| Kelsey Seybold Clinic | |
|
2727 W Holcombe Blvd, Houston, TX 77025-1669 | |
| (713) 442-0000 | |
| Not Available |
| Full Name | Kelsey Seybold Clinic |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 2727 W Holcombe Blvd, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013915255 | NPI | - | NPPES |
| 133543205 | Medicaid | TX | |
| 112588201 | Medicaid | TX | |
| 154657401 | Medicaid | TX |
| Provider Name | Hari Krishna Susarla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700873262 PECOS PAC ID: 4981517919 Enrollment ID: I20031106000535 |
| Provider Name | Rossie J Gomez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649269143 PECOS PAC ID: 0941114797 Enrollment ID: I20031117000072 |
| Provider Name | Chen Xie |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659467843 PECOS PAC ID: 2860397569 Enrollment ID: I20031205000051 |
| Provider Name | Mario R Lamothe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871689158 PECOS PAC ID: 0547165243 Enrollment ID: I20031205000069 |
| Provider Name | Thomas J Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013003201 PECOS PAC ID: 8527963230 Enrollment ID: I20031205000087 |
| Provider Name | Michael E Newmark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477649655 PECOS PAC ID: 4789589391 Enrollment ID: I20031205000148 |
| Provider Name | Peter L Andrus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013950963 PECOS PAC ID: 8325943954 Enrollment ID: I20031205000243 |
| Provider Name | Lyndall F Harrison |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1083700363 PECOS PAC ID: 1557266194 Enrollment ID: I20031205000272 |
| Provider Name | Eric T Sandberg |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1427144609 PECOS PAC ID: 1658276217 Enrollment ID: I20031205000365 |
| Provider Name | Thuy P Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710056916 PECOS PAC ID: 7618872136 Enrollment ID: I20031205000689 |
| Provider Name | Carminia E Davidsohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831285113 PECOS PAC ID: 1850297631 Enrollment ID: I20031211000471 |
| Provider Name | Disha Poonia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831183763 PECOS PAC ID: 1951209360 Enrollment ID: I20031223000169 |
| Provider Name | Ayub Hussain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538279468 PECOS PAC ID: 0941100184 Enrollment ID: I20040113000070 |
| Provider Name | Victor A Simms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952497133 PECOS PAC ID: 6305732942 Enrollment ID: I20040223000370 |
| Provider Name | Quyen Trinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033205224 PECOS PAC ID: 5092601633 Enrollment ID: I20040223000393 |
| Provider Name | Abdulrasul Meghji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841386026 PECOS PAC ID: 9032006499 Enrollment ID: I20040301000869 |
| Provider Name | Lucy A Buencamino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467482166 PECOS PAC ID: 9032006416 Enrollment ID: I20040301000997 |
| Provider Name | Treneth P Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902831084 PECOS PAC ID: 5496642886 Enrollment ID: I20040301001055 |
| Provider Name | Tri R Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407942782 PECOS PAC ID: 3779470174 Enrollment ID: I20040301001107 |
| Provider Name | Angela D Mcgee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023104205 PECOS PAC ID: 2860389277 Enrollment ID: I20040301001185 |
| Provider Name | Greg W Galler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548356827 PECOS PAC ID: 7113814534 Enrollment ID: I20040301001209 |
| Provider Name | Janet L Landry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386723914 PECOS PAC ID: 1456249929 Enrollment ID: I20040306000163 |
| Provider Name | Laura A Hill Vitek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528147154 PECOS PAC ID: 4688562150 Enrollment ID: I20040306000186 |
| Provider Name | Riva L Collins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811922354 PECOS PAC ID: 1153219639 Enrollment ID: I20040306000266 |
| Provider Name | Mary A Bergman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629003629 PECOS PAC ID: 1456240951 Enrollment ID: I20040312000715 |
| Provider Name | Suzanne M Hite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073609350 PECOS PAC ID: 7618867979 Enrollment ID: I20040318001565 |
