| Wakemed Specialists Group, Llc | |
|
3000 New Bern Ave Raleigh NC 27610-1231 | |
| (919) 350-8000 | |
| (919) 350-7687 |
| Full Name | Wakemed Specialists Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 New Bern Ave, Raleigh, North Carolina |
| Authorized Official Name and Position | Maria Jayoussi (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 9193506089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakemed Specialists Group, Llc 3024 New Bern Ave Fl 3 Raleigh NC 27610-1247 Ph: (919) 350-0985 | Wakemed Specialists Group, Llc 3000 New Bern Ave Raleigh NC 27610-1231 Ph: (919) 350-8000 |
| NPI Number | 1588227839 |
|---|---|
| Provider Enumeration Date | 04/22/2019 |
| Last Update Date | 04/22/2019 |
| Medicare PECOS PAC ID | 2466788377 |
|---|---|
| Medicare Enrollment ID | O20190731000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588227839 | NPI | - | NPPES |
| Provider Name | Larry G Colvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518976794 PECOS PAC ID: 5991600397 Enrollment ID: I20031126000545 |
| Provider Name | Paula Y Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063472686 PECOS PAC ID: 1759288293 Enrollment ID: I20031215000221 |
| Provider Name | William G Pittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477562668 PECOS PAC ID: 7214837491 Enrollment ID: I20040113000211 |
| Provider Name | Naseem J Masood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336190578 PECOS PAC ID: 2365343019 Enrollment ID: I20040116000168 |
| Provider Name | Timothy P Bukowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104843556 PECOS PAC ID: 7416858964 Enrollment ID: I20040116000808 |
| Provider Name | Doreen J Filosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700996212 PECOS PAC ID: 0840184750 Enrollment ID: I20040211000899 |
| Provider Name | Travis C Honeycutt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275551095 PECOS PAC ID: 2769378280 Enrollment ID: I20040223000988 |
| Provider Name | Mark Leo Graham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760481667 PECOS PAC ID: 6305732348 Enrollment ID: I20040225001119 |
| Provider Name | Senthil Nayagan Sundaram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831195049 PECOS PAC ID: 2860388717 Enrollment ID: I20040226000478 |
| Provider Name | Steven Kagan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508804303 PECOS PAC ID: 7113822990 Enrollment ID: I20040310000518 |
| Provider Name | Timothy Edward Harris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619920378 PECOS PAC ID: 7012807852 Enrollment ID: I20040317000126 |
| Provider Name | Alexis Nicole Mcrae |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740226760 PECOS PAC ID: 7315831369 Enrollment ID: I20040324001599 |
| Provider Name | Kurt J Ehlert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013930312 PECOS PAC ID: 5395738710 Enrollment ID: I20040403000012 |
| Provider Name | Eric David Duberman |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1093796203 PECOS PAC ID: 9830170034 Enrollment ID: I20040603001322 |
| Provider Name | Sharif M Chowdhury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750348769 PECOS PAC ID: 2163405721 Enrollment ID: I20040612000601 |
| Provider Name | John M Englehardt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1154320307 PECOS PAC ID: 2264419688 Enrollment ID: I20040702001006 |
| Provider Name | Sydney G Short |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053411165 PECOS PAC ID: 5395722573 Enrollment ID: I20040706000840 |
| Provider Name | Gurvinder S Deol |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467487025 PECOS PAC ID: 6305742412 Enrollment ID: I20040710000092 |
| Provider Name | Jeffrey R Daw |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174521694 PECOS PAC ID: 3375521891 Enrollment ID: I20040712000403 |
| Provider Name | Sunil J Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588652267 PECOS PAC ID: 3779562780 Enrollment ID: I20040714001062 |
| Provider Name | George L Hamrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497754659 PECOS PAC ID: 8426037961 Enrollment ID: I20040717000078 |
| Provider Name | Dhiren N Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699763391 PECOS PAC ID: 6901886886 Enrollment ID: I20040721001392 |
| Provider Name | Pratik V Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588652283 PECOS PAC ID: 6305826249 Enrollment ID: I20040722000109 |
| Provider Name | Rama G Garimella |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740278415 PECOS PAC ID: 1153391404 Enrollment ID: I20040726001486 |
| Provider Name | William Henry Lagarde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811077837 PECOS PAC ID: 8426021288 Enrollment ID: I20040818001340 |
| Provider Name | David Michael Pilati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184694499 PECOS PAC ID: 4486627197 Enrollment ID: I20040819000334 |
| Provider Name | Diana Lynn Koenning |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487789434 PECOS PAC ID: 4688648330 Enrollment ID: I20040819001382 |
| Provider Name | Siddhartha Annamraju Rao |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578644977 PECOS PAC ID: 5294709770 Enrollment ID: I20040820000867 |
| Provider Name | Rajendraprasad Venkatannasetty Makam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154322089 PECOS PAC ID: 9931173036 Enrollment ID: I20040824000961 |
| Provider Name | Mark L Wood |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1134172372 PECOS PAC ID: 9234103243 Enrollment ID: I20040825000354 |
| Provider Name | Karen N Chilton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023036779 PECOS PAC ID: 8527034552 Enrollment ID: I20040909001059 |
| Provider Name | Erin Jennifer Kolkman O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902888787 PECOS PAC ID: 7810964681 Enrollment ID: I20040911000280 |
| Provider Name | Patrick Manning Hranitzky |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982786083 PECOS PAC ID: 4082681572 Enrollment ID: I20040914000763 |
| Provider Name | Stavros Garantziotis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407930316 PECOS PAC ID: 5395713960 Enrollment ID: I20040921001060 |
| Provider Name | Indira Madulapalli Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982690996 PECOS PAC ID: 8022087717 Enrollment ID: I20040929000670 |
| Provider Name | Tara K Bastek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316956774 PECOS PAC ID: 8123088127 Enrollment ID: I20041014000134 |
| Provider Name | Michael C Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083685002 PECOS PAC ID: 3870557663 Enrollment ID: I20041111001000 |
| Provider Name | Stephanie G Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588762074 PECOS PAC ID: 6204891930 Enrollment ID: I20041122001171 |
| Provider Name | John S Kelley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750380705 PECOS PAC ID: 8325005473 Enrollment ID: I20041210000362 |
| Provider Name | Ashley W Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558447995 PECOS PAC ID: 9537126339 Enrollment ID: I20041214000134 |
| Provider Name | Kelly A Thompson-brazill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699752717 PECOS PAC ID: 4486612447 Enrollment ID: I20041222000611 |
| Provider Name | Jerome P Parnell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598704876 PECOS PAC ID: 6709867096 Enrollment ID: I20050108000124 |
| Provider Name | Jack W Noneman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447259502 PECOS PAC ID: 5991757544 Enrollment ID: I20050211000551 |
| Provider Name | Michael W Klinkner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184675423 PECOS PAC ID: 6800840323 Enrollment ID: I20050308000945 |
| Provider Name | Sascha Frey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154398501 PECOS PAC ID: 8527012970 Enrollment ID: I20050308001137 |
| Provider Name | Ronald D Krull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477502276 PECOS PAC ID: 5395700744 Enrollment ID: I20050420000470 |
| Provider Name | Anthony F Azzi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447228283 PECOS PAC ID: 6002854429 Enrollment ID: I20050426001086 |
| Provider Name | Shreyang H Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265456289 PECOS PAC ID: 0042259806 Enrollment ID: I20050502000037 |
| Provider Name | Marc T Silver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902802945 PECOS PAC ID: 4587603261 Enrollment ID: I20050502001093 |
| Provider Name | Ramakrishna P Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457397903 PECOS PAC ID: 7810959665 Enrollment ID: I20050503000061 |
| Provider Name | Michelle M Schweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467515247 PECOS PAC ID: 5395785083 Enrollment ID: I20050512000352 |
| Provider Name | Edward Matheis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316952187 PECOS PAC ID: 5991746083 Enrollment ID: I20050519000063 |
| Provider Name | Brian M Go |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851397152 PECOS PAC ID: 7416999511 Enrollment ID: I20050531000330 |
| Provider Name | Purna P Manne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376513697 PECOS PAC ID: 6002851003 Enrollment ID: I20050621000467 |
| Provider Name | Brenda G Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467476416 PECOS PAC ID: 7113955642 Enrollment ID: I20050727000233 |
| Provider Name | Maria Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073599569 PECOS PAC ID: 9931137809 Enrollment ID: I20050801001207 |
| Provider Name | Charles Harr |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942201595 PECOS PAC ID: 5597794891 Enrollment ID: I20050808000263 |
| Provider Name | Elizabeth Beauvais Carmac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255429502 PECOS PAC ID: 9830129048 Enrollment ID: I20050817000759 |
| Provider Name | Jenifer L Powell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225014723 PECOS PAC ID: 1052341955 Enrollment ID: I20050819000854 |
| Provider Name | John Durward Holly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932123973 PECOS PAC ID: 8729019294 Enrollment ID: I20050824000566 |
| Provider Name | Preeti P Ozarkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306927132 PECOS PAC ID: 1153352547 Enrollment ID: I20050825000483 |
| Provider Name | Shiny P Narahari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922017110 PECOS PAC ID: 3577531193 Enrollment ID: I20050829000275 |
| Provider Name | Matthew Emil Majka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104874460 PECOS PAC ID: 0244263606 Enrollment ID: I20050915000689 |
| Provider Name | Oluyemisi M Abdulsalam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932199809 PECOS PAC ID: 4688565690 Enrollment ID: I20050919000575 |
| Provider Name | Brandon P Roy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699798751 PECOS PAC ID: 7618955634 Enrollment ID: I20050923000736 |
| Provider Name | Robert G Howard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427119189 PECOS PAC ID: 2769407832 Enrollment ID: I20051007000314 |
| Provider Name | Satinder P Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407869084 PECOS PAC ID: 8123092368 Enrollment ID: I20051011000130 |
| Provider Name | Ndidi N Azikiwe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083637128 PECOS PAC ID: 0648295493 Enrollment ID: I20051011000275 |
| Provider Name | Edmund J Rutherford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497702773 PECOS PAC ID: 7012932874 Enrollment ID: I20051011000361 |
| Provider Name | Angela B Gantt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073601472 PECOS PAC ID: 5294750873 Enrollment ID: I20051012000937 |
| Provider Name | Peter W Heetderks |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265467898 PECOS PAC ID: 9830115476 Enrollment ID: I20051021000754 |
| Provider Name | Jana Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750397659 PECOS PAC ID: 9234150327 Enrollment ID: I20051216000373 |
| Provider Name | David Kirk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497764682 PECOS PAC ID: 7012938111 Enrollment ID: I20051216000521 |
| Provider Name | Samuel M Wesonga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114911823 PECOS PAC ID: 7517981749 Enrollment ID: I20060114000085 |
| Provider Name | Deepali A Worlikar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861442238 PECOS PAC ID: 5799799961 Enrollment ID: I20060127000044 |
| Provider Name | Peter H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609886365 PECOS PAC ID: 0941215651 Enrollment ID: I20060217000078 |
| Provider Name | Linda J Paradowski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861427403 PECOS PAC ID: 6002822590 Enrollment ID: I20060221000448 |
| Provider Name | Alexia Sandra Maneschi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417000381 PECOS PAC ID: 6406865609 Enrollment ID: I20060417000632 |
| Provider Name | Netasha S Mclawhorn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760455943 PECOS PAC ID: 1254349509 Enrollment ID: I20060417000659 |
| Provider Name | Abigail Starbuck Coffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376643809 PECOS PAC ID: 2860402468 Enrollment ID: I20060426000910 |
| Provider Name | Pascal O Udekwu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427167303 PECOS PAC ID: 0840200465 Enrollment ID: I20060427000026 |
| Provider Name | John Joseph Engemann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457307357 PECOS PAC ID: 0547272056 Enrollment ID: I20060628000104 |
| Provider Name | Grant William Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922044668 PECOS PAC ID: 5991601775 Enrollment ID: I20060914000523 |
| Provider Name | Mark I Macpherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962433805 PECOS PAC ID: 7618972456 Enrollment ID: I20060928000526 |
| Provider Name | Sameer N Chawla |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679511661 PECOS PAC ID: 6305845991 Enrollment ID: I20061208000228 |
| Provider Name | Carrie Ann Dow-smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558352120 PECOS PAC ID: 7719986199 Enrollment ID: I20061212000627 |
| Provider Name | Kirk L Charles |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508887068 PECOS PAC ID: 3779584693 Enrollment ID: I20070119000413 |
| Provider Name | Curtis A Hanson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1508955121 PECOS PAC ID: 5395746887 Enrollment ID: I20070125000589 |
| Provider Name | Julie M Torsone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578672499 PECOS PAC ID: 5193727378 Enrollment ID: I20070201000465 |
| Provider Name | Stephen Downer Kicklighter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063421345 PECOS PAC ID: 6901808930 Enrollment ID: I20070205000399 |
| Provider Name | Darlene M Esper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205861655 PECOS PAC ID: 5496857237 Enrollment ID: I20070224000094 |
| Provider Name | Snehalatha Konidena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457463549 PECOS PAC ID: 3779688262 Enrollment ID: I20070411000265 |
| Provider Name | Andrew William Buzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295845725 PECOS PAC ID: 3577661347 Enrollment ID: I20070604000152 |
| Provider Name | Christopher P Chao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720061435 PECOS PAC ID: 5799884565 Enrollment ID: I20070619000486 |
| Provider Name | Magda R Pugh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043250822 PECOS PAC ID: 7911968714 Enrollment ID: I20070619000676 |
| Provider Name | James Eugene Fogartie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053359836 PECOS PAC ID: 9234027558 Enrollment ID: I20070710000118 |
| Provider Name | Scott Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558332692 PECOS PAC ID: 2961502406 Enrollment ID: I20070712000329 |
| Provider Name | Raja S Vadlamudi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316067754 PECOS PAC ID: 0840390399 Enrollment ID: I20070712000448 |
| Provider Name | Christopher Dunatov |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467422303 PECOS PAC ID: 6608976071 Enrollment ID: I20070713000646 |
| Provider Name | Shailesh C Shirolkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932103801 PECOS PAC ID: 1658471941 Enrollment ID: I20070716000627 |
| Provider Name | Bridget B Donell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700914603 PECOS PAC ID: 2163523267 Enrollment ID: I20070719000279 |
| Provider Name | Nerissa M Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841402161 PECOS PAC ID: 7214038140 Enrollment ID: I20070723000492 |
| Provider Name | Joshua C Macomber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780661033 PECOS PAC ID: 2163408857 Enrollment ID: I20070808000371 |
| Provider Name | Ian A Villanueva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225256076 PECOS PAC ID: 4082705645 Enrollment ID: I20070810000456 |
| Provider Name | Cherissa C Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649483512 PECOS PAC ID: 1557453784 Enrollment ID: I20070817000389 |
| Provider Name | Jonathan D Chappell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1114066784 PECOS PAC ID: 0840382834 Enrollment ID: I20070822000853 |
| Provider Name | Pavan Pyreddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255450532 PECOS PAC ID: 0446343719 Enrollment ID: I20070831000127 |
| Provider Name | Yi-zhe Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518080274 PECOS PAC ID: 4082707724 Enrollment ID: I20070911000460 |
| Provider Name | Subodh Pal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619921269 PECOS PAC ID: 2961405998 Enrollment ID: I20070913000772 |
| Provider Name | Aman Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700091881 PECOS PAC ID: 9234223512 Enrollment ID: I20070917000800 |
| Provider Name | Julie Czech |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053322073 PECOS PAC ID: 3274627583 Enrollment ID: I20070918000209 |
| Provider Name | Saifullah K Afridi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1700096161 PECOS PAC ID: 7911926415 Enrollment ID: I20070919000608 |
| Provider Name | Doreen Messick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952512840 PECOS PAC ID: 1951495621 Enrollment ID: I20070926000218 |
| Provider Name | John P Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699983411 PECOS PAC ID: 6406941152 Enrollment ID: I20070926001006 |
