| Wupi - Internal Medicine | |
|
1414 Cross St O Fallon IL 62269-2988 | |
| (314) 273-0770 | |
| (314) 273-0470 |
| Full Name | Wupi - Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1414 Cross St, O Fallon, Illinois |
| Authorized Official Name and Position | Cathy Eghigian (DIRECTOR) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wupi - Internal Medicine 4240 Duncan Ave Ste 301 Saint Louis MO 63110-1123 Ph: (314) 273-0770 | Wupi - Internal Medicine 1414 Cross St O Fallon IL 62269-2988 Ph: (314) 273-0770 |
| NPI Number | 1477076263 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 02/26/2018 |
| Medicare PECOS PAC ID | 4789945163 |
|---|---|
| Medicare Enrollment ID | O20180227002018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477076263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | James M Close |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083641971 PECOS PAC ID: 7113823782 Enrollment ID: I20040129000796 |
| Provider Name | Salvador Lobianco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871585356 PECOS PAC ID: 2466358031 Enrollment ID: I20040129000917 |
| Provider Name | Nabil A Munfakh |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578634226 PECOS PAC ID: 1254305808 Enrollment ID: I20040820000611 |
| Provider Name | Susan J Laduzinsky |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942202155 PECOS PAC ID: 0042286700 Enrollment ID: I20040903000892 |
| Provider Name | Wade Larry Thorstad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356367668 PECOS PAC ID: 1355371295 Enrollment ID: I20050819000427 |
| Provider Name | John L Visconti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033167846 PECOS PAC ID: 8921028143 Enrollment ID: I20051202000549 |
| Provider Name | Mark C Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497796957 PECOS PAC ID: 9931106770 Enrollment ID: I20061108000541 |
| Provider Name | Ronald Mark Grady |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821036716 PECOS PAC ID: 2365449105 Enrollment ID: I20061108000576 |
| Provider Name | Laura P Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699718692 PECOS PAC ID: 1456379635 Enrollment ID: I20070123000366 |
| Provider Name | Mir Jaffer Asif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477759389 PECOS PAC ID: 4082715693 Enrollment ID: I20070726000660 |
| Provider Name | David L Eisenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033304415 PECOS PAC ID: 1456445550 Enrollment ID: I20070920000253 |
| Provider Name | Catrina M Vandeloo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386839389 PECOS PAC ID: 5890881882 Enrollment ID: I20071023000121 |
| Provider Name | Omokhaye Mogokolea Higo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326120403 PECOS PAC ID: 8224098157 Enrollment ID: I20080519000127 |
| Provider Name | Ellen Eunhae Kim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891709440 PECOS PAC ID: 5092714329 Enrollment ID: I20091112000189 |
| Provider Name | Alfred O Greco |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073501607 PECOS PAC ID: 7911892393 Enrollment ID: I20100823000106 |
| Provider Name | Carl Wesley Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649273319 PECOS PAC ID: 5496828956 Enrollment ID: I20100913000883 |
| Provider Name | Murray D Mcgrady |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942203617 PECOS PAC ID: 6305919861 Enrollment ID: I20100913000916 |
| Provider Name | Guillermo Rodriguez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861440661 PECOS PAC ID: 6103010194 Enrollment ID: I20101103001155 |
| Provider Name | William J Popovic |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609824549 PECOS PAC ID: 6406876622 Enrollment ID: I20101103001175 |
| Provider Name | Misty D Biciocchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013214576 PECOS PAC ID: 3779767298 Enrollment ID: I20110407000502 |
| Provider Name | Jeff Michael Michalski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902824410 PECOS PAC ID: 5496835019 Enrollment ID: I20121031000624 |
| Provider Name | Imran Zoberi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710903034 PECOS PAC ID: 3577608744 Enrollment ID: I20130520000077 |
| Provider Name | Caroline K Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205875036 PECOS PAC ID: 3173564770 Enrollment ID: I20130709000599 |
| Provider Name | Stephanie M Perkins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255359543 PECOS PAC ID: 8729270566 Enrollment ID: I20130925000512 |
| Provider Name | Mary E Fournier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841251303 PECOS PAC ID: 1759517881 Enrollment ID: I20131120001313 |
| Provider Name | Dennis E Hallahan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699867010 PECOS PAC ID: 0749247658 Enrollment ID: I20131125000223 |
| Provider Name | Clifford G Robinson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699967281 PECOS PAC ID: 8022163054 Enrollment ID: I20140423001428 |
| Provider Name | Hiram A Gay |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720045297 PECOS PAC ID: 5395771216 Enrollment ID: I20140425001099 |
| Provider Name | Jiayi Huang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922205004 PECOS PAC ID: 6709034226 Enrollment ID: I20140428000506 |
| Provider Name | Anandhalakshmi Varadharajan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518165067 PECOS PAC ID: 5698813020 Enrollment ID: I20140807001454 |
| Provider Name | Mohannad Mannaa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861423576 PECOS PAC ID: 6204811334 Enrollment ID: I20141105002389 |
| Provider Name | Luis Sumoza |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003258583 PECOS PAC ID: 0042432619 Enrollment ID: I20141114001516 |
| Provider Name | David J Eisenstein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598757031 PECOS PAC ID: 3375582588 Enrollment ID: I20141119001224 |
| Provider Name | Alina Mercedes Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861719338 PECOS PAC ID: 4284956954 Enrollment ID: I20141208001615 |
| Provider Name | Maria A Thomas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104089465 PECOS PAC ID: 8921241597 Enrollment ID: I20150220001349 |
| Provider Name | Jason D Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851618995 PECOS PAC ID: 2860703683 Enrollment ID: I20150622000351 |
| Provider Name | Megan S Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790047298 PECOS PAC ID: 2466765961 Enrollment ID: I20150713001854 |
| Provider Name | Jiggar R Hindia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558561613 PECOS PAC ID: 5395995815 Enrollment ID: I20150917002613 |
| Provider Name | Jeffrey M Dicke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982622437 PECOS PAC ID: 0244364883 Enrollment ID: I20151208000573 |
| Provider Name | Douglas E Coplen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972529295 PECOS PAC ID: 2769559699 Enrollment ID: I20151208000628 |
| Provider Name | Roxane M Rampersad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104031822 PECOS PAC ID: 5991690117 Enrollment ID: I20151217002065 |
| Provider Name | Krista N Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437523677 PECOS PAC ID: 2264736826 Enrollment ID: I20160203000028 |
| Provider Name | Michelle V Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033548045 PECOS PAC ID: 9436462066 Enrollment ID: I20160330001486 |
| Provider Name | Angela L Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639532609 PECOS PAC ID: 1557651544 Enrollment ID: I20160603000047 |
| Provider Name | Katherine E Schwetye |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962780155 PECOS PAC ID: 4385934983 Enrollment ID: I20160630000246 |
| Provider Name | Gregory R Vlacich |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073839148 PECOS PAC ID: 4486878048 Enrollment ID: I20160706000474 |
| Provider Name | Varun Puri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336366087 PECOS PAC ID: 5395898241 Enrollment ID: I20160802001433 |