| Provider Name | Mark A Turrentine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588750772 PECOS PAC ID: 2769373497 Enrollment ID: I20040323000443 |
| Provider Name | Donna G Espey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285720565 PECOS PAC ID: 9830081934 Enrollment ID: I20040325000521 |
| Provider Name | Joseph A Salinas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790871978 PECOS PAC ID: 6103718200 Enrollment ID: I20040325000523 |
| Provider Name | Fahim M Farhat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902992282 PECOS PAC ID: 0749172815 Enrollment ID: I20040325000934 |
| Provider Name | Laura Zivley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003902297 PECOS PAC ID: 7315839396 Enrollment ID: I20040325001038 |
| Provider Name | Iftikhar Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225117500 PECOS PAC ID: 8527950526 Enrollment ID: I20040325001158 |
| Provider Name | Helene R Sheena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407942683 PECOS PAC ID: 7012909070 Enrollment ID: I20040331000489 |
| Provider Name | Jack A Pollard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548356728 PECOS PAC ID: 7719979376 Enrollment ID: I20040401001569 |
| Provider Name | Susan L Sponenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215023494 PECOS PAC ID: 9032102355 Enrollment ID: I20040405000400 |
| Provider Name | Joseph X Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720013501 PECOS PAC ID: 6305839648 Enrollment ID: I20040405000487 |
| Provider Name | Dwan M Turner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679669865 PECOS PAC ID: 1759374028 Enrollment ID: I20040405000675 |
| Provider Name | Cecilio E Batres |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760412423 PECOS PAC ID: 5294728564 Enrollment ID: I20040405000677 |
| Provider Name | James C Hoyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336235613 PECOS PAC ID: 9739172917 Enrollment ID: I20040405000825 |
| Provider Name | Cherice M Conley Harvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831120880 PECOS PAC ID: 4486647674 Enrollment ID: I20040405000887 |
| Provider Name | Kathleen H Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164518346 PECOS PAC ID: 9931193018 Enrollment ID: I20040412001343 |
| Provider Name | Thomas G Doneker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902909104 PECOS PAC ID: 1658365754 Enrollment ID: I20040412001432 |
| Provider Name | Carol J Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801965009 PECOS PAC ID: 4587658695 Enrollment ID: I20040412001490 |
| Provider Name | Sunday O Fadulu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437237450 PECOS PAC ID: 0244224350 Enrollment ID: I20040412001543 |
| Provider Name | Paula C Schlesinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972699155 PECOS PAC ID: 7315931011 Enrollment ID: I20040414000865 |
| Provider Name | Haroonur Rashid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710073994 PECOS PAC ID: 9830184209 Enrollment ID: I20040415001012 |
| Provider Name | Melanie E Mouzoon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013003292 PECOS PAC ID: 3870588262 Enrollment ID: I20040415001132 |
| Provider Name | Donyale K Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174619456 PECOS PAC ID: 3678568060 Enrollment ID: I20040415001145 |
| Provider Name | Justo A Montalvo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669568846 PECOS PAC ID: 0042205312 Enrollment ID: I20040416000450 |
| Provider Name | Wayne K Hite |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982790267 PECOS PAC ID: 2163417452 Enrollment ID: I20040416000610 |
| Provider Name | Kathy L Sander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336235514 PECOS PAC ID: 1052306230 Enrollment ID: I20040416001391 |
| Provider Name | Earl J Lombard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760578041 PECOS PAC ID: 8224023403 Enrollment ID: I20040419000159 |
| Provider Name | Suresh Daniel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053490326 PECOS PAC ID: 7618962663 Enrollment ID: I20040419000582 |
| Provider Name | Debbie E Walcott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023104213 PECOS PAC ID: 7012902000 Enrollment ID: I20040419000892 |
| Provider Name | Carolyn B Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093740995 PECOS PAC ID: 6406841303 Enrollment ID: I20040419001641 |
