| Warren Clinic Inc | |
|
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3310 | |
| (918) 488-6001 | |
| (918) 488-6010 |
| Full Name | Warren Clinic Inc |
|---|---|
| Speciality | General Practice |
| Location | 6600 S Yale Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Cathey Rae Duplissey (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9184886687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Clinic Inc 6600 S Yale Ave Suite 1400 Tulsa OK 74136-3310 Ph: (918) 488-6001 | Warren Clinic Inc 6600 S Yale Ave Suite 1400 Tulsa OK 74136-3310 Ph: (918) 488-6001 |
| NPI Number | 1174582282 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8820900293 |
|---|---|
| Medicare Enrollment ID | O20031104000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174582282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Oklahoma) | Primary |
| Provider Name | Terry Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871570986 PECOS PAC ID: 9032013974 Enrollment ID: I20031121000893 |
| Provider Name | Anu Radha Prabhala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518966548 PECOS PAC ID: 6204731631 Enrollment ID: I20031126000686 |
| Provider Name | Mahmood Hussain Khichi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083658447 PECOS PAC ID: 0648175984 Enrollment ID: I20031201000464 |
| Provider Name | Kamran Abbasi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679561872 PECOS PAC ID: 6608773197 Enrollment ID: I20031213000049 |
| Provider Name | Robert W Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053427815 PECOS PAC ID: 0749181766 Enrollment ID: I20040114000162 |
| Provider Name | Christine F Blake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003886466 PECOS PAC ID: 4183525645 Enrollment ID: I20040116000843 |
| Provider Name | Insung Kim |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1528038981 PECOS PAC ID: 0547162513 Enrollment ID: I20040121001140 |
| Provider Name | Darwin B Childs |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730129925 PECOS PAC ID: 2961305792 Enrollment ID: I20040129000673 |
| Provider Name | Tony A Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336131242 PECOS PAC ID: 8628971462 Enrollment ID: I20040129000769 |
| Provider Name | Karamba Ceesay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053397794 PECOS PAC ID: 8123917077 Enrollment ID: I20040310001586 |
| Provider Name | Jacqueline M Petray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548200751 PECOS PAC ID: 9234121781 Enrollment ID: I20040402000427 |
| Provider Name | Ranilo L Vasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669449211 PECOS PAC ID: 4486648565 Enrollment ID: I20040412001338 |
| Provider Name | Nicholas Bentley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932173671 PECOS PAC ID: 8820086002 Enrollment ID: I20040511000128 |
| Provider Name | Robert F Villareal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629046883 PECOS PAC ID: 7719977628 Enrollment ID: I20040513000840 |
| Provider Name | Jonelle Dutton-gaddis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982680757 PECOS PAC ID: 0143211474 Enrollment ID: I20040524001013 |
| Provider Name | Christopher J Pitcock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467431809 PECOS PAC ID: 2769463116 Enrollment ID: I20040601000374 |
| Provider Name | Cyrus Motazedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295714293 PECOS PAC ID: 0345222824 Enrollment ID: I20040607001347 |
| Provider Name | John Franco A Carabello |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245390863 PECOS PAC ID: 2365429420 Enrollment ID: I20040707000039 |
| Provider Name | John E Fell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629091640 PECOS PAC ID: 0547231391 Enrollment ID: I20040804000950 |
| Provider Name | Farshid Adam Amir Zandi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578510657 PECOS PAC ID: 6709858418 Enrollment ID: I20040811001241 |
| Provider Name | Andrew C Mills |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497754261 PECOS PAC ID: 5698749323 Enrollment ID: I20040819001290 |
| Provider Name | Steven B Katsis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841251550 PECOS PAC ID: 6204801186 Enrollment ID: I20040902000175 |
| Provider Name | Christopher C Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154311959 PECOS PAC ID: 1850367525 Enrollment ID: I20040903000243 |
| Provider Name | Melanie Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942257266 PECOS PAC ID: 5193792836 Enrollment ID: I20040913001192 |
| Provider Name | Christopher Abshere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154320901 PECOS PAC ID: 5294702874 Enrollment ID: I20040913001424 |
| Provider Name | John Ashley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063411825 PECOS PAC ID: 9436126059 Enrollment ID: I20040914000303 |
| Provider Name | Scott Sexter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912906132 PECOS PAC ID: 5799752259 Enrollment ID: I20040914000558 |
| Provider Name | Dana Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255330023 PECOS PAC ID: 6406823962 Enrollment ID: I20040914000575 |
| Provider Name | Vincent Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134129356 PECOS PAC ID: 7618944182 Enrollment ID: I20040914000639 |
| Provider Name | Manuel Calvin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396744678 PECOS PAC ID: 6002883584 Enrollment ID: I20040914000688 |
| Provider Name | Rachel L Gibbs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255330007 PECOS PAC ID: 7517934003 Enrollment ID: I20040914000773 |
| Provider Name | Randall Herbel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619976461 PECOS PAC ID: 3870560253 Enrollment ID: I20040915000057 |
| Provider Name | Riley M Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508865361 PECOS PAC ID: 0042287435 Enrollment ID: I20040915000084 |
| Provider Name | Lance Carlton King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538168380 PECOS PAC ID: 0244207652 Enrollment ID: I20040915000276 |
| Provider Name | John L King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467451237 PECOS PAC ID: 8123095536 Enrollment ID: I20040915000296 |
| Provider Name | Jonathan Levine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558360305 PECOS PAC ID: 3577530997 Enrollment ID: I20040915000368 |
| Provider Name | Donald E Loveless |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124027693 PECOS PAC ID: 0840284683 Enrollment ID: I20040916000262 |
| Provider Name | Tito Razdan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194724948 PECOS PAC ID: 2264409457 Enrollment ID: I20040916000363 |
| Provider Name | Joseph Schlecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801895024 PECOS PAC ID: 7719954817 Enrollment ID: I20040916000431 |
| Provider Name | Donna Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700861176 PECOS PAC ID: 5294702304 Enrollment ID: I20040916000560 |
| Provider Name | Jonathan M Baldwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255384988 PECOS PAC ID: 9133197098 Enrollment ID: I20040920000541 |
| Provider Name | Scott Koch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144229469 PECOS PAC ID: 5496724429 Enrollment ID: I20040927001190 |
| Provider Name | Brent Dennis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932185709 PECOS PAC ID: 0547221582 Enrollment ID: I20041022000385 |
| Provider Name | Joseph M Coffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043296718 PECOS PAC ID: 6608837638 Enrollment ID: I20041022000988 |
| Provider Name | Christy D Mayfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578534780 PECOS PAC ID: 2264494590 Enrollment ID: I20041029000471 |
| Provider Name | Samuel Jay Pangburn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922085216 PECOS PAC ID: 9335100494 Enrollment ID: I20041129000529 |
| Provider Name | Sharon K Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295727071 PECOS PAC ID: 9638136484 Enrollment ID: I20041214000535 |
| Provider Name | Yancy Jon Galutia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316981848 PECOS PAC ID: 8921066671 Enrollment ID: I20041228000418 |
| Provider Name | Tammy Lynn Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093899866 PECOS PAC ID: 0648224436 Enrollment ID: I20050428000527 |
| Provider Name | David Louis Kyger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730126210 PECOS PAC ID: 6406896992 Enrollment ID: I20050504000352 |
| Provider Name | Bryan A Lucenta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699886077 PECOS PAC ID: 9638111834 Enrollment ID: I20050527000311 |
| Provider Name | James W Dean |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346270493 PECOS PAC ID: 6406835339 Enrollment ID: I20050629000605 |
| Provider Name | Temitayo B Oyekan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710966122 PECOS PAC ID: 4880639244 Enrollment ID: I20050726000800 |
| Provider Name | Renee Frenier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184601684 PECOS PAC ID: 2567407935 Enrollment ID: I20050822001076 |
| Provider Name | Michelle C Brotherton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285622464 PECOS PAC ID: 3870522261 Enrollment ID: I20051019000810 |
| Provider Name | Imran A Khalidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780661728 PECOS PAC ID: 0244261972 Enrollment ID: I20051031000880 |
| Provider Name | Jerry C Bouman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376518217 PECOS PAC ID: 3476571662 Enrollment ID: I20051107000151 |
| Provider Name | Conchita L Woodruff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720151707 PECOS PAC ID: 0143255802 Enrollment ID: I20051129000280 |
| Provider Name | Lisa R Dautenhahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104894658 PECOS PAC ID: 6608897194 Enrollment ID: I20051213000048 |
| Provider Name | Kenneth E Hamilton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760462618 PECOS PAC ID: 1759398555 Enrollment ID: I20060321000006 |
| Provider Name | Satish Kohli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013091966 PECOS PAC ID: 1759349749 Enrollment ID: I20060509000140 |
| Provider Name | Andrew S Crawford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447237938 PECOS PAC ID: 1850379785 Enrollment ID: I20060620000325 |
| Provider Name | Kelly Coon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003864703 PECOS PAC ID: 0446262836 Enrollment ID: I20060703000114 |
| Provider Name | Chelsea Galutia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427000587 PECOS PAC ID: 2466465364 Enrollment ID: I20060808000091 |
| Provider Name | Amgad F Helmy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275559742 PECOS PAC ID: 9234132457 Enrollment ID: I20060808000547 |
| Provider Name | Anne Burton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366405060 PECOS PAC ID: 5991708067 Enrollment ID: I20060809000348 |
| Provider Name | David E Wiegman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093752016 PECOS PAC ID: 1759384589 Enrollment ID: I20060817000345 |
| Provider Name | Naina L Gross |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649200429 PECOS PAC ID: 0042213720 Enrollment ID: I20060818000251 |
| Provider Name | Michael A Malloy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679597371 PECOS PAC ID: 9931103207 Enrollment ID: I20060830000507 |
| Provider Name | Martina C Hum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699752725 PECOS PAC ID: 5698771772 Enrollment ID: I20061012000429 |
| Provider Name | Vasudevan Unnithan Raghuraman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073582961 PECOS PAC ID: 6002878675 Enrollment ID: I20061012000672 |
| Provider Name | Robert Cole Garrett |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740215292 PECOS PAC ID: 9436154101 Enrollment ID: I20061019000116 |
| Provider Name | Sailatha Padmanabhan Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447285978 PECOS PAC ID: 3870598477 Enrollment ID: I20061023000047 |
| Provider Name | Francis Edward Peluso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689661530 PECOS PAC ID: 7012985369 Enrollment ID: I20061129000227 |
| Provider Name | William J Bowen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235146713 PECOS PAC ID: 1658345046 Enrollment ID: I20070203000105 |
| Provider Name | Karen K Swisher |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528176955 PECOS PAC ID: 2466454210 Enrollment ID: I20070207000316 |
| Provider Name | Stella Jane Cloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750453494 PECOS PAC ID: 5092817817 Enrollment ID: I20070226000568 |
| Provider Name | Gregory B Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962489856 PECOS PAC ID: 1153423785 Enrollment ID: I20070228000036 |
| Provider Name | Ann E Campbell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699850800 PECOS PAC ID: 7214030311 Enrollment ID: I20070309000493 |
| Provider Name | Sherri L Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902877749 PECOS PAC ID: 8022115161 Enrollment ID: I20070524000065 |
| Provider Name | Matthew B Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245201086 PECOS PAC ID: 5496853780 Enrollment ID: I20070611000303 |
| Provider Name | Jane E Bare |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295789493 PECOS PAC ID: 6204935265 Enrollment ID: I20070616000027 |
| Provider Name | Ralph D Ensley |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1225082795 PECOS PAC ID: 8820197882 Enrollment ID: I20070616000044 |
| Provider Name | Gregory A Hill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811934680 PECOS PAC ID: 9638278690 Enrollment ID: I20070616000052 |
| Provider Name | Richard L Irvin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598719775 PECOS PAC ID: 2264531227 Enrollment ID: I20070616000063 |
| Provider Name | Michael Gene Spain |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952357733 PECOS PAC ID: 3274435821 Enrollment ID: I20070616000067 |
| Provider Name | Edward J Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619914991 PECOS PAC ID: 8820900301 Enrollment ID: I20070618000323 |
| Provider Name | Denise M Martineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205920501 PECOS PAC ID: 8224137336 Enrollment ID: I20070629000371 |