| Provider Name | Theodore Tsomides |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285612754 PECOS PAC ID: 4880782390 Enrollment ID: I20071116000586 |
| Provider Name | Surafeal Abraha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306930631 PECOS PAC ID: 6103848874 Enrollment ID: I20071210000564 |
| Provider Name | Kate Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770765182 PECOS PAC ID: 3779663802 Enrollment ID: I20080102000351 |
| Provider Name | Richard Everit Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689626988 PECOS PAC ID: 7214941962 Enrollment ID: I20080107000771 |
| Provider Name | Jason Katz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1417081654 PECOS PAC ID: 8022199256 Enrollment ID: I20080114000734 |
| Provider Name | Colleen G Schmitz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316149933 PECOS PAC ID: 3678654720 Enrollment ID: I20080117000714 |
| Provider Name | Monica Oei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225041569 PECOS PAC ID: 8729161278 Enrollment ID: I20080207000315 |
| Provider Name | Chudaratna Bhargava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083808000 PECOS PAC ID: 8123101532 Enrollment ID: I20080208000108 |
| Provider Name | Jason T Combs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225004864 PECOS PAC ID: 2860401833 Enrollment ID: I20080211000609 |
| Provider Name | Lindsey Austin Reddersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750570305 PECOS PAC ID: 4981788957 Enrollment ID: I20080228000780 |
| Provider Name | Michael Hightower |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184752131 PECOS PAC ID: 9931158623 Enrollment ID: I20080306000096 |
| Provider Name | Samer Taj-eldin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023120342 PECOS PAC ID: 5092891366 Enrollment ID: I20080326000893 |
| Provider Name | J Duncan Phillips |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376636548 PECOS PAC ID: 9537245733 Enrollment ID: I20080328000228 |
| Provider Name | James R Lakey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831246180 PECOS PAC ID: 7517044050 Enrollment ID: I20080408000226 |
| Provider Name | Scott Bovard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992899009 PECOS PAC ID: 8325083520 Enrollment ID: I20080408000774 |
| Provider Name | Courtney F Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033152509 PECOS PAC ID: 1850470220 Enrollment ID: I20080509000497 |
| Provider Name | Jeffrey Herbst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336314053 PECOS PAC ID: 7113096017 Enrollment ID: I20080519000382 |
| Provider Name | Hemant Solomon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518174747 PECOS PAC ID: 6305917444 Enrollment ID: I20080618000239 |
| Provider Name | Scott Walker Lisson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396726394 PECOS PAC ID: 9830261932 Enrollment ID: I20080707000581 |
| Provider Name | Veshana Sinthal Ramiah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043377591 PECOS PAC ID: 1951494889 Enrollment ID: I20080710000202 |
| Provider Name | Don M Armstrong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043326465 PECOS PAC ID: 8628034154 Enrollment ID: I20080710000607 |
| Provider Name | Kristin Davis Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548350234 PECOS PAC ID: 9436223674 Enrollment ID: I20080805000861 |
| Provider Name | Adeyemi A Lawal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528009875 PECOS PAC ID: 7113921172 Enrollment ID: I20080813000580 |
| Provider Name | Matthew Thomas Sproul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619005204 PECOS PAC ID: 1951476654 Enrollment ID: I20080814000466 |
| Provider Name | Theresa C Amerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518094093 PECOS PAC ID: 0345315057 Enrollment ID: I20080814000551 |
| Provider Name | Donna Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588742100 PECOS PAC ID: 3072575463 Enrollment ID: I20080819000620 |
| Provider Name | Habib Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568418291 PECOS PAC ID: 7517032592 Enrollment ID: I20080826000823 |
| Provider Name | German Dy Dejoya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306846589 PECOS PAC ID: 4082631544 Enrollment ID: I20080828000581 |
| Provider Name | Mark J Gruchacz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659364115 PECOS PAC ID: 3274529474 Enrollment ID: I20080904000569 |
| Provider Name | Andrea Honeycutt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083839674 PECOS PAC ID: 9436226008 Enrollment ID: I20080923000726 |
| Provider Name | Sailaja Yerrabapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871714576 PECOS PAC ID: 2769550672 Enrollment ID: I20081006000216 |
| Provider Name | Alice L Kamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407819337 PECOS PAC ID: 4486686060 Enrollment ID: I20081008000548 |
| Provider Name | Samira S Tahtawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831244946 PECOS PAC ID: 4880762426 Enrollment ID: I20081008000792 |
| Provider Name | Casey D Jenkins |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1780897645 PECOS PAC ID: 1456427251 Enrollment ID: I20081010000592 |
| Provider Name | Marili U Witt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316168065 PECOS PAC ID: 3779641204 Enrollment ID: I20081027000843 |
| Provider Name | Lori B Lilley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629099833 PECOS PAC ID: 1456249614 Enrollment ID: I20081101000146 |
| Provider Name | Jennifer Vick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225211964 PECOS PAC ID: 4284796251 Enrollment ID: I20081229000626 |
| Provider Name | Eric L Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730120767 PECOS PAC ID: 3274579966 Enrollment ID: I20090115000126 |
| Provider Name | Fatima Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669644787 PECOS PAC ID: 9032280086 Enrollment ID: I20090115000143 |
| Provider Name | Ronald A Summers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730183559 PECOS PAC ID: 6002808938 Enrollment ID: I20090210000799 |
| Provider Name | Kristin E Harbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467632281 PECOS PAC ID: 5092870501 Enrollment ID: I20090217000634 |
| Provider Name | Thomas Page High |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750536132 PECOS PAC ID: 5496812471 Enrollment ID: I20090318000319 |
| Provider Name | Bhavani Balaravi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982681417 PECOS PAC ID: 2567428295 Enrollment ID: I20090407000105 |
| Provider Name | Amy Stevenson Mccunney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912055914 PECOS PAC ID: 0345397469 Enrollment ID: I20090407000402 |
| Provider Name | Eugene W Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700873460 PECOS PAC ID: 3577511872 Enrollment ID: I20090414000562 |
| Provider Name | Jessica C Revels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659455657 PECOS PAC ID: 0143247791 Enrollment ID: I20090512000586 |
| Provider Name | David Michael Scholle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821020629 PECOS PAC ID: 5698796605 Enrollment ID: I20090602000324 |
| Provider Name | Karen L Bash |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427068568 PECOS PAC ID: 2668522202 Enrollment ID: I20090602000649 |
| Provider Name | Michael O Ferguson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083623268 PECOS PAC ID: 1153471776 Enrollment ID: I20090602000675 |
| Provider Name | Robert Matthews |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215965033 PECOS PAC ID: 3577460195 Enrollment ID: I20090602000678 |
| Provider Name | Gregory J Mohs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629088612 PECOS PAC ID: 4183774722 Enrollment ID: I20090602000681 |
| Provider Name | Ritu R Sandhu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730192402 PECOS PAC ID: 5890845432 Enrollment ID: I20090602000698 |
| Provider Name | Kathleen A Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043460967 PECOS PAC ID: 9133279383 Enrollment ID: I20090609000342 |
| Provider Name | Jason C Haag |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578788162 PECOS PAC ID: 5698825818 Enrollment ID: I20090610000219 |
| Provider Name | Andrew Joseph Sampson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891911384 PECOS PAC ID: 0840340063 Enrollment ID: I20090610000244 |
| Provider Name | John Mezzullo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497795553 PECOS PAC ID: 1153471172 Enrollment ID: I20090615000053 |
| Provider Name | Julie H Paul |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386885606 PECOS PAC ID: 1850441544 Enrollment ID: I20090618000624 |
| Provider Name | Maria V Sealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689819351 PECOS PAC ID: 6002967635 Enrollment ID: I20090622000520 |
| Provider Name | Shannon Marie Scholl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871715813 PECOS PAC ID: 0749331296 Enrollment ID: I20090624000269 |
| Provider Name | Seth C Brody |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629088653 PECOS PAC ID: 1153472527 Enrollment ID: I20090624000516 |
| Provider Name | Jeffrey E Abrams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679581011 PECOS PAC ID: 3678625175 Enrollment ID: I20090714000678 |
| Provider Name | Micah Hooper Krempasky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326131053 PECOS PAC ID: 7911059068 Enrollment ID: I20090721000158 |
| Provider Name | Virginia Weber Wolf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912132515 PECOS PAC ID: 6305999277 Enrollment ID: I20090727000034 |
| Provider Name | Alexandra D Bentley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457524324 PECOS PAC ID: 1557415577 Enrollment ID: I20090810000645 |
| Provider Name | Shams Zia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407029044 PECOS PAC ID: 1254485865 Enrollment ID: I20090817000619 |
| Provider Name | Tara Creighton Cooley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891916516 PECOS PAC ID: 5193879542 Enrollment ID: I20090819000354 |
| Provider Name | Allen F Marshall |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689894420 PECOS PAC ID: 7012061294 Enrollment ID: I20090822000130 |
| Provider Name | Pavlo I Netrebko |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629240395 PECOS PAC ID: 2264504661 Enrollment ID: I20090901000563 |
| Provider Name | Christy Louise Delaire-henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598774770 PECOS PAC ID: 5890840524 Enrollment ID: I20090902000361 |
| Provider Name | Carmin Kalorin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952559635 PECOS PAC ID: 5799830097 Enrollment ID: I20090910000458 |
| Provider Name | Jennifer W Trbovich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154373686 PECOS PAC ID: 9537215777 Enrollment ID: I20090914000301 |
| Provider Name | Abu-ahmed Z Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164645362 PECOS PAC ID: 1557417417 Enrollment ID: I20090917000197 |
| Provider Name | Ann Y Becker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588688642 PECOS PAC ID: 2062418197 Enrollment ID: I20090924000606 |
| Provider Name | Edmond R White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720225949 PECOS PAC ID: 0446397103 Enrollment ID: I20091028000787 |
| Provider Name | Mitchell Amuda Mah'moud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699769257 PECOS PAC ID: 0244379535 Enrollment ID: I20091130000036 |
| Provider Name | Darrin R Hursey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609088970 PECOS PAC ID: 1052388907 Enrollment ID: I20091209000725 |
| Provider Name | Jennifer W Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275641664 PECOS PAC ID: 1850431040 Enrollment ID: I20091218000465 |
| Provider Name | James C Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124015862 PECOS PAC ID: 3577591429 Enrollment ID: I20100105000667 |
| Provider Name | Alden Berkeley Maier |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083834212 PECOS PAC ID: 8022169697 Enrollment ID: I20100123000172 |
| Provider Name | Paul Robert Becherer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962464719 PECOS PAC ID: 0244371946 Enrollment ID: I20100220000249 |
| Provider Name | John E Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942210976 PECOS PAC ID: 8628113735 Enrollment ID: I20100301000463 |
| Provider Name | Jayalalitha D Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417104597 PECOS PAC ID: 0244375897 Enrollment ID: I20100306000260 |
| Provider Name | Toni Michelle Czito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649232653 PECOS PAC ID: 6103961768 Enrollment ID: I20100306000324 |
| Provider Name | Christopher William Ingram |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780647032 PECOS PAC ID: 8426199126 Enrollment ID: I20100310000979 |
| Provider Name | Uma Akkineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043293558 PECOS PAC ID: 5799752960 Enrollment ID: I20100320000065 |
| Provider Name | Allyson E Mauzy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922334762 PECOS PAC ID: 3577698109 Enrollment ID: I20100320000225 |
| Provider Name | William G Sullivan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083783005 PECOS PAC ID: 0042346439 Enrollment ID: I20100324000805 |
| Provider Name | Syed A Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053363325 PECOS PAC ID: 7911810965 Enrollment ID: I20100506000706 |
| Provider Name | Michael D Rodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093724288 PECOS PAC ID: 4284762394 Enrollment ID: I20100511000889 |
| Provider Name | Mary Anne Dooley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376616185 PECOS PAC ID: 5991834657 Enrollment ID: I20100519000293 |
| Provider Name | Neeraj K Sachdeva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164562005 PECOS PAC ID: 8628138104 Enrollment ID: I20100526000316 |
| Provider Name | Sanjay Arun Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992765218 PECOS PAC ID: 7113826371 Enrollment ID: I20100601000287 |
| Provider Name | Michael P Battaglino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497894927 PECOS PAC ID: 5890855274 Enrollment ID: I20100601000288 |
| Provider Name | Charles Scott Hultman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1245324243 PECOS PAC ID: 0749310969 Enrollment ID: I20100615000748 |
| Provider Name | Paul Mark Heimbecker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396719266 PECOS PAC ID: 6507819745 Enrollment ID: I20100616000295 |
| Provider Name | Mark D Piehl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386678514 PECOS PAC ID: 2163552142 Enrollment ID: I20100618000094 |
| Provider Name | Mary A Marshbanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396754586 PECOS PAC ID: 0042341745 Enrollment ID: I20100624000327 |
| Provider Name | Andrea K Crane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104021559 PECOS PAC ID: 0840321048 Enrollment ID: I20100702000394 |
| Provider Name | Vijay Kumar Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972736023 PECOS PAC ID: 0143352120 Enrollment ID: I20100712000215 |
| Provider Name | Paul Youngbok Oh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689633794 PECOS PAC ID: 4183767130 Enrollment ID: I20100727000892 |
| Provider Name | Wissam B Mansour |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669662201 PECOS PAC ID: 5698808608 Enrollment ID: I20100728000234 |
| Provider Name | Tiffany Nicole Lowe Clayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952411944 PECOS PAC ID: 7911931779 Enrollment ID: I20100803000544 |
| Provider Name | Jeanne M Hutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952541781 PECOS PAC ID: 9234272501 Enrollment ID: I20100803000649 |
| Provider Name | Jimmy Locklear |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518965979 PECOS PAC ID: 1658453709 Enrollment ID: I20100803000943 |
| Provider Name | Christopher J Schwarz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649319195 PECOS PAC ID: 8527128909 Enrollment ID: I20100819000822 |
| Provider Name | Marsha M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275723017 PECOS PAC ID: 1557485828 Enrollment ID: I20100824000877 |
| Provider Name | Amer Adam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528077708 PECOS PAC ID: 0244354850 Enrollment ID: I20100903000386 |
| Provider Name | George L Vergolias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851478143 PECOS PAC ID: 4587788997 Enrollment ID: I20100907000772 |
| Provider Name | Rollin Desauguste |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063688646 PECOS PAC ID: 4880719848 Enrollment ID: I20100914000657 |
| Provider Name | Jennifer Lynn King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245381367 PECOS PAC ID: 0648396036 Enrollment ID: I20100922001051 |
| Provider Name | Corey A Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790906543 PECOS PAC ID: 1052437928 Enrollment ID: I20100928001448 |
| Provider Name | Kimberly M Erickson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649289679 PECOS PAC ID: 1759386410 Enrollment ID: I20100929001222 |
| Provider Name | Christine A Kornegay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801104518 PECOS PAC ID: 0244422632 Enrollment ID: I20101004000777 |
| Provider Name | Jill M Pappalardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003074246 PECOS PAC ID: 5294927620 Enrollment ID: I20101004001287 |
| Provider Name | Makram A Yassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841510013 PECOS PAC ID: 0042403305 Enrollment ID: I20101019000583 |
| Provider Name | Qing Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477882009 PECOS PAC ID: 4688867641 Enrollment ID: I20101022000148 |
| Provider Name | Ismael Tamba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871757948 PECOS PAC ID: 7810180619 Enrollment ID: I20101026000099 |
| Provider Name | Robert Gordon Skwerer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184683799 PECOS PAC ID: 6103010558 Enrollment ID: I20101030000065 |
| Provider Name | John Andrew Bullington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063721223 PECOS PAC ID: 8224223078 Enrollment ID: I20101106000036 |
| Provider Name | Idalina Garcia Hruby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336348697 PECOS PAC ID: 7719074681 Enrollment ID: I20110112000366 |
