Enrollment ID: I20120926000038 |
| Provider Name | Laura Howell Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841549664 PECOS PAC ID: 2860641123 Enrollment ID: I20121001000322 |
| Provider Name | Richard W Hilliard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710116959 PECOS PAC ID: 4082863170 Enrollment ID: I20121004000741 |
| 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 | Shruti Swetal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669722245 PECOS PAC ID: 1456501543 Enrollment ID: I20121026000055 |
| Provider Name | Carlene Wendy Kingston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114186897 PECOS PAC ID: 9335399427 Enrollment ID: I20121026000085 |
| 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 | Mark R Quale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700014016 PECOS PAC ID: 1658521539 Enrollment ID: I20121031000185 |
| Provider Name | Vijaykumar Ramniklal Jarsania |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225265176 PECOS PAC ID: 1052561875 Enrollment ID: I20121101000023 |
| Provider Name | Luqman Arafath Thazhathuveetil Kunhahamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861713604 PECOS PAC ID: 0446449813 Enrollment ID: I20121101000139 |
| Provider Name | Daniel B Rukstalis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245296375 PECOS PAC ID: 3779552823 Enrollment ID: I20121113000087 |
| Provider Name | Gayathri D Tadepalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174604490 PECOS PAC ID: 9335127885 Enrollment ID: I20121116000162 |
| Provider Name | Kelly Duvall Nestel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184976441 PECOS PAC ID: 3779735634 Enrollment ID: I20121129000147 |
| Provider Name | Synnoeve Drevland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699958165 PECOS PAC ID: 1052563665 Enrollment ID: I20121206000038 |
| Provider Name | Jennifer L Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518124916 PECOS PAC ID: 0345492831 Enrollment ID: I20121207000367 |
| 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 | Craig Dennis Duggan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265756191 PECOS PAC ID: 7113179110 Enrollment ID: I20121219000426 |
| Provider Name | David Yelverton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790936391 PECOS PAC ID: 3577747344 Enrollment ID: I20121221000369 |
| 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 | 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 | Jeffrey O Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104161421 PECOS PAC ID: 1759535495 Enrollment ID: I20130206000202 |
| 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 | Julie Beth Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952423006 PECOS PAC ID: 7810098613 Enrollment ID: I20130219000556 |
| Provider Name | Leonard Wudel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467495259 PECOS PAC ID: 0648275073 Enrollment ID: I20130220000044 |
| 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 | Stacey L Brickell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336487479 PECOS PAC ID: 9436304466 Enrollment ID: I20130225000084 |
| 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 | Heather Anderson Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215289590 PECOS PAC ID: 5799930558 Enrollment ID: I20130227000403 |
| 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 | Stuart Samuel Howards |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336284439 PECOS PAC ID: 7517976590 Enrollment ID: I20130326000272 |
| Provider Name | Rishi Pawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518137819 PECOS PAC ID: 7719030956 Enrollment ID: I20130327000383 |
| Provider Name | Evanna C Burkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255504742 PECOS PAC ID: 0648415455 Enrollment ID: I20130327000519 |
| Provider Name | Erin Elizabeth Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801964697 PECOS PAC ID: 0547260028 Enrollment ID: I20130327000641 |
| Provider Name | Paul Wayne Whitecar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639144934 PECOS PAC ID: 4688819345 Enrollment ID: I20130328000487 |
| 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 | Sahar Amery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013172485 PECOS PAC ID: 1254491293 Enrollment ID: I20130404000173 |
| 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 | Emmanuel Awuku Yirenkyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326264425 PECOS PAC ID: 2466547575 Enrollment ID: I20130510000277 |
| Provider Name | Dona C Navey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861735896 PECOS PAC ID: 1153569819 Enrollment ID: I20130607000662 |
| Provider Name | Glenn Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881950897 PECOS PAC ID: 8921247453 Enrollment ID: I20130613000439 |
| 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 | Elena Mcneill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538317227 PECOS PAC ID: 3072752963 Enrollment ID: I20130626000262 |
| Provider Name | Gail L Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073801825 PECOS PAC ID: 0749420420 Enrollment ID: I20130628000720 |
| 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 | 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 | Nakeshia L Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962513473 PECOS PAC ID: 9638100654 Enrollment ID: I20130710000653 |
| Provider Name | Lynda Bridges Bialobrzeski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417274911 PECOS PAC ID: 0648410852 Enrollment ID: I20130711000844 |
| Provider Name | Justin Ryan Sempsrott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558685271 PECOS PAC ID: 2466692512 Enrollment ID: I20130712000437 |
| Provider Name | Masiku Mdala-gausi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164725180 PECOS PAC ID: 4587804455 Enrollment ID: I20130717000686 |
| Provider Name | Robert Luke Kinner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104147867 PECOS PAC ID: 2668612532 Enrollment ID: I20130717000697 |
| Provider Name | Jessica Anne Mcpherson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538397112 PECOS PAC ID: 1658512454 Enrollment ID: I20130719000738 |
| Provider Name | David Michael Stamilio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861495616 PECOS PAC ID: 3274573167 Enrollment ID: I20130724000664 |
| 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 | Stephanie Haley Norton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861738395 PECOS PAC ID: 0446492037 Enrollment ID: I20130812000052 |
| Provider Name | Jeffrey Edward Peacock |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1811158439 PECOS PAC ID: 6800038282 Enrollment ID: I20130814000692 |
| Provider Name | Christopher James Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881822856 PECOS PAC ID: 9830331180 Enrollment ID: I20130815000514 |
| Provider Name | Zachariah Augustus Mciver |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1518196641 PECOS PAC ID: 5193999472 Enrollment ID: I20130815000793 |
| 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 | Sean Ploof |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164628293 PECOS PAC ID: 9931341047 Enrollment ID: I20130820000001 |
| Provider Name | Emily M Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851611438 PECOS PAC ID: 0345482410 Enrollment ID: I20130820000757 |
| Provider Name | Ahunna N Okwubunka Anyim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023216199 PECOS PAC ID: 5092803866 Enrollment ID: I20130823000458 |
| Provider Name | Justin Boyette Joines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548581119 PECOS PAC ID: 2567605470 Enrollment ID: I20130826000022 |
| Provider Name | Eileen Merritt Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700125424 PECOS PAC ID: 3274776927 Enrollment ID: I20130827000906 |
| Provider Name | Zanetta Stewart Lamar |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1871776757 PECOS PAC ID: 8729221320 Enrollment ID: I20130829000723 |
| Provider Name | Meagan R Younts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861832305 PECOS PAC ID: 7315180882 Enrollment ID: I20130830000814 |
| Provider Name | Jodi Justine Galla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710121736 PECOS PAC ID: 6709029218 Enrollment ID: I20130903000463 |
| 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 | Mary K Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083875355 PECOS PAC ID: 5890951974 Enrollment ID: I20130905000557 |
| 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 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 | Kelsey Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386083210 PECOS PAC ID: 8729222781 Enrollment ID: I20130913000499 |
| Provider Name | Alison Jo Fletcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154581759 PECOS PAC ID: 6800030784 Enrollment ID: I20130913000794 |
| Provider Name | Crystal C Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558625467 PECOS PAC ID: 4284878182 Enrollment ID: I20130916000251 |
| Provider Name | Kevin A Paduchowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851685549 PECOS PAC ID: 5698919512 Enrollment ID: I20130916000576 |
| Provider Name | James Richard Phelps |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1376751131 PECOS PAC ID: 4880838663 Enrollment ID: I20130917000588 |
| Provider Name | Rachel Anne Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780934133 PECOS PAC ID: 7214171099 Enrollment ID: I20130917000617 |
| Provider Name | Shana Brewer Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689013641 PECOS PAC ID: 5991949729 Enrollment ID: I20130918000394 |
| 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 | Tania M Mattioli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396184362 PECOS PAC ID: 5890939326 Enrollment ID: I20130923000539 |
| 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 | Joshua Ab Moore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194046235 PECOS PAC ID: 1052545258 Enrollment ID: I20131001000256 |
| 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 | Miranda J Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598071797 PECOS PAC ID: 1052545944 Enrollment ID: I20131008001598 |
| 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 | Sophia Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386962199 PECOS PAC ID: 4082848767 Enrollment ID: I20131011001218 |
| Provider Name | Leslie Mcmanus Cristiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932427952 PECOS PAC ID: 6709010481 Enrollment ID: I20131011001250 |
| Provider Name | Martina Stacey Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720410749 PECOS PAC ID: 5799919486 Enrollment ID: I20131011001619 |
| 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 | Kavya Mekala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437320959 PECOS PAC ID: 3971654518 Enrollment ID: I20131016001940 |
| Provider Name | Andrea Dawn Stokes Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992019566 PECOS PAC ID: 0446484877 Enrollment ID: I20131017001568 |
| Provider Name | David Hsien Ta Yao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285939843 PECOS PAC ID: 5294969630 Enrollment ID: I20131017001757 |
| Provider Name | Michelle D Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003077942 PECOS PAC ID: 8820248347 Enrollment ID: I20131021001461 |
| 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 | Eduardo Javier Goenaga-diaz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699955781 PECOS PAC ID: 6608001789 Enrollment ID: I20131025000762 |
| 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 | Edgardo G Maldonado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346279981 PECOS PAC ID: 6507846532 Enrollment ID: I20131104000062 |
| Provider Name | Nancy Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376983700 PECOS PAC ID: 2163657792 Enrollment ID: I20131106001256 |
| Provider Name | Nkechinyere Emejuaiwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952449894 PECOS PAC ID: 4981741667 Enrollment ID: I20131106001324 |
| 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 | Worku Mengesha Wondafrash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215233002 PECOS PAC ID: 8325229248 Enrollment ID: I20131111000866 |
| Provider Name | Jaclyn Langford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659713196 PECOS PAC ID: 0446486856 Enrollment ID: I20131113000710 |
| 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 | Allison B Webster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427375930 PECOS PAC ID: 9133355431 Enrollment ID: I20131114001668 |
| Provider Name | Gordon Leigh Phillips |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548288210 PECOS PAC ID: 3577598408 Enrollment ID: I20131119001567 |
| Provider Name | Janelle Katie Moulder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619118650 PECOS PAC ID: 4082881099 Enrollment ID: I20131119001936 |
| Provider Name | Mary E Pylipow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215975073 PECOS PAC ID: 2062423122 Enrollment ID: I20131120001692 |
| 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 | Hanumantha Rao Jogu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144533027 PECOS PAC ID: 5496981359 Enrollment ID: I20131123000001 |
| Provider Name | Maha Torabi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700064656 PECOS PAC ID: 5991878035 Enrollment ID: I20131127001475 |
| Provider Name | Radar Scabilloni |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962844365 PECOS PAC ID: 0648406363 Enrollment ID: I20131202000257 |
| Provider Name | Chara C Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679749253 PECOS PAC ID: 8921278748 Enrollment ID: I20131210000203 |
| 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 | 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 | Pamela J Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659631083 PECOS PAC ID: 2466689534 Enrollment ID: I20131217000206 |
| Provider Name | Lindsey Malcolm Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760818165 PECOS PAC ID: 3678700507 Enrollment ID: I20131220000455 |
| Provider Name | Alisha S Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518396084 PECOS PAC ID: 0749417574 Enrollment ID: I20131226000233 |
| Provider Name | Anupama Matcha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033341565 PECOS PAC ID: 0840427514 Enrollment ID: I20131230001612 |
| Provider Name | Golnosh Sharafsaleh |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1881821163 PECOS PAC ID: 1951554625 Enrollment ID: I20131230001813 |
| 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 | Ashley Noele Rieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356776058 PECOS PAC ID: 2567690050 Enrollment ID: I20140108000128 |
| Provider Name | Jennifer J Chao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437386919 PECOS PAC ID: 6608004114 Enrollment ID: I20140108000585 |
| Provider Name | Waqas T Qureshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225267081 PECOS PAC ID: 1254584485 Enrollment ID: I20140109000982 |
| Provider Name | Satcha Borgella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669609772 PECOS PAC ID: 7911135249 Enrollment ID: I20140114000620 |
| Provider Name | Jerry Keith Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659700177 PECOS PAC ID: 5092943191 Enrollment ID: I20140117001180 |
| Provider Name | Ebunoluwa O Abimbola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215069638 PECOS PAC ID: 1658509658 Enrollment ID: I20140121001809 |
| Provider Name | Kelly Thornton Flynt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649608373 PECOS PAC ID: 7012145956 Enrollment ID: I20140122001156 |
| Provider Name | William Blair Walden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245524057 PECOS PAC ID: 1456589266 Enrollment ID: I20140123001610 |
| 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 | Cynthia Denise Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568890432 PECOS PAC ID: 0840429403 Enrollment ID: I20140131001689 |
| Provider Name | Jonathan Michael Bishop |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669595922 PECOS PAC ID: 6406014596 Enrollment ID: I20140204000768 |
| Provider Name | Christine E Bishop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760662563 PECOS PAC ID: 4688824667 Enrollment ID: I20140204000849 |
| Provider Name | John Michael Holbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467412668 PECOS PAC ID: 2668513284 Enrollment ID: I20140205000581 |
| Provider Name | Regina W Baity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891123667 PECOS PAC ID: 3779712179 Enrollment ID: I20140205001501 |
| Provider Name | Forrest Steven Harrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902191315 PECOS PAC ID: 9830328004 Enrollment ID: I20140210001701 |
| Provider Name | Renee C Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477994507 PECOS PAC ID: 5991934929 Enrollment ID: I20140214000680 |
| 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 | Eileen Agnes Slavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629178967 PECOS PAC ID: 6002868502 Enrollment ID: I20140224000668 |
| Provider Name | Talal I Mousallem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487812749 PECOS PAC ID: 7517197379 Enrollment ID: I20140224001149 |
| Provider Name | Christopher D Kenney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174845838 PECOS PAC ID: 3971787789 Enrollment ID: I20140224001859 |
| Provider Name | Colin Michael Segovis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124311212 PECOS PAC ID: 9234369935 Enrollment ID: I20140225001017 |
| 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 | Katherine Marie Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437570405 PECOS PAC ID: 4880824069 Enrollment ID: I20140310000640 |
| Provider Name | Jessica A 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 | Rita Nanik Bakhru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750408126 PECOS PAC ID: 8426100918 Enrollment ID: I20140319000570 |
| Provider Name | Ashley C Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467693556 PECOS PAC ID: 8224266671 Enrollment ID: I20140324001562 |
| 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 | Richard Blanks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669521480 PECOS PAC ID: 5496841140 Enrollment ID: I20140403000564 |
| Provider Name | Pierce P Hibma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669738068 PECOS PAC ID: 0042442154 Enrollment ID: I20140403001572 |
| Provider Name | Erin Boyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568752434 PECOS PAC ID: 6800028820 Enrollment ID: I20140407000136 |
| Provider Name | Josephine Mokonogho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275791451 PECOS PAC ID: 8022287051 Enrollment ID: I20140408000344 |
| Provider Name | Rebecca K Mckinnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548587983 PECOS PAC ID: 3971735705 Enrollment ID: I20140410000580 |
| Provider Name | Arthur J Greenwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922091966 PECOS PAC ID: 9830321538 Enrollment ID: I20140411000662 |
| Provider Name | Kristen N Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083909170 PECOS PAC ID: 2668605544 Enrollment ID: I20140429002359 |
| Provider Name | Jennifer Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013331941 PECOS PAC ID: 5092948752 Enrollment ID: I20140502001211 |
| 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 | Margaret Antonia Yacobozzi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699934786 PECOS PAC ID: 7719100262 Enrollment ID: I20140602000939 |
| Provider Name | Tenesa Mccaskill-gainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225454689 PECOS PAC ID: 3072737204 Enrollment ID: I20140610000814 |
| Provider Name | Justin Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20140618001563 |
| Provider Name | Guha Krishnaswamy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1134198534 PECOS PAC ID: 8820168016 Enrollment ID: I20140627001433 |
| Provider Name | Nancy J Simpson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386811339 PECOS PAC ID: 4486715695 Enrollment ID: I20140630001268 |
| Provider Name | Linda M Nicolotti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619907987 PECOS PAC ID: 3870718000 Enrollment ID: I20140702000978 |
| Provider Name | Stanley Kogan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245261510 PECOS PAC ID: 3072532555 Enrollment ID: I20140702002636 |
| 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 M 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 | Boris Pasche |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154352615 PECOS PAC ID: 3173684529 Enrollment ID: I20140729000614 |
| Provider Name | Jean Ann G Trull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962825315 PECOS PAC ID: 1850517707 Enrollment ID: I20140729002489 |
| Provider Name | Jennifer J Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609066745 PECOS PAC ID: 7911091350 Enrollment ID: I20140806000642 |
| Provider Name | Todd Wayne Robinson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447485495 PECOS PAC ID: 2769609619 Enrollment ID: I20140817000004 |
| Provider Name | Callie L Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760772339 PECOS PAC ID: 4587881446 Enrollment ID: I20140817000024 |
| Provider Name | Katherine Habenicht Yancey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578704474 PECOS PAC ID: 5496972291 Enrollment ID: I20140818001752 |
| 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 | Cory R Forbach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679865463 PECOS PAC ID: 1153549720 Enrollment ID: I20140822000862 |
| Provider Name | Sandrine Uwase Crane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053608695 PECOS PAC ID: 1658599279 Enrollment ID: I20140822002649 |
| Provider Name | George C Koberlein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205090917 PECOS PAC ID: 7416175047 Enrollment ID: I20140824000029 |
| 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 | Farra M Wilson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659667210 PECOS PAC ID: 4082832498 Enrollment ID: I20140827000860 |
| Provider Name | Ajay Dharod |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508157736 PECOS PAC ID: 0042438244 Enrollment ID: I20140829002295 |
| Provider Name | Aysha Amjad |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1881941557 PECOS PAC ID: 2466670674 Enrollment ID: I20140902000304 |
| Provider Name | Aaron J Lampkin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1619298171 PECOS PAC ID: 1759521438 Enrollment ID: I20140902000338 |
| 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 | Muhammad Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780971192 PECOS PAC ID: 9133347131 Enrollment ID: I20140904002791 |
| Provider Name | Benjamin David Steinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730591157 PECOS PAC ID: 5092933929 Enrollment ID: I20140905001301 |
| Provider Name | Zeeshan Hafeez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427472612 PECOS PAC ID: 3678791506 Enrollment ID: I20140905001494 |
| Provider Name | Sindhuja Marupudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740578129 PECOS PAC ID: 0941428882 Enrollment ID: I20140905001876 |
| Provider Name | Pankaj Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285920512 PECOS PAC ID: 9830317791 Enrollment ID: I20140905002345 |
| Provider Name | Jennifer Anthony Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750677332 PECOS PAC ID: 3274751136 Enrollment ID: I20140905002477 |
| Provider Name | Nancy Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710114376 PECOS PAC ID: 3173761756 Enrollment ID: I20140908001940 |
| 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 | Sarah E Whitehead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699041160 PECOS PAC ID: 0042439911 Enrollment ID: I20140909000830 |
| Provider Name | Megan A Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194130419 PECOS PAC ID: 5991924615 Enrollment ID: I20140911001289 |
| Provider Name | Sean T Kearin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457511941 PECOS PAC ID: 2961621685 Enrollment ID: I20140911001385 |
| 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 | Karen Slocum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154646586 PECOS PAC ID: 9032338645 Enrollment ID: I20140912002106 |
| 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 | Phillip Andrew Stafford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174817290 PECOS PAC ID: 6709005051 Enrollment ID: I20140918000475 |
| 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 | Mark J James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275509390 PECOS PAC ID: 4183611577 Enrollment ID: I20140929002821 |
| Provider Name | Rhonda Michelle Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265776553 PECOS PAC ID: 5698914687 Enrollment ID: I20140930001734 |
| Provider Name | Joshua Michael Zavitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437479151 PECOS PAC ID: 5092950253 Enrollment ID: I20141001001542 |
| Provider Name | Lan Chi Bich Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962737247 PECOS PAC ID: 3577783133 Enrollment ID: I20141002000083 |
| Provider Name | Andrew Francis Leigh Gross |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730322843 PECOS PAC ID: 4486895224 Enrollment ID: I20141006000344 |
| Provider Name | William Frank Mckemie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801859673 PECOS PAC ID: 0941190656 Enrollment ID: I20141007000738 |
| Provider Name | Candice Joy Mcneil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265759666 PECOS PAC ID: 1153508288 Enrollment ID: I20141007002119 |
| Provider Name | Jason Alexis Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821301862 PECOS PAC ID: 9537312251 Enrollment ID: I20141008002411 |
| Provider Name | Brian Edward Lally |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114102407 PECOS PAC ID: 5698857241 Enrollment ID: I20141009000880 |
| Provider Name | Laura Yoder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811286404 PECOS PAC ID: 9234359480 Enrollment ID: I20141010000132 |