| Provider Name | Marina L Ramirez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275629453 PECOS PAC ID: 6103812086 Enrollment ID: I20040424000303 |
| Provider Name | Tonia Lynette Browder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083695449 PECOS PAC ID: 8921095498 Enrollment ID: I20040427001101 |
| Provider Name | Joyce H Holz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427144708 PECOS PAC ID: 0345237822 Enrollment ID: I20040427001147 |
| Provider Name | James M Burkhead |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740215615 PECOS PAC ID: 1850389255 Enrollment ID: I20040504001224 |
| Provider Name | Donnie W Aga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093749103 PECOS PAC ID: 6800884222 Enrollment ID: I20040504001421 |
| Provider Name | Felicia Loriane Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457380677 PECOS PAC ID: 2466441092 Enrollment ID: I20040510000588 |
| Provider Name | Irene V Sobolevsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770679953 PECOS PAC ID: 2466440524 Enrollment ID: I20040511000236 |
| Provider Name | Ayse Dural |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558457838 PECOS PAC ID: 5799775557 Enrollment ID: I20040513001203 |
| Provider Name | Hugh R Poindexter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154418705 PECOS PAC ID: 8426048281 Enrollment ID: I20040513001206 |
| Provider Name | Ruben Lemos |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316033699 PECOS PAC ID: 3476543232 Enrollment ID: I20040513001235 |
| Provider Name | Kenneth E Dorsey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477649754 PECOS PAC ID: 3375533128 Enrollment ID: I20040514000288 |
| Provider Name | Donald W Owens |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821184003 PECOS PAC ID: 3678563350 Enrollment ID: I20040514000575 |
| Provider Name | Thomas G Borski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770514069 PECOS PAC ID: 7810987294 Enrollment ID: I20040517001004 |
| Provider Name | Lansing W Yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477649663 PECOS PAC ID: 8921098237 Enrollment ID: I20040517001274 |
| Provider Name | Pablo Lozano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114013497 PECOS PAC ID: 2264422567 Enrollment ID: I20040518000347 |
| Provider Name | Mary O Mcdonald |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811958515 PECOS PAC ID: 0648261503 Enrollment ID: I20040519001419 |
| Provider Name | Lawrence L Fan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477631398 PECOS PAC ID: 7911988274 Enrollment ID: I20040525000399 |
| Provider Name | Shellyanne E Giddings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508945882 PECOS PAC ID: 5597746776 Enrollment ID: I20040525000616 |
| Provider Name | Paula G Cross Shokes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124053426 PECOS PAC ID: 4284615105 Enrollment ID: I20040526001539 |
| Provider Name | Peter S Halvorson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265528541 PECOS PAC ID: 3274514922 Enrollment ID: I20040527000901 |
| Provider Name | Roula F Shahin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598851776 PECOS PAC ID: 1052392701 Enrollment ID: I20040527000943 |
| Provider Name | Esther Jonas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144309428 PECOS PAC ID: 1658352323 Enrollment ID: I20040527001046 |
| Provider Name | Tara S Ramsay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184710360 PECOS PAC ID: 7911988696 Enrollment ID: I20040527001144 |
| Provider Name | Rahim S Haikal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710073093 PECOS PAC ID: 2163403759 Enrollment ID: I20040528000625 |
| Provider Name | Nancy E Webb |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841386034 PECOS PAC ID: 1850373291 Enrollment ID: I20040601001082 |
| Provider Name | Leticia S Albin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487684270 PECOS PAC ID: 2466434808 Enrollment ID: I20040601001099 |
| Provider Name | Suma Manjunath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669568945 PECOS PAC ID: 1759363104 Enrollment ID: I20040601001164 |
| Provider Name | Jaime Chavarria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457382970 PECOS PAC ID: 9638151087 Enrollment ID: I20040601001184 |
| Provider Name | Yasodara B Udayamurthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396831582 PECOS PAC ID: 6709868045 Enrollment ID: I20040602000352 |