| Provider Name | Monika Dena Kraus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366778813 PECOS PAC ID: 0042490377 Enrollment ID: I20110203000804 |
| Provider Name | Neil C Vining |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245343060 PECOS PAC ID: 4981771060 Enrollment ID: I20110210000322 |
| Provider Name | Rakesh R Sheliya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356652416 PECOS PAC ID: 3779617089 Enrollment ID: I20110215000902 |
| Provider Name | Faisal Ahmad Daud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780850305 PECOS PAC ID: 0648451039 Enrollment ID: I20110217000632 |
| Provider Name | Christopher John Dahm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508890807 PECOS PAC ID: 7214110956 Enrollment ID: I20110317000818 |
| Provider Name | Chad Christopher Greer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063629392 PECOS PAC ID: 5193870566 Enrollment ID: I20110406000542 |
| Provider Name | Sukanto Biswas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356350490 PECOS PAC ID: 6608051925 Enrollment ID: I20110502000761 |
| Provider Name | Eduardo Borja Lascurain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760406219 PECOS PAC ID: 6507875101 Enrollment ID: I20110630000462 |
| Provider Name | Sally Suzanne Benton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902093479 PECOS PAC ID: 5092984401 Enrollment ID: I20110801000506 |
| Provider Name | Julie Stembridge |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225205172 PECOS PAC ID: 3870763030 Enrollment ID: I20110825000068 |
| Provider Name | Harishchandra Mahaseth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043476922 PECOS PAC ID: 7517024029 Enrollment ID: I20110929000037 |
| Provider Name | Hitesh Avaiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497916415 PECOS PAC ID: 6406028893 Enrollment ID: I20111006000664 |
| Provider Name | Bryan G Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053594192 PECOS PAC ID: 6800068123 Enrollment ID: I20111011000277 |
| Provider Name | Anomis D Dula |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346557576 PECOS PAC ID: 6507039120 Enrollment ID: I20111027000051 |
| Provider Name | Okechukwu E Nwoko |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1649435645 PECOS PAC ID: 6608049952 Enrollment ID: I20111101000522 |
| Provider Name | Parul Kharod |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720384233 PECOS PAC ID: 6709050230 Enrollment ID: I20111121000016 |
| Provider Name | Shonna Olivia Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932332939 PECOS PAC ID: 1658417803 Enrollment ID: I20111207000908 |
| Provider Name | Ramesh B Konduru |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477717445 PECOS PAC ID: 6608059241 Enrollment ID: I20111213000005 |
| Provider Name | Venkata Suda |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982884078 PECOS PAC ID: 7113017146 Enrollment ID: I20120131000551 |
| Provider Name | Li Xu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871759258 PECOS PAC ID: 6002974110 Enrollment ID: I20120303000037 |
| Provider Name | George M Wadie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831121367 PECOS PAC ID: 5496848772 Enrollment ID: I20120316000281 |
| Provider Name | Yogita Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861655904 PECOS PAC ID: 1355501735 Enrollment ID: I20120321000680 |
| Provider Name | Yousef Abumostafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356622393 PECOS PAC ID: 0840450243 Enrollment ID: I20120322000010 |
| Provider Name | Kimberly Webster Potter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609954676 PECOS PAC ID: 4688835275 Enrollment ID: I20120406000350 |
| Provider Name | Daniela T Ivanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447531488 PECOS PAC ID: 3375704448 Enrollment ID: I20120417000390 |
| Provider Name | John D Hoover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700857869 PECOS PAC ID: 9436312766 Enrollment ID: I20120523000347 |
| Provider Name | Tina M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639202336 PECOS PAC ID: 8325202054 Enrollment ID: I20120611000009 |
| Provider Name | Allison H Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760583090 PECOS PAC ID: 6002070307 Enrollment ID: I20120618000717 |
| Provider Name | Kelsey L Busche |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841559408 PECOS PAC ID: 1951565159 Enrollment ID: I20120620000396 |
| Provider Name | Adam Creech |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770718900 PECOS PAC ID: 1355506411 Enrollment ID: I20120625000026 |
| Provider Name | Hillary Elizabeth Lockemer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457512493 PECOS PAC ID: 4486810611 Enrollment ID: I20120716000460 |
| Provider Name | Ivy P Pointer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962629790 PECOS PAC ID: 3476719634 Enrollment ID: I20120717000185 |
| Provider Name | Ryan Patrick Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932333952 PECOS PAC ID: 1850557869 Enrollment ID: I20120719000173 |
| Provider Name | Blair V Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437239829 PECOS PAC ID: 7113173006 Enrollment ID: I20120808000691 |
| Provider Name | Amantia Kennedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053572537 PECOS PAC ID: 6305092164 Enrollment ID: I20120809000657 |
| Provider Name | Jordan P Allem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255567830 PECOS PAC ID: 2062668593 Enrollment ID: I20120815000609 |
| Provider Name | Josh Whitham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508068818 PECOS PAC ID: 9133255987 Enrollment ID: I20120820000858 |
| Provider Name | Jennifer Kae Whitham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912100363 PECOS PAC ID: 1456508449 Enrollment ID: I20120827000464 |
| Provider Name | Bradley H Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194959114 PECOS PAC ID: 1456508175 Enrollment ID: I20120830000556 |
| Provider Name | Bryon J Boulton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497966782 PECOS PAC ID: 7719135193 Enrollment ID: I20120910000000 |
| Provider Name | Emily Norris Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376807669 PECOS PAC ID: 0547418618 Enrollment ID: I20120913000836 |
| Provider Name | Rajat R Fofaria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780674721 PECOS PAC ID: 1052484680 Enrollment ID: I20120927000050 |
| Provider Name | Quaratulain Anwar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710177548 PECOS PAC ID: 9830348366 Enrollment ID: I20120927000233 |
| Provider Name | Dana Lindsay Haake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457584831 PECOS PAC ID: 8820249972 Enrollment ID: I20121119000288 |
| Provider Name | Matthew C Alleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295936714 PECOS PAC ID: 7214189166 Enrollment ID: I20121129000015 |
| Provider Name | Nisha Thannikkary Manickam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023342938 PECOS PAC ID: 4385836188 Enrollment ID: I20121214000023 |
| Provider Name | Deepa Kabirdas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780851840 PECOS PAC ID: 9032284963 Enrollment ID: I20121217000217 |
| Provider Name | Corenthian Booker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740402007 PECOS PAC ID: 5597917609 Enrollment ID: I20121218000010 |
| Provider Name | Krista Ramey Guerreiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811284144 PECOS PAC ID: 2264685288 Enrollment ID: I20121226000228 |
| Provider Name | Carmen Je Vonne Beamon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437350154 PECOS PAC ID: 1850544677 Enrollment ID: I20130103000265 |
| Provider Name | Kelly Pflaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760736169 PECOS PAC ID: 2961655584 Enrollment ID: I20130110000270 |
| Provider Name | Amitabh Purohit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043232127 PECOS PAC ID: 9830193390 Enrollment ID: I20130129000456 |
| Provider Name | Tanya R Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336346840 PECOS PAC ID: 1557515038 Enrollment ID: I20130209000025 |
| Provider Name | Srikar Reddy Sudini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578794780 PECOS PAC ID: 4082861604 Enrollment ID: I20130219000385 |
| Provider Name | Steven P Praske |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679631469 PECOS PAC ID: 0749435766 Enrollment ID: I20130223000103 |
| Provider Name | Cynthia Jane Boardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508026410 PECOS PAC ID: 1254586274 Enrollment ID: I20130224000006 |
| Provider Name | Jessica H Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760643043 PECOS PAC ID: 9032364963 Enrollment ID: I20130226000676 |
| Provider Name | Robert Werner Thiele |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851349203 PECOS PAC ID: 2163677428 Enrollment ID: I20130313000163 |
| Provider Name | Christina R Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629320981 PECOS PAC ID: 2860637824 Enrollment ID: I20130321000275 |
| Provider Name | Gregory Thomas Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033487806 PECOS PAC ID: 2466697131 Enrollment ID: I20130328000545 |
| Provider Name | Celine Ann Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720120298 PECOS PAC ID: 1658552369 Enrollment ID: I20130416000132 |
| Provider Name | Ronald J Prucha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982674362 PECOS PAC ID: 6406891910 Enrollment ID: I20130507000703 |
| Provider Name | Dana Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316291057 PECOS PAC ID: 3779721279 Enrollment ID: I20130522000454 |
| Provider Name | Matthew Louis Zerden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811122369 PECOS PAC ID: 2264673847 Enrollment ID: I20130724000273 |
| Provider Name | Kevin Davidson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356571392 PECOS PAC ID: 6709035454 Enrollment ID: I20130816000847 |
| Provider Name | Adam Troy Kansagor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306077474 PECOS PAC ID: 9739322892 Enrollment ID: I20130821000814 |
| Provider Name | Joshua Surowitz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700080678 PECOS PAC ID: 5698938272 Enrollment ID: I20130823000807 |
| Provider Name | Sean Bush |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184739872 PECOS PAC ID: 9830253525 Enrollment ID: I20130828000017 |
| Provider Name | Jay Lalit Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518125111 PECOS PAC ID: 2567605066 Enrollment ID: I20130903000278 |
| Provider Name | Deepti Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609098235 PECOS PAC ID: 5698843431 Enrollment ID: I20130923000065 |
| Provider Name | Sinthia Mannan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518281187 PECOS PAC ID: 5395989776 Enrollment ID: I20130925000543 |
| Provider Name | Ann S Pate |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497972350 PECOS PAC ID: 2860546447 Enrollment ID: I20131010000496 |
| Provider Name | Sophia Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386962199 PECOS PAC ID: 4082848767 Enrollment ID: I20131011001218 |
| Provider Name | Deepa Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316986086 PECOS PAC ID: 0749230845 Enrollment ID: I20131014000634 |
| Provider Name | Coryell Perez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487825253 PECOS PAC ID: 7113151531 Enrollment ID: I20131017001361 |
| Provider Name | Jamila Dalton Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871847376 PECOS PAC ID: 3375779283 Enrollment ID: I20131125001391 |
| Provider Name | Rupali N Shah |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982805388 PECOS PAC ID: 8123270634 Enrollment ID: I20131203001233 |
| Provider Name | Shelby Mitchell Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598085128 PECOS PAC ID: 1052548674 Enrollment ID: I20131205001051 |
| Provider Name | Charles O Gravatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437163748 PECOS PAC ID: 9830326537 Enrollment ID: I20131227001374 |
| Provider Name | Christopher D Billiar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306276530 PECOS PAC ID: 8224266754 Enrollment ID: I20140108001047 |
| Provider Name | Sayed M Husain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780989376 PECOS PAC ID: 7214161603 Enrollment ID: I20140110001050 |
| Provider Name | Conor M Regan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265635940 PECOS PAC ID: 4789812942 Enrollment ID: I20140115000086 |
| Provider Name | Kristy N Dennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073945416 PECOS PAC ID: 3072741271 Enrollment ID: I20140115001387 |
| Provider Name | Pinal Priyesh Patel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730462573 PECOS PAC ID: 3971731191 Enrollment ID: I20140115001833 |
| Provider Name | Karen S Hutcherson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336574318 PECOS PAC ID: 3476781337 Enrollment ID: I20140122001858 |
| Provider Name | Jihad O Arteh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174713846 PECOS PAC ID: 2567637093 Enrollment ID: I20140127001140 |
| Provider Name | Muhammad F Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093965899 PECOS PAC ID: 5294900700 Enrollment ID: I20140210000633 |
| Provider Name | Rodney P Horton |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346225596 PECOS PAC ID: 7517940570 Enrollment ID: I20140211000547 |
| Provider Name | Latoya Nicole Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477855906 PECOS PAC ID: 5496925372 Enrollment ID: I20140214001001 |
| Provider Name | Stephanie A Gray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932540291 PECOS PAC ID: 7618106667 Enrollment ID: I20140214001487 |
| Provider Name | Laurie Rancik Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821429572 PECOS PAC ID: 9638308505 Enrollment ID: I20140219000818 |
| Provider Name | Amy Howes Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194980425 PECOS PAC ID: 4183854318 Enrollment ID: I20140307000637 |
| Provider Name | Saiyyed O Aziem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073662888 PECOS PAC ID: 2163569203 Enrollment ID: I20140318000500 |
| Provider Name | Heather Lea Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578984167 PECOS PAC ID: 6406087766 Enrollment ID: I20140331000214 |
| Provider Name | Karen L Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578543740 PECOS PAC ID: 2567693609 Enrollment ID: I20140402001782 |
| Provider Name | Karen L Chong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114039989 PECOS PAC ID: 6709882541 Enrollment ID: I20140415001757 |
| Provider Name | Mario Christianto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457611337 PECOS PAC ID: 5294968160 Enrollment ID: I20140429002084 |
| Provider Name | Lindsay C Overton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720401136 PECOS PAC ID: 7315170297 Enrollment ID: I20140429002289 |
| Provider Name | Hollis L Mertens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699726448 PECOS PAC ID: 2163324542 Enrollment ID: I20140602001335 |
| Provider Name | Nancy C White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790895134 PECOS PAC ID: 7911120415 Enrollment ID: I20140602002614 |
| Provider Name | Elizabeth Gaddy Witman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831117688 PECOS PAC ID: 6507080488 Enrollment ID: I20140616001507 |
| Provider Name | David F Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023100930 PECOS PAC ID: 9436374543 Enrollment ID: I20140703001651 |
| Provider Name | Thomas Edward Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346259710 PECOS PAC ID: 7618192519 Enrollment ID: I20140709002091 |
| Provider Name | James Vincent Perciaccante |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831108018 PECOS PAC ID: 3779708425 Enrollment ID: I20140714000797 |
| Provider Name | Jonathan Kevin Seigel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598966111 PECOS PAC ID: 9335364009 Enrollment ID: I20140714001618 |
| Provider Name | Pamela J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881908846 PECOS PAC ID: 7911123963 Enrollment ID: I20140728001120 |
| Provider Name | Melissa A Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740601442 PECOS PAC ID: 9931325727 Enrollment ID: I20140731001548 |
| Provider Name | Joanna A Cartwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851347462 PECOS PAC ID: 9739305525 Enrollment ID: I20140731001610 |
| Provider Name | Sara Marie Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255440186 PECOS PAC ID: 6305063017 Enrollment ID: I20140804001056 |
| Provider Name | Cara Lynn Cameron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477579035 PECOS PAC ID: 0042437436 Enrollment ID: I20140807002532 |
| Provider Name | Joan M Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225044795 PECOS PAC ID: 4688678394 Enrollment ID: I20140819000991 |
| Provider Name | Mahesh Baban Borhade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841456092 PECOS PAC ID: 4587834551 Enrollment ID: I20140822000627 |
| Provider Name | Laura Ann Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396166336 PECOS PAC ID: 9931327293 Enrollment ID: I20140827002970 |
| Provider Name | Stephen Kilb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457461303 PECOS PAC ID: 6002034212 Enrollment ID: I20140902000314 |
| Provider Name | Sara Lynne Kitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922425768 PECOS PAC ID: 4082832126 Enrollment ID: I20140902001431 |
| Provider Name | Elsbeth S Steuck |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366784613 PECOS PAC ID: 7214155241 Enrollment ID: I20140904000545 |
| Provider Name | Meredith E Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386962249 PECOS PAC ID: 5799903761 Enrollment ID: I20140904001983 |
| Provider Name | Crystal M Pressley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952569733 PECOS PAC ID: 4981823838 Enrollment ID: I20140909000345 |
| Provider Name | Cornelia Su Heng Hahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912224296 PECOS PAC ID: 4486891199 Enrollment ID: I20140918000954 |
| Provider Name | Courtney L Weimert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285980870 PECOS PAC ID: 0840419081 Enrollment ID: I20140919001550 |