| Provider Name | Jenna R Presutti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962801308 PECOS PAC ID: 3375763402 Enrollment ID: I20141013000672 |
| Provider Name | Jessica S Rose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023418373 PECOS PAC ID: 4082834114 Enrollment ID: I20141013000748 |
| Provider Name | David Kemp Hower |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871881466 PECOS PAC ID: 5496975583 Enrollment ID: I20141014000537 |
| Provider Name | Irene Childress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326300617 PECOS PAC ID: 1254573751 Enrollment ID: I20141014000692 |
| Provider Name | Scott T Goldston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861782054 PECOS PAC ID: 3678794799 Enrollment ID: I20141014002237 |
| 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 | Anna Greene Mcdonald |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215132758 PECOS PAC ID: 2365693827 Enrollment ID: I20141022000951 |
| 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 | Jasmine Lee Patterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679709059 PECOS PAC ID: 8527214758 Enrollment ID: I20141024001190 |
| Provider Name | Heather O'neal Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407265002 PECOS PAC ID: 8820219348 Enrollment ID: I20141027002634 |
| Provider Name | Rao R Mushtaq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952604381 PECOS PAC ID: 1951532852 Enrollment ID: I20141029000693 |
| Provider Name | Ameigh V Worley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336466911 PECOS PAC ID: 3476774688 Enrollment ID: I20141031000190 |
| Provider Name | Courtney Horton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124319553 PECOS PAC ID: 1456591924 Enrollment ID: I20141031001230 |
| 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 | Lauren D. Strauss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871824342 PECOS PAC ID: 6002050945 Enrollment ID: I20141103002415 |
| 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 | Melissa Wyatt Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578972667 PECOS PAC ID: 5799907952 Enrollment ID: I20141104001605 |
| Provider Name | John David Winn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124433370 PECOS PAC ID: 5496977589 Enrollment ID: I20141104002826 |
| 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 | Jan Elisa Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356741102 PECOS PAC ID: 1557583069 Enrollment ID: I20141118002462 |
| Provider Name | Darren Aiken |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255732731 PECOS PAC ID: 1759503121 Enrollment ID: I20141119002081 |
| 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 | Robert J Felix |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447244074 PECOS PAC ID: 7719120815 Enrollment ID: I20141203001744 |
| Provider Name | Nancy Marinette Rierson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255767448 PECOS PAC ID: 7012239916 Enrollment ID: I20141203002561 |
| 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 | Heather Diane Aldridge Goodwyn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831599208 PECOS PAC ID: 4284956897 Enrollment ID: I20141210002191 |
| Provider Name | Faisal Akbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316222433 PECOS PAC ID: 7416279872 Enrollment ID: I20141215000902 |
| Provider Name | Heather N Thornburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467854463 PECOS PAC ID: 6901129204 Enrollment ID: I20141217001347 |
| Provider Name | Christopher W Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245474931 PECOS PAC ID: 8527381862 Enrollment ID: I20141218000142 |
| Provider Name | Ryan J Hine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851646004 PECOS PAC ID: 8325296536 Enrollment ID: I20141219000249 |
| Provider Name | Casey Daniel Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902168735 PECOS PAC ID: 3375866536 Enrollment ID: I20141220000078 |
| Provider Name | Amine F Gebremichael |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629394622 PECOS PAC ID: 8921321001 Enrollment ID: I20141222000614 |
| Provider Name | Deval Bhadrashil Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407257546 PECOS PAC ID: 1153644208 Enrollment ID: I20141223000169 |
| Provider Name | Christen M Seguin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366884876 PECOS PAC ID: 9931422698 Enrollment ID: I20150105000381 |
| 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 E Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982009049 PECOS PAC ID: 9032433578 Enrollment ID: I20150109002203 |
| Provider Name | Lindsay Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376948489 PECOS PAC ID: 3476877788 Enrollment ID: I20150114002480 |
| Provider Name | Christopher Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265833727 PECOS PAC ID: 9830413996 Enrollment ID: I20150120000956 |
| 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 | Laura Lintner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912227513 PECOS PAC ID: 4880918556 Enrollment ID: I20150129000717 |
| Provider Name | Helene F Harper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982626214 PECOS PAC ID: 9638141658 Enrollment ID: I20150207000048 |
| Provider Name | Eryka A Gayle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083972988 PECOS PAC ID: 4789909011 Enrollment ID: I20150209001637 |
| Provider Name | Stefan Charles Grant |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407979032 PECOS PAC ID: 0749450831 Enrollment ID: I20150210000400 |
| 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 | Mohammadtokir Mujtaba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578727178 PECOS PAC ID: 8224226667 Enrollment ID: I20150216000796 |
| Provider Name | Kathryn Alice Lofland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235536210 PECOS PAC ID: 7315262136 Enrollment ID: I20150218001912 |
| 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 | 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 | Jenna Mccall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467613430 PECOS PAC ID: 9739406505 Enrollment ID: I20150317000607 |
| Provider Name | Miranda Leigh Lawrence |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245634252 PECOS PAC ID: 3870810716 Enrollment ID: I20150402001000 |
| Provider Name | Daniel Knott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649617523 PECOS PAC ID: 2668790569 Enrollment ID: I20150403000998 |
| 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 | Roberta L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598936130 PECOS PAC ID: 0042409575 Enrollment ID: I20150415000090 |
| 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 | Tolulola Omololu Adeola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578582797 PECOS PAC ID: 6608959465 Enrollment ID: I20150425000244 |
| Provider Name | Ashley Mclain Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720494701 PECOS PAC ID: 1153640008 Enrollment ID: I20150428000881 |
| Provider Name | Karen E Pfotenhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316361470 PECOS PAC ID: 1355661448 Enrollment ID: I20150512003027 |
| Provider Name | Matthew Newton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861887952 PECOS PAC ID: 5890015432 Enrollment ID: I20150521000589 |
| Provider Name | Kimberly Ann Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356740120 PECOS PAC ID: 0143540450 Enrollment ID: I20150527001727 |
| Provider Name | Jason A Rytlewski |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104036029 PECOS PAC ID: 1052576568 Enrollment ID: I20150529000407 |
| Provider Name | Harry Amoako Kissi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518126267 PECOS PAC ID: 1254517501 Enrollment ID: I20150601002713 |
| Provider Name | Kristen A Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790197853 PECOS PAC ID: 4981925948 Enrollment ID: I20150603001375 |
| 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 | Howard K Mell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770557266 PECOS PAC ID: 6305876665 Enrollment ID: I20150609002574 |
| Provider Name | Bryan P Beaver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104183482 PECOS PAC ID: 8325359623 Enrollment ID: I20150612000342 |
| Provider Name | Karen L Pitchford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912392366 PECOS PAC ID: 1557672565 Enrollment ID: I20150617002103 |
| Provider Name | Donald Allan Mcclain |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346284346 PECOS PAC ID: 6608834320 Enrollment ID: I20150623000821 |
| Provider Name | Deborah Michelle Brasher |
|---|---|
| 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 | Graydon Goodman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255699153 PECOS PAC ID: 0547572497 Enrollment ID: I20150706002480 |
| Provider Name | Michael C Way |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578767125 PECOS PAC ID: 3971815861 Enrollment ID: I20150707001197 |
| Provider Name | Anna Leigh Plummer-roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942688221 PECOS PAC ID: 2769794510 Enrollment ID: I20150707003331 |
| Provider Name | Chad David Courtemanche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932492915 PECOS PAC ID: 7517279292 Enrollment ID: I20150709000771 |
| Provider Name | Anatole Hounnou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922399930 PECOS PAC ID: 6709041775 Enrollment ID: I20150709001969 |
| Provider Name | Pooja Hirenda Doshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952628877 PECOS PAC ID: 8729203013 Enrollment ID: I20150710002203 |
| Provider Name | Barry S Segal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538126610 PECOS PAC ID: 2365484839 Enrollment ID: I20150710002480 |
| Provider Name | Philip Ban |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700264645 PECOS PAC ID: 9739491275 Enrollment ID: I20150711000001 |
| Provider Name | Richard Wayne Flowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295747103 PECOS PAC ID: 7810962909 Enrollment ID: I20150711000004 |
| 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 | Steven Anthony Andrade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700176070 PECOS PAC ID: 5395982862 Enrollment ID: I20150717002069 |
| 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 | Nanette S Nuessle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184630741 PECOS PAC ID: 7618008244 Enrollment ID: I20150720001561 |
| Provider Name | William Donald Andersen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518253327 PECOS PAC ID: 5395058333 Enrollment ID: I20150720001575 |
| Provider Name | Jonathon B Bringolf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215294483 PECOS PAC ID: 8729391784 Enrollment ID: I20150720002046 |
| Provider Name | Parag Anilkumar Chevli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235568189 PECOS PAC ID: 4486967254 Enrollment ID: I20150722005411 |
| Provider Name | Danielle P Thurtle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467728931 PECOS PAC ID: 4880907591 Enrollment ID: I20150723007305 |
| Provider Name | Nishita Dalal Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922327139 PECOS PAC ID: 0345553939 Enrollment ID: I20150727000525 |
| Provider Name | Brad Timothy Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699169839 PECOS PAC ID: 0941514533 Enrollment ID: I20150727000954 |
| 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 | Emily D Joyce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194041996 PECOS PAC ID: 3971817396 Enrollment ID: I20150729009644 |
| Provider Name | Brian C Brost |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932179561 PECOS PAC ID: 6709781941 Enrollment ID: I20150730013103 |
| Provider Name | Catherine Leigh Loflin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649582602 PECOS PAC ID: 0446564611 Enrollment ID: I20150731015512 |
| Provider Name | Andrea M Long |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851529564 PECOS PAC ID: 0345554325 Enrollment ID: I20150804005710 |
| Provider Name | Steven J Spivey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659634061 PECOS PAC ID: 5799924122 Enrollment ID: I20150805009556 |
| Provider Name | Brent Thomas Cengia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962769612 PECOS PAC ID: 7719291608 Enrollment ID: I20150805009603 |
| Provider Name | Ahmar Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346598554 PECOS PAC ID: 9335453133 Enrollment ID: I20150807013606 |
| 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 | Obiora C Maludum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972858447 PECOS PAC ID: 5799099412 Enrollment ID: I20150807014719 |
| Provider Name | Marc David Yelle |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1871889501 PECOS PAC ID: 3779737846 Enrollment ID: I20150811003990 |
| Provider Name | Matthew Nicholas Gentry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568724607 PECOS PAC ID: 6305167289 Enrollment ID: I20150813010946 |
| Provider Name | David M Schaevitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528389772 PECOS PAC ID: 1759508047 Enrollment ID: I20150818005159 |
| Provider Name | Ureena Manandhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508114612 PECOS PAC ID: 5092020917 Enrollment ID: I20150820010899 |
| Provider Name | Manish Navnitlal Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558655936 PECOS PAC ID: 8820303720 Enrollment ID: I20150821013372 |
| Provider Name | John Walton Sanders |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437134095 PECOS PAC ID: 3779708482 Enrollment ID: I20150824002207 |
| Provider Name | Katherine Anna Ritsche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881081248 PECOS PAC ID: 5698081206 Enrollment ID: I20150827001438 |
| Provider Name | Joshua Scott Rickey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164742748 PECOS PAC ID: 7012138530 Enrollment ID: I20150828000699 |
| Provider Name | Patrick D Green |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033378971 PECOS PAC ID: 2365612322 Enrollment ID: I20150829000176 |
| Provider Name | Patrick J Discepola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669746368 PECOS PAC ID: 3577879964 Enrollment ID: I20150831001918 |
| Provider Name | Victoria Elliott Lore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568754422 PECOS PAC ID: 6103132519 Enrollment ID: I20150831002613 |
| Provider Name | Jessica L Dietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417331091 PECOS PAC ID: 4385950526 Enrollment ID: I20150902000979 |
| 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 | Robert Virgil Ford |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710324116 PECOS PAC ID: 3870813942 Enrollment ID: I20150904000246 |
| Provider Name | Heidi L Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518118660 PECOS PAC ID: 8527295765 Enrollment ID: I20150904001124 |
| Provider Name | Alyson Lovan Hommel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649591066 PECOS PAC ID: 7517273444 Enrollment ID: I20150908002366 |
| Provider Name | Alysha Jo Taxter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518131366 PECOS PAC ID: 7214243153 Enrollment ID: I20150908002860 |
| Provider Name | Stacey O'neill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023212933 PECOS PAC ID: 1153638051 Enrollment ID: I20150909001808 |
| 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 | Karolyn Ann Kilpinen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316253495 PECOS PAC ID: 0042407371 Enrollment ID: I20150909002138 |
| Provider Name | Amit K Datta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780942219 PECOS PAC ID: 5890936348 Enrollment ID: I20150910001543 |
| Provider Name | Daniel P Floyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164867800 PECOS PAC ID: 6800117748 Enrollment ID: I20150910002048 |
| Provider Name | Elizabeth Lenfestey Tysinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497137681 PECOS PAC ID: 1557678372 Enrollment ID: I20150910002932 |
| Provider Name | Maneesh Bawa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952363038 PECOS PAC ID: 0648282293 Enrollment ID: I20150911001840 |
| 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 | Blessie Serene Clontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255707279 PECOS PAC ID: 5395052989 Enrollment ID: I20150915000893 |
| Provider Name | Amie Smith Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871988121 PECOS PAC ID: 4385951862 Enrollment ID: I20150916000316 |
| Provider Name | Kevin Ward Gibbs |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083857890 PECOS PAC ID: 9739334459 Enrollment ID: I20150916001410 |
| Provider Name | Jagannath Subedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245521343 PECOS PAC ID: 2860709383 Enrollment ID: I20150916001540 |
| Provider Name | Jennifer Michelle Trumble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316321284 PECOS PAC ID: 3779890165 Enrollment ID: I20150917000983 |
| Provider Name | Lee Patrick Heeringa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972869048 PECOS PAC ID: 5193032597 Enrollment ID: I20150917001149 |
| Provider Name | Rhett Nicholas Hadley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447576152 PECOS PAC ID: 1456668722 Enrollment ID: I20150918000841 |
| Provider Name | Jennifer M Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215311436 PECOS PAC ID: 2769799931 Enrollment ID: I20150921001654 |
| Provider Name | Francis Cheuk Yin Luk |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700198173 PECOS PAC ID: 4789992777 Enrollment ID: I20150924000610 |
| Provider Name | Shruti C Tannan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821257981 PECOS PAC ID: 7911136700 Enrollment ID: I20150925002321 |
| Provider Name | Jennifer L Gabbard |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730319583 PECOS PAC ID: 9234372855 Enrollment ID: I20150928000409 |
| Provider Name | Steven Chapman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972545887 PECOS PAC ID: 4789587221 Enrollment ID: I20150928000901 |
| Provider Name | John Paul Velasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598029704 PECOS PAC ID: 4981912730 Enrollment ID: I20150929001409 |
| Provider Name | Philip Cogan Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216078 PECOS PAC ID: 8527079201 Enrollment ID: I20150929001773 |
| Provider Name | Shelmeshia Hill-brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134463524 PECOS PAC ID: 1254649908 Enrollment ID: I20150930001650 |
| Provider Name | Feben Girma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043579519 PECOS PAC ID: 0941512693 Enrollment ID: I20151001000969 |
| Provider Name | Kristen Lee Marion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215310123 PECOS PAC ID: 5799093241 Enrollment ID: I20151001002573 |
| Provider Name | Denise L Talbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023491388 PECOS PAC ID: 8921316431 Enrollment ID: I20151002001424 |
| 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 | Carrie Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1497072300 PECOS PAC ID: 5496063836 Enrollment ID: I20151005000292 |
| 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 | Rebecca M Henderson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1639496458 PECOS PAC ID: 7012169204 Enrollment ID: I20151007000724 |
| Provider Name | Stephanie A Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770968273 PECOS PAC ID: 3072821370 Enrollment ID: I20151007000751 |
| Provider Name | Ilka Dietlinde Theruvath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770700304 PECOS PAC ID: 4385777929 Enrollment ID: I20151007001595 |
| Provider Name | Jessica Maloney Drake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679872469 PECOS PAC ID: 2860700952 Enrollment ID: I20151009002179 |
| 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 | Steven Mark Sorscher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962429597 PECOS PAC ID: 2466481809 Enrollment ID: I20151015002065 |
| Provider Name | Emma B Chesnut |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215310081 PECOS PAC ID: 8820307788 Enrollment ID: I20151016001083 |
| Provider Name | Tiffany Perez Avery |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710193982 PECOS PAC ID: 4082801345 Enrollment ID: I20151019001462 |
| Provider Name | Sunny M Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205877412 PECOS PAC ID: 0143539791 Enrollment ID: I20151021001559 |
| Provider Name | Faith L Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003172990 PECOS PAC ID: 4789993346 Enrollment ID: I20151021001987 |
| 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 | 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 | Marcy Lynn Pfeiffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154371235 PECOS PAC ID: 1759280043 Enrollment ID: I20151023002614 |
| Provider Name | Tiffani Lynee Bell Washington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861789117 PECOS PAC ID: 2668784414 Enrollment ID: I20151026001644 |
| Provider Name | Saif Lutfi Shafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275823882 PECOS PAC ID: 0941458384 Enrollment ID: I20151027002717 |
| 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 | Bansari G Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912167131 PECOS PAC ID: 1254640535 Enrollment ID: I20151028000709 |
| Provider Name | Jerrod J Felder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578797395 PECOS PAC ID: 8325288731 Enrollment ID: I20151028002335 |
| Provider Name | Molly Lynn Fuller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326276577 PECOS PAC ID: 4688815442 Enrollment ID: I20151102002078 |
| Provider Name | Walter S Davis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285703801 PECOS PAC ID: 4789692609 Enrollment ID: I20151103000065 |
| Provider Name | Cesar Rodriguez Valdes |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1518178805 PECOS PAC ID: 8325202633 Enrollment ID: I20151104003141 |
| Provider Name | Padageshwar Rao Sunkara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154686921 PECOS PAC ID: 9739499591 Enrollment ID: I20151106000057 |
| Provider Name | Fatima Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013339266 PECOS PAC ID: 1153631999 Enrollment ID: I20151107000219 |
| Provider Name | Abhishek Bose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245493451 PECOS PAC ID: 4789730227 Enrollment ID: I20151110001364 |
| Provider Name | Elizabeth C Reichard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427310234 PECOS PAC ID: 0547570103 Enrollment ID: I20151110003063 |
| Provider Name | Peter Ross 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 | Roy Ervin Strowd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982830998 PECOS PAC ID: 1850528761 Enrollment ID: I20151118002385 |
| 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 N Worthen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093190795 PECOS PAC ID: 3577863349 Enrollment ID: I20151201000111 |
| Provider Name | Landon T Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376835033 PECOS PAC ID: 2163722885 Enrollment ID: I20151202002527 |
| Provider Name | Sandra C Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891165015 PECOS PAC ID: 4183924533 Enrollment ID: I20151208000717 |
| Provider Name | Christie Marie Schonsheck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477938405 PECOS PAC ID: 5294036588 Enrollment ID: I20151210000453 |
| Provider Name | Elizabeth Ann Rees |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093940413 PECOS PAC ID: 3274799754 Enrollment ID: I20151217002666 |
| Provider Name | Kerry M W Fike |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942297163 PECOS PAC ID: 8224032537 Enrollment ID: I20151218001545 |
| Provider Name | Elizabeth Ann Donald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609241561 PECOS PAC ID: 4183925001 Enrollment ID: I20151218001584 |
| Provider Name | Harigovinda Reddy Challa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508942319 PECOS PAC ID: 0042288698 Enrollment ID: I20151222002063 |
| Provider Name | Jennifer Rae Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073801676 PECOS PAC ID: 3971725623 Enrollment ID: I20151229002784 |
| Provider Name | Meghan Michele Malcolm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962874370 PECOS PAC ID: 0446552988 Enrollment ID: I20151230001205 |
| 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 | Michele R Landry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710362371 PECOS PAC ID: 8628370749 Enrollment ID: I20160106002816 |
| Provider Name | Andrea D Dominick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407228521 PECOS PAC ID: 7113229105 Enrollment ID: I20160107002251 |
| Provider Name | Robert Miguel Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629053111 PECOS PAC ID: 0143316703 Enrollment ID: I20160113002919 |
| Provider Name | Lindsey E Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801268610 PECOS PAC ID: 0042513327 Enrollment ID: I20160120001156 |
| Provider Name | Meade Todd Palmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598759995 PECOS PAC ID: 6103929716 Enrollment ID: I20160122000930 |
| 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 | Anne T Fox |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033179387 PECOS PAC ID: 2769471291 Enrollment ID: I20160202000213 |
| Provider Name | Amber Norris Kelly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295191179 PECOS PAC ID: 5890099485 Enrollment ID: I20160202000417 |
| 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 | Eric W Reynolds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457370934 PECOS PAC ID: 1153597554 Enrollment ID: I20160209000687 |
| Provider Name | Salome Sookdieopersad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104137520 PECOS PAC ID: 7214171461 Enrollment ID: I20160210000523 |
| Provider Name | Luella M Guzman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447344825 PECOS PAC ID: 1153362306 Enrollment ID: I20160216002500 |