| Provider Name | Michael Anthony Kayser |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1548301013 PECOS PAC ID: 1759481120 Enrollment ID: I20070713000612 |
| Provider Name | Prodromos M Angelidis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962542142 PECOS PAC ID: 7517068596 Enrollment ID: I20070720000144 |
| Provider Name | Charles A Rodman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013124031 PECOS PAC ID: 1153422464 Enrollment ID: I20070730000782 |
| Provider Name | Jian Xing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831166917 PECOS PAC ID: 5496846339 Enrollment ID: I20070808000018 |
| Provider Name | Ryan Eric Gursky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366581068 PECOS PAC ID: 0547223240 Enrollment ID: I20070824000419 |
| Provider Name | Tho D Le |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134193832 PECOS PAC ID: 8224121116 Enrollment ID: I20070910000045 |
| Provider Name | Deborah Sue Mcalister |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063448736 PECOS PAC ID: 2264534726 Enrollment ID: I20070912000580 |
| Provider Name | Tammi Lahr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366646028 PECOS PAC ID: 5092809491 Enrollment ID: I20070917000054 |
| Provider Name | Chitra K Gopal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053434092 PECOS PAC ID: 1951495035 Enrollment ID: I20070920000118 |
| Provider Name | Steven A Feher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851431316 PECOS PAC ID: 8426143090 Enrollment ID: I20070927000890 |
| Provider Name | Nathan E Applegate |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871783373 PECOS PAC ID: 4284729583 Enrollment ID: I20071002000286 |
| Provider Name | Stephanie D Burleson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457556474 PECOS PAC ID: 5597851899 Enrollment ID: I20071018000102 |
| Provider Name | Peter E Lantz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659358570 PECOS PAC ID: 9537257571 Enrollment ID: I20071108000626 |
| Provider Name | Oscar James |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629019161 PECOS PAC ID: 4688625924 Enrollment ID: I20080109000503 |
| Provider Name | Richard M Bregman |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1285640771 PECOS PAC ID: 8123055092 Enrollment ID: I20080125000310 |
| Provider Name | John G Ivanoff |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497725857 PECOS PAC ID: 8426951443 Enrollment ID: I20080318000608 |
| Provider Name | Shannon Boughner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194918748 PECOS PAC ID: 6901983535 Enrollment ID: I20080408000098 |
| Provider Name | Laurel K Williston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578534400 PECOS PAC ID: 2769569847 Enrollment ID: I20080414000695 |
| Provider Name | Lawrence Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457532509 PECOS PAC ID: 7618055732 Enrollment ID: I20080415000387 |
| Provider Name | Paul W Kempe |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396825345 PECOS PAC ID: 8729080106 Enrollment ID: I20080520000392 |
| Provider Name | Scott E Felten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316982283 PECOS PAC ID: 6002850583 Enrollment ID: I20080626000151 |
| Provider Name | Shelley D Shoun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467671578 PECOS PAC ID: 9931272846 Enrollment ID: I20080724000584 |
| Provider Name | Noel E Gattenby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003813924 PECOS PAC ID: 2860566460 Enrollment ID: I20080730000702 |
| Provider Name | Erin C Buchanan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053537365 PECOS PAC ID: 4284708785 Enrollment ID: I20080731000731 |
| Provider Name | Kimberly Dawn Felten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073551008 PECOS PAC ID: 1658385687 Enrollment ID: I20080819000392 |
| Provider Name | Dale Kenyon Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972724011 PECOS PAC ID: 9739259276 Enrollment ID: I20080820000651 |
| Provider Name | Isabel Vega |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316073430 PECOS PAC ID: 7012083132 Enrollment ID: I20080913000062 |
| Provider Name | Muhammad Y Darkazally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316139660 PECOS PAC ID: 6608943154 Enrollment ID: I20080924000664 |
| Provider Name | Heather Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487646980 PECOS PAC ID: 3577500370 Enrollment ID: I20080926000510 |
| Provider Name | Kevin Kunkel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801937370 PECOS PAC ID: 5395812663 Enrollment ID: I20080929000394 |
| Provider Name | Jihad Khattab |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730126111 PECOS PAC ID: 2769568153 Enrollment ID: I20081025000141 |
| Provider Name | Sylvia E Walsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598740854 PECOS PAC ID: 0840359352 Enrollment ID: I20081112000376 |
| Provider Name | Madhavi Kommareddi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770798894 PECOS PAC ID: 6406955715 Enrollment ID: I20081118000358 |
| Provider Name | Sheba M Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104082908 PECOS PAC ID: 4981764586 Enrollment ID: I20081126000253 |
| Provider Name | Edgar M Boyd |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235102948 PECOS PAC ID: 0143241554 Enrollment ID: I20081204000982 |
| Provider Name | Jean E Feghali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255318028 PECOS PAC ID: 6709949233 Enrollment ID: I20090109000587 |
| Provider Name | Olakunle D Ajanaku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740270305 PECOS PAC ID: 8224191499 Enrollment ID: I20090114000352 |
| Provider Name | Stephen L Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972502359 PECOS PAC ID: 9133283088 Enrollment ID: I20090121000707 |
| Provider Name | Shahabudeen Usman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114171816 PECOS PAC ID: 7315001690 Enrollment ID: I20090202000086 |
| Provider Name | Christopher R Klotz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114904000 PECOS PAC ID: 3072678457 Enrollment ID: I20090218000611 |
| Provider Name | Scott A Ghere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124286919 PECOS PAC ID: 3072678366 Enrollment ID: I20090220000292 |
| Provider Name | Scott Thomas Dull |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568465961 PECOS PAC ID: 4880580166 Enrollment ID: I20090319000607 |
| Provider Name | Mary T Minielly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417086380 PECOS PAC ID: 5890852586 Enrollment ID: I20090325000101 |
| Provider Name | Patricia A Daily |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972517266 PECOS PAC ID: 3678622677 Enrollment ID: I20090521000552 |
| Provider Name | Reza J Azadi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932300472 PECOS PAC ID: 3072663111 Enrollment ID: I20090610000487 |
| Provider Name | Teressa J Mchenry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538195292 PECOS PAC ID: 2365592391 Enrollment ID: I20090611000738 |
| Provider Name | Rim Tabbaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467686717 PECOS PAC ID: 9739230178 Enrollment ID: I20090625000361 |
| Provider Name | Patrick J Ross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316181720 PECOS PAC ID: 4385795145 Enrollment ID: I20090708000138 |
| Provider Name | Dina Georgy Azadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326232323 PECOS PAC ID: 0749332377 Enrollment ID: I20090713000549 |
| Provider Name | Moutasim Al Shaer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154361004 PECOS PAC ID: 1052395100 Enrollment ID: I20090729000084 |
| Provider Name | Kaci Lynn Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144405937 PECOS PAC ID: 0648323246 Enrollment ID: I20090729000693 |
| Provider Name | Kenneth D Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497896385 PECOS PAC ID: 3072666510 Enrollment ID: I20090731000406 |
| Provider Name | Steven L Hoover |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235370982 PECOS PAC ID: 2567486376 Enrollment ID: I20090731000482 |
| Provider Name | Alisha Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811141989 PECOS PAC ID: 1658425699 Enrollment ID: I20090811000149 |
| Provider Name | Jennifer Jenkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174540785 PECOS PAC ID: 5294888087 Enrollment ID: I20090811000168 |
| Provider Name | Roopa Thukaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629124201 PECOS PAC ID: 7810041860 Enrollment ID: I20090811000250 |
| Provider Name | Stephanie A Meissen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912170515 PECOS PAC ID: 3779638523 Enrollment ID: I20090901000195 |
| Provider Name | Jozef Dzurilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043321664 PECOS PAC ID: 7517012024 Enrollment ID: I20090908000062 |
| Provider Name | Muhammad Afzal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417096629 PECOS PAC ID: 0547316200 Enrollment ID: I20090922000086 |
| Provider Name | Deborah S Mewbourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538397633 PECOS PAC ID: 7618013939 Enrollment ID: I20090930000087 |
| Provider Name | Soumya K Kidiyoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407992928 PECOS PAC ID: 6305983164 Enrollment ID: I20091027000669 |
| Provider Name | Michael J Wackowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275592354 PECOS PAC ID: 0840338067 Enrollment ID: I20091109000605 |
| Provider Name | Wendy Mcconnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295713287 PECOS PAC ID: 7214076207 Enrollment ID: I20091204000160 |
| Provider Name | Kenneth Chekofsky |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1093791741 PECOS PAC ID: 5890834881 Enrollment ID: I20091204000216 |
| Provider Name | Philip J Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750368924 PECOS PAC ID: 6608915608 Enrollment ID: I20091204000338 |
| Provider Name | Joseph L Reese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730152265 PECOS PAC ID: 3870500317 Enrollment ID: I20091204000420 |
| Provider Name | Mark A Galles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982681482 PECOS PAC ID: 8224177241 Enrollment ID: I20091204000429 |
| Provider Name | Gary W Cannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659357051 PECOS PAC ID: 8123167145 Enrollment ID: I20091204000437 |
| Provider Name | Joseph H Koenig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003893967 PECOS PAC ID: 6103965124 Enrollment ID: I20091204000454 |
| Provider Name | John E Ruffing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386618817 PECOS PAC ID: 1759420672 Enrollment ID: I20091204000541 |
| Provider Name | Chandan D Lad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164409025 PECOS PAC ID: 5092854919 Enrollment ID: I20091204000568 |
| Provider Name | Raja Krishna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366429227 PECOS PAC ID: 4880733542 Enrollment ID: I20091209000553 |
| Provider Name | Tejwant Kalkat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427035468 PECOS PAC ID: 3274672944 Enrollment ID: I20091209000615 |
| Provider Name | David W Harris |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831176106 PECOS PAC ID: 9133269822 Enrollment ID: I20091210000148 |
| Provider Name | Kimberly Jo Bennett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255317871 PECOS PAC ID: 9830239540 Enrollment ID: I20091210000396 |
| Provider Name | Colin A Marouk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861470841 PECOS PAC ID: 6204976921 Enrollment ID: I20091210000467 |
| Provider Name | Andrew Sin-hong Khouw |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366429201 PECOS PAC ID: 6507906104 Enrollment ID: I20091211000464 |
| Provider Name | John Martin Hayes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710941919 PECOS PAC ID: 8325049398 Enrollment ID: I20091215000717 |
| Provider Name | Stacy R Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396708517 PECOS PAC ID: 2365582541 Enrollment ID: I20091218000402 |
| Provider Name | Julun Hong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982681045 PECOS PAC ID: 0244370427 Enrollment ID: I20091218000428 |
| Provider Name | Rowena G Baumgartner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811972052 PECOS PAC ID: 5193865251 Enrollment ID: I20091221000549 |
| Provider Name | Stephen G Fincher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952388555 PECOS PAC ID: 9739229899 Enrollment ID: I20091221000550 |
| Provider Name | Larry T Shepherd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104891688 PECOS PAC ID: 2365582426 Enrollment ID: I20091221000559 |
| Provider Name | Gerard Mcnulty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073592945 PECOS PAC ID: 7517008154 Enrollment ID: I20100105000515 |
| Provider Name | Michele Coulter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780660522 PECOS PAC ID: 1759422306 Enrollment ID: I20100105000571 |
| Provider Name | Wayne Pue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245210897 PECOS PAC ID: 9537200183 Enrollment ID: I20100105000604 |
| Provider Name | Randall Raine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588636013 PECOS PAC ID: 2860533429 Enrollment ID: I20100105000643 |
| Provider Name | William Stringer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730156340 PECOS PAC ID: 6204977861 Enrollment ID: I20100105000662 |
| Provider Name | Sudip Tripathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972570521 PECOS PAC ID: 2668513227 Enrollment ID: I20100105000677 |
| Provider Name | Donald Higgins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467439554 PECOS PAC ID: 7810038478 Enrollment ID: I20100105000696 |
| Provider Name | Robert Hauger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982681250 PECOS PAC ID: 1355482910 Enrollment ID: I20100105000714 |
| Provider Name | Stephen J Riddel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952364135 PECOS PAC ID: 3577605484 Enrollment ID: I20100114000791 |
| Provider Name | Paul Stephen Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013970045 PECOS PAC ID: 7618978685 Enrollment ID: I20100115000397 |
| Provider Name | Emil J Schelbar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124053624 PECOS PAC ID: 6204863178 Enrollment ID: I20100129000523 |