| Provider Name | Sukaina Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629331673 PECOS PAC ID: 0446494546 Enrollment ID: I20140922000092 |
| Provider Name | Jitendra K Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265728281 PECOS PAC ID: 6002035045 Enrollment ID: I20140924000418 |
| Provider Name | Christine A Pfeifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356303796 PECOS PAC ID: 7618036872 Enrollment ID: I20140924000794 |
| Provider Name | Tammy Scarborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992815492 PECOS PAC ID: 3375762362 Enrollment ID: I20140924002382 |
| Provider Name | Jay Christopher Sellers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215179247 PECOS PAC ID: 7517198641 Enrollment ID: I20140925000989 |
| Provider Name | Jacqueline M Muhammad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669690210 PECOS PAC ID: 2668527094 Enrollment ID: I20140926002028 |
| Provider Name | Virginia G Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699885020 PECOS PAC ID: 7416941976 Enrollment ID: I20140930001410 |
| Provider Name | Elizabeth Bradley Cleland-roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487704912 PECOS PAC ID: 5092935684 Enrollment ID: I20141002000848 |
| Provider Name | Matthew Stedman White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336309277 PECOS PAC ID: 2961622576 Enrollment ID: I20141002001892 |
| Provider Name | Claudia Tolentino Cadet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639338080 PECOS PAC ID: 6800016387 Enrollment ID: I20141003002300 |
| Provider Name | Mark D Henin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962793422 PECOS PAC ID: 2466672563 Enrollment ID: I20141010002341 |
| Provider Name | Judit Maria Kuhn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962721985 PECOS PAC ID: 8123241338 Enrollment ID: I20141014001876 |
| Provider Name | Marc Granata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508162207 PECOS PAC ID: 3779715446 Enrollment ID: I20141016001860 |
| Provider Name | Farah S Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265711444 PECOS PAC ID: 0840411567 Enrollment ID: I20141022001559 |
| Provider Name | Michael Joseph Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174819387 PECOS PAC ID: 4688895287 Enrollment ID: I20141023002511 |
| Provider Name | Shahla Naz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073801817 PECOS PAC ID: 6709007065 Enrollment ID: I20141030000524 |
| Provider Name | Robin Jones |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144203837 PECOS PAC ID: 6800017013 Enrollment ID: I20141030002624 |
| Provider Name | Leanne Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598901712 PECOS PAC ID: 2062634207 Enrollment ID: I20141104000831 |
| Provider Name | Amy J Jnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306088828 PECOS PAC ID: 1456400894 Enrollment ID: I20141107001662 |
| Provider Name | Clare Kelleher Mock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720222425 PECOS PAC ID: 9133385016 Enrollment ID: I20141111000403 |
| Provider Name | Syed Tasleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295142545 PECOS PAC ID: 4082836895 Enrollment ID: I20141111002509 |
| Provider Name | James Merritt Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801112305 PECOS PAC ID: 5395067409 Enrollment ID: I20141126001923 |
| Provider Name | Peter Acheampong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336428580 PECOS PAC ID: 8729259007 Enrollment ID: I20141213000318 |
| Provider Name | Jennifer Rachel Harrington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861625105 PECOS PAC ID: 7113240300 Enrollment ID: I20141218002435 |
| Provider Name | Ulugbek Narbekovich Buriev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578876363 PECOS PAC ID: 9931365970 Enrollment ID: I20141229000331 |
| Provider Name | Elisha Nelle Gulledge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922354885 PECOS PAC ID: 2567614464 Enrollment ID: I20141230002674 |
| Provider Name | Alexandra M Lavenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295030955 PECOS PAC ID: 6305162777 Enrollment ID: I20150302000907 |
| Provider Name | Miriam Elizabeth Loughry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962735142 PECOS PAC ID: 3274859459 Enrollment ID: I20150305001577 |
| Provider Name | Laura Politte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013043447 PECOS PAC ID: 6709064140 Enrollment ID: I20150309000368 |
| Provider Name | Janet N Karanja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902243819 PECOS PAC ID: 8820316391 Enrollment ID: I20150413001373 |
| Provider Name | John B Lykes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053637181 PECOS PAC ID: 4981847241 Enrollment ID: I20150415000945 |
| Provider Name | Sarah Jonas Garro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568881142 PECOS PAC ID: 9830417260 Enrollment ID: I20150416000042 |
| Provider Name | Elizabeth C Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881091072 PECOS PAC ID: 1254659386 Enrollment ID: I20150421001192 |
| Provider Name | Chad A Richardson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336530534 PECOS PAC ID: 0345568309 Enrollment ID: I20150423001318 |
| Provider Name | David Michel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851558100 PECOS PAC ID: 9133384779 Enrollment ID: I20150429001899 |
| Provider Name | Egya Nyameke Chinbuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689989204 PECOS PAC ID: 6002008620 Enrollment ID: I20150519001116 |
| Provider Name | Owais Jeelani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306096938 PECOS PAC ID: 7113199647 Enrollment ID: I20150601002287 |
| Provider Name | John S Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689600686 PECOS PAC ID: 6002900446 Enrollment ID: I20150603001235 |
| Provider Name | Chadwick Bryce Royster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995892 PECOS PAC ID: 4981925617 Enrollment ID: I20150608000321 |
| Provider Name | Tiffany Young Duckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003219429 PECOS PAC ID: 4789995077 Enrollment ID: I20150612000015 |
| Provider Name | Brandon Stacy Rubens |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083646657 PECOS PAC ID: 4486667920 Enrollment ID: I20150616000382 |
| Provider Name | Sharon Y Speed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467494500 PECOS PAC ID: 1456395714 Enrollment ID: I20150618002983 |
| Provider Name | Nancy J Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457793853 PECOS PAC ID: 6608196332 Enrollment ID: I20150620000019 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447564950 PECOS PAC ID: 9234322033 Enrollment ID: I20150713000349 |
| Provider Name | Stacey T Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740677277 PECOS PAC ID: 4385956853 Enrollment ID: I20150713000625 |
| Provider Name | Sarat Ganga |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932392404 PECOS PAC ID: 8921254228 Enrollment ID: I20150713002116 |
| Provider Name | Michele Benoit-wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558332684 PECOS PAC ID: 9537142120 Enrollment ID: I20150713002613 |
| Provider Name | Geoffrey Chase Irons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366835605 PECOS PAC ID: 8527371061 Enrollment ID: I20150713002936 |
| Provider Name | Frances Oliver Wood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083814149 PECOS PAC ID: 1759512098 Enrollment ID: I20150715001305 |
| Provider Name | Michael David Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134412943 PECOS PAC ID: 7416172879 Enrollment ID: I20150803001249 |
| Provider Name | Patricia Morgan Vulpis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962831586 PECOS PAC ID: 3779897566 Enrollment ID: I20150807013301 |
| Provider Name | Alison J Brancato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629338884 PECOS PAC ID: 7517117955 Enrollment ID: I20150810000086 |
| Provider Name | Stephen Daniel Demeo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720251382 PECOS PAC ID: 0446423156 Enrollment ID: I20150811003491 |
| Provider Name | Frantzley James Leroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932592235 PECOS PAC ID: 6709191901 Enrollment ID: I20150818003603 |
| Provider Name | Ureena Manandhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508114612 PECOS PAC ID: 5092020917 Enrollment ID: I20150820010899 |
| Provider Name | Erin Bennek Reis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093971038 PECOS PAC ID: 4284818980 Enrollment ID: I20150826000194 |
| Provider Name | Joanna Schechner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518357383 PECOS PAC ID: 0749596195 Enrollment ID: I20150831000877 |
| Provider Name | Lindsey Markell Deschamps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922215334 PECOS PAC ID: 6800088840 Enrollment ID: I20150831003065 |
| Provider Name | Nahla Abdelmonem Mostafa Osman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548648595 PECOS PAC ID: 6002123965 Enrollment ID: I20150910000689 |
| Provider Name | Malorie Deanne Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841672854 PECOS PAC ID: 8325355449 Enrollment ID: I20150922000496 |
| Provider Name | Stuart David Ginn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609194802 PECOS PAC ID: 3577871136 Enrollment ID: I20150930002540 |
| Provider Name | Ellen Deanne Dillavou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932172442 PECOS PAC ID: 5193702207 Enrollment ID: I20151012002483 |
| Provider Name | Jessica L Wrench |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821479213 PECOS PAC ID: 0244549095 Enrollment ID: I20151019002047 |
| Provider Name | Saif Lutfi Shafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275823882 PECOS PAC ID: 0941458384 Enrollment ID: I20151027002717 |
| Provider Name | Markiesha Willette Edgerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326420928 PECOS PAC ID: 2668781931 Enrollment ID: I20151028000155 |
| Provider Name | Zehra Husain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922276625 PECOS PAC ID: 8820307044 Enrollment ID: I20151028002310 |
| Provider Name | Muhammad N Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073889598 PECOS PAC ID: 1052621521 Enrollment ID: I20151112002477 |
| Provider Name | Radhalakshmi D Aluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376757260 PECOS PAC ID: 7416122957 Enrollment ID: I20151120002196 |
| Provider Name | Heather A Santori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104200815 PECOS PAC ID: 0941500920 Enrollment ID: I20151123002469 |
| Provider Name | Landon T Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376835033 PECOS PAC ID: 2163722885 Enrollment ID: I20151202002527 |
| Provider Name | Geetha Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811253867 PECOS PAC ID: 6204137870 Enrollment ID: I20151228000300 |
| Provider Name | Anais Lauren Klein Joines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447620307 PECOS PAC ID: 4688975196 Enrollment ID: I20151228002026 |
| Provider Name | Courtney Lee Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447635396 PECOS PAC ID: 2365743812 Enrollment ID: I20151229000837 |
| Provider Name | Christopher Michael Thompson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1144541475 PECOS PAC ID: 3476872714 Enrollment ID: I20151229002468 |
| Provider Name | Stacey L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407220684 PECOS PAC ID: 3476855891 Enrollment ID: I20151231000772 |
| Provider Name | Terri Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217450 PECOS PAC ID: 7113220534 Enrollment ID: I20160119001911 |
| Provider Name | Padma Bala Hari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518920545 PECOS PAC ID: 2466457288 Enrollment ID: I20160125001763 |
| Provider Name | Sanjay Jagannath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730136870 PECOS PAC ID: 6406900299 Enrollment ID: I20160202002652 |
| Provider Name | Scott Itzkowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548240229 PECOS PAC ID: 4880777424 Enrollment ID: I20160224000022 |
| Provider Name | Hassan Kahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952628513 PECOS PAC ID: 4688799547 Enrollment ID: I20160330002257 |
| Provider Name | Jessica Lyn Anstoetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629433644 PECOS PAC ID: 1153628425 Enrollment ID: I20160331001514 |
| Provider Name | Laura M Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609239672 PECOS PAC ID: 8224327267 Enrollment ID: I20160516000802 |
| Provider Name | Anjali S Shelke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467743807 PECOS PAC ID: 0244529170 Enrollment ID: I20160517001293 |
| Provider Name | April Wilson Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558729442 PECOS PAC ID: 2961791595 Enrollment ID: I20160520000172 |
| Provider Name | Raghavender Gotur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437394418 PECOS PAC ID: 4587832597 Enrollment ID: I20160531001746 |
| Provider Name | Anna Jaclyn Conterato |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376804674 PECOS PAC ID: 6406071174 Enrollment ID: I20160620000381 |
| Provider Name | Melissa Ann Carlucci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386608404 PECOS PAC ID: 6103009667 Enrollment ID: I20160620001321 |
| Provider Name | Judson Blount Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831363985 PECOS PAC ID: 3971894916 Enrollment ID: I20160621002826 |
| Provider Name | Praveen Namireddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851679237 PECOS PAC ID: 2860790185 Enrollment ID: I20160623000007 |
| Provider Name | Devam Pareshkumar Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104164367 PECOS PAC ID: 1456659044 Enrollment ID: I20160624000580 |
| Provider Name | Chantel Springe Roedner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184986028 PECOS PAC ID: 0749502789 Enrollment ID: I20160714001718 |
| Provider Name | Daniel Lester Fox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578705745 PECOS PAC ID: 7315189347 Enrollment ID: I20160722001524 |
| Provider Name | Diana Spahlinger Mccarthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104182385 PECOS PAC ID: 1557654829 Enrollment ID: I20160725000475 |
| Provider Name | Julie Elizabeth Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134568678 PECOS PAC ID: 6608000252 Enrollment ID: I20160805000001 |
| Provider Name | Audrey Ann Hopping |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134358054 PECOS PAC ID: 2961637988 Enrollment ID: I20160812000005 |
| Provider Name | Elizabeth Grace Jarvis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669732640 PECOS PAC ID: 8921392994 Enrollment ID: I20160815000707 |
| Provider Name | Kajal G Zalavadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497912604 PECOS PAC ID: 8921278441 Enrollment ID: I20160817001365 |
| Provider Name | Evelyn Gabuya Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285094045 PECOS PAC ID: 6002114626 Enrollment ID: I20160822001851 |
| Provider Name | Laurel Rejeana Fiske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144564832 PECOS PAC ID: 3375766983 Enrollment ID: I20160829000750 |
| Provider Name | Charles T Woodham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699968933 PECOS PAC ID: 3476702697 Enrollment ID: I20160906001973 |
| Provider Name | Ummuhan Tekin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336374792 PECOS PAC ID: 4587810882 Enrollment ID: I20160906002042 |
| Provider Name | William Giles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164871224 PECOS PAC ID: 4981990546 Enrollment ID: I20160907002131 |
| Provider Name | Tapan Niranjan Godiwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649436536 PECOS PAC ID: 4789876087 Enrollment ID: I20160912000584 |
| Provider Name | Shiraz Sandhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952566655 PECOS PAC ID: 2961689328 Enrollment ID: I20160913002325 |
| Provider Name | Blair Nicole Wendlandt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437447539 PECOS PAC ID: 8224269923 Enrollment ID: I20160927002168 |
| Provider Name | Kavitta Baman Allem |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588891022 PECOS PAC ID: 9537317474 Enrollment ID: I20161003001159 |
| Provider Name | Terence J Makoid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194175505 PECOS PAC ID: 5890083851 Enrollment ID: I20161007000718 |
| Provider Name | Mohammad Ali Esmadi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215211032 PECOS PAC ID: 3779710744 Enrollment ID: I20161007000841 |
| Provider Name | Janis Dee Lewis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669502969 PECOS PAC ID: 8628366200 Enrollment ID: I20161014000091 |
| Provider Name | Delisha Renee Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558799346 PECOS PAC ID: 3375831878 Enrollment ID: I20161017001951 |
| Provider Name | Tushar Mathur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174713689 PECOS PAC ID: 4284766148 Enrollment ID: I20161018002502 |
| Provider Name | Darius Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316399462 PECOS PAC ID: 3173811486 Enrollment ID: I20161019000342 |
| Provider Name | Benjamin Joseph White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396006896 PECOS PAC ID: 3274758727 Enrollment ID: I20161031002441 |
| Provider Name | Jihan Griggs Hodges |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700153632 PECOS PAC ID: 8123306776 Enrollment ID: I20161102000418 |
| Provider Name | Jessica Cartee Howe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003209867 PECOS PAC ID: 2860770245 Enrollment ID: I20161107000844 |
| Provider Name | Amir Sanii |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750836904 PECOS PAC ID: 5991084154 Enrollment ID: I20161111001035 |
| Provider Name | Jeremy Wilson Wininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720538671 PECOS PAC ID: 8426337411 Enrollment ID: I20161115001489 |
| Provider Name | Luke William Hudson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124577168 PECOS PAC ID: 6103105085 Enrollment ID: I20161116002645 |
| Provider Name | Stephenie Takahashi Manns |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619129046 PECOS PAC ID: 7517097132 Enrollment ID: I20161123000239 |
| Provider Name | Imran Quyyum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942576863 PECOS PAC ID: 2860798873 Enrollment ID: I20161130000605 |