| 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 | Evette N Briskey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467817528 PECOS PAC ID: 3779888169 Enrollment ID: I20160223001421 |
| Provider Name | Elvis Xhaferi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275850430 PECOS PAC ID: 9739324609 Enrollment ID: I20160229002474 |
| 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 | Gerald M Zupruk |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528021391 PECOS PAC ID: 0244212215 Enrollment ID: I20160315002111 |
| Provider Name | Lisa Lollis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760880108 PECOS PAC ID: 7214233378 Enrollment ID: I20160316000027 |
| Provider Name | Starla Wise |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700012887 PECOS PAC ID: 4486872710 Enrollment ID: I20160329002450 |
| Provider Name | Wesley Willeford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164782504 PECOS PAC ID: 5395066203 Enrollment ID: I20160331000137 |
| 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 | Melissa Guffey Potisek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578881140 PECOS PAC ID: 6305143470 Enrollment ID: I20160405001074 |
| 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 | 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 | Amanda Marie Pickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285093260 PECOS PAC ID: 7618276627 Enrollment ID: I20160426000910 |
| Provider Name | Travis Bo Money |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225419625 PECOS PAC ID: 0648573204 Enrollment ID: I20160502000124 |
| Provider Name | Venkata Praveen Kondreddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710135389 PECOS PAC ID: 3173657376 Enrollment ID: I20160513000239 |
| Provider Name | Penny Noah Phlegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942655071 PECOS PAC ID: 4587953112 Enrollment ID: I20160520000228 |
| 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 | Wynne Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225249725 PECOS PAC ID: 1052601432 Enrollment ID: I20160526001980 |
| Provider Name | Andrew F Bognanno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295975142 PECOS PAC ID: 3375833486 Enrollment ID: I20160602000013 |
| Provider Name | Eric Jason Marrotte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417272840 PECOS PAC ID: 6608009345 Enrollment ID: I20160603001618 |
| Provider Name | Derek Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205061553 PECOS PAC ID: 1951570209 Enrollment ID: I20160606000074 |
| 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 | Alex Frederick Fertman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790911873 PECOS PAC ID: 1355507476 Enrollment ID: I20160617000712 |
| Provider Name | Melissa Lee Kozakiewicz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861713901 PECOS PAC ID: 4486879574 Enrollment ID: I20160620000503 |
| Provider Name | John E Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871931816 PECOS PAC ID: 9133419518 Enrollment ID: I20160620000862 |
| Provider Name | Michelle Elise Marchessault |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598909657 PECOS PAC ID: 6901047117 Enrollment ID: I20160621000767 |
| Provider Name | Shailaja Ks Raj |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1821144502 PECOS PAC ID: 4688750029 Enrollment ID: I20160621001654 |
| Provider Name | Mary T Lovegreen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053573857 PECOS PAC ID: 1850512120 Enrollment ID: I20160621002164 |
| 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 | Phillip Michael Hobbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851611834 PECOS PAC ID: 3375779101 Enrollment ID: I20160711000826 |
| Provider Name | Richard Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316208382 PECOS PAC ID: 0547552580 Enrollment ID: I20160712000596 |
| Provider Name | Martin D Avery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700107224 PECOS PAC ID: 8022330760 Enrollment ID: I20160713002095 |
| Provider Name | Dawn L Butler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437440724 PECOS PAC ID: 8527350263 Enrollment ID: I20160715001933 |
| Provider Name | Erin E Schlossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760829758 PECOS PAC ID: 2961713540 Enrollment ID: I20160718000712 |
| Provider Name | Stephen Balleh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174933766 PECOS PAC ID: 9537480140 Enrollment ID: I20160718001283 |
| Provider Name | Carolina Veronese |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760802664 PECOS PAC ID: 0143444000 Enrollment ID: I20160719001348 |
| Provider Name | Beck D Mcallister |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437333846 PECOS PAC ID: 1759559032 Enrollment ID: I20160719002092 |
| Provider Name | Kaitlyn Anne Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437596574 PECOS PAC ID: 7517197502 Enrollment ID: I20160719002361 |
| Provider Name | Jason D Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013355528 PECOS PAC ID: 2668765272 Enrollment ID: I20160720000188 |
| 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 | Jennifer Betts Oliver |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1942599253 PECOS PAC ID: 2163745415 Enrollment ID: I20160725001292 |
| Provider Name | Kunal Sangal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679910350 PECOS PAC ID: 8022319235 Enrollment ID: I20160725002331 |
| Provider Name | Alison M Rasper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922397033 PECOS PAC ID: 9537462874 Enrollment ID: I20160726001326 |
| Provider Name | Brian G Zamora |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225304553 PECOS PAC ID: 2961646963 Enrollment ID: I20160726002941 |
| Provider Name | Rohesh Joseph Fernando |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255630927 PECOS PAC ID: 2365735404 Enrollment ID: I20160726003043 |
| Provider Name | Trevor Michael Downing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114239126 PECOS PAC ID: 7810206117 Enrollment ID: I20160727000119 |
| Provider Name | Brian James Budzyn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386939775 PECOS PAC ID: 5092017079 Enrollment ID: I20160728000072 |
| Provider Name | Michael Charles Goebel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619395886 PECOS PAC ID: 6608181789 Enrollment ID: I20160801000595 |
| Provider Name | Stanley Tyler Pace |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366717605 PECOS PAC ID: 4284927054 Enrollment ID: I20160801002580 |
| 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 | Kelvin A Gold |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982920690 PECOS PAC ID: 9234373820 Enrollment ID: I20160803001663 |
| Provider Name | Ramses Carlos Masis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063705663 PECOS PAC ID: 6002069515 Enrollment ID: I20160803001666 |
| Provider Name | Patrick Hugh Harmon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740579432 PECOS PAC ID: 9133413768 Enrollment ID: I20160804001634 |
| Provider Name | Jao Jih Ou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013232792 PECOS PAC ID: 1557534039 Enrollment ID: I20160804002321 |
| Provider Name | Courteney Mackuen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851652390 PECOS PAC ID: 1850685223 Enrollment ID: I20160808001498 |
| 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 | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20160810001178 |
| 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 | Ashleigh Fontenot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952620957 PECOS PAC ID: 6406166248 Enrollment ID: I20160817002026 |
| Provider Name | Austen Lane Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891133203 PECOS PAC ID: 2264727973 Enrollment ID: I20160819001055 |
| Provider Name | Bethany Roxanne Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235279795 PECOS PAC ID: 0042368987 Enrollment ID: I20160819001957 |
| 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 | Evelyn Gabuya Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285094045 PECOS PAC ID: 6002114626 Enrollment ID: I20160822001851 |
| Provider Name | Jennifer Corey Omohundro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023468303 PECOS PAC ID: 7315232964 Enrollment ID: I20160823000085 |
| Provider Name | Baker L Henson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013295195 PECOS PAC ID: 2860624798 Enrollment ID: I20160823002094 |
| Provider Name | Kevin Webster Dickey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639150055 PECOS PAC ID: 5698761500 Enrollment ID: I20160823003077 |
| Provider Name | Jonathan David Haywood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659698355 PECOS PAC ID: 2365737723 Enrollment ID: I20160824000775 |
| Provider Name | Janel Darcy Hunter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518286806 PECOS PAC ID: 0941425425 Enrollment ID: I20160824001254 |
| Provider Name | Semsa Gogcu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790965150 PECOS PAC ID: 6204007875 Enrollment ID: I20160906000701 |
| Provider Name | Joshua D Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609030402 PECOS PAC ID: 6709959596 Enrollment ID: I20160906000774 |
| Provider Name | Blake A Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972896181 PECOS PAC ID: 8224324082 Enrollment ID: I20160906000946 |
| Provider Name | Jimmy Brian Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396298014 PECOS PAC ID: 6507152287 Enrollment ID: I20160906002141 |
| Provider Name | Matthew T Lisi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871736157 PECOS PAC ID: 0749576478 Enrollment ID: I20160907001017 |
| Provider Name | Mallory Hudson Alkis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912264151 PECOS PAC ID: 1355570086 Enrollment ID: I20160908001604 |
| 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 | Rachael Springer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457589186 PECOS PAC ID: 9133436900 Enrollment ID: I20160909000567 |
| 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 | Apoorva Jayarangaiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396186458 PECOS PAC ID: 1759603277 Enrollment ID: I20160912001016 |
| Provider Name | John David Feerick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689837932 PECOS PAC ID: 8325116973 Enrollment ID: I20160912001972 |
| Provider Name | Dana Duo Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093079964 PECOS PAC ID: 5991954661 Enrollment ID: I20160913001599 |
| Provider Name | Bryan Wayne Howington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184062416 PECOS PAC ID: 8426370008 Enrollment ID: I20160914000592 |
| Provider Name | Rahimullah Imran Asad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871758953 PECOS PAC ID: 5799944575 Enrollment ID: I20160914001454 |
| Provider Name | Kenneth Elliott Tenpenny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245469774 PECOS PAC ID: 4385768613 Enrollment ID: I20160914002604 |
| Provider Name | Philwyna Sarian Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750835419 PECOS PAC ID: 8426344565 Enrollment ID: I20160915001664 |
| Provider Name | Alexandra Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417945049 PECOS PAC ID: 7517033269 Enrollment ID: I20160916001121 |
| Provider Name | Tiffany E O'neill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780979690 PECOS PAC ID: 9931418423 Enrollment ID: I20160919000570 |
| 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 | Karl William Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255329108 PECOS PAC ID: 9436252319 Enrollment ID: I20160920001094 |
| Provider Name | Erika L Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174971949 PECOS PAC ID: 7315234234 Enrollment ID: I20160921000580 |
| Provider Name | Osman Nadir Mostafa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235571670 PECOS PAC ID: 8628365442 Enrollment ID: I20160922000920 |
| Provider Name | Laura E Bishop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891086617 PECOS PAC ID: 4284946658 Enrollment ID: I20160926000893 |
| Provider Name | Brittany Nicosia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235501214 PECOS PAC ID: 6507153186 Enrollment ID: I20160926001121 |
| Provider Name | Oluwatoyin Kufile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841637048 PECOS PAC ID: 7810284411 Enrollment ID: I20160926001582 |
| Provider Name | Margaret Rukstalis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649629619 PECOS PAC ID: 1254628860 Enrollment ID: I20160926002008 |
| Provider Name | Emily Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215377999 PECOS PAC ID: 9931330834 Enrollment ID: I20160927000258 |
| Provider Name | Sara Elizabeth Abbott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275809501 PECOS PAC ID: 9830486364 Enrollment ID: I20160927000470 |
| Provider Name | Matthew J Parker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447511555 PECOS PAC ID: 0143521088 Enrollment ID: I20160927000591 |
| Provider Name | Karen Marie Winkfield |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992879456 PECOS PAC ID: 3779617675 Enrollment ID: I20160927003207 |
| Provider Name | Christopher Ransom Reynolds |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790005288 PECOS PAC ID: 6507171303 Enrollment ID: I20160928000020 |
| 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 | Yi Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255591202 PECOS PAC ID: 6305062746 Enrollment ID: I20161003000227 |
| Provider Name | Maurizio Bendandi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508222720 PECOS PAC ID: 2466749601 Enrollment ID: I20161003000451 |
| Provider Name | Joy Elizabeth Bediako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437603107 PECOS PAC ID: 9133416316 Enrollment ID: I20161003001860 |
| Provider Name | Sean R Rudnick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700010907 PECOS PAC ID: 0941439657 Enrollment ID: I20161004001570 |
| Provider Name | Terrika 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 | Richard T Galinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912041773 PECOS PAC ID: 1355487737 Enrollment ID: I20161007000943 |
| 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 | 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 | Li Zhou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679703854 PECOS PAC ID: 3274788773 Enrollment ID: I20161013001350 |
| 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 | 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 | Juline Bryson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215136866 PECOS PAC ID: 3173685849 Enrollment ID: I20161021001491 |
| Provider Name | David Eric Kram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114243987 PECOS PAC ID: 0941434526 Enrollment ID: I20161021001929 |
| 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 | Catherine A Ayers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114269503 PECOS PAC ID: 6204138928 Enrollment ID: I20161024000434 |
| Provider Name | Kristina R Ericsson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366640658 PECOS PAC ID: 7012187909 Enrollment ID: I20161024000576 |
| Provider Name | Lisa A Mileto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710955042 PECOS PAC ID: 5092964452 Enrollment ID: I20161024001135 |
| Provider Name | Monica Stabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811296841 PECOS PAC ID: 1355529553 Enrollment ID: I20161025001482 |
| Provider Name | Kevin E Coates |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1235129487 PECOS PAC ID: 9931353224 Enrollment ID: I20161027002381 |
| 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 | Sabrina Kimrey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437318318 PECOS PAC ID: 0648437665 Enrollment ID: I20161104000810 |
| 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 | Patrick O Sobande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801846191 PECOS PAC ID: 2264447457 Enrollment ID: I20161107000597 |
| 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 | Benjamin Joseph Boehnlein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063965234 PECOS PAC ID: 4981983954 Enrollment ID: I20161115000570 |
| 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 | Rachel J Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285070250 PECOS PAC ID: 3173765344 Enrollment ID: I20161115001276 |
| 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 | Megan Elizabeth Philyaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396294849 PECOS PAC ID: 6103105010 Enrollment ID: I20161117000711 |
| 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 | Akiko Chiba |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1861620809 PECOS PAC ID: 1850602400 Enrollment ID: I20161118001684 |
| Provider Name | Corey Dietz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740737865 PECOS PAC ID: 5799065157 Enrollment ID: I20161201001157 |
| Provider Name | Wendy Doric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235687419 PECOS PAC ID: 3779863006 Enrollment ID: I20161202001559 |
| Provider Name | Prashant D Bhave |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124155858 PECOS PAC ID: 0749424612 Enrollment ID: I20161206001166 |
| Provider Name | Courtney L Youngs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083163844 PECOS PAC ID: 9638459886 Enrollment ID: I20161206001709 |
| 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 | 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 | Lance Knecht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417937418 PECOS PAC ID: 7719913417 Enrollment ID: I20161208000690 |
| Provider Name | Ramesh K C |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396024055 PECOS PAC ID: 5991924466 Enrollment ID: I20161208001448 |
| Provider Name | Dana Lynn Beall Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760830541 PECOS PAC ID: 9931489903 Enrollment ID: I20161208001475 |
| Provider Name | Jenna Hannah Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518419704 PECOS PAC ID: 1456631290 Enrollment ID: I20161213001005 |
| Provider Name | Rahul Ramesh Karamchandani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437318441 PECOS PAC ID: 4587880570 Enrollment ID: I20161216001280 |
| Provider Name | Ankur Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366880197 PECOS PAC ID: 2567680069 Enrollment ID: I20161219000124 |
| Provider Name | Patricia A Barnes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518912799 PECOS PAC ID: 7810975463 Enrollment ID: I20161219000253 |
| Provider Name | Sara L Bonkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972052223 PECOS PAC ID: 9133400674 Enrollment ID: I20161221001459 |
| Provider Name | Chelsey E Cobb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720535248 PECOS PAC ID: 2668753104 Enrollment ID: I20161221001535 |
| Provider Name | Sarah C Larocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285182295 PECOS PAC ID: 1850672312 Enrollment ID: I20161221002098 |
| 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 | Timothy E Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124013008 PECOS PAC ID: 4284915570 Enrollment ID: I20161228000909 |
| 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 | Thomas M Mangiacapre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366986374 PECOS PAC ID: 7214219963 Enrollment ID: I20170113000011 |
| 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 | Martha Mappus Munden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356331607 PECOS PAC ID: 4981776408 Enrollment ID: I20170120001123 |
| Provider Name | Sharleen Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235680398 PECOS PAC ID: 7315109816 Enrollment ID: I20170124000745 |
| Provider Name | Jennifer E Mccord |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720296627 PECOS PAC ID: 4587979208 Enrollment ID: I20170125001019 |
| Provider Name | Tasha O Hutcherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548694284 PECOS PAC ID: 0345522447 Enrollment ID: I20170125002565 |
| Provider Name | Stephen Trey Mullis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518295641 PECOS PAC ID: 2365755956 Enrollment ID: I20170131002500 |
| 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 | Loretta J Pilagin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811965833 PECOS PAC ID: 5799874053 Enrollment ID: I20170206000026 |
| Provider Name | Hector Manuel Cabeza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790942688 PECOS PAC ID: 1456544774 Enrollment ID: I20170206001703 |
| Provider Name | John Bernot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003250481 PECOS PAC ID: 5890016729 Enrollment ID: I20170216001733 |
| Provider Name | Deanna L Short |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902201403 PECOS PAC ID: 8123342581 Enrollment ID: I20170216001869 |
| 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 | Nevine Hanna |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205170982 PECOS PAC ID: 9537471495 Enrollment ID: I20170222000819 |
| Provider Name | Andrew J Ohar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528212982 PECOS PAC ID: 9436388535 Enrollment ID: I20170222001539 |
| Provider Name | Julie D Brittain |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558805168 PECOS PAC ID: 4587948153 Enrollment ID: I20170227000713 |
| 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 | Ira S Wolke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831150200 PECOS PAC ID: 6709895154 Enrollment ID: I20170306001913 |
| Provider Name | Gary E Rosenthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679555056 PECOS PAC ID: 0345384913 Enrollment ID: I20170307002601 |
| Provider Name | Katina D Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285876714 PECOS PAC ID: 9436373263 Enrollment ID: I20170307002697 |
| Provider Name | Fiesky A Nunez |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1811432727 PECOS PAC ID: 9032494042 Enrollment ID: I20170314000176 |
| Provider Name | Peace Ibekwe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760772453 PECOS PAC ID: 4486944022 Enrollment ID: I20170315001606 |
| Provider Name | Kasey Samantha Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801335443 PECOS PAC ID: 5597040212 Enrollment ID: I20170321000601 |
| Provider Name | Jonah Gunalda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447678255 PECOS PAC ID: 7315250628 Enrollment ID: I20170321001984 |
| Provider Name | Cherie Causey Avants |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033658257 PECOS PAC ID: 4082999503 Enrollment ID: I20170324001722 |
| Provider Name | Carol Ann Browning |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780864033 PECOS PAC ID: 4385705888 Enrollment ID: I20170327000420 |
| Provider Name | Pedro E Cardama |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740600378 PECOS PAC ID: 9537480322 Enrollment ID: I20170328001493 |
| Provider Name | Brittany P Suth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518328970 PECOS PAC ID: 1951600261 Enrollment ID: I20170404000039 |
| Provider Name | Andrea N Couts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184160368 PECOS PAC ID: 6103102785 Enrollment ID: I20170413001924 |
| Provider Name | Mykah Payne Wike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821538893 PECOS PAC ID: 2769768357 Enrollment ID: I20170413002215 |
| Provider Name | David Michael Brett-major |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740254408 PECOS PAC ID: 6709068208 Enrollment ID: I20170413002293 |
| Provider Name | Olivia Faith Ogburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770023145 PECOS PAC ID: 2466738059 Enrollment ID: I20170413002362 |
| 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 | Kacie N Mintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114465531 PECOS PAC ID: 4688951569 Enrollment ID: I20170502000821 |
| Provider Name | Christina Marie Laney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568994473 PECOS PAC ID: 4981981818 Enrollment ID: I20170503000161 |
| Provider Name | Keri L Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609289529 PECOS PAC ID: 4183935166 Enrollment ID: I20170503002354 |
| Provider Name | Mallory Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528508793 PECOS PAC ID: 5890072383 Enrollment ID: I20170510002973 |
| Provider Name | Maryjo L Cleveland |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598724148 PECOS PAC ID: 3779597455 Enrollment ID: I20170511001099 |
| 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 | Brandon L Williams |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1730400193 PECOS PAC ID: 2264734136 Enrollment ID: I20170605002113 |
| 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 | Seiha Thiounn Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730372368 PECOS PAC ID: 8527336411 Enrollment ID: I20170619000343 |
| Provider Name | Jonathan Douglas Lyday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487100491 PECOS PAC ID: 0345518247 Enrollment ID: I20170619000792 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144566712 PECOS PAC ID: 4880828391 Enrollment ID: I20170620000774 |
| Provider Name | Brian F Abadir |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265877088 PECOS PAC ID: 7416188552 Enrollment ID: I20170620001834 |
| Provider Name | David L Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164426565 PECOS PAC ID: 1951293182 Enrollment ID: I20170622002892 |
| Provider Name | Catherine R Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952474355 PECOS PAC ID: 6103919535 Enrollment ID: I20170623001215 |
| Provider Name | Pavani Thotakura Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689920464 PECOS PAC ID: 4587974340 Enrollment ID: I20170626000059 |
| Provider Name | Derek Cheston Ayers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912340324 PECOS PAC ID: 6204148059 Enrollment ID: I20170626000129 |
| Provider Name | Adam P Sweeney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407149768 PECOS PAC ID: 3577832062 Enrollment ID: I20170626002420 |