| Provider Name | Jackson Wong-sick-hong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952379588 PECOS PAC ID: 5698818136 Enrollment ID: I20100204000894 |
| Provider Name | Lynn A Wiens |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1861465916 PECOS PAC ID: 5092755363 Enrollment ID: I20100212000649 |
| Provider Name | Scott Arthur Fengler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1881623015 PECOS PAC ID: 1153357728 Enrollment ID: I20100215000768 |
| Provider Name | Evan D Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710989900 PECOS PAC ID: 7315968724 Enrollment ID: I20100217000890 |
| Provider Name | Stewart J Katz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659452324 PECOS PAC ID: 3072657717 Enrollment ID: I20100219000098 |
| Provider Name | Marc S Rocklin |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1316974389 PECOS PAC ID: 6608802277 Enrollment ID: I20100224000131 |
| Provider Name | Kimberly A Ashlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881653350 PECOS PAC ID: 6002951266 Enrollment ID: I20100227000003 |
| Provider Name | Bruce Wayne Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225007818 PECOS PAC ID: 4284779091 Enrollment ID: I20100304000544 |
| Provider Name | Marcia L Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558347328 PECOS PAC ID: 6002941077 Enrollment ID: I20100316000384 |
| Provider Name | Kinya C Kamau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952426579 PECOS PAC ID: 5799811360 Enrollment ID: I20100407000700 |
| Provider Name | Michael E Maddox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083692115 PECOS PAC ID: 9335276427 Enrollment ID: I20100421000702 |
| Provider Name | Walter Boomer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578598074 PECOS PAC ID: 8022045996 Enrollment ID: I20100430000047 |
| Provider Name | Meredith Gatzemeyer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467783282 PECOS PAC ID: 6305974999 Enrollment ID: I20100430000541 |
| Provider Name | Deepak Karibassappa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770776627 PECOS PAC ID: 9133252919 Enrollment ID: I20100730000159 |
| Provider Name | Ronald Gene Hood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780652578 PECOS PAC ID: 8628077401 Enrollment ID: I20100804001017 |
| Provider Name | Komi Semenou Folly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720271232 PECOS PAC ID: 8921131251 Enrollment ID: I20100806000136 |
| Provider Name | Rebecca Beran Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760610422 PECOS PAC ID: 6305979659 Enrollment ID: I20100806000376 |
| Provider Name | Robert Brock Goodwin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730340076 PECOS PAC ID: 2860543774 Enrollment ID: I20100812000781 |
| Provider Name | Jordan Edward Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942464029 PECOS PAC ID: 2769516103 Enrollment ID: I20100820000059 |
| Provider Name | Jason L Riffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487817698 PECOS PAC ID: 3072638477 Enrollment ID: I20100908000743 |
| Provider Name | Bryan Roehl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720248164 PECOS PAC ID: 5294927208 Enrollment ID: I20101008000886 |
| Provider Name | Athena C Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437152774 PECOS PAC ID: 8224192331 Enrollment ID: I20101026001499 |
| Provider Name | Leroy O Jeske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205839446 PECOS PAC ID: 4385623081 Enrollment ID: I20101026001518 |
| Provider Name | Tracy L Asher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366445405 PECOS PAC ID: 2668536772 Enrollment ID: I20101026001560 |
| Provider Name | Daniel L Wooster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518960756 PECOS PAC ID: 7113081225 Enrollment ID: I20101026001566 |
| Provider Name | Renae L. Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205065505 PECOS PAC ID: 4688729379 Enrollment ID: I20101102000516 |
| Provider Name | Charles B Fullenwider |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447245063 PECOS PAC ID: 7810181971 Enrollment ID: I20101102001163 |
| Provider Name | Nicole A Chainakul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558303909 PECOS PAC ID: 9931394814 Enrollment ID: I20101117001089 |
| Provider Name | Donna Bracciale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659395218 PECOS PAC ID: 8921109638 Enrollment ID: I20101118000816 |
| Provider Name | Chitralekha Kathuria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336117423 PECOS PAC ID: 1052507647 Enrollment ID: I20101122000694 |
| Provider Name | Janis Rae Finer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326017328 PECOS PAC ID: 8921164468 Enrollment ID: I20101123000513 |
| Provider Name | Nicholas M Macharia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861530248 PECOS PAC ID: 3173601341 Enrollment ID: I20101210000105 |
| Provider Name | Lora Joyce Larson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376572909 PECOS PAC ID: 4486553161 Enrollment ID: I20101214001174 |
| Provider Name | Jennifer E Trottman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457393696 PECOS PAC ID: 5496831885 Enrollment ID: I20101221001084 |
| Provider Name | Curtis A Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134126576 PECOS PAC ID: 0143419317 Enrollment ID: I20110104001184 |
| Provider Name | Timothy A Nokes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558567479 PECOS PAC ID: 9133308448 Enrollment ID: I20110119000392 |
| Provider Name | Janna K Burkus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316258882 PECOS PAC ID: 0941489801 Enrollment ID: I20110124001172 |
| Provider Name | Richard Baker Saint |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851313373 PECOS PAC ID: 9335220151 Enrollment ID: I20110208001096 |
| Provider Name | Linda B Murphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609859669 PECOS PAC ID: 7416054556 Enrollment ID: I20110309000161 |
| Provider Name | Bette Bischoff Glidewell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134309933 PECOS PAC ID: 5890979264 Enrollment ID: I20110408000270 |
| Provider Name | Rose E Sloat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356577365 PECOS PAC ID: 2365628302 Enrollment ID: I20110509000791 |
| Provider Name | Michelle R Burger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982750709 PECOS PAC ID: 5890896534 Enrollment ID: I20110524000449 |
| Provider Name | Robert Austin Sibley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508191586 PECOS PAC ID: 4183802143 Enrollment ID: I20110623000065 |
| Provider Name | John Eric Raunikar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700883261 PECOS PAC ID: 8022296821 Enrollment ID: I20110627000332 |
| Provider Name | Tiffany Wemhaner Sibley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720390990 PECOS PAC ID: 1951589654 Enrollment ID: I20110628000779 |
| Provider Name | Rodney J Beasley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023019304 PECOS PAC ID: 8729069448 Enrollment ID: I20110719000442 |
| Provider Name | Muhammad Janjua |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124159678 PECOS PAC ID: 8426180035 Enrollment ID: I20110721000815 |
| Provider Name | Ali Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891732665 PECOS PAC ID: 3577732908 Enrollment ID: I20110801000750 |
| Provider Name | Jehanzeb Riaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205130218 PECOS PAC ID: 2365611522 Enrollment ID: I20110805000088 |
| Provider Name | Michael David Mclaughlin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1053574376 PECOS PAC ID: 3375713852 Enrollment ID: I20110822000117 |
| Provider Name | Melissa Anne Frandsen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629115464 PECOS PAC ID: 0749450302 Enrollment ID: I20110909002411 |
| Provider Name | Neil Agrawal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902935729 PECOS PAC ID: 9436320025 Enrollment ID: I20110910002888 |
| Provider Name | Ian D Bushyhead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679701361 PECOS PAC ID: 8921143777 Enrollment ID: I20110915000808 |
| Provider Name | Debra Lynne Vanzandt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497886790 PECOS PAC ID: 7517138357 Enrollment ID: I20110927000549 |
| Provider Name | Matthew Douglas Armstrong |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457363236 PECOS PAC ID: 2466456520 Enrollment ID: I20111003000251 |
| Provider Name | Maureen H Azarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922268820 PECOS PAC ID: 7911179528 Enrollment ID: I20111004000097 |
| Provider Name | Selamawit Negusse |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316144041 PECOS PAC ID: 7517139546 Enrollment ID: I20111017000226 |
| Provider Name | Chad Barrett Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992997399 PECOS PAC ID: 2365568896 Enrollment ID: I20111028000425 |
| Provider Name | Edward Gregg Ford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134296577 PECOS PAC ID: 5991874877 Enrollment ID: I20111028000435 |
| Provider Name | Nadia Khan Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548391097 PECOS PAC ID: 2961592548 Enrollment ID: I20111202000074 |
| Provider Name | Summer Anne Fillmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154597086 PECOS PAC ID: 8527123322 Enrollment ID: I20120110000591 |
| Provider Name | Joseph Norris Walter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336109966 PECOS PAC ID: 7012955057 Enrollment ID: I20120118000287 |
| Provider Name | Ashok Kache |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487751004 PECOS PAC ID: 4183891849 Enrollment ID: I20120120000057 |
| Provider Name | Teresa J Donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902183387 PECOS PAC ID: 0042478083 Enrollment ID: I20120222000918 |
| Provider Name | Kisha Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104199470 PECOS PAC ID: 4183886047 Enrollment ID: I20120510000430 |
| Provider Name | Margaret Rose Rosales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659662021 PECOS PAC ID: 3779746367 Enrollment ID: I20120517000558 |
| Provider Name | Catherine Cudnoski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821225483 PECOS PAC ID: 9537324926 Enrollment ID: I20120710000636 |
| Provider Name | Ashley Anne Petersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003058579 PECOS PAC ID: 7012173255 Enrollment ID: I20120716000558 |
| Provider Name | Nathan James Powell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669659439 PECOS PAC ID: 3173700309 Enrollment ID: I20120716000611 |
| Provider Name | Jason Christopher Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326321050 PECOS PAC ID: 1153587126 Enrollment ID: I20120718000726 |
| Provider Name | Lee Reinhold Droemer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053511097 PECOS PAC ID: 6305035494 Enrollment ID: I20120718000756 |
| Provider Name | Lynn Marie Preston |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790708543 PECOS PAC ID: 6901836337 Enrollment ID: I20120723000212 |
| Provider Name | Aaron Patrick Fieker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326268079 PECOS PAC ID: 4486810215 Enrollment ID: I20120724000346 |
| Provider Name | Veronica Avila |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316174964 PECOS PAC ID: 5294991725 Enrollment ID: I20120726000749 |
| Provider Name | Peter M Mseti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497980072 PECOS PAC ID: 8820254352 Enrollment ID: I20120726000752 |
| Provider Name | Kelly R Drusen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063790681 PECOS PAC ID: 0244496560 Enrollment ID: I20120731000503 |
| Provider Name | Tatsiana Valasiuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093973638 PECOS PAC ID: 3779739321 Enrollment ID: I20120814000348 |
| Provider Name | Scott Alan Asakevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356309769 PECOS PAC ID: 5698954410 Enrollment ID: I20120815000565 |
| Provider Name | Ziad Hawa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740596170 PECOS PAC ID: 8527214931 Enrollment ID: I20120816000835 |
| Provider Name | Spencer Edward Voth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639487499 PECOS PAC ID: 6103073424 Enrollment ID: I20120821000987 |
| Provider Name | Syed F Hassany |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851348700 PECOS PAC ID: 8123922614 Enrollment ID: I20120906000899 |
| Provider Name | Jami D Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831404748 PECOS PAC ID: 9335397553 Enrollment ID: I20120913000307 |
| Provider Name | Christy Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215212568 PECOS PAC ID: 2668621863 Enrollment ID: I20121003000584 |
| Provider Name | Alexander C Roby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144585639 PECOS PAC ID: 2567612278 Enrollment ID: I20121015000465 |
| Provider Name | James E Burleson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629174321 PECOS PAC ID: 5890726475 Enrollment ID: I20121031000568 |
| Provider Name | Rachel Wilkinson Zsiga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144509050 PECOS PAC ID: 8820249493 Enrollment ID: I20121107000307 |
| Provider Name | Bilal Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073859443 PECOS PAC ID: 3779735022 Enrollment ID: I20121212000474 |
| Provider Name | Tamara L Madjid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497908032 PECOS PAC ID: 4284887902 Enrollment ID: I20130109000147 |
| Provider Name | Wayland R Billings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316170434 PECOS PAC ID: 2769635309 Enrollment ID: I20130110000511 |
| Provider Name | Chao-ling Wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124354626 PECOS PAC ID: 1052566031 Enrollment ID: I20130222000310 |
| Provider Name | Raymond Joseph Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063479053 PECOS PAC ID: 5496901837 Enrollment ID: I20130410000531 |
| Provider Name | Shamim Akhtar Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083676449 PECOS PAC ID: 0244333136 Enrollment ID: I20130411000485 |
| Provider Name | Rachel M Everette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235151242 PECOS PAC ID: 3678729019 Enrollment ID: I20130411000528 |