| Provider Name | David W Edelstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780763052 PECOS PAC ID: 0648252684 Enrollment ID: I20040603000964 |
| Provider Name | Ahmed Ibrahim Sewielam |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1700872546 PECOS PAC ID: 7315929254 Enrollment ID: I20040603001006 |
| Provider Name | Tuyen V Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124114319 PECOS PAC ID: 0749262558 Enrollment ID: I20040604000669 |
| Provider Name | John I Hughes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881780161 PECOS PAC ID: 9436131166 Enrollment ID: I20040604000844 |
| Provider Name | Martha B Stern |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679669857 PECOS PAC ID: 8921080524 Enrollment ID: I20040607000740 |
| Provider Name | Jorge Bernardo Velez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114013307 PECOS PAC ID: 2567444169 Enrollment ID: I20040607000742 |
| Provider Name | Roger K Pringle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457447633 PECOS PAC ID: 1355323957 Enrollment ID: I20040607000758 |
| Provider Name | Tony J Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689760969 PECOS PAC ID: 6204818701 Enrollment ID: I20040607000795 |
| Provider Name | Stephanie L Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831285022 PECOS PAC ID: 3779565262 Enrollment ID: I20040607001372 |
| Provider Name | Jim P Benge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306877865 PECOS PAC ID: 5395728828 Enrollment ID: I20040608000064 |
| Provider Name | Hafiza K Docrat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730275017 PECOS PAC ID: 5799768172 Enrollment ID: I20040608000494 |
| Provider Name | Gerald W Isaac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417043795 PECOS PAC ID: 5799768180 Enrollment ID: I20040608000586 |
| Provider Name | Joshua E Leif |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003888470 PECOS PAC ID: 2062495286 Enrollment ID: I20040609001085 |
| Provider Name | Robert M Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760578959 PECOS PAC ID: 7810970704 Enrollment ID: I20040610001798 |
| Provider Name | Beatriz Lopez-miranda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679669956 PECOS PAC ID: 3577546134 Enrollment ID: I20040612000548 |
| Provider Name | John Kar Tam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134208416 PECOS PAC ID: 7315920998 Enrollment ID: I20040612000721 |
| Provider Name | Frances A Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861588048 PECOS PAC ID: 8921081506 Enrollment ID: I20040612000741 |
| Provider Name | Betty Susann Markham |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396831574 PECOS PAC ID: 9133102726 Enrollment ID: I20040613000011 |
| Provider Name | Frank Q Hua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326050899 PECOS PAC ID: 3577547702 Enrollment ID: I20040615001857 |
| Provider Name | Gwendolyn A Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104912393 PECOS PAC ID: 3072597178 Enrollment ID: I20040616000584 |
| Provider Name | Walid A Baaklini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538136775 PECOS PAC ID: 1658355771 Enrollment ID: I20040616000682 |
| Provider Name | Lisa M Hauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700972080 PECOS PAC ID: 3274517305 Enrollment ID: I20040616000788 |
| Provider Name | Mark G Macgregor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205923851 PECOS PAC ID: 9133103161 Enrollment ID: I20040616000839 |
| Provider Name | Galin Lewis Morgan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487740668 PECOS PAC ID: 0446234421 Enrollment ID: I20040616001215 |
| Provider Name | Li-min Hwang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699861971 PECOS PAC ID: 4385628239 Enrollment ID: I20040617000138 |
| Provider Name | Steven Min-yang Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972699254 PECOS PAC ID: 7214911122 Enrollment ID: I20040617000570 |
| Provider Name | Susan M Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538255716 PECOS PAC ID: 2668456476 Enrollment ID: I20040617000729 |
| Provider Name | Pamela J Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245326420 PECOS PAC ID: 7911981667 Enrollment ID: I20040617001688 |
| Provider Name | Lucia D Sandoval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154417335 PECOS PAC ID: 7416931167 Enrollment ID: I20040617001734 |