| Provider Name | Bryan F Meyers |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275551913 PECOS PAC ID: 9335284074 Enrollment ID: I20160901000175 |
| Provider Name | Marcia A Mcgraw Houchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730245291 PECOS PAC ID: 3476849316 Enrollment ID: I20160901001403 |
| Provider Name | Ebony Boyce Carter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215081559 PECOS PAC ID: 5092831172 Enrollment ID: I20161014001115 |
| Provider Name | Jeannie C Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730316761 PECOS PAC ID: 0749420495 Enrollment ID: I20161103001068 |
| Provider Name | Lawrence Osei |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093991887 PECOS PAC ID: 1557537552 Enrollment ID: I20161130002527 |
| Provider Name | John Matthew Felder |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1336373828 PECOS PAC ID: 5698068104 Enrollment ID: I20170109001648 |
| Provider Name | Julie K Schwarz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871634261 PECOS PAC ID: 1759436744 Enrollment ID: I20170222002181 |
| Provider Name | Stephanie Markovina |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336464536 PECOS PAC ID: 9739318940 Enrollment ID: I20170223001454 |
| Provider Name | Christopher D Abraham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083900294 PECOS PAC ID: 8921237785 Enrollment ID: I20170412001711 |
| Provider Name | Sanjay Subramanian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922071836 PECOS PAC ID: 2466414446 Enrollment ID: I20170525001949 |
| Provider Name | Eric M Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194269738 PECOS PAC ID: 7214205806 Enrollment ID: I20170623000394 |
| Provider Name | Talisha J Nyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821537820 PECOS PAC ID: 0941574370 Enrollment ID: I20170922001485 |
| Provider Name | Hyun Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467718379 PECOS PAC ID: 4880826544 Enrollment ID: I20170925000222 |
| Provider Name | Brian C Baumann |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841559945 PECOS PAC ID: 2668745985 Enrollment ID: I20170925002404 |
| Provider Name | Amber R. Stallard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578701546 PECOS PAC ID: 1658635768 Enrollment ID: I20180425002232 |
| Provider Name | Erik R Hoefgen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659636009 PECOS PAC ID: 1557660768 Enrollment ID: I20180731004029 |
| Provider Name | Hayley A Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831455161 PECOS PAC ID: 4880992007 Enrollment ID: I20180801002530 |
| Provider Name | Cori Lynn Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255712816 PECOS PAC ID: 7517212319 Enrollment ID: I20180814001610 |
| Provider Name | Elizabeth S Messer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205276698 PECOS PAC ID: 3274827654 Enrollment ID: I20180814004027 |
| Provider Name | Gian M Musarra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396912424 PECOS PAC ID: 9537232970 Enrollment ID: I20180816000144 |
| Provider Name | Scott Saunders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861418097 PECOS PAC ID: 5395801070 Enrollment ID: I20180816000389 |
| Provider Name | Jeffrey G Dawson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821014044 PECOS PAC ID: 3274664321 Enrollment ID: I20180816000744 |
| Provider Name | Jonathan Currie Chiles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265651467 PECOS PAC ID: 8426141045 Enrollment ID: I20180817000137 |
| Provider Name | Jane Alyce Hunt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497034722 PECOS PAC ID: 9234355454 Enrollment ID: I20180817000150 |
| Provider Name | Michael P Turmelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194743625 PECOS PAC ID: 5092803288 Enrollment ID: I20180817001628 |
| Provider Name | Zachary A Vesoulis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902035199 PECOS PAC ID: 3072739291 Enrollment ID: I20180820000308 |
| Provider Name | Brooke I Polk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235490400 PECOS PAC ID: 8628370947 Enrollment ID: I20180820000983 |
| Provider Name | Lisa M Moscoso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831117316 PECOS PAC ID: 4688799083 Enrollment ID: I20180820001620 |
| Provider Name | Shannon M Joerger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538338215 PECOS PAC ID: 7810121621 Enrollment ID: I20180821001415 |
| Provider Name | Colleen C Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912294000 PECOS PAC ID: 7113296468 Enrollment ID: I20180821001651 |
| Provider Name | Michael R Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881612695 PECOS PAC ID: 0547392672 Enrollment ID: I20180821001889 |
| Provider Name | Dana J Aronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467639781 PECOS PAC ID: 2961532197 Enrollment ID: I20180822002924 |
| Provider Name | Barbara B Warner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487723573 PECOS PAC ID: 0446329692 Enrollment ID: I20180823000032 |
| Provider Name | Lauren Rogowski Moran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427463801 PECOS PAC ID: 4284903535 Enrollment ID: I20180823000633 |
| Provider Name | Bryanne N Colvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780996561 PECOS PAC ID: 9638463169 Enrollment ID: I20180824002554 |
| Provider Name | Michelle L Hagene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790190999 PECOS PAC ID: 3274802509 Enrollment ID: I20180829000004 |
| Provider Name | Shawn D Oconnor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215240585 PECOS PAC ID: 4789978180 Enrollment ID: I20180830000466 |
| Provider Name | Allison L Chalupa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780066068 PECOS PAC ID: 9638434970 Enrollment ID: I20180904002709 |
| Provider Name | Kevin T Barton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346428281 PECOS PAC ID: 2466621719 Enrollment ID: I20180905000455 |
| Provider Name | Clayton B Cummings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588682397 PECOS PAC ID: 3375692759 Enrollment ID: I20180912000630 |
| Provider Name | Ashlyn B Turner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649535089 PECOS PAC ID: 7012263098 Enrollment ID: I20180920001454 |
| Provider Name | Daniel R Morra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093704942 PECOS PAC ID: 0345590543 Enrollment ID: I20180920001827 |
| Provider Name | Alicia C Carmack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639560949 PECOS PAC ID: 8325366925 Enrollment ID: I20180920002661 |
| Provider Name | Katherine M Kiely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467961482 PECOS PAC ID: 0042586950 Enrollment ID: I20180926001569 |
| Provider Name | Emily F Fishman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407098262 PECOS PAC ID: 1850605544 Enrollment ID: I20180928000268 |
| Provider Name | Elena Minakova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902049604 PECOS PAC ID: 3577833060 Enrollment ID: I20181001000350 |
| Provider Name | Katherine M Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639348808 PECOS PAC ID: 3274701826 Enrollment ID: I20181008003123 |
| Provider Name | Jeffrey R Stokes |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1649221953 PECOS PAC ID: 4183640733 Enrollment ID: I20181009000322 |
| Provider Name | Samuel F Julian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841476975 PECOS PAC ID: 9436377611 Enrollment ID: I20181009000377 |
| Provider Name | Ian Sean Hagemann |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275795569 PECOS PAC ID: 1557504131 Enrollment ID: I20181022003380 |
| Provider Name | Keith A Hruska |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336167030 PECOS PAC ID: 7719014026 Enrollment ID: I20181024001509 |
| Provider Name | Sarah L Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235160748 PECOS PAC ID: 8325004658 Enrollment ID: I20181025002023 |