| Provider Name | Danielle Laughlin Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083039507 PECOS PAC ID: 9133425135 Enrollment ID: I20161206001455 |
| Provider Name | Patrick Wayne Donahue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275581142 PECOS PAC ID: 4880598747 Enrollment ID: I20161207001347 |
| Provider Name | Priti Pankaj Patwari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639334550 PECOS PAC ID: 5890929301 Enrollment ID: I20170103000053 |
| Provider Name | Annie Chen Pugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750601209 PECOS PAC ID: 8921225368 Enrollment ID: I20170105002138 |
| Provider Name | Madeeha Saeed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851554265 PECOS PAC ID: 4789966011 Enrollment ID: I20170123001034 |
| Provider Name | Claire Elizabeth Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962805069 PECOS PAC ID: 0941584130 Enrollment ID: I20170308000012 |
| Provider Name | Jessica Leah Hart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750641783 PECOS PAC ID: 2961786918 Enrollment ID: I20170313000045 |
| Provider Name | Samareh Ghorbani Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467778738 PECOS PAC ID: 9537397971 Enrollment ID: I20170313000898 |
| Provider Name | Kimberly Elizabeth Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720186216 PECOS PAC ID: 1850676842 Enrollment ID: I20170313001819 |
| Provider Name | Kristen Nicole Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619246394 PECOS PAC ID: 4284859950 Enrollment ID: I20170322000622 |
| Provider Name | Christopher Andrew Nassef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306284120 PECOS PAC ID: 7113142050 Enrollment ID: I20170327001903 |
| Provider Name | Holly Heather Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770681561 PECOS PAC ID: 6901845478 Enrollment ID: I20170329000031 |
| Provider Name | Kimberly Dawn Nail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194067892 PECOS PAC ID: 0547545816 Enrollment ID: I20170329000533 |
| Provider Name | Anna Wilkins Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992157440 PECOS PAC ID: 4880979186 Enrollment ID: I20170329001535 |
| Provider Name | Kathryn S Salisbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700320595 PECOS PAC ID: 8426334590 Enrollment ID: I20170404002755 |
| Provider Name | Melinda Lynette Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922258656 PECOS PAC ID: 4486930468 Enrollment ID: I20170405000822 |
| Provider Name | Marlene Hinton Heggie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477882421 PECOS PAC ID: 1052697653 Enrollment ID: I20170414000269 |
| Provider Name | Pamela A Mbang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699968347 PECOS PAC ID: 3274728951 Enrollment ID: I20170522000749 |
| Provider Name | Josip Vukina |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790047280 PECOS PAC ID: 0446540603 Enrollment ID: I20170601000022 |
| Provider Name | Kimberly Carmen Munro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225064249 PECOS PAC ID: 0345232542 Enrollment ID: I20170607000579 |
| Provider Name | Jewell Elizabeth Whitmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144492711 PECOS PAC ID: 8921376864 Enrollment ID: I20170616001214 |
| Provider Name | Paul Michael Swaney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518302769 PECOS PAC ID: 7719121383 Enrollment ID: I20170703001965 |
| Provider Name | Linh T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730629296 PECOS PAC ID: 9032489406 Enrollment ID: I20170718000065 |
| Provider Name | Katie Reynolds Howard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205362191 PECOS PAC ID: 4183994858 Enrollment ID: I20170728000735 |
| Provider Name | Laura Elizabeth Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760772834 PECOS PAC ID: 5799056438 Enrollment ID: I20170731000335 |
| Provider Name | Trevor Christopher Upham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285895292 PECOS PAC ID: 8224320965 Enrollment ID: I20170731001075 |
| Provider Name | Serdal Aktolga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003194382 PECOS PAC ID: 7416190707 Enrollment ID: I20170804000758 |
| Provider Name | Gabriel Bryan Winberry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942591383 PECOS PAC ID: 2466742671 Enrollment ID: I20170804002037 |
| Provider Name | Jessica Nicole Schloesser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285072660 PECOS PAC ID: 4082903216 Enrollment ID: I20170808002224 |
| Provider Name | Scott Matthew Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871794305 PECOS PAC ID: 2567781214 Enrollment ID: I20170814001222 |
| Provider Name | Douglas Ian Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881986552 PECOS PAC ID: 3072885896 Enrollment ID: I20170814002866 |
| Provider Name | Damien Maxfield Marycz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356515142 PECOS PAC ID: 2961676291 Enrollment ID: I20170815001361 |
| Provider Name | Michael Robert Ruffolo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326366048 PECOS PAC ID: 3476845991 Enrollment ID: I20170821001911 |
| Provider Name | Nathan Hamilton Calloway |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356601280 PECOS PAC ID: 8426270778 Enrollment ID: I20170828000835 |
| Provider Name | Jeffrey Robert Blackburn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396928966 PECOS PAC ID: 8820245087 Enrollment ID: I20170828001063 |
| Provider Name | Sahba Entessari Maani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952308686 PECOS PAC ID: 6002703667 Enrollment ID: I20170828001523 |
| Provider Name | John Godfred Langhenry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467863134 PECOS PAC ID: 1658597497 Enrollment ID: I20170829002581 |
| Provider Name | Briana Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023437738 PECOS PAC ID: 0244503084 Enrollment ID: I20170830001914 |
| Provider Name | Khaing Zar See |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295153633 PECOS PAC ID: 3870719024 Enrollment ID: I20170901000053 |
| Provider Name | Robert Hugo Nunoo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063662971 PECOS PAC ID: 1052589066 Enrollment ID: I20170901002293 |
| Provider Name | Yunxiang Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679985782 PECOS PAC ID: 5991920803 Enrollment ID: I20170911000206 |
| Provider Name | Erin Kathleen Mcgloin Shanahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720406473 PECOS PAC ID: 7517230790 Enrollment ID: I20170911001124 |
| Provider Name | Randall Bryant Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811308166 PECOS PAC ID: 7315162088 Enrollment ID: I20170911001406 |
| Provider Name | Sami William Mardam-bey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356634166 PECOS PAC ID: 5698904076 Enrollment ID: I20170912003175 |
| Provider Name | Aileen Jenna Beckham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629414164 PECOS PAC ID: 5496077471 Enrollment ID: I20170925002499 |
| Provider Name | Stuart D Russell |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1669407854 PECOS PAC ID: 3870572258 Enrollment ID: I20170928000196 |
| Provider Name | Elissa Dawn Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922468131 PECOS PAC ID: 1153613203 Enrollment ID: I20171005001209 |
| Provider Name | Stephanie L Riggins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356601066 PECOS PAC ID: 2769757293 Enrollment ID: I20171009001886 |
| Provider Name | Ann Yih-ann Chung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558627422 PECOS PAC ID: 1254639677 Enrollment ID: I20171014000476 |
| Provider Name | Rushi Kamlesh Nayak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033413760 PECOS PAC ID: 3678890159 Enrollment ID: I20171017003717 |
| Provider Name | Pooja J Apte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134564669 PECOS PAC ID: 3173759859 Enrollment ID: I20171023001372 |
| Provider Name | Rochelle Lynn O'neil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487180394 PECOS PAC ID: 1759657547 Enrollment ID: I20171023001928 |
| Provider Name | Jessica Lee Tomasula |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639544299 PECOS PAC ID: 0547563298 Enrollment ID: I20171101000951 |
| Provider Name | Nusrat Anny Mujib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285053371 PECOS PAC ID: 2466718762 Enrollment ID: I20171101003390 |
| Provider Name | Vijay Chaudhary |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134388051 PECOS PAC ID: 8022132182 Enrollment ID: I20171102001964 |
| Provider Name | Sarah White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942401930 PECOS PAC ID: 1658637855 Enrollment ID: I20171103001069 |
| Provider Name | Shirley Hseue-yee Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164443974 PECOS PAC ID: 2668455825 Enrollment ID: I20171107000035 |
| Provider Name | Rachel Marie Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164720934 PECOS PAC ID: 2668738527 Enrollment ID: I20171108003050 |
| Provider Name | Christopher Paul Rodgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508838772 PECOS PAC ID: 6204964273 Enrollment ID: I20171115003372 |
| Provider Name | Andea Morawski Mew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982795860 PECOS PAC ID: 1759647134 Enrollment ID: I20171117002976 |
| Provider Name | Marie Ann Morrissette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982123709 PECOS PAC ID: 3577821065 Enrollment ID: I20171209000165 |
| Provider Name | Christina Macrosty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306103403 PECOS PAC ID: 3779735030 Enrollment ID: I20171222000178 |
| Provider Name | Hannah Williams Balogh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417460742 PECOS PAC ID: 9032477872 Enrollment ID: I20171227001683 |
| Provider Name | Emily Ellen Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396109526 PECOS PAC ID: 9830458611 Enrollment ID: I20180124002373 |
| Provider Name | Jonathan Elliott Van Hoose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518472976 PECOS PAC ID: 5193085892 Enrollment ID: I20180126002101 |
| Provider Name | Kelly Maines Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497268320 PECOS PAC ID: 4880954510 Enrollment ID: I20180129000598 |
| Provider Name | Beth A Connelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912251539 PECOS PAC ID: 5496973125 Enrollment ID: I20180208000193 |
| Provider Name | Neal K Chawla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033291190 PECOS PAC ID: 0941302244 Enrollment ID: I20180214000557 |
| Provider Name | Deepti Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831353093 PECOS PAC ID: 5799948386 Enrollment ID: I20180222000921 |
| Provider Name | Jason Joung Woo Nam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689013054 PECOS PAC ID: 6901024785 Enrollment ID: I20180226002696 |
| Provider Name | Subhashini A Sellers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275853640 PECOS PAC ID: 7618108374 Enrollment ID: I20180227000342 |
| Provider Name | Kathryn A Leidecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497261002 PECOS PAC ID: 1456613397 Enrollment ID: I20180313000936 |
| Provider Name | Heather Riewestahl Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831612779 PECOS PAC ID: 1456613033 Enrollment ID: I20180319001919 |
| Provider Name | Brittany Watson Frock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366941965 PECOS PAC ID: 3375807340 Enrollment ID: I20180430001315 |
| Provider Name | Kenton Dover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063857902 PECOS PAC ID: 7315165016 Enrollment ID: I20180510002333 |
| Provider Name | James B Dozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720347065 PECOS PAC ID: 2769634724 Enrollment ID: I20180515000976 |
| Provider Name | Amanda Rose Marie Labenne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528486990 PECOS PAC ID: 5496971871 Enrollment ID: I20180523000498 |
| Provider Name | Stephanie N Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669710927 PECOS PAC ID: 1557581402 Enrollment ID: I20180529002977 |
| Provider Name | Mindi Mclaurin Illig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891297693 PECOS PAC ID: 3678838398 Enrollment ID: I20180530002728 |
| Provider Name | Alexandra Kesler Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063910503 PECOS PAC ID: 1254686595 Enrollment ID: I20180611000292 |
| Provider Name | Edgar Steven Caro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659348217 PECOS PAC ID: 7113914656 Enrollment ID: I20180629000608 |
| Provider Name | Justin Ryan Kauk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710108618 PECOS PAC ID: 5597934869 Enrollment ID: I20180709003271 |
| Provider Name | Catherine S Glazer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114968237 PECOS PAC ID: 9638182728 Enrollment ID: I20180712003036 |
| Provider Name | Matthew Delfino Lyons |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962840181 PECOS PAC ID: 8527283282 Enrollment ID: I20180720003128 |
| Provider Name | Joshua Vega |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790074870 PECOS PAC ID: 8224254453 Enrollment ID: I20180801000754 |
| Provider Name | Patricia Ann Convery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093973075 PECOS PAC ID: 2466609532 Enrollment ID: I20180807000805 |
| Provider Name | Christiana Jahnae Bernal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477811834 PECOS PAC ID: 0749583250 Enrollment ID: I20180807001128 |
| Provider Name | Michael George Hankewycz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740668805 PECOS PAC ID: 4981913787 Enrollment ID: I20180807002100 |
| Provider Name | Jason G Ho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053511543 PECOS PAC ID: 1254597685 Enrollment ID: I20180811000289 |
| Provider Name | Benjamin Jacob Sines |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770970105 PECOS PAC ID: 1355650870 Enrollment ID: I20180813003036 |
| Provider Name | Sanjay Venkatesh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841686391 PECOS PAC ID: 8628378858 Enrollment ID: I20180824000578 |
| Provider Name | Kishan S Parikh |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1780813782 PECOS PAC ID: 4789835216 Enrollment ID: I20180828000169 |
| Provider Name | Kelechi C Uwakwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336654623 PECOS PAC ID: 7113277468 Enrollment ID: I20180906002212 |
| Provider Name | Joseph Jamil Salfity |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881984656 PECOS PAC ID: 7719125012 Enrollment ID: I20180906002274 |
| Provider Name | Gitanjali Madan Fleischman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235422635 PECOS PAC ID: 1951692987 Enrollment ID: I20180906003354 |
| Provider Name | Manjula Nagaraja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770873044 PECOS PAC ID: 3971735994 Enrollment ID: I20180907001436 |
| Provider Name | Matthew J Bruehl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407119266 PECOS PAC ID: 1850510827 Enrollment ID: I20180910000052 |
| Provider Name | Jiandong Zhang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326367574 PECOS PAC ID: 7618266255 Enrollment ID: I20180919000917 |
| Provider Name | Andrea Janelle Chilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558739292 PECOS PAC ID: 4183975659 Enrollment ID: I20180921001438 |
| Provider Name | Gaurav Luther |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790047231 PECOS PAC ID: 1759536451 Enrollment ID: I20180924000929 |
| Provider Name | Jacek Janusz Paszkowiak |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760411656 PECOS PAC ID: 1052316171 Enrollment ID: I20180926004139 |
| Provider Name | Shannon Dorothy Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134614050 PECOS PAC ID: 7719238989 Enrollment ID: I20180927000523 |
| Provider Name | Megan Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134479454 PECOS PAC ID: 9133370349 Enrollment ID: I20181003001525 |
| Provider Name | Jill Tanya High |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700271822 PECOS PAC ID: 4385964220 Enrollment ID: I20181003002923 |
| Provider Name | Tais Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124318126 PECOS PAC ID: 6709007875 Enrollment ID: I20181003003820 |
| Provider Name | Erin Berk Mulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578040325 PECOS PAC ID: 4789936626 Enrollment ID: I20181004001104 |
| Provider Name | Jeff Lawrence Kantor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003979063 PECOS PAC ID: 1355445487 Enrollment ID: I20181005001893 |
| Provider Name | Jennifer Clavier Desilver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023197373 PECOS PAC ID: 3072608009 Enrollment ID: I20181008002708 |
| Provider Name | Kevin Zachary Kinlaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376923078 PECOS PAC ID: 1254644545 Enrollment ID: I20181009002554 |
| Provider Name | Sheree D. Givre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023025574 PECOS PAC ID: 8527112721 Enrollment ID: I20181019002857 |
| Provider Name | Daniel Paredes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194111757 PECOS PAC ID: 9436459047 Enrollment ID: I20181023001552 |
| Provider Name | Michael Ross March |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598848046 PECOS PAC ID: 4183519903 Enrollment ID: I20181030000195 |
| Provider Name | Patrick Orion Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215419379 PECOS PAC ID: 6103179619 Enrollment ID: I20181031001289 |
| Provider Name | Sameer Mirza Baig |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093129207 PECOS PAC ID: 9032489687 Enrollment ID: I20181112001894 |
| Provider Name | Naseem Suleman Paruk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255624490 PECOS PAC ID: 6103055876 Enrollment ID: I20181114001910 |
| Provider Name | Britney Nicole Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730557117 PECOS PAC ID: 5991059677 Enrollment ID: I20181115001627 |
| Provider Name | Liling Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306233457 PECOS PAC ID: 5890049589 Enrollment ID: I20181115002050 |
| Provider Name | Amit Martin Mukhia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144459066 PECOS PAC ID: 5193979110 Enrollment ID: I20181121000813 |