| Provider Name | Patrick D Kuhlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386064640 PECOS PAC ID: 1052624343 Enrollment ID: I20170627001447 |
| Provider Name | Ann S Batista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255751079 PECOS PAC ID: 9830402916 Enrollment ID: I20170628002936 |
| Provider Name | Chad Ryan Marion |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396910279 PECOS PAC ID: 8527389865 Enrollment ID: I20170628002942 |
| Provider Name | Alexandra Samantha Mckenzie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588959183 PECOS PAC ID: 2668793951 Enrollment ID: I20170703000532 |
| 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 | Vijay S Nagpal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720473572 PECOS PAC ID: 7416266903 Enrollment ID: I20170706000963 |
| Provider Name | Christian Antonio Robles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336415306 PECOS PAC ID: 3678842358 Enrollment ID: I20170712001561 |
| Provider Name | Heather Anderson Firebaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104236223 PECOS PAC ID: 1355610031 Enrollment ID: I20170712001713 |
| Provider Name | Jennifer Ann Beatty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588043905 PECOS PAC ID: 6608184544 Enrollment ID: I20170712003417 |
| Provider Name | Talitha Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336401900 PECOS PAC ID: 9234408808 Enrollment ID: I20170713001235 |
| 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 | Raj Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457794216 PECOS PAC ID: 7315258241 Enrollment ID: I20170714000508 |
| 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 | Tiffany Schwab Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265963045 PECOS PAC ID: 4789954355 Enrollment ID: I20170714002001 |
| 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 | Anand Sarma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285961375 PECOS PAC ID: 9830333111 Enrollment ID: I20170718000058 |
| Provider Name | John Michael Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154741056 PECOS PAC ID: 7911293501 Enrollment ID: I20170719001694 |
| Provider Name | Erin Whitney Barnes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780977215 PECOS PAC ID: 9234370750 Enrollment ID: I20170719001972 |
| Provider Name | Sasha Giles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588113682 PECOS PAC ID: 9436429578 Enrollment ID: I20170721000813 |
| Provider Name | Michelle M Marks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699060723 PECOS PAC ID: 3375782832 Enrollment ID: I20170724000026 |
| Provider Name | Cameron Scott Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144759960 PECOS PAC ID: 5193095297 Enrollment ID: I20170724000171 |
| Provider Name | Patrick E Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770903262 PECOS PAC ID: 0840410692 Enrollment ID: I20170724001119 |
| Provider Name | Matthew Whitaker Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831516806 PECOS PAC ID: 5294056172 Enrollment ID: I20170731000546 |
| Provider Name | Amanda J Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245657105 PECOS PAC ID: 1759605496 Enrollment ID: I20170731000767 |
| Provider Name | Maria Theresa Degracia Opina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508025511 PECOS PAC ID: 1658536255 Enrollment ID: I20170731000854 |
| Provider Name | Sarah A Northrop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093919730 PECOS PAC ID: 4789854589 Enrollment ID: I20170731002024 |
| Provider Name | Shayla D Nettey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871913004 PECOS PAC ID: 4385915966 Enrollment ID: I20170731002388 |
| Provider Name | Lucia Scott Derks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285976456 PECOS PAC ID: 8022251545 Enrollment ID: I20170801000590 |
| Provider Name | Joshua Gray Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073924163 PECOS PAC ID: 6103116637 Enrollment ID: I20170801000843 |
| 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 | Rebecca Lynn Omlor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760826770 PECOS PAC ID: 2769799451 Enrollment ID: I20170803000901 |
| Provider Name | Jordan Takeo Lilienstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588997704 PECOS PAC ID: 9537453626 Enrollment ID: I20170807002499 |
| Provider Name | Olga Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548435225 PECOS PAC ID: 2466723689 Enrollment ID: I20170807002683 |
| 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 | Jonathan L Wilson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376727354 PECOS PAC ID: 1759524168 Enrollment ID: I20170814002205 |
| Provider Name | Margaret B Ellis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699185520 PECOS PAC ID: 0648542456 Enrollment ID: I20170814002272 |
| Provider Name | Skyler Mclaurin Jiang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275952855 PECOS PAC ID: 8123390937 Enrollment ID: I20170814002554 |
| Provider Name | Heather J Mchughs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982984837 PECOS PAC ID: 3577888213 Enrollment ID: I20170814003262 |
| Provider Name | George E Ashby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215342506 PECOS PAC ID: 6901124627 Enrollment ID: I20170814003349 |
| Provider Name | Steven Keita Nishiyama |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386904605 PECOS PAC ID: 1052638624 Enrollment ID: I20170815000696 |
| Provider Name | Timothy K Williams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851587398 PECOS PAC ID: 7810114824 Enrollment ID: I20170815000829 |
| Provider Name | Ram A Pathak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609133081 PECOS PAC ID: 0446487748 Enrollment ID: I20170815002158 |
| Provider Name | Haley K Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326467390 PECOS PAC ID: 1850663311 Enrollment ID: I20170817001897 |
| Provider Name | Keegan A Harkins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053758136 PECOS PAC ID: 3375815715 Enrollment ID: I20170821001776 |
| Provider Name | Yoania Quintana Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891198636 PECOS PAC ID: 8527330802 Enrollment ID: I20170822000290 |
| Provider Name | Keisha French |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487099164 PECOS PAC ID: 7315219631 Enrollment ID: I20170822002028 |
| 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 | 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 | Jessica Ann Palakshappa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043530512 PECOS PAC ID: 3678734704 Enrollment ID: I20170829000447 |
| Provider Name | Alex K Bonnecaze |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578976684 PECOS PAC ID: 4486927241 Enrollment ID: I20170830002580 |
| Provider Name | David M Villanueva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386056067 PECOS PAC ID: 9032482658 Enrollment ID: I20170901002351 |
| Provider Name | Deepak Palakshappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750586293 PECOS PAC ID: 2567630825 Enrollment ID: I20170905001324 |
| Provider Name | Julie Mitchell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1467794057 PECOS PAC ID: 3274806765 Enrollment ID: I20170905002414 |
| Provider Name | Shujuan Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265870307 PECOS PAC ID: 8921397993 Enrollment ID: I20170905003299 |
| Provider Name | Quang Dang 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 | Erica Fletcher Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437393105 PECOS PAC ID: 3072754662 Enrollment ID: I20170908002565 |
| Provider Name | Kayla W Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700213824 PECOS PAC ID: 4587892492 Enrollment ID: I20170911000843 |
| Provider Name | Teresa L Do |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164842167 PECOS PAC ID: 7719282839 Enrollment ID: I20170911000897 |
| Provider Name | Dileep Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033477781 PECOS PAC ID: 9133417983 Enrollment ID: I20170912001485 |
| Provider Name | Cherrelle T Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356603476 PECOS PAC ID: 1557586617 Enrollment ID: I20170913002965 |
| Provider Name | Bryan Michael Tucker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467712943 PECOS PAC ID: 2466688627 Enrollment ID: I20170913003872 |
| Provider Name | Cameron Greer Isaacs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972922367 PECOS PAC ID: 5890006159 Enrollment ID: I20170914001431 |
| Provider Name | Jordan Deandrade Rejeski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932546694 PECOS PAC ID: 2365716305 Enrollment ID: I20170914002627 |
| Provider Name | Amit M Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043577646 PECOS PAC ID: 3072751817 Enrollment ID: I20170914002808 |
| 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 | 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 | Meredith Claire Brandt Adams |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1467593590 PECOS PAC ID: 7719179092 Enrollment ID: I20170922000221 |
| Provider Name | Jennifer Lenchik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992221709 PECOS PAC ID: 2163796558 Enrollment ID: I20170925000291 |
| Provider Name | Joseph Benjamin West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407371065 PECOS PAC ID: 8820362155 Enrollment ID: I20170925002633 |
| Provider Name | Julie A Freischlag |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730127614 PECOS PAC ID: 7719019793 Enrollment ID: I20170927000724 |
| Provider Name | Michael Cohen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851389456 PECOS PAC ID: 0648373522 Enrollment ID: I20170928000884 |
| 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 | Kyle Stanley Hobbs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750516241 PECOS PAC ID: 4981917085 Enrollment ID: I20171002000902 |
| Provider Name | Matthew A Johnston |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1902127285 PECOS PAC ID: 9739324112 Enrollment ID: I20171002001715 |
| Provider Name | Jennifer Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851814859 PECOS PAC ID: 7113292046 Enrollment ID: I20171003006540 |
| Provider Name | Jeffrey A Hagen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558391011 PECOS PAC ID: 7517964216 Enrollment ID: I20171003007749 |
| Provider Name | Mary Katherine Chamberlain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295091650 PECOS PAC ID: 5193033082 Enrollment ID: I20171005000702 |
| 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 | Ilan Klein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134644859 PECOS PAC ID: 9335414960 Enrollment ID: I20171009001144 |
| 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 | Willam Carl Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962817809 PECOS PAC ID: 2466670666 Enrollment ID: I20171011002870 |
| Provider Name | Mary Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891809265 PECOS PAC ID: 6608848338 Enrollment ID: I20171011003332 |
| 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 | Elizabeth F Skidmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013337674 PECOS PAC ID: 9739455957 Enrollment ID: I20171016002032 |
| Provider Name | Tiffany Marie Shin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114210663 PECOS PAC ID: 4082980115 Enrollment ID: I20171018000003 |
| 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 | Ashley S Steele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932624681 PECOS PAC ID: 6608142401 Enrollment ID: I20171023002826 |
| Provider Name | David I Shalowitz |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1649594136 PECOS PAC ID: 3072770411 Enrollment ID: I20171024002228 |
| 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 | Mary Theresa Massary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689085680 PECOS PAC ID: 8123345444 Enrollment ID: I20171025002099 |
| Provider Name | Ana Tereza Kabira |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578852000 PECOS PAC ID: 1850531542 Enrollment ID: I20171026003472 |
| 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 | Sara K Swanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194036939 PECOS PAC ID: 9234446956 Enrollment ID: I20171101001915 |
| Provider Name | Brandon Scott Hays |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053637850 PECOS PAC ID: 8325304629 Enrollment ID: I20171101003143 |
| Provider Name | Anne R Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306140553 PECOS PAC ID: 7416187679 Enrollment ID: I20171102002751 |
| Provider Name | Christopher John Tegeler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801215447 PECOS PAC ID: 4082935374 Enrollment ID: I20171106000011 |
| Provider Name | Emily Bunce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952626061 PECOS PAC ID: 9739304544 Enrollment ID: I20171106001783 |
| Provider Name | Carl Robert Grey |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558639575 PECOS PAC ID: 2264609601 Enrollment ID: I20171106002418 |
| Provider Name | Sonya Crystal Delwadia Randazzo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407103930 PECOS PAC ID: 2860787439 Enrollment ID: I20171107001109 |
| Provider Name | Warren S Jones |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1467849042 PECOS PAC ID: 4688982531 Enrollment ID: I20171108003274 |
| Provider Name | Jean H Ashburn |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639398308 PECOS PAC ID: 1355507872 Enrollment ID: I20171108003504 |
| Provider Name | Jennifer Cashion Waugh |
|---|---|
| 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 | 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 | Katalina Marie Eubanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396009 PECOS PAC ID: 9830456995 Enrollment ID: I20171127002924 |
| Provider Name | Jennifer M Cooper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760700736 PECOS PAC ID: 8921365099 Enrollment ID: I20171128000113 |
| 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 | Holly K Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003335860 PECOS PAC ID: 0840557997 Enrollment ID: I20171128003759 |
| 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 | Brook P Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033489943 PECOS PAC ID: 8022339803 Enrollment ID: I20171205000871 |
| 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 | 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 | Amrit Adhikari B.k. |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942612387 PECOS PAC ID: 1951669456 Enrollment ID: I20171211000183 |
| Provider Name | Binaya Raman Dahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093067761 PECOS PAC ID: 8921310343 Enrollment ID: I20171211000606 |
| Provider Name | Danila M Gorelov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699293456 PECOS PAC ID: 9931467479 Enrollment ID: I20171211001680 |
| Provider Name | Sarah Elizabeth Ross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295245447 PECOS PAC ID: 7618235094 Enrollment ID: I20171212001027 |
| Provider Name | Mir M Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063853257 PECOS PAC ID: 7517234685 Enrollment ID: I20171214002651 |
| Provider Name | Edgar Teodoro Araiza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871856450 PECOS PAC ID: 8729384490 Enrollment ID: I20171215001888 |
| 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 | 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 | Marshall Zane Schwartz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457309080 PECOS PAC ID: 9436131745 Enrollment ID: I20180103000604 |
| Provider Name | Celeste J Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154834513 PECOS PAC ID: 3173882784 Enrollment ID: I20180104001530 |
| Provider Name | Bree Fleck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356854657 PECOS PAC ID: 8426317876 Enrollment ID: I20180111000139 |
| Provider Name | Zeynep Meltem Akkurt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982118782 PECOS PAC ID: 6608135876 Enrollment ID: I20180116000230 |
| Provider Name | Javier Ariel Laurini |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588723118 PECOS PAC ID: 5698967040 Enrollment ID: I20180122000480 |
| Provider Name | Benjamin James Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396721460 PECOS PAC ID: 5698725331 Enrollment ID: I20180125001506 |
| Provider Name | Tneshia J. Sweat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023317971 PECOS PAC ID: 4587889373 Enrollment ID: I20180125002643 |
| Provider Name | Laura A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235666215 PECOS PAC ID: 2668732348 Enrollment ID: I20180130000046 |
| Provider Name | Anne Marie Prah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457864142 PECOS PAC ID: 9436419058 Enrollment ID: I20180130002113 |
| Provider Name | Robyn K. Wojeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558732404 PECOS PAC ID: 6305148842 Enrollment ID: I20180205000218 |
| Provider Name | Brittany Michelle Chesnee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558885061 PECOS PAC ID: 6507126851 Enrollment ID: I20180205001969 |
| Provider Name | Matthew Riester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144616673 PECOS PAC ID: 2668780503 Enrollment ID: I20180206001177 |
| 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 | Lisa W Derrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922341411 PECOS PAC ID: 3274822234 Enrollment ID: I20180220000232 |
| Provider Name | Byron D Dixon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952506669 PECOS PAC ID: 9234207184 Enrollment ID: I20180221001342 |
| Provider Name | Courtney Shaw Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679082663 PECOS PAC ID: 9537420203 Enrollment ID: I20180221002388 |
| Provider Name | Julie Jorgenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992078158 PECOS PAC ID: 0143479733 Enrollment ID: I20180227000003 |
| Provider Name | Jason Itri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740487909 PECOS PAC ID: 2264618529 Enrollment ID: I20180227001874 |
| Provider Name | Neeraj Lalwani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164755039 PECOS PAC ID: 7618144858 Enrollment ID: I20180227002195 |
| Provider Name | Lynnette Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629238704 PECOS PAC ID: 7214298538 Enrollment ID: I20180301002184 |
| 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 | Amy Watson Cowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649778630 PECOS PAC ID: 8921360835 Enrollment ID: I20180313000012 |
| Provider Name | Brett A Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174817 PECOS PAC ID: 1951616507 Enrollment ID: I20180314002287 |
| Provider Name | Caitlin Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1700296407 PECOS PAC ID: 5294046595 Enrollment ID: I20180319002198 |
| Provider Name | Navneet Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| 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 | Gabriel Mccoy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114289519 PECOS PAC ID: 9133384662 Enrollment ID: I20180327003082 |
| 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 | Jean-luc C Urbain |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1548588759 PECOS PAC ID: 5395007371 Enrollment ID: I20180403001892 |
| 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 | Bradley M Chapman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205221298 PECOS PAC ID: 0143537738 Enrollment ID: I20180418001497 |
| Provider Name | Marion Arleen Reynolds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568457992 PECOS PAC ID: 6709802085 Enrollment ID: I20180419002028 |
| Provider Name | Craig Robert Urbanke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386144525 PECOS PAC ID: 8628331857 Enrollment ID: I20180420001250 |
| Provider Name | Charles J Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982661823 PECOS PAC ID: 7810885241 Enrollment ID: I20180423000566 |
| 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 | John Joseph Migliano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932545746 PECOS PAC ID: 7315201373 Enrollment ID: I20180430000731 |
| Provider Name | Shanna Keneisha Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114427499 PECOS PAC ID: 1951665819 Enrollment ID: I20180502001609 |
| Provider Name | Catherine Slagel Story |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831698638 PECOS PAC ID: 8123382934 Enrollment ID: I20180502002419 |
| 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 | Molly Amanda Hartzler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053757054 PECOS PAC ID: 1557502176 Enrollment ID: I20180515000094 |
| Provider Name | Nancy Dominique Rosales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114246717 PECOS PAC ID: 3476776147 Enrollment ID: I20180517000130 |
| Provider Name | Dhanashree Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477716710 PECOS PAC ID: 0840462503 Enrollment ID: I20180521001870 |
| Provider Name | Okah Justin Anyokwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720242720 PECOS PAC ID: 1052561834 Enrollment ID: I20180522001096 |
| Provider Name | Genevieve Maria Grzywacz-laughter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437435344 PECOS PAC ID: 6901069558 Enrollment ID: I20180522001599 |
| Provider Name | Jamie Jonas Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699279711 PECOS PAC ID: 6305101288 Enrollment ID: I20180523002893 |
| Provider Name | Sumin L Kong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689018434 PECOS PAC ID: 1153686670 Enrollment ID: I20180601002204 |
| Provider Name | Gregory Daniel Puthoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871939264 PECOS PAC ID: 6901191626 Enrollment ID: I20180608000241 |
| Provider Name | Pardeep Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164781936 PECOS PAC ID: 3072827393 Enrollment ID: I20180613001438 |
| Provider Name | Adeel Yousaf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922235563 PECOS PAC ID: 9931341609 Enrollment ID: I20180615002318 |
| Provider Name | Chowdhury Ferdous |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801006507 PECOS PAC ID: 9931426426 Enrollment ID: I20180619000200 |
| Provider Name | Jagger C Koerner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356761183 PECOS PAC ID: 0840545786 Enrollment ID: I20180619000223 |
| 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 | Frank Mu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952756694 PECOS PAC ID: 3779878889 Enrollment ID: I20180627002775 |
| Provider Name | John M Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104280585 PECOS PAC ID: 0143515148 Enrollment ID: I20180628001714 |
| Provider Name | Sean Orourke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184019275 PECOS PAC ID: 8729398359 Enrollment ID: I20180629001867 |
| Provider Name | Nelson M Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760421895 PECOS PAC ID: 9537190699 Enrollment ID: I20180702000755 |
| Provider Name | Aimee Ireland Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740770452 PECOS PAC ID: 2264788421 Enrollment ID: I20180702002758 |
| Provider Name | Lia Catherine Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881030005 PECOS PAC ID: 8426346313 Enrollment ID: I20180709000525 |
| 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 | Michael Laughter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417373788 PECOS PAC ID: 3173848694 Enrollment ID: I20180711000502 |
| Provider Name | Steven James Massaro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992117915 PECOS PAC ID: 4789930264 Enrollment ID: I20180713001393 |
| Provider Name | Jessica Ware Hollingsworth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568840932 PECOS PAC ID: 9032427976 Enrollment ID: I20180716000722 |
| 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 | Andrew Shipe Dothard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164809232 PECOS PAC ID: 0648588707 Enrollment ID: I20180717002060 |
| Provider Name | Alice J Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194042036 PECOS PAC ID: 0143577346 Enrollment ID: I20180719000287 |
| Provider Name | Alex M Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942620257 PECOS PAC ID: 6507087848 Enrollment ID: I20180719003062 |
| Provider Name | Staci Christina Kay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568966364 PECOS PAC ID: 0446507487 Enrollment ID: I20180720002084 |
| Provider Name | Adam Ross Schertz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952798985 PECOS PAC ID: 0244549236 Enrollment ID: I20180723002493 |
| 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 Kamleshkumar Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306230941 PECOS PAC ID: 5799032470 Enrollment ID: I20180726001744 |
| Provider Name | Taylor M.s. Duffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649667585 PECOS PAC ID: 0941510788 Enrollment ID: I20180726002302 |
| Provider Name | Sebastian Daniel Siadecki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134356652 PECOS PAC ID: 9335305184 Enrollment ID: I20180727001710 |
| 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 | Sarah T Shepard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750720611 PECOS PAC ID: 9537383393 Enrollment ID: I20180730003063 |
| Provider Name | Amanda Jo L Marcellino |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457794927 PECOS PAC ID: 1850608308 Enrollment ID: I20180730003642 |
| Provider Name | Heather Douglas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558708339 PECOS PAC ID: 5092026245 Enrollment ID: I20180731000102 |
| Provider Name | Jyoti Chouhan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962847673 PECOS PAC ID: 9032467428 Enrollment ID: I20180801001197 |
| Provider Name | Firas Rabbat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831571611 PECOS PAC ID: 4688922735 Enrollment ID: I20180806001659 |
| Provider Name | Maria Herrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285994921 PECOS PAC ID: 6002164134 Enrollment ID: I20180807001899 |
| Provider Name | Michael George Hankewycz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740668805 PECOS PAC ID: 4981913787 Enrollment ID: I20180807002100 |