| Provider Name | Melissa M Dimick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700109824 PECOS PAC ID: 3072753680 Enrollment ID: I20130702000546 |
| Provider Name | Lisa J Keller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831278746 PECOS PAC ID: 9537300041 Enrollment ID: I20130725000849 |
| Provider Name | Diptesh R Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326201260 PECOS PAC ID: 5698916054 Enrollment ID: I20130726000538 |
| Provider Name | Sheila Lee Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639410764 PECOS PAC ID: 3870734957 Enrollment ID: I20130801000430 |
| Provider Name | Christopher J Higgins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417123274 PECOS PAC ID: 0143462754 Enrollment ID: I20130812000323 |
| Provider Name | Chandramouli Banerjee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548405160 PECOS PAC ID: 5193967610 Enrollment ID: I20130813000840 |
| Provider Name | Brandon Louis King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588007884 PECOS PAC ID: 2365684602 Enrollment ID: I20130815000410 |
| Provider Name | Laura Frances Dorwart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538215249 PECOS PAC ID: 4183866320 Enrollment ID: I20130816000730 |
| Provider Name | Kamna Jaiswal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972738821 PECOS PAC ID: 5799928198 Enrollment ID: I20130904000738 |
| Provider Name | Mehtap Yurt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184937328 PECOS PAC ID: 6305089525 Enrollment ID: I20130906000569 |
| Provider Name | Jason Loy Henderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245437722 PECOS PAC ID: 4688711757 Enrollment ID: I20130911000177 |
| Provider Name | Dustin Donn Fravel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972823979 PECOS PAC ID: 3870488398 Enrollment ID: I20130911000703 |
| Provider Name | Kellie Dawn Vantuyl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821376138 PECOS PAC ID: 8426224502 Enrollment ID: I20130916000081 |
| Provider Name | Felicia Renee Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023296746 PECOS PAC ID: 8426292269 Enrollment ID: I20130918000418 |
| Provider Name | Lauren Rachelle Cisper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255773594 PECOS PAC ID: 7012151764 Enrollment ID: I20130918000723 |
| Provider Name | Ganna D Starkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962848846 PECOS PAC ID: 7315181716 Enrollment ID: I20130925000780 |
| Provider Name | Patrick George Norris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245558998 PECOS PAC ID: 2860626298 Enrollment ID: I20131017001638 |
| Provider Name | Guido Sclabas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790832517 PECOS PAC ID: 5799853214 Enrollment ID: I20131021001523 |
| Provider Name | Bhavik Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013234996 PECOS PAC ID: 9537395900 Enrollment ID: I20131114000445 |
| Provider Name | Kevin Dux |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780901694 PECOS PAC ID: 3476788035 Enrollment ID: I20131216001161 |
| Provider Name | Brandi S Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841523594 PECOS PAC ID: 1355578295 Enrollment ID: I20131220000654 |
| Provider Name | Allison Nicole Iski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447541081 PECOS PAC ID: 4981831658 Enrollment ID: I20131230001837 |
| Provider Name | Kelli H Dyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235385766 PECOS PAC ID: 8022257542 Enrollment ID: I20140205000942 |
| Provider Name | Jeffrey B Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801153754 PECOS PAC ID: 1052541992 Enrollment ID: I20140220001219 |
| Provider Name | Clayton S Howell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407113780 PECOS PAC ID: 4789814542 Enrollment ID: I20140224001200 |
| Provider Name | Edwin Eugene Henslee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407991243 PECOS PAC ID: 3779755657 Enrollment ID: I20140303001247 |
| Provider Name | Wanda J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568892438 PECOS PAC ID: 4587896964 Enrollment ID: I20140417001220 |
| Provider Name | Ajay K Sangal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770579989 PECOS PAC ID: 9931120342 Enrollment ID: I20140529001318 |
| Provider Name | Mark James Maguire |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295848422 PECOS PAC ID: 9436243599 Enrollment ID: I20140630001622 |
| Provider Name | Kelsey Ray Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245657378 PECOS PAC ID: 0042435992 Enrollment ID: I20140709000094 |
| Provider Name | Casey L. Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467614396 PECOS PAC ID: 6709019771 Enrollment ID: I20140721001791 |
| Provider Name | Sarah Lynn Poplin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497830046 PECOS PAC ID: 5193942860 Enrollment ID: I20140805000469 |
| Provider Name | Ragan J Vaughan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801174065 PECOS PAC ID: 7719104330 Enrollment ID: I20140805002401 |
| Provider Name | Poorya Fazel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790993483 PECOS PAC ID: 6709937303 Enrollment ID: I20140808000363 |
| Provider Name | Lisa Diane Macek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245521889 PECOS PAC ID: 5294952396 Enrollment ID: I20140813002765 |
| Provider Name | David Polizzi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386933992 PECOS PAC ID: 6103058581 Enrollment ID: I20140819001134 |
| Provider Name | Steven Rance Dyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518108711 PECOS PAC ID: 8820216278 Enrollment ID: I20140826001849 |
| Provider Name | Kyle Robert Rock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326339532 PECOS PAC ID: 8628216389 Enrollment ID: I20140908002163 |
| Provider Name | Stanley C Nwokenkwo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427348002 PECOS PAC ID: 2567694011 Enrollment ID: I20140924002325 |
| Provider Name | Shari K Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871996249 PECOS PAC ID: 5496977720 Enrollment ID: I20141120002024 |
| Provider Name | Nima Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861784290 PECOS PAC ID: 4385876812 Enrollment ID: I20141124000790 |
| Provider Name | Israel J Mays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225302649 PECOS PAC ID: 7012132111 Enrollment ID: I20141215002146 |
| Provider Name | Phillip T Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962742999 PECOS PAC ID: 3476876673 Enrollment ID: I20141218002542 |
| Provider Name | Bradley Edgington |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366588295 PECOS PAC ID: 2466586599 Enrollment ID: I20150129001755 |
| Provider Name | Andrew Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437492949 PECOS PAC ID: 9638493257 Enrollment ID: I20150130000035 |
| Provider Name | Richenda Dawn Herren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164407995 PECOS PAC ID: 5092623926 Enrollment ID: I20150130001517 |
| Provider Name | Tabatha N Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801286737 PECOS PAC ID: 0143545152 Enrollment ID: I20150216001217 |
| Provider Name | Sanjay Mughal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538199781 PECOS PAC ID: 9234187261 Enrollment ID: I20150223001217 |
| Provider Name | Jill Suzanne Renfro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780081380 PECOS PAC ID: 6709102296 Enrollment ID: I20150227000309 |
| Provider Name | Eun Ko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932542891 PECOS PAC ID: 1759607211 Enrollment ID: I20150302000162 |
| Provider Name | Barry Clinton Mirtsching |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255334496 PECOS PAC ID: 4587653761 Enrollment ID: I20150305001610 |
| Provider Name | Merry Huber |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720499585 PECOS PAC ID: 2860710894 Enrollment ID: I20150423000246 |
| Provider Name | Kala Renee Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922015239 PECOS PAC ID: 6709925563 Enrollment ID: I20150428000577 |
| Provider Name | Margaret L Donahue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366405318 PECOS PAC ID: 0446437271 Enrollment ID: I20150511001658 |
| Provider Name | Satish Bhadriraju |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1518993997 PECOS PAC ID: 4587640768 Enrollment ID: I20150521000183 |
| Provider Name | Radhika Kothakota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114239506 PECOS PAC ID: 7416277033 Enrollment ID: I20150522000161 |
| Provider Name | Sri Rama S Kattula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952665192 PECOS PAC ID: 4284857517 Enrollment ID: I20150608000750 |
| Provider Name | Holly J Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235468679 PECOS PAC ID: 3779615257 Enrollment ID: I20150701002022 |
| Provider Name | Veronica Maria Manoila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316341399 PECOS PAC ID: 6901122902 Enrollment ID: I20150710000940 |
| Provider Name | Steven Brandon Geister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265707327 PECOS PAC ID: 1052542263 Enrollment ID: I20150721001823 |
| Provider Name | Christopher D Stokes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982993507 PECOS PAC ID: 1355579210 Enrollment ID: I20150723007162 |
| Provider Name | Michael Andrew Sayler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770840944 PECOS PAC ID: 3476867235 Enrollment ID: I20150806012155 |
| Provider Name | Joshua Adam Moushon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487035770 PECOS PAC ID: 4183938814 Enrollment ID: I20150807014996 |
| Provider Name | John Mark Weber |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922323146 PECOS PAC ID: 8921313644 Enrollment ID: I20150810002393 |
| Provider Name | Mohammed H Al-haider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750640249 PECOS PAC ID: 6204158611 Enrollment ID: I20150813010714 |
| Provider Name | Satish Mukka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942575121 PECOS PAC ID: 9335454602 Enrollment ID: I20150814014139 |
| Provider Name | Jason Keith Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174889448 PECOS PAC ID: 8820226103 Enrollment ID: I20150819007940 |
| Provider Name | Mira Georgy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649537176 PECOS PAC ID: 2264665884 Enrollment ID: I20150821014123 |
| Provider Name | Hilary Kneale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265676944 PECOS PAC ID: 0244472751 Enrollment ID: I20150915000454 |
| Provider Name | Brice K Harader-pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962894519 PECOS PAC ID: 9032425111 Enrollment ID: I20151012000757 |
| Provider Name | Danya Julson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790017283 PECOS PAC ID: 2466672845 Enrollment ID: I20151021002265 |
| Provider Name | Tia A Christ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114348422 PECOS PAC ID: 8426367848 Enrollment ID: I20151024000087 |
| Provider Name | Matthew Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114251238 PECOS PAC ID: 3476694910 Enrollment ID: I20151026000122 |
| Provider Name | Jasmine Renee Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013386259 PECOS PAC ID: 5799094132 Enrollment ID: I20151026000712 |
| Provider Name | Christina Hulsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457625766 PECOS PAC ID: 8921264979 Enrollment ID: I20151204000303 |
| Provider Name | Rebecca Thrun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891131223 PECOS PAC ID: 0446550958 Enrollment ID: I20151204000496 |
| Provider Name | Wyatt Ho |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023245578 PECOS PAC ID: 5698075091 Enrollment ID: I20151207001784 |
| Provider Name | Shiela D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750755112 PECOS PAC ID: 1052611472 Enrollment ID: I20151207002623 |
| Provider Name | Sarah Dawn Mcauliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174879548 PECOS PAC ID: 4486804663 Enrollment ID: I20151210000518 |
| Provider Name | Hosam A Mousselli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588847925 PECOS PAC ID: 2365519949 Enrollment ID: I20151214002577 |
| Provider Name | Dinesh Gaddam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225383391 PECOS PAC ID: 8628379724 Enrollment ID: I20151215000682 |
| Provider Name | David Matthew Gorenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629014311 PECOS PAC ID: 9133011646 Enrollment ID: I20160114001924 |
| Provider Name | Sheeba Joe Varickappallil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114382678 PECOS PAC ID: 6608179239 Enrollment ID: I20160114001936 |
| Provider Name | Alicia Childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932564606 PECOS PAC ID: 3375846421 Enrollment ID: I20160122001369 |
| Provider Name | Anne Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609161660 PECOS PAC ID: 6002081387 Enrollment ID: I20160126001177 |
| Provider Name | Erin Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396118972 PECOS PAC ID: 4789988684 Enrollment ID: I20160215000450 |
| Provider Name | Amanda Dawn Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104290071 PECOS PAC ID: 4385949593 Enrollment ID: I20160226000075 |
| Provider Name | Jennifer Do Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255734778 PECOS PAC ID: 2062711021 Enrollment ID: I20160427000061 |
| Provider Name | Coy Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164841557 PECOS PAC ID: 8426348723 Enrollment ID: I20160527000345 |
| Provider Name | Narottam Regmi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427347947 PECOS PAC ID: 5496923138 Enrollment ID: I20160603000551 |
| Provider Name | Aimee R Blagovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730486309 PECOS PAC ID: 1052576824 Enrollment ID: I20160620001694 |
| Provider Name | Isaac Ray Dennis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477999514 PECOS PAC ID: 2264723055 Enrollment ID: I20160627000660 |
| Provider Name | Sristi Bhattarai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699101402 PECOS PAC ID: 4082906060 Enrollment ID: I20160712002004 |
| Provider Name | Peter Fast |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1255699435 PECOS PAC ID: 0749412625 Enrollment ID: I20160714001175 |