| Provider Name | Thomas Patrick Jensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780843599 PECOS PAC ID: 2567618879 Enrollment ID: I20181126000128 |
| Provider Name | Kaebah Orme-evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689085433 PECOS PAC ID: 8123243789 Enrollment ID: I20181203001758 |
| Provider Name | Richa Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932381829 PECOS PAC ID: 7719135722 Enrollment ID: I20181203002106 |
| Provider Name | Lisa Rachel Lindauer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649436692 PECOS PAC ID: 7618146655 Enrollment ID: I20181210000367 |
| Provider Name | Malini Fonseka Chandra Serharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497131353 PECOS PAC ID: 6800199142 Enrollment ID: I20181211002132 |
| Provider Name | Daniel Scott Menday |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518435858 PECOS PAC ID: 7416291877 Enrollment ID: I20181212000963 |
| Provider Name | Drew Arthur Emge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750769188 PECOS PAC ID: 5698010601 Enrollment ID: I20181219003434 |
| Provider Name | Laurian S Roediger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326331760 PECOS PAC ID: 8325356363 Enrollment ID: I20181221000009 |
| Provider Name | Jennifer Clayton Apple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942785993 PECOS PAC ID: 1456696350 Enrollment ID: I20181221000130 |
| Provider Name | Patricia-marie Edge Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265900013 PECOS PAC ID: 2163768599 Enrollment ID: I20190107001281 |
| Provider Name | Erin Kathleen Menday |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447728399 PECOS PAC ID: 6608112834 Enrollment ID: I20190109002251 |
| Provider Name | Kristine Marie Falk |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952781569 PECOS PAC ID: 1557661279 Enrollment ID: I20190116003827 |
| Provider Name | Bethany Luke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790164051 PECOS PAC ID: 1951647569 Enrollment ID: I20190117002628 |
| Provider Name | Frances Catherine O'hare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982760450 PECOS PAC ID: 0143385120 Enrollment ID: I20190201000612 |
| Provider Name | Adrian Taylor Knaup |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790255362 PECOS PAC ID: 8921345703 Enrollment ID: I20190201000766 |
| Provider Name | Nicole Andrea Orso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740751353 PECOS PAC ID: 9537407044 Enrollment ID: I20190207002327 |
| Provider Name | Laura Beth Mann Dosier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235454240 PECOS PAC ID: 6204078520 Enrollment ID: I20190219001223 |
| Provider Name | Mwiza Gausi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750688651 PECOS PAC ID: 9133390420 Enrollment ID: I20190401002312 |
| Provider Name | Phanice Nancy Kebaso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457825820 PECOS PAC ID: 4587905468 Enrollment ID: I20190402001006 |
| Provider Name | Jeehun Michael Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952592545 PECOS PAC ID: 5395087555 Enrollment ID: I20190508002761 |
| Provider Name | Olatubosun Aloba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982689071 PECOS PAC ID: 1759365729 Enrollment ID: I20190514002971 |
| Provider Name | Ashish Bhasker Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831366731 PECOS PAC ID: 4082788013 Enrollment ID: I20190516002780 |
| Provider Name | Shereen Azam Alavian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508180274 PECOS PAC ID: 5799911863 Enrollment ID: I20190523002174 |
| Provider Name | Brandy Nichole Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699330670 PECOS PAC ID: 4789917998 Enrollment ID: I20190603002152 |
| Provider Name | Tiarney Dannone Ritchwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093115354 PECOS PAC ID: 8921331166 Enrollment ID: I20190604000011 |
| Provider Name | Siva S Ketha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164431284 PECOS PAC ID: 6002817038 Enrollment ID: I20190604001191 |
| Provider Name | Anwaar Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851683395 PECOS PAC ID: 9133390347 Enrollment ID: I20190611002910 |
| Provider Name | Christina M Bull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073920393 PECOS PAC ID: 6800018037 Enrollment ID: I20190612000018 |
| Provider Name | Kaili Lynn Warnock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194297861 PECOS PAC ID: 8628301041 Enrollment ID: I20190617002412 |
| Provider Name | Ananta Subedi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467737601 PECOS PAC ID: 9335366202 Enrollment ID: I20190618001746 |
| Provider Name | Vimal M Rabdiya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285823187 PECOS PAC ID: 7214065663 Enrollment ID: I20190701001073 |
| Provider Name | James Thornton Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982059416 PECOS PAC ID: 0547551178 Enrollment ID: I20190702000777 |
| Provider Name | Saurav Pokharel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811135379 PECOS PAC ID: 1951520774 Enrollment ID: I20190703000039 |
| Provider Name | Marissa Christine Krugh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477073781 PECOS PAC ID: 3971839994 Enrollment ID: I20190730000926 |
| Provider Name | Stephen Randolph Tibbels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205887254 PECOS PAC ID: 6800931676 Enrollment ID: I20190730004632 |
| Provider Name | Nicole Marie Kuhlmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568028348 PECOS PAC ID: 7719213602 Enrollment ID: I20190730004653 |
| Provider Name | Saad Saeed Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164686333 PECOS PAC ID: 0143543017 Enrollment ID: I20190731003963 |
| Provider Name | Benjamin Jay Lyles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316391436 PECOS PAC ID: 0244529832 Enrollment ID: I20190801000262 |
| Provider Name | Anton Travis Manasco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447592522 PECOS PAC ID: 1557593688 Enrollment ID: I20190806002754 |
| Provider Name | Kate Elizabeth Houghtalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427500982 PECOS PAC ID: 7416284807 Enrollment ID: I20190807003455 |
| Provider Name | Kara Rochon Holden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285196980 PECOS PAC ID: 6204163348 Enrollment ID: I20190812002621 |
| Provider Name | Maria Kristina Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275052565 PECOS PAC ID: 7416285135 Enrollment ID: I20190820000719 |
| Provider Name | Robert Anthony Ferguson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1326314808 PECOS PAC ID: 7315171063 Enrollment ID: I20190821004469 |
| Provider Name | Ajaydeep Singh Sidhu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720427289 PECOS PAC ID: 6507103983 Enrollment ID: I20190824000466 |
| Provider Name | Bassam Husam Rimawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437436854 PECOS PAC ID: 5890953871 Enrollment ID: I20190903000354 |
| Provider Name | Melissa Kepke Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205282555 PECOS PAC ID: 3870882269 Enrollment ID: I20190904000365 |
| Provider Name | Amirreza T. Motameni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992091128 PECOS PAC ID: 5496053936 Enrollment ID: I20190905003177 |
| Provider Name | John William Neal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912293283 PECOS PAC ID: 0244529063 Enrollment ID: I20190909000242 |
| Provider Name | Thomas Pace Johnston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922362375 PECOS PAC ID: 9032411871 Enrollment ID: I20190909003879 |
| Provider Name | Robin Mcalister Mangione |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255376786 PECOS PAC ID: 9931250677 Enrollment ID: I20190912000092 |
| Provider Name | Amanda Mathis Holliday |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891299095 PECOS PAC ID: 1456680636 Enrollment ID: I20190913000331 |
| Provider Name | Seth Andrew Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790139871 PECOS PAC ID: 8022307586 Enrollment ID: I20190916000453 |
| Provider Name | Megan E Gooch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235544222 PECOS PAC ID: 7214266287 Enrollment ID: I20190917002018 |
| Provider Name | Joanna Leigh Perez Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780071852 PECOS PAC ID: 7315238383 Enrollment ID: I20190917003477 |
| Provider Name | Katherine Bishop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912392796 PECOS PAC ID: 1759684962 Enrollment ID: I20190918000635 |
| Provider Name | Ali Raza Qamar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316248727 PECOS PAC ID: 6800036732 Enrollment ID: I20190920002236 |
| Provider Name | Chelsea Kechonson Ngongang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669732533 PECOS PAC ID: 1557511235 Enrollment ID: I20190923001488 |
| Provider Name | Melissa Anne Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245799733 PECOS PAC ID: 1355671835 Enrollment ID: I20190925003962 |
| Provider Name | Jiselle Marie Bock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730449273 PECOS PAC ID: 8820380058 Enrollment ID: I20191001002885 |
| Provider Name | Sarah B Obenschain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821659939 PECOS PAC ID: 1759611890 Enrollment ID: I20191002002798 |
| Provider Name | Lewis Joseph Overton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710323704 PECOS PAC ID: 6901020874 Enrollment ID: I20191007003540 |
| Provider Name | Bonnie Lauren Howard Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336701762 PECOS PAC ID: 8022349844 Enrollment ID: I20191009001813 |
| Provider Name | Jonathan Lee Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083970156 PECOS PAC ID: 8325334691 Enrollment ID: I20191009003506 |
| Provider Name | Ryan Li |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790129278 PECOS PAC ID: 3173871605 Enrollment ID: I20191016003671 |
| Provider Name | Sharyn R Marcisak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083862650 PECOS PAC ID: 5496816803 Enrollment ID: I20191021001392 |
| Provider Name | Ryan David Gentry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427491257 PECOS PAC ID: 3476875410 Enrollment ID: I20191021001959 |
| Provider Name | Manisha Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629410386 PECOS PAC ID: 3173819216 Enrollment ID: I20191021002067 |
| Provider Name | Michalina Kupsik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043657422 PECOS PAC ID: 7113223371 Enrollment ID: I20191029001543 |
| Provider Name | Megan Alyssa Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124673090 PECOS PAC ID: 3375875040 Enrollment ID: I20191029003541 |
| Provider Name | Lindsay Carol Boole |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083905087 PECOS PAC ID: 3274865704 Enrollment ID: I20191101000278 |
| Provider Name | Candice Marlow Ray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003159179 PECOS PAC ID: 8022440171 Enrollment ID: I20191112001600 |
| Provider Name | Kelly Marie Hove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215438007 PECOS PAC ID: 0042551699 Enrollment ID: I20191118001273 |
| Provider Name | Erin Elizabeth Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679134837 PECOS PAC ID: 2961834601 Enrollment ID: I20191118001882 |
| Provider Name | Ricci St. Jules |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578917613 PECOS PAC ID: 0547692980 Enrollment ID: I20191122002092 |
| Provider Name | Jonathan Lowe Forbes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174943153 PECOS PAC ID: 7113141995 Enrollment ID: I20191216002736 |
| Provider Name | Leigh Patterson Chancey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063729614 PECOS PAC ID: 9234563677 Enrollment ID: I20191218001549 |
| Provider Name | Angela Mae Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750775607 PECOS PAC ID: 5395179766 Enrollment ID: I20191218002645 |
| Provider Name | Elizabeth Marie Howell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891087037 PECOS PAC ID: 9133434723 Enrollment ID: I20191218002714 |
| Provider Name | Dallas Camille Banner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033763537 PECOS PAC ID: 5799119863 Enrollment ID: I20191223002256 |
| Provider Name | Jennifer C Deane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588113674 PECOS PAC ID: 5496189383 Enrollment ID: I20191231001675 |
| Provider Name | Viet-nhan Hoang Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902997646 PECOS PAC ID: 7315063153 Enrollment ID: I20200121000665 |
| Provider Name | Lauren Marie Hodges |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922495795 PECOS PAC ID: 7012219637 Enrollment ID: I20200131001766 |
| Provider Name | Krista Gail Kiger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912542531 PECOS PAC ID: 5991131419 Enrollment ID: I20200131001964 |
| Provider Name | Katherine Celeste Pataki |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861030108 PECOS PAC ID: 9739515685 Enrollment ID: I20200212001943 |
| Provider Name | Kim Marion Carollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972072114 PECOS PAC ID: 5496095697 Enrollment ID: I20200221002630 |
| Provider Name | Dennis John Redmond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962034256 PECOS PAC ID: 6507296522 Enrollment ID: I20200415001258 |
| Provider Name | Jacquelyn M Steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568000982 PECOS PAC ID: 3577993419 Enrollment ID: I20200417000092 |
| Provider Name | Jangwon Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669767794 PECOS PAC ID: 7113357419 Enrollment ID: I20200429002328 |
| Provider Name | Joshua Lockhart Hudson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598299893 PECOS PAC ID: 0446537104 Enrollment ID: I20200504000152 |
| Provider Name | Swathi Anche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497119085 PECOS PAC ID: 5799029955 Enrollment ID: I20200604000710 |
| Provider Name | Trevor Mark Taylor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134548811 PECOS PAC ID: 5395047039 Enrollment ID: I20200608001235 |
| Provider Name | Marissa Auth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578035770 PECOS PAC ID: 0749526564 Enrollment ID: I20200622001098 |
| Provider Name | Ashish Prabodh Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083645477 PECOS PAC ID: 4880691815 Enrollment ID: I20200629002201 |
| Provider Name | Syed Hanif Hussaini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831517192 PECOS PAC ID: 1759682958 Enrollment ID: I20200702002436 |
| Provider Name | Kristin Mckenzie Alves |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760745202 PECOS PAC ID: 0648425348 Enrollment ID: I20200722002251 |
| Provider Name | Patrick Edward Georgoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376804443 PECOS PAC ID: 4183930688 Enrollment ID: I20200723002902 |
| Provider Name | Cindy Huyen Vu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316309529 PECOS PAC ID: 8729342852 Enrollment ID: I20200727002459 |
| Provider Name | Dana Lynn Doctor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528413408 PECOS PAC ID: 4486944618 Enrollment ID: I20200728003633 |
| Provider Name | Laiby Boban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073121265 PECOS PAC ID: 9931525474 Enrollment ID: I20200814001469 |
| Provider Name | Michael Lee Williford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306256706 PECOS PAC ID: 4385868017 Enrollment ID: I20200824001400 |
| Provider Name | Larry Jan Quate |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669404182 PECOS PAC ID: 8527197763 Enrollment ID: I20200825001818 |
| Provider Name | Jisha John |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457680183 PECOS PAC ID: 9335456821 Enrollment ID: I20200909001770 |
| Provider Name | Rujuta Saraiya |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720241573 PECOS PAC ID: 9032364088 Enrollment ID: I20200918000807 |
| Provider Name | Roberto Rupcich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811342645 PECOS PAC ID: 2163713025 Enrollment ID: I20200928001700 |
| Provider Name | Madison Anne Savage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295243541 PECOS PAC ID: 7517386162 Enrollment ID: I20200930002572 |
| Provider Name | Cedric Eduardo Munoz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538556337 PECOS PAC ID: 7719286343 Enrollment ID: I20201016001438 |
| Provider Name | Clifford Scott Menafra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558989269 PECOS PAC ID: 7214357888 Enrollment ID: I20201020002768 |
| Provider Name | Steven Zawistowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699784009 PECOS PAC ID: 8325144678 Enrollment ID: I20201020003808 |
| Provider Name | Teena Ruby Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336767185 PECOS PAC ID: 8921428343 Enrollment ID: I20201022004076 |
| Provider Name | Brielle Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811502669 PECOS PAC ID: 3971923319 Enrollment ID: I20201023000629 |
| Provider Name | Kunal K Jakharia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306209937 PECOS PAC ID: 0345583977 Enrollment ID: I20201027002081 |
| Provider Name | Khuram Ashraf Bhutta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740609049 PECOS PAC ID: 1850693821 Enrollment ID: I20201030002468 |
| Provider Name | Ashley Brooke Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891050522 PECOS PAC ID: 3375846165 Enrollment ID: I20201105000578 |
| Provider Name | Mark Adel Guirguis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952831620 PECOS PAC ID: 0941611784 Enrollment ID: I20201130000740 |
| Provider Name | Sandeepkumar Gupta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528485729 PECOS PAC ID: 0648595199 Enrollment ID: I20210105000099 |
| Provider Name | Samantha Wingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821609348 PECOS PAC ID: 5395159958 Enrollment ID: I20210122001872 |
| Provider Name | Kristin Ingrid Stange |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881061851 PECOS PAC ID: 4688088446 Enrollment ID: I20210208000077 |
| Provider Name | Julia Claire Dabbs Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952999674 PECOS PAC ID: 4082029079 Enrollment ID: I20210225002051 |
| Provider Name | Heather Faye Hartburg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710349808 PECOS PAC ID: 0840606679 Enrollment ID: I20210303000152 |