| Provider Name | James Scott Warren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073931234 PECOS PAC ID: 6800190323 Enrollment ID: I20180807002591 |
| Provider Name | Tyler Scott Thompson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285923888 PECOS PAC ID: 8527381979 Enrollment ID: I20180807003985 |
| Provider Name | Tamjeed Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235420316 PECOS PAC ID: 5698098200 Enrollment ID: I20180808000123 |
| Provider Name | Jordan Miller Case |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| 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 | Nida Augustine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235512369 PECOS PAC ID: 6709134513 Enrollment ID: I20180809004500 |
| 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 | 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 | Shivani Ghoshal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730454943 PECOS PAC ID: 1254680606 Enrollment ID: I20180820000618 |
| Provider Name | Saskia Coffey Anzola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063823714 PECOS PAC ID: 9234488503 Enrollment ID: I20180820001997 |
| Provider Name | Harsh Vinubhai Barot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629450515 PECOS PAC ID: 7911256201 Enrollment ID: I20180820002672 |
| 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 | Erica R Wilt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003253857 PECOS PAC ID: 5294084265 Enrollment ID: I20180823003560 |
| Provider Name | Eric Steven Kirkendall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770527178 PECOS PAC ID: 0042213175 Enrollment ID: I20180823003596 |
| Provider Name | Giovanni Insuasti-beltran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568616084 PECOS PAC ID: 7517192867 Enrollment ID: I20180824000400 |
| Provider Name | Bridgette C Egan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235559055 PECOS PAC ID: 5496053894 Enrollment ID: I20180827000144 |
| Provider Name | Madison T Franek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043704687 PECOS PAC ID: 9234488180 Enrollment ID: I20180827000216 |
| Provider Name | Jennifer Kunkel Calder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326300344 PECOS PAC ID: 0143543975 Enrollment ID: I20180827000706 |
| 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 | Andrew Michael Reaven |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366862906 PECOS PAC ID: 7113276965 Enrollment ID: I20180828000854 |
| Provider Name | Justin Charles Pfruender |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124517644 PECOS PAC ID: 9335498120 Enrollment ID: I20180828002652 |
| 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 | Reda Mohamed Hany Ahmed Tolba |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1033397443 PECOS PAC ID: 6901059344 Enrollment ID: I20180830002185 |
| Provider Name | Ashley Fox |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1306227673 PECOS PAC ID: 7517217169 Enrollment ID: I20180904000021 |
| Provider Name | Raisa Jihan 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 | Meggan Farnsworth Harrelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255826830 PECOS PAC ID: 6204186737 Enrollment ID: I20180905000231 |
| Provider Name | Trevor Joseph Royce |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831537240 PECOS PAC ID: 8921236555 Enrollment ID: I20180905001225 |
| Provider Name | Susan Wilhelm Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750875928 PECOS PAC ID: 1850641135 Enrollment ID: I20180906003578 |
| Provider Name | Hugh Thomas Dowlen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184018202 PECOS PAC ID: 4587973334 Enrollment ID: I20180910001588 |
| Provider Name | Fadi Asfahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649653700 PECOS PAC ID: 1355635277 Enrollment ID: I20180911002014 |
| Provider Name | Amit Chandel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508185372 PECOS PAC ID: 1355659061 Enrollment ID: I20180914001635 |
| Provider Name | Alejandra Maria Mena Gutierrez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538324215 PECOS PAC ID: 3870786288 Enrollment ID: I20180914001823 |
| Provider Name | Frank Johannes Johannes Plate |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942644406 PECOS PAC ID: 0941521728 Enrollment ID: I20180914002736 |
| Provider Name | Sarre Gellar Boglioli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194033910 PECOS PAC ID: 0840489852 Enrollment ID: I20180919003291 |
| Provider Name | Jessica Rae Bussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801399415 PECOS PAC ID: 1658622253 Enrollment ID: I20180920001909 |
| Provider Name | Natalie Metts Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003393174 PECOS PAC ID: 2466703913 Enrollment ID: I20180921000882 |
| 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 | 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 | Anita Ajit Kelkar |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1376832824 PECOS PAC ID: 9133470560 Enrollment ID: I20180925001916 |
| Provider Name | Jessica E Weinstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609212448 PECOS PAC ID: 0143500629 Enrollment ID: I20180925002149 |
| 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 | Bartlett H Hayes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821106147 PECOS PAC ID: 4284664301 Enrollment ID: I20180926001206 |
| 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 | Robin Dong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790135762 PECOS PAC ID: 7719271790 Enrollment ID: I20181002003884 |
| Provider Name | Heather Elizabeth Triplett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568958692 PECOS PAC ID: 4981956828 Enrollment ID: I20181004001012 |
| Provider Name | Peter John Smit |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619294345 PECOS PAC ID: 9638464852 Enrollment ID: I20181004002787 |
| 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 | David Nabil Girguis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275929101 PECOS PAC ID: 1153635222 Enrollment ID: I20181008002518 |
| Provider Name | Tyler Snoap |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124464227 PECOS PAC ID: 5991935801 Enrollment ID: I20181009001948 |
| Provider Name | Jun H Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841638699 PECOS PAC ID: 2062764657 Enrollment ID: I20181009003377 |
| Provider Name | Vanessa Amy Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457728644 PECOS PAC ID: 6002168606 Enrollment ID: I20181009003736 |
| Provider Name | Ann Bronwyn Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295120715 PECOS PAC ID: 0547577017 Enrollment ID: I20181011002895 |
| Provider Name | Charles Caleb Butts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710244835 PECOS PAC ID: 1254578834 Enrollment ID: I20181015000830 |
| 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 | Daniel H Laury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508846932 PECOS PAC ID: 9537329057 Enrollment ID: I20181017000550 |
| Provider Name | Sheila L Mason |
|---|---|
| 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 | Kathryn Starr Sobba |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376981217 PECOS PAC ID: 6103130661 Enrollment ID: I20181023002969 |
| Provider Name | Edward Bradley Coomer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326520461 PECOS PAC ID: 2567715329 Enrollment ID: I20181024000781 |
| Provider Name | Bascom Bradshaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518064583 PECOS PAC ID: 1052632015 Enrollment ID: I20181025002910 |
| Provider Name | Erika Borgerding Call |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528324985 PECOS PAC ID: 8325391964 Enrollment ID: I20181029000312 |
| 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 | Dana Lee Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265915201 PECOS PAC ID: 1850644055 Enrollment ID: I20181105000778 |
| Provider Name | Bryan Joseph Stanistreet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598021677 PECOS PAC ID: 7315244050 Enrollment ID: I20181105002591 |
| 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 W 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 | Dana Nicole Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073907192 PECOS PAC ID: 7214244854 Enrollment ID: I20181106002725 |
| 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 | Marlou Beth Mateo Cabaluna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995983 PECOS PAC ID: 7214162247 Enrollment ID: I20181107002660 |
| Provider Name | Roman Zinder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679983159 PECOS PAC ID: 0547514630 Enrollment ID: I20181107003105 |
| Provider Name | Michael David Linden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386792091 PECOS PAC ID: 5890831317 Enrollment ID: I20181108000899 |
| Provider Name | Hannah Archer Wood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649754326 PECOS PAC ID: 3971857020 Enrollment ID: I20181108002401 |
| Provider Name | Thomas William Lycan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558627794 PECOS PAC ID: 7810208345 Enrollment ID: I20181112000143 |
| Provider Name | Qi Zheng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518281542 PECOS PAC ID: 4880982362 Enrollment ID: I20181113001702 |
| 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 | Antonio De Las Morenas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184697492 PECOS PAC ID: 9234163445 Enrollment ID: I20181114003673 |
| 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 | Shauna Gadson Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831616499 PECOS PAC ID: 2466706015 Enrollment ID: I20181116001579 |
| 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 | Ikenna Ikechukwu Ihim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679955066 PECOS PAC ID: 9234483538 Enrollment ID: I20181126000385 |
| 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 | Jahleen Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255819298 PECOS PAC ID: 2860736105 Enrollment ID: I20181128000142 |
| Provider Name | Nathan C Page |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407210487 PECOS PAC ID: 5496040594 Enrollment ID: I20181204002114 |
| Provider Name | Glorian Mari Roman-ashby |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1881002319 PECOS PAC ID: 7517271976 Enrollment ID: I20181205000964 |
| 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 | Blake Michael Chandle Briggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548792153 PECOS PAC ID: 4880967470 Enrollment ID: I20181210003538 |
| Provider Name | Laura Lee Vanderburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407344724 PECOS PAC ID: 5092059428 Enrollment ID: I20181211003415 |
| Provider Name | Caitlin Bumgarner Haupt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548744758 PECOS PAC ID: 1153665526 Enrollment ID: I20181212001446 |
| Provider Name | Laura Rankin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659774255 PECOS PAC ID: 7911242391 Enrollment ID: I20181213002271 |
| Provider Name | Dawn Antoinette Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508332727 PECOS PAC ID: 2466797592 Enrollment ID: I20181218003359 |
| Provider Name | David Emil Bersinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154325728 PECOS PAC ID: 2769396456 Enrollment ID: I20181218004178 |
| 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 | Marquita S Norman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639188220 PECOS PAC ID: 3375541022 Enrollment ID: I20181231000455 |
| Provider Name | Donald Charles Vile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366862484 PECOS PAC ID: 7113230871 Enrollment ID: I20181231001209 |
| 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 | Kenneth Weinlander |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003233255 PECOS PAC ID: 1456668789 Enrollment ID: I20190107000863 |
| Provider Name | Anju Bakhshi Saraswat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700171386 PECOS PAC ID: 2466690607 Enrollment ID: I20190107001824 |
| Provider Name | Maria Alejandra Valenzuela-arellano |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568761955 PECOS PAC ID: 5890970123 Enrollment ID: I20190107002679 |
| Provider Name | Alia Abida Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699165944 PECOS PAC ID: 1658640180 Enrollment ID: I20190109001970 |
| 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 | Kina Ladawn Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649717232 PECOS PAC ID: 8022355536 Enrollment ID: I20190122002762 |
| Provider Name | Katie Ann Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487137527 PECOS PAC ID: 6002153418 Enrollment ID: I20190123002513 |
| 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 | Jeffrey S Shenberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629020110 PECOS PAC ID: 2668496415 Enrollment ID: I20190124001631 |
| Provider Name | Claire Elizabeth Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730323023 PECOS PAC ID: 2466682042 Enrollment ID: I20190129000149 |
| 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 | Grace Lee Henninger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477713188 PECOS PAC ID: 9133448111 Enrollment ID: I20190206003429 |
| Provider Name | Claudia Isabella Tussey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831509710 PECOS PAC ID: 4183915416 Enrollment ID: I20190207001792 |
| Provider Name | Samantha Osman Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134693252 PECOS PAC ID: 9931447430 Enrollment ID: I20190207002120 |
| 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 | 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 | Michael C Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558352922 PECOS PAC ID: 1052497443 Enrollment ID: I20190226001218 |
| Provider Name | Grant D Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487697074 PECOS PAC ID: 7517963473 Enrollment ID: I20190226001467 |
| Provider Name | Melanie Gay Hollidge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487000477 PECOS PAC ID: 9234417486 Enrollment ID: I20190226002323 |
| Provider Name | Bruce Arthur Lessey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477509263 PECOS PAC ID: 6800839382 Enrollment ID: I20190227001805 |
| 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 | Prasanna Sridharan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619237971 PECOS PAC ID: 1355647397 Enrollment ID: I20190314000747 |
| Provider Name | Cory Aaron Alcon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013483015 PECOS PAC ID: 4587904107 Enrollment ID: I20190319000584 |
| 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 | Rebecca Lynn Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396201588 PECOS PAC ID: 2163763590 Enrollment ID: I20190411000411 |
| Provider Name | Laura Anne Flashman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730131707 PECOS PAC ID: 4385662634 Enrollment ID: I20190415001793 |
| Provider Name | Samir Bipin Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659765105 PECOS PAC ID: 4789997420 Enrollment ID: I20190422000491 |
| Provider Name | Lura Katherine Wolfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487182382 PECOS PAC ID: 7618219981 Enrollment ID: I20190507001942 |
| Provider Name | Ashley Crowder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972940898 PECOS PAC ID: 8022250232 Enrollment ID: I20190507002249 |
| 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 | Mark Randolph Jularbal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720547771 PECOS PAC ID: 2567705593 Enrollment ID: I20190515000921 |
| Provider Name | Brittany Shuffler England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285100354 PECOS PAC ID: 0840533626 Enrollment ID: I20190517001851 |
| Provider Name | Brett Joseph Dickens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871026492 PECOS PAC ID: 5193068807 Enrollment ID: I20190521002480 |
| Provider Name | Jonathan T Jaffe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578982609 PECOS PAC ID: 3779874169 Enrollment ID: I20190523002822 |
| Provider Name | Natalia Vladimirovna Sakhovskaya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588077408 PECOS PAC ID: 7416206461 Enrollment ID: I20190524002529 |
| Provider Name | Kaila Renea Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003395948 PECOS PAC ID: 3577806942 Enrollment ID: I20190528002719 |
| Provider Name | Hannah Marie Mccallum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285298190 PECOS PAC ID: 7012250483 Enrollment ID: I20190529000003 |
| Provider Name | Robert Dufour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700204484 PECOS PAC ID: 3678895976 Enrollment ID: I20190529003324 |
| Provider Name | Vien Vu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790296655 PECOS PAC ID: 0244597185 Enrollment ID: I20190530000485 |
| 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 | Lynn Cathleen Fullenkamp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962858027 PECOS PAC ID: 5597050484 Enrollment ID: I20190611000059 |
| Provider Name | Christopher Thomas Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699120022 PECOS PAC ID: 8123311909 Enrollment ID: I20190611002761 |
| Provider Name | Alyssa Buckenheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265896989 PECOS PAC ID: 3870886773 Enrollment ID: I20190614000043 |
| Provider Name | Rebecca Jean Palmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598128050 PECOS PAC ID: 1658667324 Enrollment ID: I20190614002669 |
| Provider Name | Cassandra H Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134461783 PECOS PAC ID: 7618101619 Enrollment ID: I20190617000013 |
| 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 | Brian Alexander Shackleford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154777662 PECOS PAC ID: 8426341819 Enrollment ID: I20190618000120 |
| Provider Name | Sunil C Naik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447531157 PECOS PAC ID: 8123349677 Enrollment ID: I20190618002115 |
| Provider Name | Lisa Gayle Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528625886 PECOS PAC ID: 9830423250 Enrollment ID: I20190618003419 |
| Provider Name | Jared John Rejeski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760829428 PECOS PAC ID: 3870807514 Enrollment ID: I20190619002175 |
| Provider Name | Maria Florencia Davila-mccarthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972947794 PECOS PAC ID: 1456650597 Enrollment ID: I20190620002103 |
| Provider Name | Megan Patricia Arnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134583388 PECOS PAC ID: 1355636432 Enrollment ID: I20190620002487 |
| Provider Name | Kurt Wagner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083000913 PECOS PAC ID: 0547594517 Enrollment ID: I20190625001553 |
| Provider Name | Sierra Nicole Burgin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871974741 PECOS PAC ID: 6002124740 Enrollment ID: I20190626001422 |
| Provider Name | Kimberly Fleming |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780111559 PECOS PAC ID: 3375877285 Enrollment ID: I20190626003847 |
| Provider Name | Kristin Kelly Swenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205215324 PECOS PAC ID: 7012229727 Enrollment ID: I20190627000638 |
| 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 | Jessica Alexis Savas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083031090 PECOS PAC ID: 8022327675 Enrollment ID: I20190722001440 |
| 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 | Adam Scott Curatolo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013361831 PECOS PAC ID: 7618260845 Enrollment ID: I20190724001527 |
| 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 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 | Ashlee P Laughey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639523327 PECOS PAC ID: 6002109808 Enrollment ID: I20190726001023 |
| Provider Name | Shuo Liu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144887019 PECOS PAC ID: 9133455249 Enrollment ID: I20190726002905 |
| Provider Name | Lindsay Gail Frenkel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417375288 PECOS PAC ID: 1153635867 Enrollment ID: I20190729000111 |
| Provider Name | Randall Stephan Conrad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003279514 PECOS PAC ID: 9032402300 Enrollment ID: I20190729000346 |
| 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 | Mitchell A Gist |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205213568 PECOS PAC ID: 1153639091 Enrollment ID: I20190730003624 |
| Provider Name | Michael Matthew Bero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811345242 PECOS PAC ID: 5597058867 Enrollment ID: I20190801003676 |
| Provider Name | Jade Mccormick Kiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861913600 PECOS PAC ID: 2860729548 Enrollment ID: I20190805001442 |
| Provider Name | Sarah Johnson Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710545348 PECOS PAC ID: 8123355732 Enrollment ID: I20190805003361 |
| Provider Name | Kyle A Scarberry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215370606 PECOS PAC ID: 2860633716 Enrollment ID: I20190806000354 |
| Provider Name | Rawad Imad Hamzi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023402385 PECOS PAC ID: 3678877784 Enrollment ID: I20190806000521 |
| Provider Name | Karen Claudia Kastler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053626192 PECOS PAC ID: 5597944652 Enrollment ID: I20190806000951 |
| Provider Name | Sean Michael Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710340682 PECOS PAC ID: 9830484765 Enrollment ID: I20190806002450 |
| Provider Name | Kathryn Anne Winn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114362787 PECOS PAC ID: 2466745203 Enrollment ID: I20190806003363 |
| Provider Name | Kimberly Ann Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568875227 PECOS PAC ID: 5698002103 Enrollment ID: I20190806004245 |
| Provider Name | Katherine Ann Mclean |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750822292 PECOS PAC ID: 9234495458 Enrollment ID: I20190808000007 |
| Provider Name | Luciana Giambarberi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245586551 PECOS PAC ID: 8426361221 Enrollment ID: I20190808002409 |
| Provider Name | Kirsten J Wagner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477948511 PECOS PAC ID: 3274860580 Enrollment ID: I20190809000060 |
| Provider Name | Luke Daniel Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154775468 PECOS PAC ID: 3678800877 Enrollment ID: I20190812000370 |
| Provider Name | Lauren E O'rourke |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1225415870 PECOS PAC ID: 4981911492 Enrollment ID: I20190812001078 |
| Provider Name | Sheila Maria Maurer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689659161 PECOS PAC ID: 4486627221 Enrollment ID: I20190812004083 |
| Provider Name | Kevin Scott Weiss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609259050 PECOS PAC ID: 8729315759 Enrollment ID: I20190813002499 |
| 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 | Tamara Barghouthi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245658756 PECOS PAC ID: 9739409780 Enrollment ID: I20190815001416 |
| Provider Name | Eric Charles Katz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336503242 PECOS PAC ID: 9032405709 Enrollment ID: I20190815003171 |
| Provider Name | Katherine Baker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588041503 PECOS PAC ID: 3971830753 Enrollment ID: I20190816001680 |
| Provider Name | Ronak Vatsal Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184079154 PECOS PAC ID: 7113212812 Enrollment ID: I20190819002418 |
| Provider Name | Charles D. Rice |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538143037 PECOS PAC ID: 9931159068 Enrollment ID: I20190820002640 |
| Provider Name | Robert Anthony Ferguson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1326314808 PECOS PAC ID: 7315171063 Enrollment ID: I20190821004469 |
| Provider Name | Sheila Thornton Whitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205301512 PECOS PAC ID: 5294063723 Enrollment ID: I20190822000583 |
| Provider Name | Mary Beth Seegars |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184064073 PECOS PAC ID: 5597051219 Enrollment ID: I20190822003280 |
| Provider Name | Niyati K Narsana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578906723 PECOS PAC ID: 0143518779 Enrollment ID: I20190823000109 |
| 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 | Savita Naik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912334616 PECOS PAC ID: 2668788738 Enrollment ID: I20190826001967 |
| 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 | Samantha Shirk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053708446 PECOS PAC ID: 6709195704 Enrollment ID: I20190827000673 |
| Provider Name | Dionne E Swor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144583675 PECOS PAC ID: 7315282852 Enrollment ID: I20190827003864 |
| Provider Name | Mohammed Naser Abdulhaleem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023472693 PECOS PAC ID: 9133402688 Enrollment ID: I20190827004049 |
| Provider Name | Araya Puwanant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528274925 PECOS PAC ID: 5890925465 Enrollment ID: I20190828001312 |
| Provider Name | Matthew William Ruemmler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467722082 PECOS PAC ID: 2961641451 Enrollment ID: I20190828003592 |
| 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 | Marionette Sujitha Jayaprakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760655187 PECOS PAC ID: 1658535620 Enrollment ID: I20190830001110 |
| Provider Name | Maria Chiara Mariencheck |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659348746 PECOS PAC ID: 2769555812 Enrollment ID: I20190903000162 |
| Provider Name | Adam Campman Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609219229 PECOS PAC ID: 1254660194 Enrollment ID: I20190903000752 |