| Provider Name | Mark A Schroeder |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255544680 PECOS PAC ID: 1557415411 Enrollment ID: I20181029000005 |
| Provider Name | George Ansstas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790988053 PECOS PAC ID: 4284724907 Enrollment ID: I20181029002555 |
| Provider Name | Kelleigh E Briden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164777223 PECOS PAC ID: 8921363698 Enrollment ID: I20181030000407 |
| Provider Name | Patricia T Jimenez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003019217 PECOS PAC ID: 3375709231 Enrollment ID: I20181031000634 |
| Provider Name | Shahed Nicolas Badiyan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285967141 PECOS PAC ID: 8921237769 Enrollment ID: I20181105000084 |
| Provider Name | Cody Weimholt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417399320 PECOS PAC ID: 5496003071 Enrollment ID: I20181106000978 |
| Provider Name | Nandini Raghuraman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689969743 PECOS PAC ID: 0345567947 Enrollment ID: I20181109000545 |
| Provider Name | Renee Michelle Warmbrodt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134617764 PECOS PAC ID: 2668737685 Enrollment ID: I20181114000571 |
| Provider Name | Anna Lijowska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508884149 PECOS PAC ID: 2163553199 Enrollment ID: I20181119001278 |
| Provider Name | Gillian C Pet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639478969 PECOS PAC ID: 2668780255 Enrollment ID: I20181214000924 |
| Provider Name | Stefanee Lynann Keth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912195868 PECOS PAC ID: 8224125331 Enrollment ID: I20181217002372 |
| Provider Name | Carmen M Halabi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316176704 PECOS PAC ID: 8921311689 Enrollment ID: I20190107001667 |
| Provider Name | Vikas R Dharnidharka |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619915246 PECOS PAC ID: 8022132166 Enrollment ID: I20190108001767 |
| Provider Name | Nishant Poddar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124387675 PECOS PAC ID: 9638324551 Enrollment ID: I20190111000665 |
| Provider Name | Cadence A Kuklinski |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1942567698 PECOS PAC ID: 4981952207 Enrollment ID: I20190125000169 |
| Provider Name | Michelle M Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003230764 PECOS PAC ID: 3476872847 Enrollment ID: I20190211000526 |
| Provider Name | Elizabeth J Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164832705 PECOS PAC ID: 9537054622 Enrollment ID: I20190226001626 |
| Provider Name | Erica Card |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275006488 PECOS PAC ID: 3779822275 Enrollment ID: I20190227003078 |
| Provider Name | Philip M Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720309016 PECOS PAC ID: 0345482303 Enrollment ID: I20190304001672 |
| Provider Name | Daniel A Emmert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346494705 PECOS PAC ID: 7618153446 Enrollment ID: I20190307000223 |
| Provider Name | Alexis A Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164827242 PECOS PAC ID: 6800132689 Enrollment ID: I20190325002610 |
| Provider Name | Courtney L Hutkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265931455 PECOS PAC ID: 6901151976 Enrollment ID: I20190402002008 |
| Provider Name | Halana Victoria Whitehead |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508208646 PECOS PAC ID: 6800120726 Enrollment ID: I20190703001100 |
| Provider Name | Patrick E Sloan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558701045 PECOS PAC ID: 4385977982 Enrollment ID: I20190708000930 |
| Provider Name | Kaitlin G Kenney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811382583 PECOS PAC ID: 0941558506 Enrollment ID: I20190723000354 |
| Provider Name | Amit Pawale |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760716161 PECOS PAC ID: 6709190887 Enrollment ID: I20190731000887 |
| Provider Name | Tessa Elaine Madden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104861665 PECOS PAC ID: 1658306543 Enrollment ID: I20190802000398 |
| Provider Name | Erin E Orf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073995593 PECOS PAC ID: 5991051583 Enrollment ID: I20190812000143 |
| Provider Name | Laura K Hulteen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043691272 PECOS PAC ID: 1951657345 Enrollment ID: I20190910000454 |
| Provider Name | Megan E Foeller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568728939 PECOS PAC ID: 7618297797 Enrollment ID: I20190912001246 |
| Provider Name | Muhammad Burhan Ud Din Janjua |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295140820 PECOS PAC ID: 0446580252 Enrollment ID: I20190920002407 |
| Provider Name | Michael Mckinley Dombrowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841585809 PECOS PAC ID: 6709192198 Enrollment ID: I20191011000025 |
| Provider Name | Uchenna Ofoma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225222409 PECOS PAC ID: 9931274339 Enrollment ID: I20191023000000 |
| Provider Name | Nicole Renee Cassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609104603 PECOS PAC ID: 9638308984 Enrollment ID: I20191113000664 |
| Provider Name | Alexandra Clare Lahart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649610064 PECOS PAC ID: 9133455769 Enrollment ID: I20191126000122 |
| Provider Name | Aadel Ahmed Chaudhuri |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487097572 PECOS PAC ID: 5890048706 Enrollment ID: I20191209002033 |
| Provider Name | Dana Marie Decuffa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245684661 PECOS PAC ID: 4082940655 Enrollment ID: I20191231002121 |
| Provider Name | Oluwafunmilayo Adebayo-adonis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437593613 PECOS PAC ID: 5698901270 Enrollment ID: I20200103000006 |
| Provider Name | Sarah Marie Mccaffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306049143 PECOS PAC ID: 8729189121 Enrollment ID: I20200330002530 |
| Provider Name | Lorraine R Seiffert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487971537 PECOS PAC ID: 2062541220 Enrollment ID: I20200408003647 |
| Provider Name | Kamlesh B Patel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790766186 PECOS PAC ID: 8224152806 Enrollment ID: I20200413001028 |
| Provider Name | Salik Choudhary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386986578 PECOS PAC ID: 1951603422 Enrollment ID: I20200413001552 |
| Provider Name | Arnold D Bullock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992721120 PECOS PAC ID: 4688714298 Enrollment ID: I20200413003686 |
| Provider Name | Kenneth Gordon Sands |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861804098 PECOS PAC ID: 1153651245 Enrollment ID: I20200413003736 |
| Provider Name | Ramakrishna Venkatesh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548286768 PECOS PAC ID: 1759446792 Enrollment ID: I20200413003782 |
| Provider Name | Brian Fuller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447461744 PECOS PAC ID: 2264594084 Enrollment ID: I20200504001955 |
| Provider Name | Christopher M Palmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700048238 PECOS PAC ID: 5890923387 Enrollment ID: I20200504002037 |
| Provider Name | Michael L Havenar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770723082 PECOS PAC ID: 2365590544 Enrollment ID: I20200504002158 |
| Provider Name | Enyo A Ablordeppey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548468200 PECOS PAC ID: 6608906854 Enrollment ID: I20200504002477 |
| Provider Name | Thomas Lynch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093004772 PECOS PAC ID: 1355697053 Enrollment ID: I20200504002552 |
| Provider Name | Paul W Kerby |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578768461 PECOS PAC ID: 5799936225 Enrollment ID: I20200504002676 |