| Provider Name | Candice Marie Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437412087 PECOS PAC ID: 7719270461 Enrollment ID: I20160719000812 |
| Provider Name | Lee Marvin Ramos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841551934 PECOS PAC ID: 0143513804 Enrollment ID: I20160719000964 |
| Provider Name | Jeremy J Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700046737 PECOS PAC ID: 0840583522 Enrollment ID: I20160719001846 |
| Provider Name | Nicholas Keith Thompson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629334701 PECOS PAC ID: 0648407601 Enrollment ID: I20160720002647 |
| Provider Name | Kenneth Wayne Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629412143 PECOS PAC ID: 3375862238 Enrollment ID: I20160721000065 |
| Provider Name | Bradley Dwight Hardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912240052 PECOS PAC ID: 3375836182 Enrollment ID: I20160801000733 |
| Provider Name | Debasish Chaudhuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811927833 PECOS PAC ID: 7618074709 Enrollment ID: I20160801002249 |
| Provider Name | Patrick Paul Branagan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669799441 PECOS PAC ID: 5799928487 Enrollment ID: I20160808000924 |
| Provider Name | Jeffrey W Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679933584 PECOS PAC ID: 7012201486 Enrollment ID: I20160808001541 |
| Provider Name | Nigel Naman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184069080 PECOS PAC ID: 8921392333 Enrollment ID: I20160808002606 |
| Provider Name | Andrew Kurklinsky |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831350263 PECOS PAC ID: 9638242498 Enrollment ID: I20160829000250 |
| Provider Name | Naziha Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194971895 PECOS PAC ID: 1951574599 Enrollment ID: I20160829002998 |
| Provider Name | Jeffrey A. Stromberg |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1306165428 PECOS PAC ID: 9032359336 Enrollment ID: I20160830000105 |
| Provider Name | Claudette Green Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174895585 PECOS PAC ID: 9335309996 Enrollment ID: I20160901001133 |
| Provider Name | Suyao Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063850964 PECOS PAC ID: 8224337456 Enrollment ID: I20160908002633 |
| Provider Name | Samuel Clayton Korbe |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1912297805 PECOS PAC ID: 8729224381 Enrollment ID: I20160915000231 |
| Provider Name | Angela J Sateren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609236694 PECOS PAC ID: 6608163704 Enrollment ID: I20160916001258 |
| Provider Name | Mark Schwartz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033422332 PECOS PAC ID: 4284922956 Enrollment ID: I20161012001347 |
| Provider Name | David Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265629661 PECOS PAC ID: 4183748841 Enrollment ID: I20170103000851 |
| Provider Name | Emily J Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124564075 PECOS PAC ID: 6608158357 Enrollment ID: I20170113000262 |
| Provider Name | Angela Dawn July |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063958130 PECOS PAC ID: 4587946546 Enrollment ID: I20170126002628 |
| Provider Name | Colin J Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194110502 PECOS PAC ID: 1254613086 Enrollment ID: I20170131000705 |
| Provider Name | Judith Marie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851837215 PECOS PAC ID: 2961785530 Enrollment ID: I20170204000021 |
| Provider Name | Damon Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548400500 PECOS PAC ID: 1355625294 Enrollment ID: I20170221002096 |
| Provider Name | John Eric York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821533753 PECOS PAC ID: 4688958531 Enrollment ID: I20170221002316 |
| Provider Name | Amy Carolyn Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487191268 PECOS PAC ID: 5496039794 Enrollment ID: I20170306001679 |
| Provider Name | Muhammad Y Hasan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912070632 PECOS PAC ID: 6800852203 Enrollment ID: I20170307001041 |
| Provider Name | Matthew Carmichael |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205147998 PECOS PAC ID: 0244495901 Enrollment ID: I20170420002548 |
| Provider Name | Sarah Anne Shaw-dressler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003012840 PECOS PAC ID: 3476795667 Enrollment ID: I20170508002523 |
| Provider Name | Maleah Bloyed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467993857 PECOS PAC ID: 2163799461 Enrollment ID: I20170516002228 |
| Provider Name | Roger A Gallup |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275680621 PECOS PAC ID: 1658446265 Enrollment ID: I20170609000154 |
| Provider Name | Swati Choudhary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598077521 PECOS PAC ID: 4385896844 Enrollment ID: I20170624000037 |
| Provider Name | Andrew W Gaut |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295868917 PECOS PAC ID: 7315046810 Enrollment ID: I20170627001704 |
| Provider Name | John Lukeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922424662 PECOS PAC ID: 5698044048 Enrollment ID: I20170628002977 |
| Provider Name | Tillman Hudson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154680056 PECOS PAC ID: 2062709447 Enrollment ID: I20170731000171 |
| Provider Name | Danielle Starr |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972899730 PECOS PAC ID: 7315115649 Enrollment ID: I20170731002867 |
| Provider Name | Erin E Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871930008 PECOS PAC ID: 8123317666 Enrollment ID: I20170811000333 |
| Provider Name | Priyanka Reddy Gudoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174936892 PECOS PAC ID: 4587953831 Enrollment ID: I20170815003417 |
| Provider Name | Nora S Baker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215299284 PECOS PAC ID: 7618249251 Enrollment ID: I20170817000626 |
| Provider Name | John Kesler Evans |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790075034 PECOS PAC ID: 2961774385 Enrollment ID: I20170821000733 |
| Provider Name | Stephen B Dixon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386930204 PECOS PAC ID: 1850663287 Enrollment ID: I20170821001213 |
| Provider Name | Michael Scott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457677023 PECOS PAC ID: 9032382643 Enrollment ID: I20170823003007 |
| Provider Name | Nataly Vasquez-encalada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992083851 PECOS PAC ID: 2163649823 Enrollment ID: I20170823003710 |
| Provider Name | Amanda Christian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245674167 PECOS PAC ID: 3577867662 Enrollment ID: I20170829001314 |
| Provider Name | Lee Daniel Matlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467990820 PECOS PAC ID: 2769755321 Enrollment ID: I20170901000125 |
| Provider Name | Andrew Ebert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841339785 PECOS PAC ID: 3577780576 Enrollment ID: I20170905000568 |
| Provider Name | Cristina Sanior Sarrosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376097261 PECOS PAC ID: 3971876129 Enrollment ID: I20170909000007 |
| Provider Name | Betsy Graham-moeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568992071 PECOS PAC ID: 6800160409 Enrollment ID: I20170920003016 |
| Provider Name | Edemekong E Bassey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760625032 PECOS PAC ID: 1052553666 Enrollment ID: I20171002002944 |
| Provider Name | Jennifer M Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891221602 PECOS PAC ID: 7810263936 Enrollment ID: I20171017003323 |
| Provider Name | Veronika Joel Gaikwad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356868764 PECOS PAC ID: 9537435490 Enrollment ID: I20171019002077 |
| Provider Name | Elizabeth Kate Couch-harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831366574 PECOS PAC ID: 1658405329 Enrollment ID: I20171030002887 |
| Provider Name | Charlotte Arlene Chance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326407396 PECOS PAC ID: 2961700984 Enrollment ID: I20171117000839 |
| Provider Name | Cynthia (cyndi) A Schneider |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952747768 PECOS PAC ID: 3274890413 Enrollment ID: I20171127001751 |
| Provider Name | Charity Dawn Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730522129 PECOS PAC ID: 9133358138 Enrollment ID: I20180109002242 |
| Provider Name | Allison Lee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306278767 PECOS PAC ID: 4981963345 Enrollment ID: I20180111000572 |
| Provider Name | Jean-louis Gabriel |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1730120155 PECOS PAC ID: 9436181310 Enrollment ID: I20180215001725 |
| Provider Name | Tina Sebastian Catlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790154334 PECOS PAC ID: 6103186952 Enrollment ID: I20180216000130 |
| Provider Name | Carlos Corral |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245212539 PECOS PAC ID: 3072604750 Enrollment ID: I20180216001701 |
| Provider Name | Lisa Marie Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326548660 PECOS PAC ID: 2365703675 Enrollment ID: I20180301001912 |
| Provider Name | Regina Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821467523 PECOS PAC ID: 1951662139 Enrollment ID: I20180305000538 |
| Provider Name | Krista Lynn Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972030682 PECOS PAC ID: 6204101306 Enrollment ID: I20180309001042 |
| Provider Name | Helen Tierney Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578830782 PECOS PAC ID: 4183986045 Enrollment ID: I20180313001890 |
| Provider Name | Cheri Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477987691 PECOS PAC ID: 5991067431 Enrollment ID: I20180322000786 |
| Provider Name | Johnathan James Ledet |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346476975 PECOS PAC ID: 6103011234 Enrollment ID: I20180404000848 |
| Provider Name | Rebecca Wilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942630660 PECOS PAC ID: 2961765052 Enrollment ID: I20180425000476 |
| Provider Name | Florence C Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811903255 PECOS PAC ID: 1153398508 Enrollment ID: I20180515001627 |
| Provider Name | Tucker James Harrison |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396004636 PECOS PAC ID: 3476818675 Enrollment ID: I20180517000435 |
| Provider Name | Patrick James Henderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902150527 PECOS PAC ID: 1850656034 Enrollment ID: I20180518000768 |
| Provider Name | Steven Nye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922369610 PECOS PAC ID: 2163733601 Enrollment ID: I20180611002075 |
| Provider Name | Catherine Carol Milner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235497678 PECOS PAC ID: 9931322740 Enrollment ID: I20180706000703 |
| Provider Name | Logan Campbell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992068829 PECOS PAC ID: 2567694953 Enrollment ID: I20180709001282 |
| Provider Name | Erica Laine Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346509643 PECOS PAC ID: 4183993249 Enrollment ID: I20180709001395 |
| Provider Name | Kimberly Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609379056 PECOS PAC ID: 3375890833 Enrollment ID: I20180716002388 |
| Provider Name | Brooke N Mcqueen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932429354 PECOS PAC ID: 6406158583 Enrollment ID: I20180717001697 |
| Provider Name | Chelsea Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336406685 PECOS PAC ID: 1355620881 Enrollment ID: I20180719003002 |
| Provider Name | Travis Joe Small |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881905511 PECOS PAC ID: 0840500849 Enrollment ID: I20180719003662 |
| Provider Name | Jennifer Anne Feighner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639191265 PECOS PAC ID: 5092711861 Enrollment ID: I20180801003032 |
| Provider Name | Gina Matlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659864379 PECOS PAC ID: 9537417779 Enrollment ID: I20180806000931 |
| Provider Name | Ryan E Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871793745 PECOS PAC ID: 5395878318 Enrollment ID: I20180809000064 |
| Provider Name | Mohammad Al-hamed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619099595 PECOS PAC ID: 3870719263 Enrollment ID: I20180816000738 |
| Provider Name | Amanda Layne Crutchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235625146 PECOS PAC ID: 9931458213 Enrollment ID: I20180820002560 |
| Provider Name | Kiran Shahzadi Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215422670 PECOS PAC ID: 0941559249 Enrollment ID: I20180820003073 |
| Provider Name | Samira Polina Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871081703 PECOS PAC ID: 4981953767 Enrollment ID: I20180828002551 |
| Provider Name | Theresa Lynn Gress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598250508 PECOS PAC ID: 0840540027 Enrollment ID: I20180910001221 |
| Provider Name | Barry R Berch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124175013 PECOS PAC ID: 6204976178 Enrollment ID: I20180918002551 |
| Provider Name | Kristin D King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730526328 PECOS PAC ID: 1254566599 Enrollment ID: I20180920002905 |
| Provider Name | Sukumar Gandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972921054 PECOS PAC ID: 6709157258 Enrollment ID: I20181017003224 |
| Provider Name | Gurpreet K Shires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225535685 PECOS PAC ID: 5294088530 Enrollment ID: I20181102000624 |
| Provider Name | Joleen Cervantez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093280638 PECOS PAC ID: 2860745098 Enrollment ID: I20181105002366 |
| Provider Name | April E Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215452750 PECOS PAC ID: 3072887389 Enrollment ID: I20181112000079 |
| Provider Name | Cynthia Lynne Dimauro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942231337 PECOS PAC ID: 1254424146 Enrollment ID: I20181113000055 |
| Provider Name | Toye Lavette Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437626439 PECOS PAC ID: 1557605102 Enrollment ID: I20181207001731 |