| 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 | William Austin Beshears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235781782 PECOS PAC ID: 3173852902 Enrollment ID: I20190904001705 |
| Provider Name | Raymond Bradley Kessler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205241965 PECOS PAC ID: 2365771052 Enrollment ID: I20190905000945 |
| Provider Name | Tara T Paterno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376104075 PECOS PAC ID: 7113256835 Enrollment ID: I20190905002218 |
| Provider Name | Sarah Jane Witsberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184002032 PECOS PAC ID: 8123336286 Enrollment ID: I20190905002711 |
| 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 | Josef Rudolf Lassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912326596 PECOS PAC ID: 1759652910 Enrollment ID: I20190909000059 |
| 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 | Shelby Addison Neal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679868640 PECOS PAC ID: 7416264304 Enrollment ID: I20190909001228 |
| Provider Name | Candace Mitchell Waters |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457794893 PECOS PAC ID: 1254562341 Enrollment ID: I20190909002975 |
| Provider Name | Dharika Pareshkumar Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124488580 PECOS PAC ID: 9133411267 Enrollment ID: I20190910000234 |
| Provider Name | Mohammad Sohail 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 | Andrea Clair Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780063636 PECOS PAC ID: 1456660372 Enrollment ID: I20190911000299 |
| Provider Name | Rebecca Montez Steele |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215357322 PECOS PAC ID: 2365771524 Enrollment ID: I20190912002943 |
| Provider Name | Richard Adam Boiter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578940342 PECOS PAC ID: 2668781170 Enrollment ID: I20190915000016 |
| 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 | Mhorys Kenneth Pickmans |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023464765 PECOS PAC ID: 1456644327 Enrollment ID: I20190917001873 |
| Provider Name | Stephanie T Weiss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306131222 PECOS PAC ID: 7810114758 Enrollment ID: I20190918002515 |
| Provider Name | Reese Woodson Randle |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1508007485 PECOS PAC ID: 3476705351 Enrollment ID: I20190918003650 |
| Provider Name | Neelam Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871943928 PECOS PAC ID: 4284922790 Enrollment ID: I20190919002265 |
| Provider Name | Tina Lai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942689500 PECOS PAC ID: 0547579625 Enrollment ID: I20190923001359 |
| 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 | Erica Mathis Shore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609428887 PECOS PAC ID: 8729318209 Enrollment ID: I20190925003917 |
| Provider Name | Sean G Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881856102 PECOS PAC ID: 2668537770 Enrollment ID: I20190925004042 |
| Provider Name | Hajra Zehra Shah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427281542 PECOS PAC ID: 8729308622 Enrollment ID: I20190926003550 |
| Provider Name | Michael Edward Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306292768 PECOS PAC ID: 5395031173 Enrollment ID: I20190927000231 |
| 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 | Rachel Marie Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912353699 PECOS PAC ID: 0042501330 Enrollment ID: I20191001003373 |
| Provider Name | Syed Arif Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467809541 PECOS PAC ID: 8325332497 Enrollment ID: I20191002001599 |
| Provider Name | Lindly Theroux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639559883 PECOS PAC ID: 2961711510 Enrollment ID: I20191002002929 |
| Provider Name | Katherine Anne Butler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629335153 PECOS PAC ID: 2860742616 Enrollment ID: I20191007001336 |
| Provider Name | Ekaterina Alexandra Mould |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922546639 PECOS PAC ID: 4385929710 Enrollment ID: I20191007003589 |
| 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 | Erin C Najarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659869212 PECOS PAC ID: 0749536902 Enrollment ID: I20191008001317 |
| Provider Name | Amber Kalynn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306492426 PECOS PAC ID: 1951632884 Enrollment ID: I20191008001330 |
| 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 | Paola Castri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629481577 PECOS PAC ID: 9537490123 Enrollment ID: I20191014000050 |
| Provider Name | Anna Francesca Schubert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134574080 PECOS PAC ID: 0143513044 Enrollment ID: I20191015003722 |
| 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 | Andre R Plair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093158081 PECOS PAC ID: 3072886159 Enrollment ID: I20191022003756 |
| Provider Name | Anna Catherine Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758943 PECOS PAC ID: 1951633080 Enrollment ID: I20191023000489 |
| Provider Name | Caroline Denise Killmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740839414 PECOS PAC ID: 7113259003 Enrollment ID: I20191025001377 |
| Provider Name | Meredith Thompson Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568018091 PECOS PAC ID: 9638401318 Enrollment ID: I20191030000275 |
| Provider Name | Chantha Prak Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952952459 PECOS PAC ID: 6204168537 Enrollment ID: I20191106000017 |
| Provider Name | Edmee J Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871033076 PECOS PAC ID: 7810918323 Enrollment ID: I20191106000994 |
| Provider Name | Vivek Mathai Varki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407241110 PECOS PAC ID: 5698082931 Enrollment ID: I20191106001813 |
| 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 | Geeth Sandeep Nadella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023425501 PECOS PAC ID: 4981913613 Enrollment ID: I20191107000636 |
| Provider Name | Komal Bahadur Gurung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386290211 PECOS PAC ID: 1557793734 Enrollment ID: I20191108000376 |
| 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 | Indira Rianna Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780225490 PECOS PAC ID: 2264864990 Enrollment ID: I20191118001155 |
| 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 | Katelyn Ann Leahy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710536339 PECOS PAC ID: 2668804139 Enrollment ID: I20191121001961 |
| Provider Name | Brandi Melissa Decriscio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619519428 PECOS PAC ID: 6406288901 Enrollment ID: I20191122000028 |
| Provider Name | Adam L Luckey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396191714 PECOS PAC ID: 6204122823 Enrollment ID: I20191123000175 |
| Provider Name | Sharon Mccrary Donn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841849288 PECOS PAC ID: 4981037975 Enrollment ID: I20191205000629 |
| Provider Name | Shawn Paul Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841651312 PECOS PAC ID: 1052744075 Enrollment ID: I20191205001694 |
| Provider Name | Brandon Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588206627 PECOS PAC ID: 3779916697 Enrollment ID: I20191209000004 |
| Provider Name | John David Bradshaw |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568807055 PECOS PAC ID: 9335381938 Enrollment ID: I20191210002989 |
| Provider Name | Kelly Lynn Mcpherson |
|---|---|
| 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 | Mark Odell Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275505026 PECOS PAC ID: 0648267369 Enrollment ID: I20191213000363 |
| 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 | Cindy Flores Zurita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033769120 PECOS PAC ID: 5698109700 Enrollment ID: I20191226001079 |
| Provider Name | Robert Brizzolara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265677199 PECOS PAC ID: 6608931217 Enrollment ID: I20191230001347 |
| Provider Name | Thomas Karr Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487681862 PECOS PAC ID: 3870765167 Enrollment ID: I20191231001736 |
| Provider Name | Jessica Nicole Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982240032 PECOS PAC ID: 0840625448 Enrollment ID: I20200108001283 |
| Provider Name | Janet Elisabeth Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710544580 PECOS PAC ID: 7416382825 Enrollment ID: I20200113002092 |
| Provider Name | Barryton Decruse Waanbah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962790808 PECOS PAC ID: 9739302779 Enrollment ID: I20200114000032 |
| Provider Name | Suneeta Kumari Acharya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457763476 PECOS PAC ID: 5698016004 Enrollment ID: I20200115003399 |
| Provider Name | Sunia Ayeza Pervez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275889479 PECOS PAC ID: 0840590857 Enrollment ID: I20200127000891 |
| Provider Name | Lauren Marie Hodges |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922495795 PECOS PAC ID: 7012219637 Enrollment ID: I20200131001766 |
| Provider Name | Rebekah Q Jewell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376907287 PECOS PAC ID: 4981990629 Enrollment ID: I20200205000363 |
| 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 | 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 | James Scheidler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093246761 PECOS PAC ID: 4385918630 Enrollment ID: I20200310000789 |
| Provider Name | Lauren Katherine Mccormack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114281128 PECOS PAC ID: 2163770199 Enrollment ID: I20200312001420 |
| Provider Name | Zachary Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306340062 PECOS PAC ID: 2668737172 Enrollment ID: I20200317002769 |
| Provider Name | Elizabeth Tina Flynt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023640109 PECOS PAC ID: 4981032273 Enrollment ID: I20200320000225 |
| 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 | Judy Moon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295029775 PECOS PAC ID: 5991083347 Enrollment ID: I20200324001663 |
| Provider Name | Mahesh Andani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053688549 PECOS PAC ID: 4880813237 Enrollment ID: I20200324002147 |
| Provider Name | Luis Alberto Cuneo Guzman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285601948 PECOS PAC ID: 1557349123 Enrollment ID: I20200325000454 |
| 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 | Lawrence Xavier Webb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437133832 PECOS PAC ID: 9739226564 Enrollment ID: I20200325001518 |
| Provider Name | Robert Wesley Jester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518599554 PECOS PAC ID: 0143658138 Enrollment ID: I20200325003481 |
| Provider Name | Wesley Chad Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013326834 PECOS PAC ID: 6103122940 Enrollment ID: I20200326003087 |
| Provider Name | Jaime Jennifer Hampton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447407473 PECOS PAC ID: 8628125002 Enrollment ID: I20200403002333 |
| Provider Name | Megan Stanley Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275167207 PECOS PAC ID: 3870922289 Enrollment ID: I20200407000520 |
| Provider Name | Christopher Wesley Mangieri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316234685 PECOS PAC ID: 2264793983 Enrollment ID: I20200408003310 |
| 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 | Lauren Reavis Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336773217 PECOS PAC ID: 4587094693 Enrollment ID: I20200413003007 |
| Provider Name | Patricia Caroline Osmolak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194102723 PECOS PAC ID: 5597067256 Enrollment ID: I20200413003152 |
| Provider Name | Sheila Simone Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154969319 PECOS PAC ID: 1951731009 Enrollment ID: I20200414000846 |
| Provider Name | Arne John Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528060209 PECOS PAC ID: 8022241793 Enrollment ID: I20200414001564 |
| 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 | 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 | Maryam L Famouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447783196 PECOS PAC ID: 1951672450 Enrollment ID: I20200511001082 |
| Provider Name | Rachel Kathryn Weber Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780119370 PECOS PAC ID: 4486924339 Enrollment ID: I20200511002250 |
| Provider Name | Shree Bathani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093368052 PECOS PAC ID: 2961833736 Enrollment ID: I20200511002685 |
| 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 | Lauren E O'rourke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225415870 PECOS PAC ID: 4981911492 Enrollment ID: I20200526000428 |
| 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 | Jonathan Robert Washatka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679013619 PECOS PAC ID: 7911328901 Enrollment ID: I20200529000565 |
| Provider Name | Wessley R Mcknight |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285020180 PECOS PAC ID: 7517276181 Enrollment ID: I20200529000794 |
| Provider Name | Sailaja Bondalapati |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336593235 PECOS PAC ID: 2668752858 Enrollment ID: I20200602001785 |
| Provider Name | Gilliam Jordan Knox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528414265 PECOS PAC ID: 4587957212 Enrollment ID: I20200605000008 |
| Provider Name | Kiara Lynn Winsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316474158 PECOS PAC ID: 2264709906 Enrollment ID: I20200618000019 |
| Provider Name | Lauren Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912430935 PECOS PAC ID: 9830462241 Enrollment ID: I20200622000098 |
| 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 | Kevin David Hiatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548689789 PECOS PAC ID: 6406164359 Enrollment ID: I20200630001678 |
| Provider Name | William Thomas Harrison |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285053959 PECOS PAC ID: 8022350206 Enrollment ID: I20200630002933 |
| Provider Name | Luiz Maracaja |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083993224 PECOS PAC ID: 6800014036 Enrollment ID: I20200630003670 |
| Provider Name | Ladonna Robinson-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 | Asia Bristine Zierle-ghosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205288578 PECOS PAC ID: 7810284668 Enrollment ID: I20200701003075 |
| Provider Name | Danielle Petty |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609301498 PECOS PAC ID: 2769752625 Enrollment ID: I20200706000373 |
| Provider Name | Renee Lizette Lewis-kensah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043535933 PECOS PAC ID: 3779724893 Enrollment ID: I20200706001548 |
| Provider Name | Han Yang Yin Yin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184070047 PECOS PAC ID: 5799022380 Enrollment ID: I20200706001609 |
| Provider Name | Charles Ramy Badawy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073135448 PECOS PAC ID: 1355764606 Enrollment ID: I20200706002233 |
| Provider Name | Sarah M Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255864377 PECOS PAC ID: 3678844651 Enrollment ID: I20200707001334 |
| 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 | Derrick C Graulein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134581036 PECOS PAC ID: 7911293634 Enrollment ID: I20200707002771 |
| Provider Name | Patrick Aaron Mccann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477086445 PECOS PAC ID: 3971873837 Enrollment ID: I20200708001168 |
| Provider Name | Abigail Youens Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760914097 PECOS PAC ID: 8426321068 Enrollment ID: I20200708002771 |
| 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 | Ashley Hodges |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508229261 PECOS PAC ID: 9133412034 Enrollment ID: I20200714001627 |
| Provider Name | Ghanshyam Palamaner Subash Shantha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942563176 PECOS PAC ID: 5395059745 Enrollment ID: I20200715001178 |
| Provider Name | Tyler Smith Mcqueen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194103002 PECOS PAC ID: 9032428842 Enrollment ID: I20200715001861 |
| Provider Name | Xika Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740542299 PECOS PAC ID: 3072828284 Enrollment ID: I20200716001542 |
| Provider Name | Jonathan Edward Lambird |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447679113 PECOS PAC ID: 1658591565 Enrollment ID: I20200721000527 |
| Provider Name | Sarah Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013431170 PECOS PAC ID: 9234553496 Enrollment ID: I20200721001601 |
| Provider Name | Shelly Gurwara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841610300 PECOS PAC ID: 8820392343 Enrollment ID: I20200721002766 |
| Provider Name | Lauren Frederic Visserman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497289607 PECOS PAC ID: 4183973365 Enrollment ID: I20200721002787 |
| Provider Name | Madeleine Garren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942654447 PECOS PAC ID: 6002167285 Enrollment ID: I20200721003070 |
| 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 | Alex Michaels |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942644240 PECOS PAC ID: 5597994301 Enrollment ID: I20200723001308 |
| 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 | Ashley Tempestt Badger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942628425 PECOS PAC ID: 0446674139 Enrollment ID: I20200728003048 |
| Provider Name | Wun Augustin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174687834 PECOS PAC ID: 7012094808 Enrollment ID: I20200730003363 |
| Provider Name | Tamra Ishan Jayendra Ranasinghe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568857480 PECOS PAC ID: 6901108521 Enrollment ID: I20200801000022 |
| Provider Name | Daniel Reed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578982690 PECOS PAC ID: 9537481841 Enrollment ID: I20200804000564 |
| Provider Name | Rachel L Warner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356769251 PECOS PAC ID: 1850693425 Enrollment ID: I20200805000268 |
| Provider Name | Anya Menzies |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033537345 PECOS PAC ID: 2163779893 Enrollment ID: I20200805000368 |
| Provider Name | Danielle Lameirinhas Vieira Maracaja |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447661335 PECOS PAC ID: 0345665535 Enrollment ID: I20200805001233 |
| Provider Name | Jennifer Anne Schroeder |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1992125611 PECOS PAC ID: 4082835566 Enrollment ID: I20200810000539 |
| Provider Name | Emily Hughes Douglas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174941355 PECOS PAC ID: 5991927279 Enrollment ID: I20200810001214 |
| Provider Name | Gregory Thomas Robbins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093133464 PECOS PAC ID: 7810296597 Enrollment ID: I20200813002003 |
| Provider Name | Michael David Merz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083069082 PECOS PAC ID: 2961796032 Enrollment ID: I20200813002472 |
| Provider Name | Rachel Ashlyn Williamson Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790136638 PECOS PAC ID: 3375969736 Enrollment ID: I20200814002480 |
| Provider Name | Trevor Mattox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710482344 PECOS PAC ID: 7911257456 Enrollment ID: I20200819001636 |
| 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 | William Thomas Hillman Terzian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437564713 PECOS PAC ID: 8527397272 Enrollment ID: I20200819004203 |
| 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 | Zoaib Safdar Rasool |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497276646 PECOS PAC ID: 0749551018 Enrollment ID: I20200824000167 |
| Provider Name | Kyle C Levitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912427923 PECOS PAC ID: 2769753110 Enrollment ID: I20200824002155 |
| Provider Name | Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659891109 PECOS PAC ID: 3476824160 Enrollment ID: I20200826000545 |
| Provider Name | Cody Do Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629463674 PECOS PAC ID: 8123397551 Enrollment ID: I20200827000994 |
| Provider Name | Kelly Stumpff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497140420 PECOS PAC ID: 9931405644 Enrollment ID: I20200827002556 |
| Provider Name | Kevin Sagers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194102657 PECOS PAC ID: 4183041684 Enrollment ID: I20200828002027 |
| Provider Name | Matvey Tsivian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588001044 PECOS PAC ID: 7810244290 Enrollment ID: I20200831000023 |
| Provider Name | Lori Sansone Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376154591 PECOS PAC ID: 7517384969 Enrollment ID: I20200831000833 |
| Provider Name | Siddharth Rajesh Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972997229 PECOS PAC ID: 3476804139 Enrollment ID: I20200902003289 |
| Provider Name | Yael Miriam Shoshana Klionsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437506672 PECOS PAC ID: 6709179252 Enrollment ID: I20200904000593 |
| Provider Name | Carriel Taylor Nipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184165326 PECOS PAC ID: 6002247483 Enrollment ID: I20200909001519 |
| Provider Name | Megan Hicks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366862518 PECOS PAC ID: 4880818418 Enrollment ID: I20200911002796 |
| 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 | Alex George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427265446 PECOS PAC ID: 1355769514 Enrollment ID: I20200921001019 |
| Provider Name | Prabhakar Mithal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497172951 PECOS PAC ID: 1456695550 Enrollment ID: I20200921001145 |
| Provider Name | Lauren Fennell Loeb |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841803384 PECOS PAC ID: 3375961576 Enrollment ID: I20200921002576 |
| Provider Name | Alicia Wilson Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114559283 PECOS PAC ID: 2668891631 Enrollment ID: I20200925000284 |
| Provider Name | Tatiana Dulce Rock-carreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386255081 PECOS PAC ID: 5496174328 Enrollment ID: I20200928000056 |
| 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 | Dan Alexandru Silaghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871108027 PECOS PAC ID: 5698194074 Enrollment ID: I20201005001263 |
| Provider Name | Matthew E Kern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598145948 PECOS PAC ID: 8022326966 Enrollment ID: I20201006002880 |
| 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 | Lauren Sizemore Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487260410 PECOS PAC ID: 4688093800 Enrollment ID: I20201007001317 |
| Provider Name | Nicholas Alexander Perri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679188122 PECOS PAC ID: 8921428145 Enrollment ID: I20201008002668 |
| 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 | Kanaklakshmi Masodkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164860748 PECOS PAC ID: 6002114345 Enrollment ID: I20201015001015 |
| Provider Name | Christine Velazquez Pestana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801209515 PECOS PAC ID: 3072933381 Enrollment ID: I20201026000641 |
| Provider Name | Lindsay Nicole Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518334994 PECOS PAC ID: 9931405479 Enrollment ID: I20201026002032 |
| Provider Name | Andrew Starnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124525878 PECOS PAC ID: 0840540134 Enrollment ID: I20201026003052 |
| 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 | 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 | Brittany Nicole Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790384113 PECOS PAC ID: 2567872435 Enrollment ID: I20201104000692 |
| Provider Name | Audrea Nicole Nolan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538772751 PECOS PAC ID: 4284044199 Enrollment ID: I20201104002272 |
| 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 | Carolyn Susan Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356328025 PECOS PAC ID: 3072923820 Enrollment ID: I20201105001021 |
| 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 | Ian Christopher Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578098240 PECOS PAC ID: 1759653132 Enrollment ID: I20201109001778 |
| Provider Name | Anthony Raymond Manecci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992327282 PECOS PAC ID: 8527478031 Enrollment ID: I20201111001267 |
| Provider Name | Berjesh Sharda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962002576 PECOS PAC ID: 6709296155 Enrollment ID: I20201113001331 |
| 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 | Pooja Dipak Rao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013352376 PECOS PAC ID: 0345481222 Enrollment ID: I20201116002228 |
| Provider Name | Joshua Joel Visserman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588198782 PECOS PAC ID: 4789933870 Enrollment ID: I20201123000035 |
| 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 Dailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114228020 PECOS PAC ID: 9032391909 Enrollment ID: I20201201001061 |
| Provider Name | Priyanaina Reddy Kasula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659649770 PECOS PAC ID: 7517113491 Enrollment ID: I20201202001910 |
| Provider Name | John B Bocock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548680945 PECOS PAC ID: 4385952225 Enrollment ID: I20201203002423 |
| Provider Name | Nora Weatherby |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811510209 PECOS PAC ID: 7012337215 Enrollment ID: I20201207001536 |