| Provider Name | Hannah M Masoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073047528 PECOS PAC ID: 7315215852 Enrollment ID: I20210305000300 |
| Provider Name | Aileen Priscilla Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568082642 PECOS PAC ID: 1759797301 Enrollment ID: I20210308000655 |
| Provider Name | Stacy Lynette Patterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437741808 PECOS PAC ID: 6305252412 Enrollment ID: I20210315001173 |
| Provider Name | Linaleea Cunanan Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669087243 PECOS PAC ID: 7911314778 Enrollment ID: I20210324001115 |
| Provider Name | Erin Michelle Ripley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023492048 PECOS PAC ID: 7416265517 Enrollment ID: I20210416000459 |
| Provider Name | Juan Gilberto Herrera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841282118 PECOS PAC ID: 8729024534 Enrollment ID: I20210421002420 |
| Provider Name | Lisa Marie Chamberlain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316162720 PECOS PAC ID: 5092123489 Enrollment ID: I20210423002061 |
| Provider Name | Maria Batraki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205331451 PECOS PAC ID: 7618231705 Enrollment ID: I20210428002404 |
| Provider Name | Peter Gar-jun Chan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093998361 PECOS PAC ID: 3072687409 Enrollment ID: I20210503000934 |
| Provider Name | Marvin Lee Spicer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659851152 PECOS PAC ID: 2163821174 Enrollment ID: I20210525000793 |
| Provider Name | Alisha Shante Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134531304 PECOS PAC ID: 8123244274 Enrollment ID: I20210526003283 |
| Provider Name | Emily Cathryn Wellman Willner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730593351 PECOS PAC ID: 8527384916 Enrollment ID: I20210623000166 |
| Provider Name | Mohit Mody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124413919 PECOS PAC ID: 0547662546 Enrollment ID: I20210714000299 |
| Provider Name | Ami Rajeswari Rao-zawadzki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376078154 PECOS PAC ID: 4284903683 Enrollment ID: I20210721001193 |
| Provider Name | Colin Muncie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053750059 PECOS PAC ID: 6800112343 Enrollment ID: I20210729000111 |
| Provider Name | Lauren Pearson Marino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992150213 PECOS PAC ID: 7618268673 Enrollment ID: I20210729000536 |
| Provider Name | Kelly Cooke Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568039378 PECOS PAC ID: 6406259381 Enrollment ID: I20210729002681 |
| Provider Name | Matthew Adam Wrench |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689347619 PECOS PAC ID: 7911301924 Enrollment ID: I20210812000360 |
| Provider Name | Rochelle Gabriela Masudal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003396383 PECOS PAC ID: 3173927050 Enrollment ID: I20210816000330 |
| Provider Name | Amarpreet Kaur |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053739854 PECOS PAC ID: 2365663697 Enrollment ID: I20210816000846 |
| Provider Name | Karla Nicole Nieves Borrero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720305766 PECOS PAC ID: 6204070014 Enrollment ID: I20210816003208 |
| Provider Name | Khalid Walid Khayr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366930257 PECOS PAC ID: 0749535557 Enrollment ID: I20210816003220 |
| Provider Name | Kevin Kumar Manocha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1518304625 PECOS PAC ID: 5496994006 Enrollment ID: I20210817001131 |
| Provider Name | Shreena Gaurang Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417440967 PECOS PAC ID: 4587910427 Enrollment ID: I20210824000081 |
| Provider Name | Diya Theresa Jost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669908380 PECOS PAC ID: 9638440357 Enrollment ID: I20210830000916 |
| Provider Name | Leanne Steinbeck Sirk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891368643 PECOS PAC ID: 8426454018 Enrollment ID: I20210907002977 |
| Provider Name | Alison Elizabeth Manikowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679042550 PECOS PAC ID: 4789080391 Enrollment ID: I20210908000413 |
| Provider Name | Benjamin Taylor Demarco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306370135 PECOS PAC ID: 2668749847 Enrollment ID: I20210908002835 |
| Provider Name | Christopher Scott Kaer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467738245 PECOS PAC ID: 7315104460 Enrollment ID: I20211008000886 |
| Provider Name | Andrew William Wyker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093219834 PECOS PAC ID: 7719235696 Enrollment ID: I20211012002724 |
| Provider Name | Brenna Kate Houlihan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053739870 PECOS PAC ID: 9739577065 Enrollment ID: I20211019001956 |
| Provider Name | Tammy Teresa Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104421510 PECOS PAC ID: 9638586274 Enrollment ID: I20211020000089 |
| Provider Name | Derya Ozkok |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326200551 PECOS PAC ID: 3476721465 Enrollment ID: I20211111001471 |
| Provider Name | Courtney Ann Pelitera |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720742372 PECOS PAC ID: 7416347331 Enrollment ID: I20211208003481 |
| Provider Name | Manohar Reddy Chintu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841441912 PECOS PAC ID: 8224206297 Enrollment ID: I20211216000096 |
| Provider Name | Melissa Wilkinson Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205425410 PECOS PAC ID: 2961893730 Enrollment ID: I20220105001867 |
| Provider Name | Sheel Yeshwant Tolia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114152675 PECOS PAC ID: 2365759503 Enrollment ID: I20220118002307 |
| Provider Name | Carol Bashir Bounajim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750870127 PECOS PAC ID: 5991050825 Enrollment ID: I20220120000924 |
| Provider Name | Tiara Amber Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962964007 PECOS PAC ID: 5991046393 Enrollment ID: I20220125002275 |
| Provider Name | Meredith Alyse Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770063083 PECOS PAC ID: 1254724263 Enrollment ID: I20220215000064 |
| Provider Name | Melanee Tomasulo |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1780346478 PECOS PAC ID: 9133513047 Enrollment ID: I20220218000312 |
| Provider Name | Kimberly Elizabeth Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730759788 PECOS PAC ID: 4486049988 Enrollment ID: I20220321000356 |
| Provider Name | Marguerite A Swick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558975417 PECOS PAC ID: 9335534866 Enrollment ID: I20220321001493 |
| Provider Name | Kristin Grimsley Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396496642 PECOS PAC ID: 3779979893 Enrollment ID: I20220329002414 |
| Provider Name | Oliver Louis De Gravelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598964629 PECOS PAC ID: 0941391627 Enrollment ID: I20220330002170 |
| Provider Name | Gwen Christine Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114529070 PECOS PAC ID: 2860888682 Enrollment ID: I20220404002587 |
| Provider Name | Meredith Webster Siler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699430686 PECOS PAC ID: 9133515851 Enrollment ID: I20220406001030 |
| Provider Name | Anna Mary Fleischman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013448075 PECOS PAC ID: 8325317852 Enrollment ID: I20220408001880 |
| Provider Name | Kathleen Ratcliff Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154969657 PECOS PAC ID: 5193111672 Enrollment ID: I20220409000260 |
| Provider Name | Krista C Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932783347 PECOS PAC ID: 9335535848 Enrollment ID: I20220411000737 |
| Provider Name | Rachel Leah Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215609706 PECOS PAC ID: 8022404391 Enrollment ID: I20220413002385 |
| Provider Name | Kelly C. Sulek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578217758 PECOS PAC ID: 2668869413 Enrollment ID: I20220425002067 |
| Provider Name | Tara Faye Brenner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134650211 PECOS PAC ID: 2466721980 Enrollment ID: I20220429001523 |
| Provider Name | Jennifer Marie Moretz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891451589 PECOS PAC ID: 4789071168 Enrollment ID: I20220504000617 |
| Provider Name | Brandee Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528628567 PECOS PAC ID: 1759714355 Enrollment ID: I20220509001598 |
| Provider Name | Kevin Michael Trapani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275928384 PECOS PAC ID: 4183978976 Enrollment ID: I20220511002157 |
| Provider Name | Michael Guy Rydberg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427580935 PECOS PAC ID: 7113294158 Enrollment ID: I20220602000327 |
| Provider Name | Andrew Peterson Lange |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487033999 PECOS PAC ID: 6709198047 Enrollment ID: I20220613001098 |
| Provider Name | Mubashir Hamid Bahrami |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659767929 PECOS PAC ID: 3476808957 Enrollment ID: I20220614001287 |
| Provider Name | Michael P Cowherd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235557034 PECOS PAC ID: 6002037215 Enrollment ID: I20220708003309 |
| Provider Name | Jenna Gross Lawshe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144977216 PECOS PAC ID: 2264812940 Enrollment ID: I20220712002706 |
| Provider Name | Siyara Shannay Dobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023503950 PECOS PAC ID: 2163803891 Enrollment ID: I20220713000568 |
| Provider Name | Shannon Yahyapour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669095139 PECOS PAC ID: 3971984592 Enrollment ID: I20220713003906 |
| Provider Name | Deborah Elizabeth Hage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356560106 PECOS PAC ID: 7315328432 Enrollment ID: I20220721000725 |
| Provider Name | Divyesh Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972954352 PECOS PAC ID: 3274828447 Enrollment ID: I20220803002268 |
| Provider Name | Mary Elizabeth Simmons-sherlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013683911 PECOS PAC ID: 9032591136 Enrollment ID: I20220805002749 |
| Provider Name | Melissa Rolfsen Wooten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841788403 PECOS PAC ID: 4880959261 Enrollment ID: I20220810000243 |
| Provider Name | Gjanje Louise Smith-mathus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831124809 PECOS PAC ID: 8325232739 Enrollment ID: I20220816000112 |
| Provider Name | Christopher William Mcquinn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194168906 PECOS PAC ID: 3476789546 Enrollment ID: I20220816000279 |
| Provider Name | Lee Sheridan Maccabe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801528914 PECOS PAC ID: 5698158921 Enrollment ID: I20220818001202 |
| Provider Name | Janet Niquette Lucien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437506375 PECOS PAC ID: 1759616097 Enrollment ID: I20220826002499 |
| Provider Name | John Arthur Spratt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356301691 PECOS PAC ID: 0446216865 Enrollment ID: I20220829001662 |
| Provider Name | Victoria Oluwafunmito Fashakin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952808859 PECOS PAC ID: 9234513904 Enrollment ID: I20220829003653 |
| Provider Name | Bilal Khalid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336371277 PECOS PAC ID: 3678742046 Enrollment ID: I20220830002116 |
| Provider Name | Kaitlyn Bachman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851870935 PECOS PAC ID: 5890044796 Enrollment ID: I20220830002375 |
| Provider Name | Edward Murray Hodges |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528412111 PECOS PAC ID: 5890088082 Enrollment ID: I20220831000750 |
| Provider Name | Keri Danielle Metcalf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770939993 PECOS PAC ID: 9739472010 Enrollment ID: I20220901000337 |
| Provider Name | Dina Sufian Nayef Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831484005 PECOS PAC ID: 5395972863 Enrollment ID: I20220903000340 |
| Provider Name | Tammy Debevoise |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366872228 PECOS PAC ID: 6406084730 Enrollment ID: I20220907003165 |
| Provider Name | Heather Renee Cupp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932185378 PECOS PAC ID: 4789069923 Enrollment ID: I20220923001732 |
| Provider Name | Kelly Dean Kamp |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821524661 PECOS PAC ID: 9335417195 Enrollment ID: I20220926002318 |
| Provider Name | Joshua Tray Lee Mcgalliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689310187 PECOS PAC ID: 7113303033 Enrollment ID: I20220929003605 |
| Provider Name | Rebecca Leigh Manganello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780117655 PECOS PAC ID: 1254757628 Enrollment ID: I20221004000531 |
| Provider Name | Saleen Anum Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912353640 PECOS PAC ID: 4486948288 Enrollment ID: I20221004003572 |
| Provider Name | Kelly Karell Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306364526 PECOS PAC ID: 1951661818 Enrollment ID: I20221012001315 |
| Provider Name | Leah Nixon Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578129318 PECOS PAC ID: 5890020044 Enrollment ID: I20221018003539 |
| Provider Name | Olivia Jean Wells Hodgson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073106878 PECOS PAC ID: 5294101788 Enrollment ID: I20221025002616 |
| Provider Name | Puneet Agarwal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780905059 PECOS PAC ID: 5294022281 Enrollment ID: I20221027001757 |
| Provider Name | Danielle Roberson Keyton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205363678 PECOS PAC ID: 3779818687 Enrollment ID: I20221031001460 |
| Provider Name | Pallavi Kopparthy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285045500 PECOS PAC ID: 4789946369 Enrollment ID: I20221101000238 |
| Provider Name | Mikira Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598490781 PECOS PAC ID: 6204203417 Enrollment ID: I20221101000797 |
| Provider Name | Nicole Federica |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447975503 PECOS PAC ID: 3870960081 Enrollment ID: I20221101001076 |
| Provider Name | Rafat Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558868463 PECOS PAC ID: 0941545313 Enrollment ID: I20221101001142 |
| Provider Name | Emily Shama Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841882065 PECOS PAC ID: 8022485259 Enrollment ID: I20221101001743 |
| Provider Name | Elizabeth Ann Hogan Lahti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336644301 PECOS PAC ID: 1254744832 Enrollment ID: I20221101001976 |
| Provider Name | Heather Ashley Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740747948 PECOS PAC ID: 7214304468 Enrollment ID: I20221101002644 |
| Provider Name | Allison Catherine Posta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831578434 PECOS PAC ID: 7719299056 Enrollment ID: I20221101002666 |
| Provider Name | Mohammad Aleem Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124233952 PECOS PAC ID: 5092982884 Enrollment ID: I20221114001700 |
| Provider Name | Rebecca Houseal Simpson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912173709 PECOS PAC ID: 4082082573 Enrollment ID: I20221114002213 |
| Provider Name | Faisal Mahmood Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396956371 PECOS PAC ID: 4284826538 Enrollment ID: I20221129003057 |
| Provider Name | Kimberle Ann Cratsenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427430479 PECOS PAC ID: 1254647431 Enrollment ID: I20221206002100 |
| Provider Name | Sarah Christine Billings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083164545 PECOS PAC ID: 0547639015 Enrollment ID: I20221206002272 |
| Provider Name | Astha Dipan Thakkar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1114303989 PECOS PAC ID: 9335487925 Enrollment ID: I20221214001892 |
| Provider Name | Dawn Jeanette Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265870687 PECOS PAC ID: 3072734037 Enrollment ID: I20221215001674 |
| Provider Name | Charlotte Bell Jackson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003143777 PECOS PAC ID: 3274903547 Enrollment ID: I20221230001951 |
| Provider Name | Caitlin Colleena Dumont |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447960505 PECOS PAC ID: 9032589825 Enrollment ID: I20230112002390 |
| Provider Name | Lindsey Ellzey Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275123432 PECOS PAC ID: 9436520681 Enrollment ID: I20230125002915 |
| Provider Name | Zi Yang Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164092110 PECOS PAC ID: 3072901875 Enrollment ID: I20230130001238 |
| Provider Name | Jaskeerat Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487035945 PECOS PAC ID: 4981915600 Enrollment ID: I20230207000881 |
| Provider Name | Johanita Lourens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427301738 PECOS PAC ID: 3173995776 Enrollment ID: I20230208000782 |
| Provider Name | Shineka Latoya Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790370047 PECOS PAC ID: 2668874082 Enrollment ID: I20230220001423 |
| Provider Name | Morgan Vogt Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437887015 PECOS PAC ID: 6507238557 Enrollment ID: I20230221001177 |
| Provider Name | Susan Rene Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124378781 PECOS PAC ID: 5092180216 Enrollment ID: I20230331000416 |
| Provider Name | Anu Boby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720723000 PECOS PAC ID: 0941665012 Enrollment ID: I20230424002478 |
| Provider Name | Elaine Claire-maria Cordeiro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578961918 PECOS PAC ID: 4880059856 Enrollment ID: I20230426000858 |
| Provider Name | Kathryn Shaw Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467689752 PECOS PAC ID: 4688968415 Enrollment ID: I20230427002441 |
| Provider Name | Sarah Elizabeth Dunbar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245632488 PECOS PAC ID: 3173988722 Enrollment ID: I20230503002482 |
| Provider Name | Leanna Marie Warsaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639864861 PECOS PAC ID: 0244697977 Enrollment ID: I20230612000398 |