| Provider Name | Justin Gawron Knittel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104053032 PECOS PAC ID: 8426217563 Enrollment ID: I20200504002716 |
| Provider Name | Jeanette S Pytlinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609393966 PECOS PAC ID: 8426311390 Enrollment ID: I20200505000728 |
| Provider Name | Patricia A Wilkinson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710251814 PECOS PAC ID: 2062673049 Enrollment ID: I20200505000816 |
| Provider Name | Sarah K Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396188959 PECOS PAC ID: 4385992262 Enrollment ID: I20200505000917 |
| Provider Name | Christina S Thomas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831509470 PECOS PAC ID: 2567765936 Enrollment ID: I20200505001161 |
| Provider Name | Amanda L Matysik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649720327 PECOS PAC ID: 3971880113 Enrollment ID: I20200505001301 |
| Provider Name | Jessica L Nelson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487910865 PECOS PAC ID: 6305086125 Enrollment ID: I20200505001467 |
| Provider Name | Amjad Issam Musleh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508209313 PECOS PAC ID: 2860626249 Enrollment ID: I20200505001555 |
| Provider Name | Nicole C Deptula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639519861 PECOS PAC ID: 1153623699 Enrollment ID: I20200521000790 |
| Provider Name | Zachary T Young |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952503807 PECOS PAC ID: 9436324860 Enrollment ID: I20200522000962 |
| Provider Name | Andrea Nicole Drussa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902467426 PECOS PAC ID: 2769718931 Enrollment ID: I20200707002659 |
| Provider Name | Francesca Ferraro |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295173136 PECOS PAC ID: 1951659986 Enrollment ID: I20200721003565 |
| Provider Name | Carly Schuetz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942627377 PECOS PAC ID: 6507288651 Enrollment ID: I20200722002529 |
| Provider Name | Claire M Mcauliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831712835 PECOS PAC ID: 1355766098 Enrollment ID: I20200729000845 |
| Provider Name | Brett H Herzog |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023499282 PECOS PAC ID: 1850605734 Enrollment ID: I20200808000063 |
| Provider Name | Lauren Waldholtz Gregory |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801316732 PECOS PAC ID: 7911321641 Enrollment ID: I20200810003628 |
| Provider Name | Alexander Lin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962898759 PECOS PAC ID: 7618390121 Enrollment ID: I20200813003521 |
| Provider Name | Timothy R. Evans |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972958726 PECOS PAC ID: 6901196971 Enrollment ID: I20200821001621 |
| Provider Name | Frances Naa Lamiley Annan-fohtung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912427956 PECOS PAC ID: 3870918188 Enrollment ID: I20200904001892 |
| Provider Name | Sophia Eugenia Agapova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306377635 PECOS PAC ID: 3870861842 Enrollment ID: I20200908002304 |
| Provider Name | Katherine Mae Massa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205272341 PECOS PAC ID: 3375846140 Enrollment ID: I20200910000273 |
| Provider Name | Antonina Ilyinishna Frolova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386083194 PECOS PAC ID: 9931338175 Enrollment ID: I20200916000283 |
| Provider Name | Pamela Parker Samson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215223003 PECOS PAC ID: 1759706765 Enrollment ID: I20200917000023 |
| Provider Name | Ramzi Abboud |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649684200 PECOS PAC ID: 2264651660 Enrollment ID: I20200917000054 |
| Provider Name | Lamya S Mubayed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447686415 PECOS PAC ID: 2860619459 Enrollment ID: I20200928002839 |
| Provider Name | Eileen Anna Ciccia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497013767 PECOS PAC ID: 1759683279 Enrollment ID: I20201029000193 |
| Provider Name | Carmen Renee Bergom |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932363553 PECOS PAC ID: 5890937270 Enrollment ID: I20201105001329 |
| Provider Name | Kelly Bettina Currie |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518121094 PECOS PAC ID: 9234447723 Enrollment ID: I20201116002077 |
| Provider Name | Valerie S Ratts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942226170 PECOS PAC ID: 9739213463 Enrollment ID: I20201118002421 |
| Provider Name | Stephanie Ann Berdy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235578600 PECOS PAC ID: 0941592729 Enrollment ID: I20201118003348 |
| Provider Name | Kenan R Omurtag |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477738136 PECOS PAC ID: 1456503051 Enrollment ID: I20201121000197 |
| Provider Name | Gregory Pote Murphy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962798652 PECOS PAC ID: 7315239647 Enrollment ID: I20201202000862 |
| Provider Name | Eric Hwan Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992068019 PECOS PAC ID: 6406085786 Enrollment ID: I20201202001280 |
| Provider Name | Kefu Du |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326346388 PECOS PAC ID: 9234361486 Enrollment ID: I20201202003085 |
| Provider Name | Mikala Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629542857 PECOS PAC ID: 1759700479 Enrollment ID: I20201209003094 |
| Provider Name | Meryl Kersten Perlman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790767846 PECOS PAC ID: 7618947235 Enrollment ID: I20201217001697 |
| Provider Name | Jason Kenneth Frankel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750729976 PECOS PAC ID: 6103174446 Enrollment ID: I20201229001043 |
| Provider Name | Amrita Aranake-chrisinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780025601 PECOS PAC ID: 9133486913 Enrollment ID: I20210107000040 |
| Provider Name | Jennifer N. A. Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376718734 PECOS PAC ID: 9739235672 Enrollment ID: I20210125002287 |
| Provider Name | Brian Ross Stotter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649619453 PECOS PAC ID: 3577852888 Enrollment ID: I20210125003147 |
| Provider Name | Evan W Roller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124339494 PECOS PAC ID: 3779712260 Enrollment ID: I20210127003336 |
| Provider Name | Charles Michael Samson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194932301 PECOS PAC ID: 2163575895 Enrollment ID: I20210211001485 |
| Provider Name | Amy Kells |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912002148 PECOS PAC ID: 6103842075 Enrollment ID: I20210215000406 |
| Provider Name | Camille N Abboud |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316965320 PECOS PAC ID: 8426050493 Enrollment ID: I20210215000493 |
| Provider Name | George Frederick Van Hare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790707735 PECOS PAC ID: 1254427487 Enrollment ID: I20210225001514 |
| Provider Name | Aarti S Dalal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164624060 PECOS PAC ID: 9931396876 Enrollment ID: I20210225001810 |
| Provider Name | Jamie Partin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780175299 PECOS PAC ID: 9335497692 Enrollment ID: I20210303000145 |
| Provider Name | Jamie M. Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568832921 PECOS PAC ID: 6507167665 Enrollment ID: I20210303002146 |
| Provider Name | Lauren Henke |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093129553 PECOS PAC ID: 5597984062 Enrollment ID: I20210304000367 |
| Provider Name | Matthew E. Boland |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578533113 PECOS PAC ID: 6406944586 Enrollment ID: I20210421002123 |
| Provider Name | Kathryn E. Newlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841696259 PECOS PAC ID: 7911214655 Enrollment ID: I20210504001905 |