| Provider Name | Rachel Elizabeth Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407325772 PECOS PAC ID: 8224373956 Enrollment ID: I20181227000402 |
| Provider Name | Linda A Stout |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083660328 PECOS PAC ID: 3971599663 Enrollment ID: I20190111002467 |
| Provider Name | Jill Alison Salo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356537005 PECOS PAC ID: 0648323881 Enrollment ID: I20190116003678 |
| Provider Name | Jerrie D Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962975458 PECOS PAC ID: 7416295712 Enrollment ID: I20190212002034 |
| Provider Name | Daniel Aaron Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003396904 PECOS PAC ID: 7719226547 Enrollment ID: I20190222000215 |
| Provider Name | Taylor Lynn Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952875908 PECOS PAC ID: 6901145465 Enrollment ID: I20190227001386 |
| Provider Name | Molly Megan Brogdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609340132 PECOS PAC ID: 6204175722 Enrollment ID: I20190228000464 |
| Provider Name | Sumit Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811251929 PECOS PAC ID: 2668711003 Enrollment ID: I20190304000475 |
| Provider Name | Amanda Louise Whorton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609342468 PECOS PAC ID: 0244570380 Enrollment ID: I20190327001680 |
| Provider Name | Andrew Conner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487948642 PECOS PAC ID: 3274836846 Enrollment ID: I20190523001108 |
| Provider Name | Weyman Lam |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1225442130 PECOS PAC ID: 5092051912 Enrollment ID: I20190524002254 |
| Provider Name | Ajay Joseph |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104180553 PECOS PAC ID: 7810202694 Enrollment ID: I20190530001956 |
| Provider Name | Sahil Agrawal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174956890 PECOS PAC ID: 1658604400 Enrollment ID: I20190610002063 |
| Provider Name | Neha Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659776243 PECOS PAC ID: 8426343419 Enrollment ID: I20190611002124 |
| Provider Name | Jonathan A Israel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407122427 PECOS PAC ID: 3274753231 Enrollment ID: I20190612000505 |
| Provider Name | Taraka Vijaya Rama Raju Gadiraju |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356621353 PECOS PAC ID: 0840434478 Enrollment ID: I20190612001058 |
| Provider Name | Felix Tang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184011751 PECOS PAC ID: 9032418009 Enrollment ID: I20190619002304 |
| Provider Name | Jeffrey John Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154785343 PECOS PAC ID: 9436483757 Enrollment ID: I20190620000754 |
| Provider Name | Maranda Marie Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750849600 PECOS PAC ID: 5890029136 Enrollment ID: I20190620001847 |
| Provider Name | Ellen Soberman Novick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134284953 PECOS PAC ID: 5092788364 Enrollment ID: I20190625002152 |
| Provider Name | Nisha H Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336548445 PECOS PAC ID: 1658664206 Enrollment ID: I20190717001797 |
| Provider Name | Kent Abernathy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316320229 PECOS PAC ID: 6305171992 Enrollment ID: I20190718003044 |
| Provider Name | Kiran Kumar Kommaraju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336599430 PECOS PAC ID: 0749572873 Enrollment ID: I20190724003908 |
| Provider Name | Dharshan K Lakshminarayan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295198620 PECOS PAC ID: 7810234499 Enrollment ID: I20190726001302 |
| Provider Name | Ahmad Khattab |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1437569639 PECOS PAC ID: 6608179064 Enrollment ID: I20190729003154 |
| Provider Name | Michael D Landers |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1033223730 PECOS PAC ID: 6204813173 Enrollment ID: I20190731003863 |
| Provider Name | David A Erickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508021353 PECOS PAC ID: 3779768726 Enrollment ID: I20190802002714 |
| Provider Name | Shilpa Shukla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912210725 PECOS PAC ID: 0749517407 Enrollment ID: I20190805000617 |
| Provider Name | Brian Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437626389 PECOS PAC ID: 2961739982 Enrollment ID: I20190813002225 |
| Provider Name | Kara Wright |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376930594 PECOS PAC ID: 4688986664 Enrollment ID: I20190816002297 |
| Provider Name | John Marc Shellenberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548600992 PECOS PAC ID: 6608000773 Enrollment ID: I20190822001084 |
| Provider Name | Joanna E Gernsback |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215252440 PECOS PAC ID: 3577891951 Enrollment ID: I20190822003134 |
| Provider Name | Nikhil Mukhi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083920425 PECOS PAC ID: 2264726058 Enrollment ID: I20190829002805 |
| Provider Name | Ann Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275797581 PECOS PAC ID: 4789855859 Enrollment ID: I20190829002939 |
| Provider Name | Martha Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174184675 PECOS PAC ID: 9537181136 Enrollment ID: I20190911000431 |
| Provider Name | Ye Olivia Xu-cai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457314635 PECOS PAC ID: 0547291908 Enrollment ID: I20190912002906 |
| Provider Name | Michelle Rockwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396044764 PECOS PAC ID: 9436389608 Enrollment ID: I20190927001680 |
| Provider Name | Santhi Gokaraju |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730506940 PECOS PAC ID: 3375760333 Enrollment ID: I20190930000568 |
| Provider Name | Elijah Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003045097 PECOS PAC ID: 0840500906 Enrollment ID: I20191011000051 |
| Provider Name | Jacqueline Nmn Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881244473 PECOS PAC ID: 3476885880 Enrollment ID: I20191104001480 |
| Provider Name | Steven Andrew Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285945998 PECOS PAC ID: 0143517011 Enrollment ID: I20191209001165 |
| Provider Name | Maria Teresa Vargas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821173568 PECOS PAC ID: 9335138635 Enrollment ID: I20191210002700 |
| Provider Name | Jennifer Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346634789 PECOS PAC ID: 4082964028 Enrollment ID: I20191213000593 |
| Provider Name | Mohammad Yashar Kalani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285861153 PECOS PAC ID: 1052600863 Enrollment ID: I20200129000968 |
| Provider Name | Koteswararao Thella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225479090 PECOS PAC ID: 4981982519 Enrollment ID: I20200131000531 |
| Provider Name | James Vodvarka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518955210 PECOS PAC ID: 9335191600 Enrollment ID: I20200210001133 |
| Provider Name | Rakesh Vardey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992016893 PECOS PAC ID: 7911122007 Enrollment ID: I20200228000167 |
| Provider Name | David William Yandell |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1720246143 PECOS PAC ID: 2961477062 Enrollment ID: I20200324001973 |
| Provider Name | Houston Reed Slemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962047563 PECOS PAC ID: 1850720582 Enrollment ID: I20200401001607 |
| Provider Name | Michelle Lynn Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669014619 PECOS PAC ID: 3173952827 Enrollment ID: I20200401002872 |
| Provider Name | Shelley Dawn Triplett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972160778 PECOS PAC ID: 1153750468 Enrollment ID: I20200408002063 |
| Provider Name | Adrian Theerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295375996 PECOS PAC ID: 0547699746 Enrollment ID: I20200409002891 |
| Provider Name | Tina Marie Gale-bickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770115446 PECOS PAC ID: 3072942150 Enrollment ID: I20200413000910 |
| Provider Name | Emma Rose Savidge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427688712 PECOS PAC ID: 6002246774 Enrollment ID: I20200420002984 |
| Provider Name | Alexandra Kirsten Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609404946 PECOS PAC ID: 5496186637 Enrollment ID: I20200504000803 |
| Provider Name | Jessica Kreitzberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568721033 PECOS PAC ID: 8325368392 Enrollment ID: I20200512001746 |
| Provider Name | Jose Andres Perez Moscoso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407377559 PECOS PAC ID: 0345671061 Enrollment ID: I20200513002995 |
| Provider Name | Mario Andres Bustos Rodriguez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700265584 PECOS PAC ID: 7810328317 Enrollment ID: I20200518001923 |
| Provider Name | Michael N Hitsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306387907 PECOS PAC ID: 9931531787 Enrollment ID: I20200527000189 |
| Provider Name | Aaron David Benson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831398668 PECOS PAC ID: 7113183484 Enrollment ID: I20200529000747 |
| Provider Name | Sridivya Parvataneni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154748143 PECOS PAC ID: 9234416736 Enrollment ID: I20200610002856 |
| Provider Name | Kelly Eileen Natarajan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346780988 PECOS PAC ID: 2163843517 Enrollment ID: I20200610003263 |
| Provider Name | Terresa Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316472681 PECOS PAC ID: 9537580907 Enrollment ID: I20200611000548 |
| Provider Name | Kevin Fu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376938167 PECOS PAC ID: 0143642447 Enrollment ID: I20200615001449 |
| Provider Name | Thomas Michael Rashid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992762892 PECOS PAC ID: 9739262544 Enrollment ID: I20200616001530 |
| Provider Name | Rebekah Jean Martin Kriegsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215477435 PECOS PAC ID: 7719309939 Enrollment ID: I20200617000449 |
| Provider Name | Abdurrahman Kabani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013449214 PECOS PAC ID: 3971873878 Enrollment ID: I20200622000327 |
| Provider Name | Febin John |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619385606 PECOS PAC ID: 2163769340 Enrollment ID: I20200625001052 |
| Provider Name | Sonal Natwarlal Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790104933 PECOS PAC ID: 6002187242 Enrollment ID: I20200706000544 |
| Provider Name | Cordine Coretta Krystal Glasgow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225558729 PECOS PAC ID: 8022381128 Enrollment ID: I20200707003122 |
| Provider Name | Tilak Raj Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720500945 PECOS PAC ID: 3678848942 Enrollment ID: I20200708001626 |
| Provider Name | Jenny Alyce Smith |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881042042 PECOS PAC ID: 1557642329 Enrollment ID: I20200713002270 |
| Provider Name | Naga Sushma Sushma Chavvakula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063945020 PECOS PAC ID: 2264777150 Enrollment ID: I20200723002969 |
| Provider Name | Carly Ann Dykstra Kubat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801207493 PECOS PAC ID: 0749535425 Enrollment ID: I20200803002364 |
| Provider Name | Aparna Vuppala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609396092 PECOS PAC ID: 2860817137 Enrollment ID: I20200803003399 |
| Provider Name | Ali Arslan Cheema |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154740645 PECOS PAC ID: 9537584701 Enrollment ID: I20200805000395 |
| Provider Name | Kathleen Mary Mcgovern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730620766 PECOS PAC ID: 2668897612 Enrollment ID: I20200807000815 |
| Provider Name | Cassidy Weiheng Tang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275069320 PECOS PAC ID: 5698046902 Enrollment ID: I20200813000211 |
| Provider Name | Toni Li Makipour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750745642 PECOS PAC ID: 2163848797 Enrollment ID: I20200813001726 |
| Provider Name | Amritanshu Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538695192 PECOS PAC ID: 0042636334 Enrollment ID: I20200818000419 |
| Provider Name | Nina Williams |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1518370337 PECOS PAC ID: 2860819521 Enrollment ID: I20200827000149 |
| Provider Name | Traci Lynn Chupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821273939 PECOS PAC ID: 1355510975 Enrollment ID: I20200908002868 |
| Provider Name | Haley Nicole Riggs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396380226 PECOS PAC ID: 4789002288 Enrollment ID: I20200915003751 |
| Provider Name | Tani Reynolds Calvert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760006886 PECOS PAC ID: 2860810207 Enrollment ID: I20200916001613 |
| Provider Name | Samantha Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063044386 PECOS PAC ID: 4082033725 Enrollment ID: I20200930002011 |
| Provider Name | Jammi Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043829138 PECOS PAC ID: 5496175317 Enrollment ID: I20201015000012 |
| Provider Name | Nikkira Renae Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487253530 PECOS PAC ID: 6709206055 Enrollment ID: I20201026002807 |
| Provider Name | John Micah H Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649822545 PECOS PAC ID: 6103240056 Enrollment ID: I20201027003317 |
| Provider Name | Narasimha Rao Vattikunta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912359332 PECOS PAC ID: 8921347832 Enrollment ID: I20201106001808 |
| Provider Name | Aaron Jonathan Kelkhoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598007478 PECOS PAC ID: 4688975188 Enrollment ID: I20201111001856 |
| Provider Name | Cassandra Riddle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679074132 PECOS PAC ID: 7911318332 Enrollment ID: I20201116001351 |
| Provider Name | Charlon Annette Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497368344 PECOS PAC ID: 9335550433 Enrollment ID: I20201120001930 |
| Provider Name | Alpin Devendra Malkan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851550057 PECOS PAC ID: 5092041822 Enrollment ID: I20201123000267 |