| Provider Name | Katherine Sheppard Schroeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669960159 PECOS PAC ID: 7618222548 Enrollment ID: I20230622000270 |
| Provider Name | Thomas Joseph D'angelo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154984318 PECOS PAC ID: 3173865623 Enrollment ID: I20230626001023 |
| Provider Name | Grace K Wilcox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669979969 PECOS PAC ID: 1557698123 Enrollment ID: I20230719000715 |
| Provider Name | Khanh Khiem Phan Le |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487074530 PECOS PAC ID: 8325306772 Enrollment ID: I20230719003177 |
| Provider Name | Erin Elizabeth Dunneback |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457916447 PECOS PAC ID: 3678806973 Enrollment ID: I20230720002645 |
| Provider Name | Dannen Dale Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558924555 PECOS PAC ID: 2264765049 Enrollment ID: I20230721002477 |
| Provider Name | Olivia Ann Fassino |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720772254 PECOS PAC ID: 3577923572 Enrollment ID: I20230724000403 |
| Provider Name | Rebecca Ainsworth Zito |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568848364 PECOS PAC ID: 1759690688 Enrollment ID: I20230724002508 |
| Provider Name | Ryan Matthew Orgel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013336015 PECOS PAC ID: 8224393566 Enrollment ID: I20230724002732 |
| Provider Name | Thomas Nash Rusher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982135083 PECOS PAC ID: 4183033749 Enrollment ID: I20230726003121 |
| Provider Name | Sasan Mahmoudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710515804 PECOS PAC ID: 2961863683 Enrollment ID: I20230727003517 |
| Provider Name | Vijay Adimoolam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588693857 PECOS PAC ID: 1658375852 Enrollment ID: I20230731000063 |
| Provider Name | Michelle Nicole Sines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952090110 PECOS PAC ID: 8527429158 Enrollment ID: I20230731000874 |
| Provider Name | Shayne Ryden Geil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982049920 PECOS PAC ID: 1850535360 Enrollment ID: I20230803001648 |
| Provider Name | Audrey Chan Rhee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780806984 PECOS PAC ID: 9638356561 Enrollment ID: I20230808003923 |
| Provider Name | Justin Van Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093205478 PECOS PAC ID: 0244586790 Enrollment ID: I20230809000679 |
| Provider Name | Kathryn Michelle Langley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689295966 PECOS PAC ID: 7911328224 Enrollment ID: I20230821003050 |
| Provider Name | Corianne Denise Rogers |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376998260 PECOS PAC ID: 0042501686 Enrollment ID: I20230830004459 |
| Provider Name | Peter Frederick Farmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205299708 PECOS PAC ID: 5092042473 Enrollment ID: I20230831001676 |
| Provider Name | Kelly Hann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407313729 PECOS PAC ID: 2264865823 Enrollment ID: I20230901003045 |
| Provider Name | Bala Gangadhara Reddy Thatigotla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427225317 PECOS PAC ID: 7911039292 Enrollment ID: I20230906002180 |
| Provider Name | Stephen Asante Boateng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104137405 PECOS PAC ID: 8123313095 Enrollment ID: I20230911002666 |
| Provider Name | Sara Michelle Daum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245734540 PECOS PAC ID: 6901260603 Enrollment ID: I20230914000085 |
| Provider Name | Audrey Ou Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679137418 PECOS PAC ID: 5698009629 Enrollment ID: I20230919001360 |
| Provider Name | Alaina Brooke Eisenhooth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033800578 PECOS PAC ID: 9931554342 Enrollment ID: I20231004002926 |
| Provider Name | Alexis Boyce Hess |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356796288 PECOS PAC ID: 2961797899 Enrollment ID: I20231005002760 |
| Provider Name | Lakhbir Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144637216 PECOS PAC ID: 5496974750 Enrollment ID: I20231009000496 |
| Provider Name | Cameron Austin Kealoha Barber |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1164985412 PECOS PAC ID: 1951638493 Enrollment ID: I20231010002990 |
| Provider Name | Babar Khan Afridi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548881493 PECOS PAC ID: 1456706167 Enrollment ID: I20231016003622 |
| Provider Name | Joshua Michael Clark |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235792342 PECOS PAC ID: 2264766328 Enrollment ID: I20231017002553 |
| Provider Name | Courtney Leigh Kozischek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598445512 PECOS PAC ID: 5496101487 Enrollment ID: I20231026004403 |
| Provider Name | Emery Elizabeth Bulla |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750959706 PECOS PAC ID: 2668829284 Enrollment ID: I20231103000974 |
| Provider Name | Emily Erin Gosche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285139121 PECOS PAC ID: 8224384342 Enrollment ID: I20231107002802 |
| Provider Name | Ashton Lee Boyd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528792900 PECOS PAC ID: 5991152142 Enrollment ID: I20231108003567 |
| Provider Name | Hannah Michelle Mccloskey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346730637 PECOS PAC ID: 7012264393 Enrollment ID: I20231109003544 |
| Provider Name | Mary Abigail Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275285397 PECOS PAC ID: 0648627620 Enrollment ID: I20231113002861 |
| Provider Name | Syed Aleem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104359264 PECOS PAC ID: 7517234453 Enrollment ID: I20231114002573 |
| Provider Name | Kristen Ashley Landis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912685181 PECOS PAC ID: 5092162776 Enrollment ID: I20231117001436 |
| Provider Name | Sarah Willa Boota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659151454 PECOS PAC ID: 2961852496 Enrollment ID: I20231227000039 |
| Provider Name | Maria Yeraldin Peralta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144009788 PECOS PAC ID: 1557711579 Enrollment ID: I20240103000290 |
| Provider Name | Sofia Ghani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427354075 PECOS PAC ID: 5799095709 Enrollment ID: I20240108005108 |
| Provider Name | Christina Elizabeth Murray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184114100 PECOS PAC ID: 1456606268 Enrollment ID: I20240127000513 |
| Provider Name | Rosanna De La Rosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548643117 PECOS PAC ID: 1456704931 Enrollment ID: I20240131003952 |
| Provider Name | Stephanie Marie Deangelis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376092106 PECOS PAC ID: 2769835172 Enrollment ID: I20240201000103 |
| Provider Name | Matthew Dana Stockstill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316277015 PECOS PAC ID: 1759795784 Enrollment ID: I20240207000328 |
| Provider Name | Jennifer Cobb Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760190854 PECOS PAC ID: 3678916590 Enrollment ID: I20240208000045 |
| Provider Name | Umi Aisha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235906793 PECOS PAC ID: 9830533967 Enrollment ID: I20240216002553 |
| Provider Name | Melissa Diane Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386964450 PECOS PAC ID: 1850735853 Enrollment ID: I20240219000007 |
| Provider Name | Lauren Caitlin Boyette |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952826786 PECOS PAC ID: 3870937675 Enrollment ID: I20240220004001 |
| Provider Name | Alesia Perkins Gilmore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063868412 PECOS PAC ID: 8426492067 Enrollment ID: I20240222000334 |
| Provider Name | Lauren Elizabeth Kemeny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013782648 PECOS PAC ID: 6305280983 Enrollment ID: I20240222001635 |
| Provider Name | Abigail Leigh Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750154985 PECOS PAC ID: 8022454859 Enrollment ID: I20240314002395 |
| Provider Name | Evan Andrew Plunkett |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730610346 PECOS PAC ID: 7315219128 Enrollment ID: I20240410000135 |
| Provider Name | David Scott Pickus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902661507 PECOS PAC ID: 1658710876 Enrollment ID: I20240419001925 |
| Provider Name | Theodore Ralph Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992560023 PECOS PAC ID: 9234578469 Enrollment ID: I20240419002146 |
| Provider Name | Neika Dauphin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316696263 PECOS PAC ID: 2769822402 Enrollment ID: I20240429003138 |
| Provider Name | Tomas Jamar Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699550848 PECOS PAC ID: 5597106781 Enrollment ID: I20240520001022 |
| Provider Name | Annie Eva Elin Westlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720857147 PECOS PAC ID: 4981046885 Enrollment ID: I20240523001692 |
| Provider Name | Alexander Scott Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710508866 PECOS PAC ID: 0143662726 Enrollment ID: I20240528003754 |
| Provider Name | Kristen Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598518060 PECOS PAC ID: 3173965407 Enrollment ID: I20240531001049 |
| Provider Name | Sherry Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710567987 PECOS PAC ID: 8820498306 Enrollment ID: I20240605002184 |
| Provider Name | Kendall Christine Jukka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194437806 PECOS PAC ID: 3375916737 Enrollment ID: I20240610000224 |
| Provider Name | Alfredo Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568977486 PECOS PAC ID: 3577005958 Enrollment ID: I20240613000853 |
| Provider Name | Kayla Marilyn Zmayefski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972369973 PECOS PAC ID: 2567905680 Enrollment ID: I20240618001084 |
| Provider Name | Ryan Patrick Searcy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811579782 PECOS PAC ID: 3577963933 Enrollment ID: I20240625001531 |
| Provider Name | Savanna Mae Ciaccio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891375192 PECOS PAC ID: 0547659898 Enrollment ID: I20240808000276 |
| Provider Name | Andrea Lane Macdonald |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356873616 PECOS PAC ID: 5395171110 Enrollment ID: I20240809000978 |
| Provider Name | Bo Zhang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013441112 PECOS PAC ID: 9638434418 Enrollment ID: I20240820004043 |
| Provider Name | Madison Donna Sheafe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861238891 PECOS PAC ID: 7214476043 Enrollment ID: I20240826000516 |
| Provider Name | Keith Garrett Whitlock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396241279 PECOS PAC ID: 5496101263 Enrollment ID: I20240826000756 |
| Provider Name | Katy Lauren Reines |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598328916 PECOS PAC ID: 5092057331 Enrollment ID: I20240826001158 |
| Provider Name | Kyle Samuel Bingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609459205 PECOS PAC ID: 1951701440 Enrollment ID: I20240828005317 |
| Provider Name | Sebastian Andres Werner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972123909 PECOS PAC ID: 8729419726 Enrollment ID: I20240904000998 |
| Provider Name | Julia Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356018741 PECOS PAC ID: 6406396985 Enrollment ID: I20240911001362 |
| Provider Name | Giuseppina Andrawis Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073193355 PECOS PAC ID: 7113327800 Enrollment ID: I20240911001525 |
| Provider Name | Emily Grace Coats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639912157 PECOS PAC ID: 6002356318 Enrollment ID: I20240912002029 |
| Provider Name | Jessica Jean Bonnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952166910 PECOS PAC ID: 7719427004 Enrollment ID: I20240913000478 |
| Provider Name | Megan Stavish Frohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962957449 PECOS PAC ID: 7315235801 Enrollment ID: I20240913001531 |
| Provider Name | Rodrigo Daniel Munoz Dayaa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366062184 PECOS PAC ID: 8426489675 Enrollment ID: I20240917000718 |
| Provider Name | Peyton Noel Gorman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811720345 PECOS PAC ID: 4284175258 Enrollment ID: I20240917004538 |
| Provider Name | Kristian Anthony Figueras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851870620 PECOS PAC ID: 1456694371 Enrollment ID: I20240918002446 |
| Provider Name | Hee Jae Choi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992332951 PECOS PAC ID: 7315390598 Enrollment ID: I20240925000769 |
| Provider Name | Tahira Abiola Hyman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184491698 PECOS PAC ID: 0547791691 Enrollment ID: I20241001001611 |
| Provider Name | Maura Elizabeth Thornton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215591581 PECOS PAC ID: 8426382557 Enrollment ID: I20241002000458 |
| Provider Name | Johnathon Lee Carpenter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801621107 PECOS PAC ID: 3173054699 Enrollment ID: I20241008000817 |
| Provider Name | Neel Atul Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235517871 PECOS PAC ID: 3375891401 Enrollment ID: I20241008001742 |
| Provider Name | Sydney Amidon Hinshaw |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962230664 PECOS PAC ID: 7214469352 Enrollment ID: I20241015001232 |
| Provider Name | Kevin Bradley Mercure |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598767402 PECOS PAC ID: 3678529153 Enrollment ID: I20241021004559 |
| Provider Name | Samantha Louise Eckhardt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013569391 PECOS PAC ID: 2062740707 Enrollment ID: I20241022000956 |
| Provider Name | Michael Bennett Bandklayder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720810310 PECOS PAC ID: 8628501103 Enrollment ID: I20241023002763 |
| Provider Name | Rachel Lynette Schaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629788070 PECOS PAC ID: 2860925245 Enrollment ID: I20241023002940 |
| Provider Name | Francis Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073076147 PECOS PAC ID: 7618203654 Enrollment ID: I20241023004820 |
| Provider Name | Lisa Marie Spencer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790307098 PECOS PAC ID: 0345662326 Enrollment ID: I20241024000590 |
| Provider Name | Andrew William Blake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609403179 PECOS PAC ID: 6507225083 Enrollment ID: I20241025000875 |
| Provider Name | Collette Janelle Rhoden-martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376935486 PECOS PAC ID: 7618286378 Enrollment ID: I20241029002500 |
| Provider Name | Sindi Diko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154812071 PECOS PAC ID: 9234663899 Enrollment ID: I20241105003769 |
| Provider Name | Lincoln Frederick Pratson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033607643 PECOS PAC ID: 7517212327 Enrollment ID: I20241106000673 |
| Provider Name | Adam Zachary Kline |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073187605 PECOS PAC ID: 8325441132 Enrollment ID: I20241107003537 |
| Provider Name | Lauren Alexis Henrikson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1760836753 PECOS PAC ID: 7810249257 Enrollment ID: I20241112002146 |
| Provider Name | Luis Miguel Vazquez-montesino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043767346 PECOS PAC ID: 1153726831 Enrollment ID: I20241113002816 |
| Provider Name | Kirk Allan Caddell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952690224 PECOS PAC ID: 4385862416 Enrollment ID: I20241114002015 |
| Provider Name | Mary Elizabeth Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033800883 PECOS PAC ID: 3072048305 Enrollment ID: I20241125000354 |
| Provider Name | Richard Te Kiok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598058497 PECOS PAC ID: 3173743408 Enrollment ID: I20241126000559 |
| Provider Name | Julie Heriot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689286635 PECOS PAC ID: 0042621351 Enrollment ID: I20241202001571 |
| Provider Name | Jackeline Chaparro Lorenzo Larker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740819549 PECOS PAC ID: 5193147809 Enrollment ID: I20241203000478 |
| Provider Name | James Bradley Muller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285269704 PECOS PAC ID: 6103216767 Enrollment ID: I20241216002097 |
| Provider Name | Jessica Marie Stewart |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104103670 PECOS PAC ID: 0840438966 Enrollment ID: I20250114002722 |
| Provider Name | Joshua Nelson Jaeger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528697919 PECOS PAC ID: 3678935004 Enrollment ID: I20250129002810 |
| Provider Name | Chelsea Nicholette Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134865918 PECOS PAC ID: 6002346764 Enrollment ID: I20250210003368 |
| Provider Name | Wioletta Anna Zoldak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528886793 PECOS PAC ID: 4587184551 Enrollment ID: I20250220001688 |
Alignment Healthcare Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1540 Sunday Dr Ste 214, Raleigh, NC 27607 Phone: 919-803-4820 Fax: 919-803-4821 | |
Essential Health & Wellness Raleigh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Falls Valley Dr Ste 130, Raleigh, NC 27615 Phone: 919-208-2314 | |
Advance Community Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1315 Oakwood Ave, Raleigh, NC 27610 Phone: 919-833-3111 | |
Biobility Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 184 Wind Chime Ct Ste 103, Raleigh, NC 27615 Phone: 843-898-3309 Fax: 919-322-3796 | |
Tlc The Laser Center (carolina) Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10321 Lumley Rd, Ste 101, Raleigh, NC 27617 Phone: 919-544-8581 | |
Wakefield Pediatrics & Adolescent Medicine,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14341 New Falls Of Neuse, Suite 122, Raleigh, NC 27614 Phone: 919-570-7010 Fax: 919-570-7020 | |
J. Gina Lee, Dds, Mds, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10411 Moncreiffe Rd, Suite 105a, Raleigh, NC 27617 Phone: 919-544-9700 Fax: 919-544-9002 |