| Provider Name | Joanna Chensi Yang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972947901 PECOS PAC ID: 8628320967 Enrollment ID: I20210527001044 |
| Provider Name | Ruben Guadalupe Nava-bahena |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386834901 PECOS PAC ID: 4082979778 Enrollment ID: I20210604001691 |
| Provider Name | Christopher Alan Sumski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639412778 PECOS PAC ID: 7810215720 Enrollment ID: I20210608003225 |
| Provider Name | Paul Kogan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023377736 PECOS PAC ID: 8022254788 Enrollment ID: I20210623003976 |
| Provider Name | Randall James Brenneman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366899841 PECOS PAC ID: 2365737939 Enrollment ID: I20210707003560 |
| Provider Name | Debra Marie Spoljaric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346268083 PECOS PAC ID: 2365511839 Enrollment ID: I20210723001202 |
| Provider Name | Christopher Marlowe Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659727519 PECOS PAC ID: 6507150687 Enrollment ID: I20210723003013 |
| Provider Name | Ashley Danielle Versluys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417531930 PECOS PAC ID: 7810390879 Enrollment ID: I20210728001771 |
| Provider Name | Shoichiro Tanaka |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639436199 PECOS PAC ID: 7618191347 Enrollment ID: I20210805001272 |
| Provider Name | Jennifer Ann Reeves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306289640 PECOS PAC ID: 4082918719 Enrollment ID: I20211004000418 |
| Provider Name | Megan Leigh Lawlor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295140960 PECOS PAC ID: 6608131958 Enrollment ID: I20211004002511 |
| Provider Name | Amanda Christine Zofkie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386063493 PECOS PAC ID: 0648535567 Enrollment ID: I20211006000446 |
| Provider Name | Amy Elizabeth Cyr |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528181997 PECOS PAC ID: 9830296870 Enrollment ID: I20211018002678 |
| Provider Name | Melissa Marko |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699340984 PECOS PAC ID: 5890193189 Enrollment ID: I20211018002901 |
| Provider Name | Elizabeth Danielle Mueller |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1912466186 PECOS PAC ID: 8123416476 Enrollment ID: I20211019002823 |
| Provider Name | Anthony Omavuaye Odibo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700889516 PECOS PAC ID: 9436199395 Enrollment ID: I20211109002540 |
| Provider Name | Meisha Graham Colletti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831365691 PECOS PAC ID: 9830364090 Enrollment ID: I20211110001042 |
| Provider Name | Mark Biebel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447614797 PECOS PAC ID: 4486949880 Enrollment ID: I20211116001532 |
| Provider Name | Peter Larossa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255759700 PECOS PAC ID: 4284907072 Enrollment ID: I20211123000517 |
| Provider Name | Austin James Ostermeier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174919575 PECOS PAC ID: 3173870664 Enrollment ID: I20211123000866 |
| Provider Name | Caroline Kellagher Noel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013402924 PECOS PAC ID: 0345645024 Enrollment ID: I20211123000993 |
| Provider Name | Peter John Oppelt |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1639332968 PECOS PAC ID: 1052553112 Enrollment ID: I20211216001565 |
| Provider Name | Nitin Jagdish Anand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336235050 PECOS PAC ID: 1456454818 Enrollment ID: I20211229001780 |
| Provider Name | Ram Kevin Rohatgi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528400785 PECOS PAC ID: 5991948531 Enrollment ID: I20220210002756 |
| Provider Name | Allek Lee Scheele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881089266 PECOS PAC ID: 3274839691 Enrollment ID: I20220211000854 |
| Provider Name | Karine Amirikian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306227525 PECOS PAC ID: 9234433913 Enrollment ID: I20220214000784 |
| Provider Name | Michelle Renee Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679521520 PECOS PAC ID: 7719985654 Enrollment ID: I20220224001073 |
| Provider Name | Kelly Cotaleen Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538656145 PECOS PAC ID: 6204185960 Enrollment ID: I20220224001347 |
| Provider Name | Sasha Alloyse Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659785145 PECOS PAC ID: 7315227550 Enrollment ID: I20220225002203 |
| Provider Name | Tracy A Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780858019 PECOS PAC ID: 1153712641 Enrollment ID: I20220226000298 |
| Provider Name | Cassandra Marie Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417354440 PECOS PAC ID: 1456610781 Enrollment ID: I20220228001514 |
| Provider Name | Natalie Anne Steinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730719634 PECOS PAC ID: 4880093665 Enrollment ID: I20220302001299 |
| Provider Name | Emily Marie Zielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013549203 PECOS PAC ID: 1557784436 Enrollment ID: I20220311000964 |
| Provider Name | Katelyn Curran Leestma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033684378 PECOS PAC ID: 4183048747 Enrollment ID: I20220317000362 |
| Provider Name | Shawana Star Branch-rowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689762742 PECOS PAC ID: 5698930543 Enrollment ID: I20220323000588 |
| Provider Name | Stacey Marie Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992254957 PECOS PAC ID: 1254695786 Enrollment ID: I20220323000842 |
| Provider Name | Lacey Ann Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497319560 PECOS PAC ID: 9234462102 Enrollment ID: I20220323001049 |
| Provider Name | Jacquelynn Victoria Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710431432 PECOS PAC ID: 6901186162 Enrollment ID: I20220323001882 |
| Provider Name | Jennifer Michelle Heeley |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1710116207 PECOS PAC ID: 2567782758 Enrollment ID: I20220328001662 |
| Provider Name | Hoanh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1982649133 PECOS PAC ID: 5092714196 Enrollment ID: I20220329002326 |
| Provider Name | Sarah Marie Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316570013 PECOS PAC ID: 4789013038 Enrollment ID: I20220330001221 |
| Provider Name | Joseph Daniel Daesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407491319 PECOS PAC ID: 6406252535 Enrollment ID: I20220401000247 |
| Provider Name | Christopher Bradley Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881913499 PECOS PAC ID: 5294007068 Enrollment ID: I20220404000209 |
| Provider Name | Kirsten Tara Yeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255843660 PECOS PAC ID: 1254733306 Enrollment ID: I20220422000971 |
| Provider Name | Elaine M Majerus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326064544 PECOS PAC ID: 4385769702 Enrollment ID: I20220514000341 |
| Provider Name | Brooke Nicole Satterlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487139515 PECOS PAC ID: 1052665932 Enrollment ID: I20220525000622 |
| Provider Name | Katelyn Biros |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407471220 PECOS PAC ID: 6901284322 Enrollment ID: I20220525002274 |
| Provider Name | Ron Bose |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336285444 PECOS PAC ID: 4486624954 Enrollment ID: I20220526002225 |
| Provider Name | Ashley Heesoo Roh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043716210 PECOS PAC ID: 7113316068 Enrollment ID: I20220601001481 |
| Provider Name | Samantha Albrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295219624 PECOS PAC ID: 2860887759 Enrollment ID: I20220602000566 |
| Provider Name | Dorothy Katherine Grange |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801812128 PECOS PAC ID: 6901875376 Enrollment ID: I20220624000983 |