| Provider Name | Stefanie Nicole Manley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609130541 PECOS PAC ID: 1153572839 Enrollment ID: I20201125000838 |
| Provider Name | Danielle Nicole Strohmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275156010 PECOS PAC ID: 3678984499 Enrollment ID: I20201201000529 |
| Provider Name | Prasoon Kumar Yendluri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003247446 PECOS PAC ID: 5496971764 Enrollment ID: I20201207001366 |
| Provider Name | Susan Wynkoop Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366041717 PECOS PAC ID: 4789096934 Enrollment ID: I20201214000664 |
| Provider Name | Allison Kay Conaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639776255 PECOS PAC ID: 5395158331 Enrollment ID: I20210112000170 |
| Provider Name | Heidi Noel Cook |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528562071 PECOS PAC ID: 1850655952 Enrollment ID: I20210208002378 |
| Provider Name | Mohammed Murtaza Kamal Chaudry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538361506 PECOS PAC ID: 5092029678 Enrollment ID: I20210303001561 |
| Provider Name | James Arthur Simon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447259171 PECOS PAC ID: 4789573585 Enrollment ID: I20210323000475 |
| Provider Name | Texy Mathew Eyadiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912502105 PECOS PAC ID: 4183031941 Enrollment ID: I20210324001186 |
| Provider Name | Matthew T Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275054074 PECOS PAC ID: 3375883705 Enrollment ID: I20210420001446 |
| Provider Name | Carrie Lea Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821681198 PECOS PAC ID: 0749698017 Enrollment ID: I20210427000204 |
| Provider Name | Kjerista Joann Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114502754 PECOS PAC ID: 1658780614 Enrollment ID: I20210505000010 |
| Provider Name | David Robert Okada |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366880825 PECOS PAC ID: 1254567282 Enrollment ID: I20210505001416 |
| Provider Name | John R Vann |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1326415050 PECOS PAC ID: 7416356597 Enrollment ID: I20210521000623 |
| Provider Name | Stephanie Sarita Harry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922494202 PECOS PAC ID: 4082926852 Enrollment ID: I20210610002737 |
| Provider Name | Linda Mccall Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295334977 PECOS PAC ID: 3678974060 Enrollment ID: I20210623000448 |
| Provider Name | Jeffrey Kinsley Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780184978 PECOS PAC ID: 3072914886 Enrollment ID: I20210630003924 |
| Provider Name | Venkatesh Ravi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821438227 PECOS PAC ID: 1759687494 Enrollment ID: I20210707001541 |
| Provider Name | Vishnu Priya Pulipati |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851774137 PECOS PAC ID: 5496060766 Enrollment ID: I20210708000021 |
| Provider Name | Jessica Nicole Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700383429 PECOS PAC ID: 7012319353 Enrollment ID: I20210709000861 |
| Provider Name | Alexander William Thoman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558866970 PECOS PAC ID: 3779985817 Enrollment ID: I20210712002014 |
| Provider Name | Monica Alexandra Ortiz-pacurucu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164918637 PECOS PAC ID: 4587066642 Enrollment ID: I20210712003037 |
| Provider Name | Gregory Joseph Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821586884 PECOS PAC ID: 9133521222 Enrollment ID: I20210713000058 |
| Provider Name | Elizabeth Grace Severns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467954933 PECOS PAC ID: 1254734965 Enrollment ID: I20210719002129 |
| Provider Name | Utku C Dolen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1609396464 PECOS PAC ID: 7113320714 Enrollment ID: I20210720002204 |
| Provider Name | Nivedita Sudhekar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336672245 PECOS PAC ID: 5092138198 Enrollment ID: I20210729003405 |
| Provider Name | Mary Hinojos Mamut |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518314939 PECOS PAC ID: 4284921065 Enrollment ID: I20210812000621 |
| Provider Name | Cori L Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285209965 PECOS PAC ID: 5799189775 Enrollment ID: I20210812003654 |
| Provider Name | Virendra Rajendrakumar Desai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497016182 PECOS PAC ID: 5597187005 Enrollment ID: I20210814000156 |
| Provider Name | Kaitlin P Domek |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932595576 PECOS PAC ID: 7012223449 Enrollment ID: I20210816004004 |
| Provider Name | Colby Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982277505 PECOS PAC ID: 5890190607 Enrollment ID: I20210817002344 |
| Provider Name | Bailey Erin Stremme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710557152 PECOS PAC ID: 3375948045 Enrollment ID: I20210818001145 |
| Provider Name | William Zachary Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528668530 PECOS PAC ID: 0547665242 Enrollment ID: I20210818002157 |
| Provider Name | Monica Heather Cluck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063081388 PECOS PAC ID: 6305242942 Enrollment ID: I20210908001334 |
| Provider Name | Bhavani Chowdary Tummala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093094278 PECOS PAC ID: 5991929630 Enrollment ID: I20210915000853 |
| Provider Name | Xia Lor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760158877 PECOS PAC ID: 7012314933 Enrollment ID: I20210920003115 |
| Provider Name | Sindy Maria Aguinaga Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427625003 PECOS PAC ID: 7618374117 Enrollment ID: I20210927001682 |
| Provider Name | Zakiya Asha Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316613151 PECOS PAC ID: 6002214970 Enrollment ID: I20211006002913 |
| Provider Name | Erika Lizbeth Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235800830 PECOS PAC ID: 8820496573 Enrollment ID: I20211011000371 |
| Provider Name | Inyang Ndebbio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710346630 PECOS PAC ID: 7810320280 Enrollment ID: I20211021003261 |
| Provider Name | Katherine Jaynes Getchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659978179 PECOS PAC ID: 5597177691 Enrollment ID: I20211027000719 |
| Provider Name | Shawn B Sood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699161778 PECOS PAC ID: 8325350127 Enrollment ID: I20211108002226 |
| Provider Name | Kelsey Nicole Reger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396409991 PECOS PAC ID: 2567851686 Enrollment ID: I20211111000931 |
| Provider Name | Lauren Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659033363 PECOS PAC ID: 6608265210 Enrollment ID: I20211118003001 |
| Provider Name | Dolores Contreras-urby |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356390744 PECOS PAC ID: 3577695022 Enrollment ID: I20211206001098 |
| Provider Name | Robin Rachel Bunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700364023 PECOS PAC ID: 7810387875 Enrollment ID: I20211206001563 |
| Provider Name | Karissa Mcneal Wagenblatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972265981 PECOS PAC ID: 3678963543 Enrollment ID: I20211208001622 |
| Provider Name | Christopher O Ochieng |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255693321 PECOS PAC ID: 4385036029 Enrollment ID: I20220110000996 |
| Provider Name | Matthew Raymond Radant |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316226087 PECOS PAC ID: 9537390927 Enrollment ID: I20220127002561 |
| Provider Name | Jillian Steyl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619638632 PECOS PAC ID: 5597158758 Enrollment ID: I20220210001750 |
| Provider Name | Krystina Kay Beaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679816250 PECOS PAC ID: 3173849049 Enrollment ID: I20220309001595 |
| Provider Name | Lincy Varghese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972958452 PECOS PAC ID: 0941538730 Enrollment ID: I20220311000480 |
| Provider Name | Jacob Taft Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851043947 PECOS PAC ID: 1153716782 Enrollment ID: I20220317002774 |
| Provider Name | Mary Katherine Ranchhod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184243396 PECOS PAC ID: 5890181952 Enrollment ID: I20220330000909 |
| Provider Name | Samantha Jean Merck |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467890921 PECOS PAC ID: 7719113489 Enrollment ID: I20220330001484 |
| Provider Name | Michelle R Bauhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821766239 PECOS PAC ID: 8628464609 Enrollment ID: I20220330001777 |
| Provider Name | Megan Marie Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376835256 PECOS PAC ID: 2365684081 Enrollment ID: I20220331000234 |
| Provider Name | Grant Lee Burton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255416905 PECOS PAC ID: 6608883954 Enrollment ID: I20220331000341 |
| Provider Name | Sara Anne Mednansky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316365489 PECOS PAC ID: 9436451127 Enrollment ID: I20220426001827 |
| Provider Name | Susan Pamela Goode |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255354593 PECOS PAC ID: 6305816612 Enrollment ID: I20220429000358 |
| Provider Name | Chelsea Masterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386148955 PECOS PAC ID: 4486031416 Enrollment ID: I20220513000336 |
| Provider Name | Timothy Choy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033739560 PECOS PAC ID: 5799162541 Enrollment ID: I20220516002905 |
| Provider Name | Tracy Lynn Berry-igert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851040984 PECOS PAC ID: 8628455169 Enrollment ID: I20220523000227 |
| Provider Name | Alexa Nicole Wallace |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962146696 PECOS PAC ID: 3870971179 Enrollment ID: I20220526003050 |
| Provider Name | Angelletta Nakeup Payne |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962663989 PECOS PAC ID: 0840580700 Enrollment ID: I20220607001550 |
| Provider Name | Mahmoud Ahmad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720463979 PECOS PAC ID: 8729321112 Enrollment ID: I20220607002140 |
| Provider Name | Christopher C Glisson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932254745 PECOS PAC ID: 9032204953 Enrollment ID: I20220608000484 |
| Provider Name | Kenneth Daniel Ostmo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578026647 PECOS PAC ID: 2769861251 Enrollment ID: I20220613002365 |
| Provider Name | Clyde R Varner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316931256 PECOS PAC ID: 3870521784 Enrollment ID: I20220616000566 |
| Provider Name | John L Eckenrode |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093782245 PECOS PAC ID: 3971514142 Enrollment ID: I20220617000434 |
| Provider Name | Jose Derdoy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396838876 PECOS PAC ID: 8820065717 Enrollment ID: I20220624001264 |
| Provider Name | Lisa Michele Sample |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003582644 PECOS PAC ID: 6608256185 Enrollment ID: I20220629003282 |
| Provider Name | Casey Butler |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1174902977 PECOS PAC ID: 2466758529 Enrollment ID: I20220722000600 |
| Provider Name | Clifford Ryan Kissling |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548754344 PECOS PAC ID: 7719236421 Enrollment ID: I20220722002203 |
| Provider Name | Amy Christine Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720541907 PECOS PAC ID: 6901287713 Enrollment ID: I20220725001861 |
| Provider Name | Jason Allen Clayton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811208655 PECOS PAC ID: 9133354657 Enrollment ID: I20220729002041 |
| Provider Name | Madison Breann Beckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457918062 PECOS PAC ID: 7416339874 Enrollment ID: I20220801002874 |
| Provider Name | Andrew Langdon Shearer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285364133 PECOS PAC ID: 3779965157 Enrollment ID: I20220802000441 |
| Provider Name | Tanushree Agrawal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295187383 PECOS PAC ID: 0941682355 Enrollment ID: I20220802001471 |
| Provider Name | Rohit Josyabhatla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649724873 PECOS PAC ID: 7012399355 Enrollment ID: I20220802003471 |
| Provider Name | Andy Allen Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104558527 PECOS PAC ID: 3072995125 Enrollment ID: I20220805000815 |
| Provider Name | Pooja Vikramsinh Parmar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649776758 PECOS PAC ID: 9234486150 Enrollment ID: I20220815003340 |
| Provider Name | Keith Edwards Champlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629464789 PECOS PAC ID: 9133502776 Enrollment ID: I20220816000032 |
| Provider Name | Henry Roybal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205256369 PECOS PAC ID: 1951695360 Enrollment ID: I20220817000203 |
| Provider Name | Matthew W Globerson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780112144 PECOS PAC ID: 3779850367 Enrollment ID: I20220818001027 |
| Provider Name | Hawkins Uweh Bassey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629362132 PECOS PAC ID: 3779703707 Enrollment ID: I20220819000077 |
| Provider Name | Richard Zachary Betters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285926238 PECOS PAC ID: 4688997497 Enrollment ID: I20220830002706 |
| Provider Name | Jacob Mark Burdett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104366574 PECOS PAC ID: 1557742947 Enrollment ID: I20220915002535 |
| Provider Name | Lakshmi Kiranmayee Uppaluru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427476365 PECOS PAC ID: 1355646779 Enrollment ID: I20220916003299 |
| Provider Name | Thomas Raymond Lovas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245233584 PECOS PAC ID: 9537148424 Enrollment ID: I20220926001071 |
| Provider Name | Taylor Christine Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669008355 PECOS PAC ID: 4981080744 Enrollment ID: I20220930001692 |
| Provider Name | Bilal Ahmed Muzaffar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497242473 PECOS PAC ID: 4880940378 Enrollment ID: I20221004002341 |