| 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 | Rachelle Dykstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962935106 PECOS PAC ID: 5395017545 Enrollment ID: I20201210001565 |
| Provider Name | Marie Elizabeth Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528505534 PECOS PAC ID: 4385056589 Enrollment ID: I20201211001595 |
| Provider Name | Amanda Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164798732 PECOS PAC ID: 4587956537 Enrollment ID: I20201214000062 |
| Provider Name | Amanda B Draughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447850946 PECOS PAC ID: 5597177626 Enrollment ID: I20201215001386 |
| Provider Name | Andrea Sparks Eanes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073906731 PECOS PAC ID: 8022420017 Enrollment ID: I20201216000664 |
| Provider Name | Jaleeza Nicole Tyson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316506173 PECOS PAC ID: 2961814843 Enrollment ID: I20201217001789 |
| 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 | Jaylyn F Clark Shifrin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508469537 PECOS PAC ID: 3971915638 Enrollment ID: I20201222001452 |
| Provider Name | David Michael Boles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710583208 PECOS PAC ID: 3870906266 Enrollment ID: I20210104000033 |
| Provider Name | Darren Jack Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083613749 PECOS PAC ID: 6709974256 Enrollment ID: I20210107000848 |
| 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 | Lisa Anne Cooleen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023270972 PECOS PAC ID: 1951589837 Enrollment ID: I20210125000635 |
| Provider Name | Courtney Sieja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477153005 PECOS PAC ID: 0042624140 Enrollment ID: I20210202000097 |
| Provider Name | Samantha Ellie Einziger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538679584 PECOS PAC ID: 1254679483 Enrollment ID: I20210202000632 |
| Provider Name | Mary Quentin Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144574930 PECOS PAC ID: 5294149274 Enrollment ID: I20210203000450 |
| Provider Name | Jessica Anne Lorenzo-gaier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992104350 PECOS PAC ID: 1052726734 Enrollment ID: I20210210000225 |
| Provider Name | Melissa D Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629180849 PECOS PAC ID: 2466867049 Enrollment ID: I20210211002333 |
| Provider Name | Brianna Fleming Meier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558725374 PECOS PAC ID: 0749695377 Enrollment ID: I20210212000841 |
| Provider Name | Ruth Michelle Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164048989 PECOS PAC ID: 8820403835 Enrollment ID: I20210224000996 |
| Provider Name | Jenna Ann Degrove |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407447972 PECOS PAC ID: 0648685651 Enrollment ID: I20210224001012 |
| Provider Name | Brittany Calhoun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578058236 PECOS PAC ID: 5799190781 Enrollment ID: I20210225001664 |
| Provider Name | Mary Ann Thenganatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598923856 PECOS PAC ID: 3870779861 Enrollment ID: I20210226001927 |
| Provider Name | Kimberly Cuningham Groce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821685207 PECOS PAC ID: 4981019874 Enrollment ID: I20210301000271 |
| 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 | Miriam Mowfaq Rassam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527088 PECOS PAC ID: 2365727245 Enrollment ID: I20210308000124 |
| Provider Name | Stacie Smith Cockerham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306438304 PECOS PAC ID: 8527474766 Enrollment ID: I20210312000353 |
| Provider Name | Malena Michelle Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902117039 PECOS PAC ID: 8729215751 Enrollment ID: I20210312001511 |
| Provider Name | Joanna Grace Asselin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992395339 PECOS PAC ID: 2163838160 Enrollment ID: I20210316001876 |
| Provider Name | Mary Elizabeth Ellingboe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366885527 PECOS PAC ID: 9335496249 Enrollment ID: I20210318001013 |
| 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 | Elizabeth Mackenzie Lehmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508322751 PECOS PAC ID: 9739501404 Enrollment ID: I20210326001581 |
| Provider Name | Esther W Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841881620 PECOS PAC ID: 7416364013 Enrollment ID: I20210326001687 |
| Provider Name | Pranav Ravi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881076040 PECOS PAC ID: 0446597694 Enrollment ID: I20210330000019 |
| Provider Name | Jeremy David Havas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043203003 PECOS PAC ID: 0143213678 Enrollment ID: I20210331002221 |
| Provider Name | Heather Elizabeth Strickland |
|---|---|
| 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 | John J Treece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023603131 PECOS PAC ID: 6406264035 Enrollment ID: I20210421000683 |
| Provider Name | Lauren Pulliam Southern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285227751 PECOS PAC ID: 6800204314 Enrollment ID: I20210422001633 |
| 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 | Gayle Ann Kostyack |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548350796 PECOS PAC ID: 9739598533 Enrollment ID: I20210507000297 |
| Provider Name | Meghan Leigh Cassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215515747 PECOS PAC ID: 4486063005 Enrollment ID: I20210512001678 |
| Provider Name | Richard Rozier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174020895 PECOS PAC ID: 7810247111 Enrollment ID: I20210513001960 |
| 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 | James Leonard 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 - Internal Medicine |
| Provider Identifiers | NPI Number: 1740777440 PECOS PAC ID: 4587063672 Enrollment ID: I20210521001150 |
| Provider Name | Adam Dean Weinberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164953311 PECOS PAC ID: 0042581266 Enrollment ID: I20210526003259 |
| Provider Name | Christina Mia Rinaldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811491079 PECOS PAC ID: 1557611852 Enrollment ID: I20210602001046 |
| Provider Name | Jing Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205290475 PECOS PAC ID: 8022301407 Enrollment ID: I20210602001049 |
| Provider Name | Karen Rich Dolby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184202277 PECOS PAC ID: 1850790387 Enrollment ID: I20210603000024 |
| Provider Name | Christina Marie Qualheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023636933 PECOS PAC ID: 6406255843 Enrollment ID: I20210604001049 |
| Provider Name | Alicia Claire Firestone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144724139 PECOS PAC ID: 9133471782 Enrollment ID: I20210607000666 |
| 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 | Devon Jacob Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104288604 PECOS PAC ID: 9032402714 Enrollment ID: I20210615000205 |
| Provider Name | Elizabeth Goodall Rossitch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669962312 PECOS PAC ID: 8628322369 Enrollment ID: I20210615000337 |
| Provider Name | Dillon Casey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043703556 PECOS PAC ID: 0143570986 Enrollment ID: I20210615000742 |
| Provider Name | Jordan Mae Burner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477917888 PECOS PAC ID: 6305117581 Enrollment ID: I20210615001138 |
| Provider Name | Lakasha Godwin White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871839324 PECOS PAC ID: 7618191305 Enrollment ID: I20210616000653 |
| 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 | Bradley Unruh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477909356 PECOS PAC ID: 6901178318 Enrollment ID: I20210621001368 |
| 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 | Omer Abdelrahim Hassan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427403013 PECOS PAC ID: 5395039390 Enrollment ID: I20210623001959 |
| Provider Name | Salena E Linberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043704737 PECOS PAC ID: 3870994973 Enrollment ID: I20210628000804 |
| Provider Name | Sandhya Nallu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720375199 PECOS PAC ID: 8325348451 Enrollment ID: I20210701000237 |
| Provider Name | Anna Victoria Zdroik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104271691 PECOS PAC ID: 2365728169 Enrollment ID: I20210701002270 |
| 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 | Victoria Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689178923 PECOS PAC ID: 0042560344 Enrollment ID: I20210707000058 |
| Provider Name | Erin Brianna Connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447884515 PECOS PAC ID: 2668874173 Enrollment ID: I20210707000548 |
| Provider Name | Dillon James Magalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982100509 PECOS PAC ID: 5991055444 Enrollment ID: I20210707001100 |
| 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 | Matthew Chung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821482993 PECOS PAC ID: 7618379611 Enrollment ID: I20210714000351 |
| Provider Name | Sophia Ali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750641007 PECOS PAC ID: 3971805748 Enrollment ID: I20210714001242 |
| Provider Name | Alexander Winfield Scott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831619287 PECOS PAC ID: 2668702887 Enrollment ID: I20210716001673 |
| Provider Name | Amit Khanal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235622093 PECOS PAC ID: 9234531906 Enrollment ID: I20210719000222 |
| 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 Cory 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 | Michael Mccormick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447613534 PECOS PAC ID: 1658650403 Enrollment ID: I20210721001505 |
| 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 | 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 | Saraschandra Vallabhajosyula |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740535632 PECOS PAC ID: 7113238254 Enrollment ID: I20210730000035 |
| 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 | Moaz Maqbool Choudhary |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679980569 PECOS PAC ID: 7719381292 Enrollment ID: I20210805000381 |
| 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 | 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 | Eliza Claire Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366805889 PECOS PAC ID: 9638464027 Enrollment ID: I20210811001784 |
| Provider Name | Brent Deibert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013437029 PECOS PAC ID: 5496028573 Enrollment ID: I20210812000881 |
| 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 Stephen Sizemore 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 | Daniel Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750744264 PECOS PAC ID: 3577852953 Enrollment ID: I20210818002013 |
| 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 | Matthew Alan King |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093209918 PECOS PAC ID: 1355691767 Enrollment ID: I20210827000714 |
| Provider Name | Alexandra Brito |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356723175 PECOS PAC ID: 7214237361 Enrollment ID: I20210830000767 |
| 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 | 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 | Paul Richard Weaver |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992232847 PECOS PAC ID: 4688948730 Enrollment ID: I20210901002196 |
| Provider Name | Ricardo Jorge Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225147580 PECOS PAC ID: 1759488067 Enrollment ID: I20210901003050 |
| Provider Name | Letisha Jolene Deibert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104346113 PECOS PAC ID: 1850664855 Enrollment ID: I20210902000261 |
| 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 | 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 | James Alan Senft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003909169 PECOS PAC ID: 8426184912 Enrollment ID: I20210909000030 |
| Provider Name | Olivia Christina Abdoo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144892639 PECOS PAC ID: 6901202407 Enrollment ID: I20210909000100 |
| Provider Name | Rachel Elizabeth Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972953131 PECOS PAC ID: 3274827787 Enrollment ID: I20210909000378 |
| Provider Name | Kim H Thai |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962839399 PECOS PAC ID: 8426344938 Enrollment ID: I20210910001738 |
| 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 | Anusha Reddy Madadi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447416334 PECOS PAC ID: 9133398126 Enrollment ID: I20210916003137 |
| Provider Name | Marc Albino Colaco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467872291 PECOS PAC ID: 8628398708 Enrollment ID: I20210916003397 |
| Provider Name | Sandra Baffour Kyei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023786605 PECOS PAC ID: 0345647327 Enrollment ID: I20210916003468 |
| Provider Name | Karen Tye |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225490147 PECOS PAC ID: 5890061170 Enrollment ID: I20210921000035 |
| 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 | Keri Elizabeth Weigle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235365990 PECOS PAC ID: 1153569850 Enrollment ID: I20210922003365 |
| 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 | Megan Rianne Wolf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861803538 PECOS PAC ID: 1759684913 Enrollment ID: I20210923001485 |
| 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 | Sara Victoria Spyris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568826741 PECOS PAC ID: 4082907639 Enrollment ID: I20211014000178 |
| Provider Name | Samantha Pearl Martineau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144990680 PECOS PAC ID: 5496153983 Enrollment ID: I20211014000281 |
| Provider Name | Owen Tyler Owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083078869 PECOS PAC ID: 8123442563 Enrollment ID: I20211015000672 |
| 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 Pineda 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 | Tyia Shay Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124523188 PECOS PAC ID: 2466702253 Enrollment ID: I20211019000679 |
| Provider Name | Andrew Joseph Stricklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245764596 PECOS PAC ID: 2668708355 Enrollment ID: I20211019001843 |
| Provider Name | James David Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154093748 PECOS PAC ID: 0446648349 Enrollment ID: I20211026002367 |
| 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 | 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 | 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 | Ian Solsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760800239 PECOS PAC ID: 4880097690 Enrollment ID: I20211117000426 |
| Provider Name | Lisa Vang Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033889357 PECOS PAC ID: 7719376532 Enrollment ID: I20211117002168 |
| Provider Name | Krishna Pakanati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770870867 PECOS PAC ID: 1759502503 Enrollment ID: I20211117002620 |
| Provider Name | Ashley Nicole Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508530528 PECOS PAC ID: 9436548005 Enrollment ID: I20211119002497 |
| Provider Name | Joseph Alan 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 | John Buford Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841963766 PECOS PAC ID: 0244620722 Enrollment ID: I20211124002150 |
| 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 | William Spang Zackowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912448762 PECOS PAC ID: 6204107998 Enrollment ID: I20211129002218 |
| Provider Name | Christian Armand Pothering |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093197741 PECOS PAC ID: 8224428693 Enrollment ID: I20211130000813 |
| Provider Name | Bhavita Jayesh Gaglani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548662349 PECOS PAC ID: 3779847025 Enrollment ID: I20211201001422 |
| Provider Name | Himanshu Rawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679924799 PECOS PAC ID: 2365734019 Enrollment ID: I20211202001202 |
| Provider Name | Levi David Kauffman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508245762 PECOS PAC ID: 5799094009 Enrollment ID: I20211206000353 |
| 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 | William Keith Ballentine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982051330 PECOS PAC ID: 1052604329 Enrollment ID: I20211207002010 |
| Provider Name | Matthew Scoutt Garner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992124705 PECOS PAC ID: 4981939378 Enrollment ID: I20211209000683 |
| 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 | 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 | Jacob Nazareth Blackwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447782420 PECOS PAC ID: 5193095842 Enrollment ID: I20220107001748 |
| Provider Name | Chelsea Felton Ferguson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497411029 PECOS PAC ID: 6507258258 Enrollment ID: I20220110001613 |
| Provider Name | Claudia Nieuwoudt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740639277 PECOS PAC ID: 1254629322 Enrollment ID: I20220126000742 |
| Provider Name | Leslie J Kellam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699445056 PECOS PAC ID: 2961894795 Enrollment ID: I20220127002439 |
| Provider Name | Barbara Ludmila Nye |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083933790 PECOS PAC ID: 5395963052 Enrollment ID: I20220128001900 |
| Provider Name | Bindu Dyna Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194482026 PECOS PAC ID: 0749673481 Enrollment ID: I20220202000400 |
| Provider Name | Shayan S Anwar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861997462 PECOS PAC ID: 3072861400 Enrollment ID: I20220204001446 |
| Provider Name | Sarah Carey Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942687512 PECOS PAC ID: 6002209319 Enrollment ID: I20220209002276 |
| Provider Name | Toni Marie Myers-beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730832676 PECOS PAC ID: 9436542750 Enrollment ID: I20220209002775 |
| Provider Name | Oluwatoyin Alaba Fadeyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033861117 PECOS PAC ID: 1153714332 Enrollment ID: I20220210002663 |
| 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 | Michael Shane Stalvey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710085782 PECOS PAC ID: 0648347088 Enrollment ID: I20220222001799 |
| Provider Name | Alyssa Janae Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275128183 PECOS PAC ID: 3173918158 Enrollment ID: I20220310001585 |
| 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 | Ashley Dawn Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831842111 PECOS PAC ID: 4385039544 Enrollment ID: I20220324002875 |
| Provider Name | Emily Zill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295483816 PECOS PAC ID: 8820484843 Enrollment ID: I20220331000026 |
| 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 | Alyssa Brianna Gray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437808359 PECOS PAC ID: 9335535285 Enrollment ID: I20220401001834 |
| Provider Name | Drew Donovan Kiraly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356785372 PECOS PAC ID: 8224308127 Enrollment ID: I20220404000350 |
| 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 | 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 | Marissa Rose Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689264475 PECOS PAC ID: 8325435274 Enrollment ID: I20220425001548 |
| 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 | Jordan Tannenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144727645 PECOS PAC ID: 8921354846 Enrollment ID: I20220427000481 |
| Provider Name | Martina Gad Gabra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336594423 PECOS PAC ID: 5092006064 Enrollment ID: I20220429002147 |
| 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 | Priyanka Nellori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760511182 PECOS PAC ID: 4385743814 Enrollment ID: I20220608002968 |
| Provider Name | Ronald Glenn Washburn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245252717 PECOS PAC ID: 4385816586 Enrollment ID: I20220609000424 |
| Provider Name | Aleah Nicole Bond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831693324 PECOS PAC ID: 1052661493 Enrollment ID: I20220611000123 |
| 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 | Wesley A Hardgrove |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932692928 PECOS PAC ID: 0648529990 Enrollment ID: I20220615000032 |
| Provider Name | Daniel Clark Eames |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861954109 PECOS PAC ID: 0749516607 Enrollment ID: I20220615001687 |
| Provider Name | Rebecca Anne Rice |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114456688 PECOS PAC ID: 0648549188 Enrollment ID: I20220616001783 |
| 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 | Matthew Wiltshire |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689178295 PECOS PAC ID: 5890045082 Enrollment ID: I20220620000235 |
| Provider Name | Nathan Anderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902397094 PECOS PAC ID: 3274875034 Enrollment ID: I20220620000297 |
| Provider Name | Mackenzie Higgins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568966240 PECOS PAC ID: 4183973878 Enrollment ID: I20220620001867 |
| 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 | Wassi Hakim Shaikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346771474 PECOS PAC ID: 8527304450 Enrollment ID: I20220623001148 |
| Provider Name | Christina Maria Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003377870 PECOS PAC ID: 2567705122 Enrollment ID: I20220623001930 |
| Provider Name | Thomas Stanley Wenzlick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740700459 PECOS PAC ID: 7214206341 Enrollment ID: I20220624002706 |
| Provider Name | Tonya Caudill Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699412585 PECOS PAC ID: 2668851304 Enrollment ID: I20220627000933 |
| Provider Name | Robert Charles Foster |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104323401 PECOS PAC ID: 6406199629 Enrollment ID: I20220627001152 |
| Provider Name | Kimberly Marie Burcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336600444 PECOS PAC ID: 6608102629 Enrollment ID: I20220627001265 |
| Provider Name | Wesley Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952860942 PECOS PAC ID: 0749516813 Enrollment ID: I20220627003509 |
| Provider Name | Kathryn Charlotte Helmig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003349143 PECOS PAC ID: 5597036095 Enrollment ID: I20220627003551 |
| Provider Name | Piers Pravdo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902260441 PECOS PAC ID: 8921487521 Enrollment ID: I20220628000058 |
| Provider Name | Andrew Thomas Faucheux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619535689 PECOS PAC ID: 1850627738 Enrollment ID: I20220629000460 |
| Provider Name | Samantha Newing Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376006148 PECOS PAC ID: 2264812817 Enrollment ID: I20220629002010 |
| Provider Name | Madison L Daly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972063493 PECOS PAC ID: 7315270790 Enrollment ID: I20220629002154 |
| 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 - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073074951 PECOS PAC ID: 2567796592 Enrollment ID: I20220706001877 |
| Provider Name | Danielle Marie Detelich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427461920 PECOS PAC ID: 8729377676 Enrollment ID: I20220706003821 |
| Provider Name | Kenneth Blaine Blair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700380714 PECOS PAC ID: 9032469424 Enrollment ID: I20220707003293 |
| 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 | David Wayne 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 R Brock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871927269 PECOS PAC ID: 8022381631 Enrollment ID: I20220714003134 |
| Provider Name | Leselle Norville |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154856573 PECOS PAC ID: 5294007613 Enrollment ID: I20220719003814 |
| Provider Name | Timothy O'rourke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124557822 PECOS PAC ID: 2264701606 Enrollment ID: I20220720000132 |
| Provider Name | Alexander Meritt Quattlebaum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578128419 PECOS PAC ID: 3870820186 Enrollment ID: I20220721000251 |
| Provider Name | Robert R Devita |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922539345 PECOS PAC ID: 0941570774 Enrollment ID: I20220721002582 |
| Provider Name | Daniel Thomas Higgins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949950 PECOS PAC ID: 9537418470 Enrollment ID: I20220721003901 |
| 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 | Tina Long Spach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386206654 PECOS PAC ID: 1759762545 Enrollment ID: I20220726001466 |
| Provider Name | Michael Dietzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912434150 PECOS PAC ID: 4688944838 Enrollment ID: I20220726003502 |
| Provider Name | Kristen Lynn 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 | Amanda Lynn Shaikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699271726 PECOS PAC ID: 2062760077 Enrollment ID: I20220729001067 |
| Provider Name | Bartlomiej Robert Imielski |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1235557190 PECOS PAC ID: 9537459417 Enrollment ID: I20220729001179 |
| Provider Name | Alfred Gabrial Rabinovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518428242 PECOS PAC ID: 4486987740 Enrollment ID: I20220729001738 |