| Provider Name | Megan Elizabeth Philibert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467947655 PECOS PAC ID: 0446655195 Enrollment ID: I20220624001208 |
| Provider Name | William Rives |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003832312 PECOS PAC ID: 1850420779 Enrollment ID: I20220624001344 |
| Provider Name | Kathleen A Sisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801108766 PECOS PAC ID: 5597078220 Enrollment ID: I20220628000624 |
| Provider Name | Patricia I Dickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780888644 PECOS PAC ID: 3476603903 Enrollment ID: I20220628000951 |
| Provider Name | Nancy Elizabeth Fuegner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174569636 PECOS PAC ID: 9335140565 Enrollment ID: I20220628001144 |
| Provider Name | Navpreet Rawala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518518398 PECOS PAC ID: 8123450871 Enrollment ID: I20220628001362 |
| Provider Name | Tara Conway Copper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417261967 PECOS PAC ID: 4880817568 Enrollment ID: I20220629000028 |
| Provider Name | Amanda Johns Sivewright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467846089 PECOS PAC ID: 4688937345 Enrollment ID: I20220629000090 |
| Provider Name | Siddhartha H Devarakonda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487932398 PECOS PAC ID: 6800034547 Enrollment ID: I20220718002790 |
| Provider Name | Amanda D Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346999315 PECOS PAC ID: 4587044318 Enrollment ID: I20220819000446 |
| Provider Name | John Yujun Sheng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396277901 PECOS PAC ID: 9335524206 Enrollment ID: I20220913001079 |
| Provider Name | Emily C Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740934629 PECOS PAC ID: 7012393234 Enrollment ID: I20220926001463 |
| Provider Name | Sherri Lynne Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578590642 PECOS PAC ID: 3072784164 Enrollment ID: I20220927001806 |
| Provider Name | Jodi E Granger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437785979 PECOS PAC ID: 5496141954 Enrollment ID: I20220928002972 |
| Provider Name | Dan Israel Lebovic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194818245 PECOS PAC ID: 3678641065 Enrollment ID: I20221003000825 |
| Provider Name | Susan Marie Talamini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023470796 PECOS PAC ID: 2567758600 Enrollment ID: I20221006001393 |
| Provider Name | Kayce Justine Bourgette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114647039 PECOS PAC ID: 8527435676 Enrollment ID: I20221103000231 |
| Provider Name | Jessie Ann Reding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487831822 PECOS PAC ID: 7618055856 Enrollment ID: I20221205001216 |
| Provider Name | Ana Maria Arbelaez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740206069 PECOS PAC ID: 7315028198 Enrollment ID: I20221205001619 |
| Provider Name | Rachael Anne Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669032991 PECOS PAC ID: 5395112866 Enrollment ID: I20221205002403 |
| Provider Name | Matthew Robert Schill |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992143861 PECOS PAC ID: 3577876721 Enrollment ID: I20221217000358 |
| Provider Name | Oloruntosin Adepeju I Adeyanju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568738177 PECOS PAC ID: 0244540854 Enrollment ID: I20221220000039 |
| Provider Name | Amelia G Bray-aschenbrenner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417376898 PECOS PAC ID: 0446553192 Enrollment ID: I20221220000115 |
| Provider Name | Alexa Michelle Altman Doss |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1073964722 PECOS PAC ID: 7719213305 Enrollment ID: I20221220000220 |
| Provider Name | Yuri Fedorovich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710544408 PECOS PAC ID: 2961737788 Enrollment ID: I20221220000327 |
| Provider Name | Marjorie Ann Farrington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740743947 PECOS PAC ID: 0648649392 Enrollment ID: I20221220000561 |
| Provider Name | Milarys Hernandez-martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174999890 PECOS PAC ID: 6204253438 Enrollment ID: I20221220000738 |
| Provider Name | Maha Bano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811555618 PECOS PAC ID: 7214262112 Enrollment ID: I20221220001046 |
| Provider Name | Christina Michelle Fahey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477118552 PECOS PAC ID: 2466785126 Enrollment ID: I20221221000548 |
| Provider Name | George M Hoganson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699180729 PECOS PAC ID: 7810267481 Enrollment ID: I20221221000680 |
| Provider Name | William Frederick Mccomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730749110 PECOS PAC ID: 0547630261 Enrollment ID: I20221221000984 |
| Provider Name | Sara Susan Procknow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033569918 PECOS PAC ID: 8022400753 Enrollment ID: I20221221001117 |
| Provider Name | Brian Davis Reinholz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932769296 PECOS PAC ID: 5597135210 Enrollment ID: I20221221001222 |
| Provider Name | Allison Ruth Schuh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871957407 PECOS PAC ID: 2769774603 Enrollment ID: I20221221001488 |
| Provider Name | Korre Leigh Fairman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801283205 PECOS PAC ID: 4486998077 Enrollment ID: I20221222000048 |
| Provider Name | Kimberly Anne Sutton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730539982 PECOS PAC ID: 0840660510 Enrollment ID: I20221222000060 |
| Provider Name | Carl Deselm |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366705840 PECOS PAC ID: 5890048656 Enrollment ID: I20221222000106 |
| Provider Name | Kristi L Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316130933 PECOS PAC ID: 3375630080 Enrollment ID: I20221222000139 |
| Provider Name | Sydnie Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659043776 PECOS PAC ID: 6507254968 Enrollment ID: I20221222000253 |
| Provider Name | Lauren Nicole Skelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013640440 PECOS PAC ID: 7618347394 Enrollment ID: I20221222000318 |
| Provider Name | Christina Anh Broyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487309571 PECOS PAC ID: 4880061415 Enrollment ID: I20221228000012 |
| Provider Name | Laura L Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699896019 PECOS PAC ID: 9638363385 Enrollment ID: I20221228000019 |
| Provider Name | Brook Diane Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831450667 PECOS PAC ID: 6305079732 Enrollment ID: I20221228000029 |
| Provider Name | Jennifer C Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073516746 PECOS PAC ID: 4880678929 Enrollment ID: I20221228000060 |
| Provider Name | Denise M Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346351202 PECOS PAC ID: 9830108414 Enrollment ID: I20221228000096 |
| Provider Name | Adrienne R Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467803452 PECOS PAC ID: 9234427022 Enrollment ID: I20221228000126 |
| Provider Name | Fouad Ismat Boulos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417098831 PECOS PAC ID: 2860810009 Enrollment ID: I20230117002772 |
| Provider Name | Tanya Marie Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669962908 PECOS PAC ID: 2163812249 Enrollment ID: I20230124002679 |
| Provider Name | Rebecca D Chernock |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770657900 PECOS PAC ID: 6002960952 Enrollment ID: I20230125000142 |
| Provider Name | Rongbin Ge |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598127136 PECOS PAC ID: 4981996436 Enrollment ID: I20230131003333 |
| Provider Name | Joseph Christopher Corbo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487670790 PECOS PAC ID: 9234021700 Enrollment ID: I20230201002156 |