| Provider Name | Jameson Pelton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972003648 PECOS PAC ID: 7214324979 Enrollment ID: I20221013000949 |
| Provider Name | Shyian S Jen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982850996 PECOS PAC ID: 7810138849 Enrollment ID: I20221019000047 |
| Provider Name | Theresa E Robertson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215019518 PECOS PAC ID: 4082883681 Enrollment ID: I20221028002477 |
| Provider Name | Christopher Salvatore Graffeo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003222738 PECOS PAC ID: 9133344773 Enrollment ID: I20221128001395 |
| Provider Name | Hee Won Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013024819 PECOS PAC ID: 8628004660 Enrollment ID: I20221129003229 |
| Provider Name | Edward Talya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659687994 PECOS PAC ID: 3870881774 Enrollment ID: I20221201000680 |
| Provider Name | Andre Fallot |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730158213 PECOS PAC ID: 7517133473 Enrollment ID: I20221228000994 |
| Provider Name | Kristina Marie Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629789276 PECOS PAC ID: 8527438464 Enrollment ID: I20230110001814 |
| Provider Name | Donald Thomas Schleicher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689011777 PECOS PAC ID: 6204131683 Enrollment ID: I20230118001386 |
| Provider Name | Francis Bohdiewicz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558476234 PECOS PAC ID: 7315936028 Enrollment ID: I20230121000136 |
| Provider Name | Katherine Bode |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699496968 PECOS PAC ID: 1759753908 Enrollment ID: I20230216000497 |
| Provider Name | Amanda Anne Whytal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215191432 PECOS PAC ID: 7416105192 Enrollment ID: I20230219000022 |
| Provider Name | Pamela Sue Woodward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013569524 PECOS PAC ID: 5496127573 Enrollment ID: I20230220000220 |
| Provider Name | Rachel Treuting |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396989257 PECOS PAC ID: 6709024417 Enrollment ID: I20230228001369 |
| Provider Name | Kathryn Lunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619403003 PECOS PAC ID: 6204178767 Enrollment ID: I20230303000134 |
| Provider Name | Tyler Allen Gonser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316680846 PECOS PAC ID: 6709259948 Enrollment ID: I20230308002636 |
| Provider Name | Dolly B Roy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053469072 PECOS PAC ID: 9436245891 Enrollment ID: I20230313000038 |
| Provider Name | Shah-naz Khan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063615904 PECOS PAC ID: 1254499809 Enrollment ID: I20230320002965 |
| Provider Name | Dennis Choi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255728671 PECOS PAC ID: 7719292838 Enrollment ID: I20230322000414 |
| Provider Name | Tara Lee Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467190603 PECOS PAC ID: 5092189605 Enrollment ID: I20230322002313 |
| Provider Name | Chinenye Iwuchukwu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780909713 PECOS PAC ID: 6305181694 Enrollment ID: I20230323000306 |
| Provider Name | Christina Joy Lansdowne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932815271 PECOS PAC ID: 0547634958 Enrollment ID: I20230327002572 |
| Provider Name | Kristin Huntoon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043650229 PECOS PAC ID: 5597064832 Enrollment ID: I20230329000697 |
| Provider Name | Kalpana Kodali Hughes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063455624 PECOS PAC ID: 2163548348 Enrollment ID: I20230329000720 |
| Provider Name | Sia Samantha Vue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811544968 PECOS PAC ID: 1850623844 Enrollment ID: I20230410000391 |
| Provider Name | Anton E Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740263227 PECOS PAC ID: 9032196035 Enrollment ID: I20230427002827 |
| Provider Name | Rachna Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144647264 PECOS PAC ID: 1153650643 Enrollment ID: I20230501002511 |
| Provider Name | Karen S Riggins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629497953 PECOS PAC ID: 7214350123 Enrollment ID: I20230508001252 |
| Provider Name | Travis Arnold Lloyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164747390 PECOS PAC ID: 8820319403 Enrollment ID: I20230517003536 |
| Provider Name | Matthew Ryan Reynolds |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811150394 PECOS PAC ID: 7416187760 Enrollment ID: I20230524003795 |
| Provider Name | Khanh Le Agrawal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699462671 PECOS PAC ID: 3375900301 Enrollment ID: I20230607001861 |
| Provider Name | John Millichap |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225211600 PECOS PAC ID: 4688827009 Enrollment ID: I20230613002070 |
| Provider Name | Kenten Pey-kuen Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013998186 PECOS PAC ID: 7618162256 Enrollment ID: I20230615001065 |
| Provider Name | Elizabeth J Urrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033802236 PECOS PAC ID: 7517326994 Enrollment ID: I20230703000846 |
| Provider Name | Deka Efobi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720059397 PECOS PAC ID: 4082676614 Enrollment ID: I20230706001291 |
| Provider Name | Lauren Aubrey Rovang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811680887 PECOS PAC ID: 6507226321 Enrollment ID: I20230712001490 |
| Provider Name | Benjamin H Greiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902428212 PECOS PAC ID: 0446671796 Enrollment ID: I20230717000179 |
| Provider Name | Kimberly Dawn Harrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447887997 PECOS PAC ID: 8628438173 Enrollment ID: I20230717001312 |
| Provider Name | Sarah Catherine Noble |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245528116 PECOS PAC ID: 3577923929 Enrollment ID: I20230717001606 |
| Provider Name | Letitia Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790304681 PECOS PAC ID: 6800219429 Enrollment ID: I20230718002338 |
| Provider Name | Jennifer Nicole Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871245852 PECOS PAC ID: 6507253192 Enrollment ID: I20230719004368 |
| Provider Name | Yinan Fu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558897827 PECOS PAC ID: 4789953126 Enrollment ID: I20230720002340 |
| Provider Name | Mohammed Shaban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487281705 PECOS PAC ID: 3779943865 Enrollment ID: I20230720003626 |
| Provider Name | Kimberly N Day |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316479173 PECOS PAC ID: 2860814514 Enrollment ID: I20230721002692 |
| Provider Name | Yazan Zaher Mohammad Zayed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861914749 PECOS PAC ID: 4587939855 Enrollment ID: I20230721003115 |
| Provider Name | Krishnakanth Rithvik Mogili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427686252 PECOS PAC ID: 6305206202 Enrollment ID: I20230724000879 |
| Provider Name | Gentry Thomas Decker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861029761 PECOS PAC ID: 6002277639 Enrollment ID: I20230731000829 |
| Provider Name | Priyatha Garlapati |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184101313 PECOS PAC ID: 1658619630 Enrollment ID: I20230731002586 |
| Provider Name | Ryan Sears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306162979 PECOS PAC ID: 0042441768 Enrollment ID: I20230802004522 |
| Provider Name | Eyad Almallouhi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003264193 PECOS PAC ID: 1759661184 Enrollment ID: I20230803000801 |
| Provider Name | Michael Sumner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639528656 PECOS PAC ID: 4385935154 Enrollment ID: I20230807001132 |
| Provider Name | Robert Peter Aran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003357039 PECOS PAC ID: 5496116469 Enrollment ID: I20230807003621 |
| Provider Name | Richard Vigh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255717039 PECOS PAC ID: 0941539092 Enrollment ID: I20230811000567 |
| Provider Name | Hongtao Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750678017 PECOS PAC ID: 2668801945 Enrollment ID: I20230815001030 |
| Provider Name | Michael Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730703562 PECOS PAC ID: 2264855170 Enrollment ID: I20230817000315 |
| Provider Name | Momen Banifadel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437677077 PECOS PAC ID: 5799043923 Enrollment ID: I20230817001741 |
| Provider Name | Heather Konsure O'neal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518420652 PECOS PAC ID: 9133582158 Enrollment ID: I20230823004664 |
| Provider Name | David George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467088468 PECOS PAC ID: 5698138659 Enrollment ID: I20230824001286 |
| Provider Name | Ram V Chavali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558338194 PECOS PAC ID: 8123073285 Enrollment ID: I20230824004057 |
| Provider Name | Lindsay Claire Watson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851911796 PECOS PAC ID: 5991128571 Enrollment ID: I20230825000824 |
| Provider Name | Sianna Elizabeth Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881324523 PECOS PAC ID: 0446613277 Enrollment ID: I20230828001715 |
| Provider Name | Venkata Vosuri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861603201 PECOS PAC ID: 7214089531 Enrollment ID: I20230830002125 |
| Provider Name | Kendra Layne Steward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104448083 PECOS PAC ID: 7416378922 Enrollment ID: I20230831002437 |
| Provider Name | Miguel Angel Jara Palacios |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134614464 PECOS PAC ID: 1759744089 Enrollment ID: I20230901003359 |
| Provider Name | Andrew A Hinojos |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932513140 PECOS PAC ID: 4082934997 Enrollment ID: I20230919001689 |
| Provider Name | Emil Amar Kasmia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265061733 PECOS PAC ID: 8426412784 Enrollment ID: I20230919004300 |
| Provider Name | Kunal Sangal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679910350 PECOS PAC ID: 8022319235 Enrollment ID: I20230921001850 |
| Provider Name | Andrew C Antill |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1457748980 PECOS PAC ID: 3870899958 Enrollment ID: I20230926003198 |
| Provider Name | Jared Craig Sheppard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861913923 PECOS PAC ID: 5294004040 Enrollment ID: I20230929002006 |
| Provider Name | Jacob Austin Hill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083277461 PECOS PAC ID: 2163876673 Enrollment ID: I20231002001282 |
| Provider Name | Nicole Abel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073142022 PECOS PAC ID: 7315391802 Enrollment ID: I20231003000855 |
| Provider Name | Tran Minh Anh Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710662432 PECOS PAC ID: 2365896750 Enrollment ID: I20231004001742 |
| Provider Name | Matthew Nunley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114424900 PECOS PAC ID: 4486009594 Enrollment ID: I20231010001787 |
| Provider Name | Yan Luo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235739657 PECOS PAC ID: 6406201060 Enrollment ID: I20231017002459 |
| Provider Name | Arjun Md Chandra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598389348 PECOS PAC ID: 3779938345 Enrollment ID: I20231017002497 |
| Provider Name | Scott Robert Masterson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598751323 PECOS PAC ID: 8426947680 Enrollment ID: I20231018001126 |
| Provider Name | Reetu Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407871577 PECOS PAC ID: 3870644016 Enrollment ID: I20231027001917 |
| Provider Name | Cheyenne Colby Westlake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558049213 PECOS PAC ID: 2163878778 Enrollment ID: I20231101003364 |
| Provider Name | Roger Blake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023049335 PECOS PAC ID: 8022049501 Enrollment ID: I20231103003208 |
| Provider Name | Brian David Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457004970 PECOS PAC ID: 7911354105 Enrollment ID: I20231109001225 |
| Provider Name | Islam Mohamed Tafish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629175526 PECOS PAC ID: 3072664028 Enrollment ID: I20231208003340 |
| Provider Name | Jennifer Mosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740060656 PECOS PAC ID: 7416306493 Enrollment ID: I20231215002349 |
| Provider Name | Hope Cordova |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1043666035 PECOS PAC ID: 5496044083 Enrollment ID: I20231223000182 |
| Provider Name | Marcene R. Mcvay Gillam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962627984 PECOS PAC ID: 6608013149 Enrollment ID: I20231229000569 |
| Provider Name | Ryan Alexander Zengou |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235395591 PECOS PAC ID: 2365698610 Enrollment ID: I20240129002017 |
| Provider Name | Jb Fenix |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922392877 PECOS PAC ID: 2769749803 Enrollment ID: I20240206000644 |
| Provider Name | Timothy Purnell Upchurch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689628745 PECOS PAC ID: 1153325329 Enrollment ID: I20240226000750 |
Tulsa Internal Medicine Physicians, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104 Phone: 918-748-8467 | |
Family Health And Wellness Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 Phone: 918-740-4630 Fax: 918-289-0091 | |
Family Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4134 S Harvard Ave Ste B3, Tulsa, OK 74135 Phone: 918-442-2236 Fax: 918-794-2333 | |
Community Health Connection, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13702 E 46th Pl, Tulsa, OK 74134 Phone: 918-622-0641 Fax: 918-622-4814 | |
Qt Quikmed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4705 S 129th East Ave, Tulsa, OK 74134 Phone: 918-994-3953 | |
Sunshine Care Partners Of Dfw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Peoria Ave, Tulsa, OK 74120 Phone: 918-609-5600 | |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 N 161st East Ave, Tulsa, OK 74116 Phone: 800-993-8244 |