| Provider Name | Lucie Cebula |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932785052 PECOS PAC ID: 1658773775 Enrollment ID: I20220803002455 |
| Provider Name | Matthew Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457883845 PECOS PAC ID: 0446520514 Enrollment ID: I20220805001564 |
| 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 | Katherine M Riera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407266489 PECOS PAC ID: 2860794534 Enrollment ID: I20220812000689 |
| Provider Name | Kyle Edward Romero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124552377 PECOS PAC ID: 9830476431 Enrollment ID: I20220812000733 |
| Provider Name | Ashley Lutrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942863782 PECOS PAC ID: 3971839234 Enrollment ID: I20220813000281 |
| Provider Name | Natalie Ann 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 | 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 | Bowen Niu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871026914 PECOS PAC ID: 7416234182 Enrollment ID: I20220818003634 |
| Provider Name | Flavia Lynn Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760865729 PECOS PAC ID: 1355644766 Enrollment ID: I20220822000026 |
| Provider Name | Laura Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871054411 PECOS PAC ID: 2365775616 Enrollment ID: I20220822001972 |
| 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 Mary Mcshea |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649828278 PECOS PAC ID: 2668856600 Enrollment ID: I20220825000825 |
| Provider Name | Garrett Michael Snipes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013449941 PECOS PAC ID: 3375815939 Enrollment ID: I20220830001327 |
| Provider Name | Nicholas Stephen 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 | Akhila Sunkara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710448790 PECOS PAC ID: 6709260029 Enrollment ID: I20220903000449 |
| Provider Name | Jennifer Leigh Hendren |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174144570 PECOS PAC ID: 2567889967 Enrollment ID: I20220906001809 |
| Provider Name | Craig Joshua Follette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447781471 PECOS PAC ID: 3577835123 Enrollment ID: I20220907003361 |
| Provider Name | Nathanael Elvin Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851826325 PECOS PAC ID: 5496026627 Enrollment ID: I20220908001321 |
| 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 | 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 | Sarah Bundrick Grimes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619326212 PECOS PAC ID: 6608298989 Enrollment ID: I20220927001073 |
| Provider Name | Danielle Renee Smith |
|---|---|
| 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 | Shane Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124476676 PECOS PAC ID: 5799079240 Enrollment ID: I20220928000552 |
| Provider Name | Vivek Chadayammuri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124551015 PECOS PAC ID: 1254603459 Enrollment ID: I20220928000975 |
| 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 | 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 | 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 Rocio Arispe Angulo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841644267 PECOS PAC ID: 6305222696 Enrollment ID: I20221011001162 |
| Provider Name | Bebit Thangam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306291315 PECOS PAC ID: 8729314067 Enrollment ID: I20221011001844 |
| 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 | Allison Ann Slijepcevic |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770936726 PECOS PAC ID: 5092116053 Enrollment ID: I20221013000280 |
| 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 | Mohamed-omar Samir Arafeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265810808 PECOS PAC ID: 4385959030 Enrollment ID: I20221019000234 |
| 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 | 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 | 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 | 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 | 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 | Natalie Jean Strohmyer Wichelt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548897630 PECOS PAC ID: 0547682544 Enrollment ID: I20221114001306 |
| Provider Name | Molly Elizabeth Reissmann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053843334 PECOS PAC ID: 4385910157 Enrollment ID: I20221115000552 |
| Provider Name | Lindsi Gabrielle Ahearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003530049 PECOS PAC ID: 6709254097 Enrollment ID: I20221117000589 |
| Provider Name | Jeremy Swisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568048411 PECOS PAC ID: 1052720653 Enrollment ID: I20221118002812 |
| Provider Name | Christopher Joseph Webb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487008439 PECOS PAC ID: 6507150679 Enrollment ID: I20221123001308 |
| Provider Name | Ruifeng Zhou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376816736 PECOS PAC ID: 4082864871 Enrollment ID: I20221129003362 |
| 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 P Kalan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861781932 PECOS PAC ID: 8325264948 Enrollment ID: I20221210000306 |
| Provider Name | Jett Anthony Macpherson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134706146 PECOS PAC ID: 0840609509 Enrollment ID: I20221212000637 |
| 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 | Harrison Martin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972007151 PECOS PAC ID: 9537419072 Enrollment ID: I20221214000534 |
| 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 Barnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871213009 PECOS PAC ID: 0840660569 Enrollment ID: I20221221001286 |
| Provider Name | Maureen Essie 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 | Molly Dempsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942578125 PECOS PAC ID: 8527281757 Enrollment ID: I20221228000512 |
| Provider Name | Grey Nathan Leonard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710374558 PECOS PAC ID: 7911380571 Enrollment ID: I20221229001037 |
| Provider Name | Alejandro Remigio Rodriguez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740489376 PECOS PAC ID: 3577733989 Enrollment ID: I20221230001752 |
| Provider Name | Kelsey Lena Craver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114487691 PECOS PAC ID: 3779811179 Enrollment ID: I20230103002069 |
| 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 | Benjamin William Pare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649730607 PECOS PAC ID: 4183952286 Enrollment ID: I20230106000838 |
| Provider Name | Robin Lee Petruzzi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902308216 PECOS PAC ID: 6709256613 Enrollment ID: I20230110000303 |
| 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 | Suzanne Michelle Gerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609584143 PECOS PAC ID: 1254702780 Enrollment ID: I20230120001260 |
| Provider Name | Katherine Leigh Sooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821685959 PECOS PAC ID: 8527473917 Enrollment ID: I20230123000262 |
| 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 Tanley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366909467 PECOS PAC ID: 8426429804 Enrollment ID: I20230123000718 |
| Provider Name | Gaboy Jupiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033656715 PECOS PAC ID: 0648554758 Enrollment ID: I20230123001205 |
| Provider Name | Erin Hanner Shew |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770205981 PECOS PAC ID: 5294106480 Enrollment ID: I20230126001153 |
| Provider Name | Loretta Lee Muchow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790413193 PECOS PAC ID: 2466824313 Enrollment ID: I20230202001958 |
| Provider Name | Jordan Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104386614 PECOS PAC ID: 0143562587 Enrollment ID: I20230206001811 |
| 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 | Erik Matthew Bidinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306330683 PECOS PAC ID: 3577812270 Enrollment ID: I20230210000088 |
| 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 | Katie Michelle Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093374985 PECOS PAC ID: 6002145083 Enrollment ID: I20230216000699 |
| Provider Name | Jared Shoji Pate |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528487600 PECOS PAC ID: 1052633930 Enrollment ID: I20230217001703 |
| Provider Name | Amy Lee Speaks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821291121 PECOS PAC ID: 2961874995 Enrollment ID: I20230221000114 |
| Provider Name | Marcus Raymond Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750623690 PECOS PAC ID: 2860788528 Enrollment ID: I20230227000362 |
| Provider Name | Brandon Michael Honeywell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679150288 PECOS PAC ID: 3173923620 Enrollment ID: I20230302002769 |
| Provider Name | Leona Marie Cammock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346238326 PECOS PAC ID: 0345272019 Enrollment ID: I20230303001682 |
| 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 Kugler Goranson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679101133 PECOS PAC ID: 4688005077 Enrollment ID: I20230310001835 |
| Provider Name | Haodong Xu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639181563 PECOS PAC ID: 9931203734 Enrollment ID: I20230320000336 |
| 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 | Karna Raju Mangrola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598320673 PECOS PAC ID: 4284067075 Enrollment ID: I20230329000983 |
| Provider Name | Tionna Nicole Brice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528703303 PECOS PAC ID: 6103290333 Enrollment ID: I20230329002207 |
| Provider Name | Ettore Crimi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891821211 PECOS PAC ID: 0840478970 Enrollment ID: I20230403000196 |
| Provider Name | Christina Ge Hae Lee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629770417 PECOS PAC ID: 3173998218 Enrollment ID: I20230404000245 |
| 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 | Sonal Dangda |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255986527 PECOS PAC ID: 3779812961 Enrollment ID: I20230424000468 |
| Provider Name | James Crowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902849508 PECOS PAC ID: 0648212183 Enrollment ID: I20230424002567 |
| Provider Name | Nana Nuamah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275249187 PECOS PAC ID: 0446615538 Enrollment ID: I20230425000134 |
| 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 Daffron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518498153 PECOS PAC ID: 3971841495 Enrollment ID: I20230501001894 |
| 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 | Georgi Nicole Brockway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962629139 PECOS PAC ID: 7810353836 Enrollment ID: I20230517003088 |
| 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 Victor 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 | Preston David Easterday |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154824977 PECOS PAC ID: 5395095061 Enrollment ID: I20230530003430 |
| 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 | 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 | Julian Andreas Zangrilli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386136596 PECOS PAC ID: 6204294085 Enrollment ID: I20230627001220 |
| Provider Name | Jason Wayne Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295439586 PECOS PAC ID: 0749648442 Enrollment ID: I20230627002508 |
| Provider Name | Priya Jitendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063035814 PECOS PAC ID: 1153743612 Enrollment ID: I20230628000130 |
| Provider Name | Tewodros Tadesse Wodajo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194325761 PECOS PAC ID: 4688083470 Enrollment ID: I20230628000614 |
| Provider Name | Mitchell Ray Hooven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790311736 PECOS PAC ID: 2163852443 Enrollment ID: I20230628002352 |
| 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 | Matthew Gary Sharp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548824394 PECOS PAC ID: 2163756461 Enrollment ID: I20230703000544 |
| 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 | Jacob J Bundy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902396898 PECOS PAC ID: 6406111467 Enrollment ID: I20230705001450 |
| Provider Name | Joan Mary Recher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932575222 PECOS PAC ID: 8426368861 Enrollment ID: I20230705001882 |
| Provider Name | Tyler Brenneman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134623796 PECOS PAC ID: 6901132810 Enrollment ID: I20230706000746 |
| Provider Name | Kiersten Nanette Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700413796 PECOS PAC ID: 2961833389 Enrollment ID: I20230706001516 |
| 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 | Kathleen Herring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073140091 PECOS PAC ID: 4385065374 Enrollment ID: I20230707001462 |
| Provider Name | Zachary Blaze Wunrow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306196 PECOS PAC ID: 0648503490 Enrollment ID: I20230707001675 |
| Provider Name | William 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 | Sian Ellen Lewis-bevan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013545086 PECOS PAC ID: 0345663555 Enrollment ID: I20230710001099 |
| Provider Name | Kent Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184935983 PECOS PAC ID: 5395165757 Enrollment ID: I20230710001413 |
| Provider Name | Kyler Harden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659869840 PECOS PAC ID: 5496007270 Enrollment ID: I20230711000984 |
| Provider Name | Alexandria Jade Sutton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275162299 PECOS PAC ID: 7416379409 Enrollment ID: I20230711004225 |
| Provider Name | Matthew N Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619504958 PECOS PAC ID: 8123459492 Enrollment ID: I20230712000363 |
| Provider Name | Salvador Enrique 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 | Sarah Rose Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407484496 PECOS PAC ID: 7012338098 Enrollment ID: I20230712003965 |
| Provider Name | Scott Allen Amrhein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255968350 PECOS PAC ID: 4981035771 Enrollment ID: I20230712004455 |
| Provider Name | Laura Reich Gaskill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144879933 PECOS PAC ID: 3971835364 Enrollment ID: I20230713002714 |
| Provider Name | Meehir Denis Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801425384 PECOS PAC ID: 1759702483 Enrollment ID: I20230713003840 |
| Provider Name | Jon Robert Treen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487114724 PECOS PAC ID: 2961739883 Enrollment ID: I20230713004259 |
| Provider Name | Julia Christine Cook |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619469103 PECOS PAC ID: 1355743857 Enrollment ID: I20230718002211 |
| Provider Name | Julia A Reiser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194257774 PECOS PAC ID: 9931445525 Enrollment ID: I20230719001709 |
| Provider Name | Connor Gregory Policastro |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205326295 PECOS PAC ID: 3779829502 Enrollment ID: I20230720000913 |
| Provider Name | Matthew Calkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780145326 PECOS PAC ID: 8820322175 Enrollment ID: I20230721000078 |
| Provider Name | Jason Michael Cullen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396208922 PECOS PAC ID: 5294062014 Enrollment ID: I20230721003192 |
| 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 | Ryan Michael Wolf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992237515 PECOS PAC ID: 3779853577 Enrollment ID: I20230727003191 |
| Provider Name | Kristopher Thomas Aghemo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972091742 PECOS PAC ID: 2163770843 Enrollment ID: I20230728001683 |
| 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 | Nathan Scott Floyd |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447243670 PECOS PAC ID: 8527027473 Enrollment ID: I20230804003147 |
| Provider Name | Jon Stuart Nye |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336438084 PECOS PAC ID: 9638530637 Enrollment ID: I20230807001059 |
| 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 | Arthur Dinkins Grimes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669828596 PECOS PAC ID: 1153616248 Enrollment ID: I20230809000618 |
| Provider Name | Sophie 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 | Joshua Bloodworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730684358 PECOS PAC ID: 2062742695 Enrollment ID: I20230814003165 |
| 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 | Cassidy Marie Papa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811563190 PECOS PAC ID: 8123425998 Enrollment ID: I20230816001369 |
| Provider Name | Sarah Everitt Griffin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316400328 PECOS PAC ID: 4082949821 Enrollment ID: I20230822000550 |
| 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 | 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 | 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 | 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 | Miranda Shanice Gainey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982264099 PECOS PAC ID: 8820452865 Enrollment ID: I20230911000805 |
| Provider Name | Christine E Mcgough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295295327 PECOS PAC ID: 0749650216 Enrollment ID: I20230911002782 |
| 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 | Alvin Roun Wu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972062875 PECOS PAC ID: 3971981002 Enrollment ID: I20230913004138 |
| Provider Name | Alex Stuart Kremers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417451097 PECOS PAC ID: 0143576447 Enrollment ID: I20230914000268 |
| 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 | 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 | Connor Mech Montgomery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093392839 PECOS PAC ID: 4587066147 Enrollment ID: I20230920002808 |
| 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 | Christina Rizk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306309497 PECOS PAC ID: 2860727047 Enrollment ID: I20230926003067 |
| 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 | Cayce Ben Nawaf |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972948636 PECOS PAC ID: 0749420156 Enrollment ID: I20230927003803 |
| Provider Name | Kristie Yvonne Burks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760047260 PECOS PAC ID: 5395199913 Enrollment ID: I20230929001436 |
| Provider Name | Elizabeth A Dick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255375192 PECOS PAC ID: 2769413459 Enrollment ID: I20231002001793 |
| Provider Name | Caitlin Jan Follansbee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144838137 PECOS PAC ID: 1355766148 Enrollment ID: I20231002003690 |
| 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 Kay Wallis Harper |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730447814 PECOS PAC ID: 4688986854 Enrollment ID: I20231004001732 |
| Provider Name | Elizabeth Marie Presutto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407316953 PECOS PAC ID: 0446686489 Enrollment ID: I20231004002973 |
| 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 | Caitlin Grace Mahoney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871112615 PECOS PAC ID: 8921453192 Enrollment ID: I20231006003144 |
| 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 Jordan Ohlsson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578192431 PECOS PAC ID: 2567892466 Enrollment ID: I20231010002133 |
| Provider Name | Yvonne Chueh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649807413 PECOS PAC ID: 1951729813 Enrollment ID: I20231013000137 |
| 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 Alan Bahr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790306322 PECOS PAC ID: 7517389638 Enrollment ID: I20231017000595 |
| 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 | Sarah Nullmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700413770 PECOS PAC ID: 9830520725 Enrollment ID: I20231031003945 |
| Provider Name | Melanie Pancoast |
|---|---|
| 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 | Aaditya Chandrasekar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457931347 PECOS PAC ID: 6507265329 Enrollment ID: I20231103001324 |
| 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 | Miles Edward Dewayne Hairston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932980802 PECOS PAC ID: 3577910587 Enrollment ID: I20231114000378 |
| 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 | 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 Chen Dong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780145813 PECOS PAC ID: 7214385582 Enrollment ID: I20231127002551 |
| 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 | Zachary Mckinney |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992265706 PECOS PAC ID: 6800137696 Enrollment ID: I20231128000599 |
| Provider Name | Mital Kamlesh Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285167981 PECOS PAC ID: 1658729967 Enrollment ID: I20231128000604 |
| 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 Griffith Tarvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669194023 PECOS PAC ID: 6901254838 Enrollment ID: I20231201002803 |
| 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 Cristina Noyola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811253099 PECOS PAC ID: 2769831460 Enrollment ID: I20231206002927 |
| Provider Name | Robin Rainey Kiehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497378996 PECOS PAC ID: 4789085283 Enrollment ID: I20231207002255 |
| 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 - Critical Care (intensivists) |
| 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 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 | Charles Frederick Moseley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265139687 PECOS PAC ID: 8628428075 Enrollment ID: I20231227000988 |
| 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 | Marcia Huston Mccall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215563069 PECOS PAC ID: 9436509759 Enrollment ID: I20231229000073 |
| 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 | Lindsay Kate Seigenthaler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801462767 PECOS PAC ID: 9133570096 Enrollment ID: I20240104004757 |
| Provider Name | Frantz Joseph Dor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235721093 PECOS PAC ID: 2567844624 Enrollment ID: I20240108003257 |
| 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 | Kristina Margaret Bianco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548766470 PECOS PAC ID: 4082944913 Enrollment ID: I20240117000215 |
| Provider Name | Auryelle Ascue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558971390 PECOS PAC ID: 6507286564 Enrollment ID: I20240124001571 |
| 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 | Jonathan Daniel Woodbury |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043645039 PECOS PAC ID: 5395198923 Enrollment ID: I20240130002267 |
| 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 | Demetra Sarah Ashley Obusez Gibson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972941763 PECOS PAC ID: 2466685268 Enrollment ID: I20240208000959 |
| 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 Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659838936 PECOS PAC ID: 6103269519 Enrollment ID: I20240213000656 |
| Provider Name | William Stellar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053397182 PECOS PAC ID: 7113831215 Enrollment ID: I20240215003589 |
| 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 Joshua De Palma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700380458 PECOS PAC ID: 3072859404 Enrollment ID: I20240216002157 |
| Provider Name | Marcus Raymond Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750623690 PECOS PAC ID: 2860788528 Enrollment ID: I20240220000795 |
| Provider Name | Rosalinda Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417413774 PECOS PAC ID: 6608211818 Enrollment ID: I20240228000088 |
| 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 | Kiana Louise Booth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588335350 PECOS PAC ID: 4789020207 Enrollment ID: I20240307000014 |
| 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 | Nubia Marilin Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306615232 PECOS PAC ID: 3870939291 Enrollment ID: I20240307003624 |
| 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 | Rebecca Shuford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427553486 PECOS PAC ID: 4880944172 Enrollment ID: I20240308002150 |
| Provider Name | Rhonda Lee Skiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871934463 PECOS PAC ID: 5294978904 Enrollment ID: I20240311000705 |
| Provider Name | Shea Roper Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790540722 PECOS PAC ID: 4082050141 Enrollment ID: I20240311004035 |
| Provider Name | Adrian Theron Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588209258 PECOS PAC ID: 6002241015 Enrollment ID: I20240315000971 |
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 | |
Physicians Eldercare Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4692 Brownsboro Rd, Winston Salem, NC 27106 Phone: 337-408-0797 Fax: 337-943-0846 | |
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 | |
Novant Health Forsyth Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-769-9515 Fax: 336-768-9082 | |
Piedmont Medical Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1381 Westgate Center Dr, Piedmont Medical Specialist, Winston Salem, NC 27103 Phone: 336-718-0480 Fax: 336-718-0484 |