| Provider Name | Xiuli Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912117268 PECOS PAC ID: 0244325561 Enrollment ID: I20230220001176 |
| Provider Name | Mark Alan Zaydman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588017842 PECOS PAC ID: 5597160895 Enrollment ID: I20230222000620 |
| Provider Name | Harold Gene Roberts |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1417936808 PECOS PAC ID: 5193639904 Enrollment ID: I20230406000746 |
| Provider Name | Richard James Cote |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467468330 PECOS PAC ID: 3779665187 Enrollment ID: I20230411001139 |
| Provider Name | Samuel James Ballentine |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881038735 PECOS PAC ID: 8426392044 Enrollment ID: I20230503001454 |
| Provider Name | Kathleen Byrnes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417399676 PECOS PAC ID: 4486924065 Enrollment ID: I20230503001555 |
| Provider Name | Cory Thomas Bernadt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205046273 PECOS PAC ID: 3173793197 Enrollment ID: I20230503001649 |
| Provider Name | Mei San Tang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700362316 PECOS PAC ID: 1850622721 Enrollment ID: I20230508000368 |
| Provider Name | Lulu Sun |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043662067 PECOS PAC ID: 7810227147 Enrollment ID: I20230508000695 |
| Provider Name | John S.a Chrisinger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033474192 PECOS PAC ID: 9032481817 Enrollment ID: I20230508000951 |
| Provider Name | Erika C Crouch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912923145 PECOS PAC ID: 3870638562 Enrollment ID: I20230508001008 |
| Provider Name | Sonika M Dahiya |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790980571 PECOS PAC ID: 6709054018 Enrollment ID: I20230508001078 |
| Provider Name | Louis P Dehner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265450738 PECOS PAC ID: 5890830582 Enrollment ID: I20230509001409 |
| Provider Name | Eric James Duncavage |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992898688 PECOS PAC ID: 3971796210 Enrollment ID: I20230509001531 |
| Provider Name | John Lawrence Frater |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407873920 PECOS PAC ID: 4082624317 Enrollment ID: I20230509001642 |
| Provider Name | Jessika Contreras |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497167381 PECOS PAC ID: 9234453945 Enrollment ID: I20230510000493 |
| Provider Name | Michael James Moravan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407145493 PECOS PAC ID: 7214219138 Enrollment ID: I20230510000528 |
| Provider Name | Anjum Hassan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184640302 PECOS PAC ID: 1456496140 Enrollment ID: I20230510000682 |
| Provider Name | Dana Ashley Hill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275551756 PECOS PAC ID: 2860567815 Enrollment ID: I20230510001639 |
| Provider Name | Marianna B Ruzinova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194917278 PECOS PAC ID: 3577687771 Enrollment ID: I20230510001806 |
| Provider Name | Ilana Shaina Rosman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508027897 PECOS PAC ID: 3173764107 Enrollment ID: I20230510002731 |
| Provider Name | Suzanne Marie Curtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992304174 PECOS PAC ID: 8527479377 Enrollment ID: I20230510002978 |
| Provider Name | Pooja Navale |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528454360 PECOS PAC ID: 0446595391 Enrollment ID: I20230511000299 |
| Provider Name | Liang-i Kang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407231921 PECOS PAC ID: 6709124100 Enrollment ID: I20230511002140 |
| Provider Name | Hannah R Krigman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336114164 PECOS PAC ID: 6305925116 Enrollment ID: I20230511002228 |
| Provider Name | Yi-shan Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295143675 PECOS PAC ID: 0749568426 Enrollment ID: I20230511002300 |
| Provider Name | Changqing Ma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326277989 PECOS PAC ID: 2860620481 Enrollment ID: I20230511002675 |
| Provider Name | John David Pfeifer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306864822 PECOS PAC ID: 8426193129 Enrollment ID: I20230511002821 |
| Provider Name | Amy R Bohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326426560 PECOS PAC ID: 8820464852 Enrollment ID: I20230511002898 |
| Provider Name | Chieh-yu Lin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164842878 PECOS PAC ID: 6002164860 Enrollment ID: I20230511002993 |
| Provider Name | Kaye Elizabeth Brathwaite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922488865 PECOS PAC ID: 6406145622 Enrollment ID: I20230511003087 |
| Provider Name | Richard Justin Perrin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013037167 PECOS PAC ID: 0446300842 Enrollment ID: I20230511003135 |
| Provider Name | Alexandra Fallon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427440577 PECOS PAC ID: 4688948748 Enrollment ID: I20230511003228 |
| Provider Name | Jon H Ritter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366460784 PECOS PAC ID: 8921143637 Enrollment ID: I20230511003364 |
| Provider Name | Kiran Raj Vij |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518173194 PECOS PAC ID: 3375704372 Enrollment ID: I20230511003502 |
| Provider Name | Ralph James Damiano |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578580023 PECOS PAC ID: 7517931090 Enrollment ID: I20230527000179 |
| Provider Name | Aaron Jacob Russell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568813863 PECOS PAC ID: 5294066544 Enrollment ID: I20230527000319 |
| Provider Name | Jorden Elizabeth Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487302667 PECOS PAC ID: 3971981929 Enrollment ID: I20230605001835 |
| Provider Name | Calvin Darnell Lewis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841731130 PECOS PAC ID: 7517235401 Enrollment ID: I20230622001259 |
| Provider Name | Joseph Perry Gaut |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356532477 PECOS PAC ID: 2961670278 Enrollment ID: I20230710002089 |
| Provider Name | Stephanie Anne Vollmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083114029 PECOS PAC ID: 7517221526 Enrollment ID: I20230802002690 |
| Provider Name | Iskra Pusic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164699161 PECOS PAC ID: 0749341980 Enrollment ID: I20230802003248 |
| Provider Name | Katherine Ann Dunsky |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649584616 PECOS PAC ID: 3476841214 Enrollment ID: I20230814003747 |
| Provider Name | Dilan Anil Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356757736 PECOS PAC ID: 3870712649 Enrollment ID: I20230830000567 |
| Provider Name | Katy M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437576600 PECOS PAC ID: 3971736422 Enrollment ID: I20230830001165 |
| Provider Name | Holly Joy Wiesehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609260116 PECOS PAC ID: 4981925609 Enrollment ID: I20230831002839 |
| Provider Name | Nikhil Rammohan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417303421 PECOS PAC ID: 4789919267 Enrollment ID: I20230901003098 |
| Provider Name | Amanda Fishback Cashen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215953534 PECOS PAC ID: 8123033792 Enrollment ID: I20230920003062 |
| Provider Name | Allie A. Grither |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023498672 PECOS PAC ID: 4587069059 Enrollment ID: I20230925001910 |
| Provider Name | Allen Mo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104317551 PECOS PAC ID: 1951666361 Enrollment ID: I20230925002294 |
| Provider Name | Kristina Kay Zalud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679191183 PECOS PAC ID: 9436510575 Enrollment ID: I20230926000439 |
| Provider Name | Anthony Gerard Pompa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366804643 PECOS PAC ID: 5496124653 Enrollment ID: I20230926001988 |
| Provider Name | Fahd Aqeeb Ahmad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841432796 PECOS PAC ID: 0648415893 Enrollment ID: I20230926002723 |
| Provider Name | Cathy L Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730128943 PECOS PAC ID: 8628158474 Enrollment ID: I20230926003084 |
| Provider Name | Kimberly Lashun Massey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659683803 PECOS PAC ID: 4284926759 Enrollment ID: I20230927000964 |
| Provider Name | Laura Albert Duckworth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518487503 PECOS PAC ID: 2062872567 Enrollment ID: I20230927001365 |
| Provider Name | Luke Timothy Viehl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598115727 PECOS PAC ID: 1759615826 Enrollment ID: I20230927001476 |
| Provider Name | Stephanie Ruth Richelle Diggs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174044739 PECOS PAC ID: 1254791759 Enrollment ID: I20230928000898 |
| Provider Name | Jessica Michelle Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609307313 PECOS PAC ID: 6305206624 Enrollment ID: I20230928002015 |
| Provider Name | Caroline Grace Nugent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790303493 PECOS PAC ID: 7416317631 Enrollment ID: I20230929000474 |
| Provider Name | Susan May Wiltrakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578978474 PECOS PAC ID: 0042589095 Enrollment ID: I20230929002852 |
| Provider Name | Amit K. Bhatt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144410317 PECOS PAC ID: 6901086768 Enrollment ID: I20231011000556 |
| Provider Name | Whitney Stina Brandt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700205622 PECOS PAC ID: 6800196700 Enrollment ID: I20231013000528 |
| Provider Name | Christy Jo Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164111217 PECOS PAC ID: 6002261518 Enrollment ID: I20231018000972 |
| Provider Name | Ethan H Vargo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821593401 PECOS PAC ID: 3678826278 Enrollment ID: I20231018001293 |
| Provider Name | Carol I. Kunz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891224978 PECOS PAC ID: 4789956749 Enrollment ID: I20231018001917 |
| Provider Name | Fernandino Louis Vilson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609309566 PECOS PAC ID: 2264891530 Enrollment ID: I20231019001618 |
| Provider Name | Suzanne Jaudes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790922623 PECOS PAC ID: 4880750462 Enrollment ID: I20231020001463 |
| Provider Name | Ronald Richard Jackups |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699927020 PECOS PAC ID: 3678739208 Enrollment ID: I20231021000437 |
| Provider Name | Nathan Colon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275067142 PECOS PAC ID: 1850751355 Enrollment ID: I20231026000523 |
| Provider Name | Jenna M Lizzo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972009124 PECOS PAC ID: 7416207170 Enrollment ID: I20231026001152 |
| Provider Name | Amanda Leigh Guzikowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154950566 PECOS PAC ID: 3274995527 Enrollment ID: I20231026001514 |
| Provider Name | Kyle C Niziolek |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427314095 PECOS PAC ID: 2769621333 Enrollment ID: I20231031002220 |
| Provider Name | Brendan Joseph Kurtz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306341649 PECOS PAC ID: 2062768799 Enrollment ID: I20231031002393 |
| Provider Name | Elizabeth Mary Dreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952098758 PECOS PAC ID: 0244685246 Enrollment ID: I20231107002562 |
| Provider Name | Donelle M Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861710048 PECOS PAC ID: 6901113356 Enrollment ID: I20231110001460 |
| Provider Name | Daphne Wang Branham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295116374 PECOS PAC ID: 5193060101 Enrollment ID: I20231110001774 |
| Provider Name | Nathan Buck Mclamb |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326493354 PECOS PAC ID: 0840525341 Enrollment ID: I20231114000868 |
| Provider Name | Jamie Cao Brown-shpigel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366854630 PECOS PAC ID: 4284967779 Enrollment ID: I20231114001345 |
| Provider Name | Rebekah Keller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801387451 PECOS PAC ID: 4385991017 Enrollment ID: I20231127002096 |
| Provider Name | Jayme Erika Trevino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093209082 PECOS PAC ID: 7911254859 Enrollment ID: I20231129000118 |
| Provider Name | Ta Chiang Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205082807 PECOS PAC ID: 5991954026 Enrollment ID: I20231214001319 |
| Provider Name | Nidia Cordeiro Messias |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881896041 PECOS PAC ID: 9638263270 Enrollment ID: I20231218002345 |
| Provider Name | Takashi Murashita |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760824924 PECOS PAC ID: 4486897196 Enrollment ID: I20231229001758 |
| Provider Name | Lynn Louise Golec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942562830 PECOS PAC ID: 2567613490 Enrollment ID: I20240102002196 |
| Provider Name | Elizabeth Suzanne Eliopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043969454 PECOS PAC ID: 3274914411 Enrollment ID: I20240103002392 |
| Provider Name | Theodore Seth Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326359837 PECOS PAC ID: 2860635380 Enrollment ID: I20240105003998 |
| Provider Name | Faisal Fa'ak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689105405 PECOS PAC ID: 6204297534 Enrollment ID: I20240129002530 |
| Provider Name | Geoffrey Lim Uy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750427480 PECOS PAC ID: 5395830780 Enrollment ID: I20240201000385 |
| Provider Name | Mai He |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538315106 PECOS PAC ID: 6305912221 Enrollment ID: I20240207001652 |
| Provider Name | George J Despotis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497771612 PECOS PAC ID: 2264560036 Enrollment ID: I20240213002782 |
| Provider Name | Mena Magdi Zaki Mansour |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144562125 PECOS PAC ID: 9133413990 Enrollment ID: I20240214003834 |
| Provider Name | Charles S Eby |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457377764 PECOS PAC ID: 9234284571 Enrollment ID: I20240214004253 |
| Provider Name | Chang Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124337340 PECOS PAC ID: 8224357298 Enrollment ID: I20240215003033 |
| Provider Name | Alexander Angelo Brescia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669853289 PECOS PAC ID: 2466767736 Enrollment ID: I20240312003319 |
| Provider Name | Salman Iftikhar Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649558289 PECOS PAC ID: 6406116912 Enrollment ID: I20240314000433 |
| Provider Name | Anne L Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043605918 PECOS PAC ID: 5092133009 Enrollment ID: I20240314000834 |
Eldermed Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1512 N Green Mount Rd, Suite 200, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-222-4703 | |
Cep America-illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
O'fallon Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1512 N Green Mount Rd, Suite 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5525 | |
New Heights Integrated Health Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Regency Park Ste 7, O Fallon, IL 62269 Phone: 618-622-3322 Fax: 618-622-2229 | |
Appletree Therapy Services, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 634 N Main St, Suite 5, O Fallon, IL 62269 Phone: 618-690-0068 | |
Haven Chiropractic Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Willow Dr Ste A, O Fallon, IL 62269 Phone: 618-799-0690 | |
The Caring Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Insight Ave Ste 300, O Fallon, IL 62269 Phone: 618-607-0086 Fax: 618-607-0042 |