| Provider Name | Teresa D Romero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437245610 PECOS PAC ID: 5799760039 Enrollment ID: I20040622000121 |
| Provider Name | Jesus E Samaniego |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518053792 PECOS PAC ID: 5496730731 Enrollment ID: I20040622000142 |
| Provider Name | Eric W Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093801276 PECOS PAC ID: 8426033671 Enrollment ID: I20040622000312 |
| Provider Name | Chuong V Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225125875 PECOS PAC ID: 4284619032 Enrollment ID: I20040624000103 |
| Provider Name | Harriet N Hilliard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255427530 PECOS PAC ID: 3072598820 Enrollment ID: I20040624000138 |
| Provider Name | Mary Banek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457383754 PECOS PAC ID: 7911983283 Enrollment ID: I20040628000236 |
| Provider Name | Robert S Dickinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871672147 PECOS PAC ID: 2062498108 Enrollment ID: I20040628001621 |
| Provider Name | Dennis L Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063447928 PECOS PAC ID: 1658357504 Enrollment ID: I20040629001490 |
| Provider Name | Alecia M Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740376029 PECOS PAC ID: 5597745877 Enrollment ID: I20040726000917 |
| Provider Name | Kenneth R Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235225517 PECOS PAC ID: 1951371996 Enrollment ID: I20040728000520 |
| Provider Name | Mark Ryan Kozak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205878667 PECOS PAC ID: 9638149487 Enrollment ID: I20040728001484 |
| Provider Name | Jack Pieniazek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164426870 PECOS PAC ID: 7719975671 Enrollment ID: I20040802001568 |
| Provider Name | Debra Jane Gummelt |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326197609 PECOS PAC ID: 2264420124 Enrollment ID: I20040803000207 |
| Provider Name | Tasneem P Yakoob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568558757 PECOS PAC ID: 6305817321 Enrollment ID: I20040804000870 |
| Provider Name | Carla M Rose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508943077 PECOS PAC ID: 1850363268 Enrollment ID: I20040806000941 |
| Provider Name | Madeline A Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063606499 PECOS PAC ID: 7618949793 Enrollment ID: I20040810000082 |
| Provider Name | Atasu K Nayak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568558740 PECOS PAC ID: 1456323542 Enrollment ID: I20040810000156 |
| Provider Name | Samer Fakhri |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144261587 PECOS PAC ID: 5991777021 Enrollment ID: I20040810000540 |
| Provider Name | Juliet Wendt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518908292 PECOS PAC ID: 6204808868 Enrollment ID: I20040812000883 |
| Provider Name | Chad Everett Daigle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912056136 PECOS PAC ID: 6800868480 Enrollment ID: I20040812001080 |
| Provider Name | America A.a. L. Warren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952338956 PECOS PAC ID: 7719950211 Enrollment ID: I20040813000455 |
| Provider Name | Christine H Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659472546 PECOS PAC ID: 5799759312 Enrollment ID: I20040820000351 |
| Provider Name | Christopher H Chon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861427445 PECOS PAC ID: 7113994617 Enrollment ID: I20040914000811 |
| Provider Name | Manish Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457447732 PECOS PAC ID: 6709855919 Enrollment ID: I20040924000821 |
| Provider Name | Nita Israni Singhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841221249 PECOS PAC ID: 0941279723 Enrollment ID: I20040928001286 |
| Provider Name | Maria Isabel Colome |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033214689 PECOS PAC ID: 4486614120 Enrollment ID: I20041016000020 |
| Provider Name | Anush S Pillai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376556191 PECOS PAC ID: 7214991082 Enrollment ID: I20041112000416 |
| Provider Name | Melanie Palasi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114985306 PECOS PAC ID: 0244294023 Enrollment ID: I20041112000472 |
| Provider Name | Tejash R Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376639559 PECOS PAC ID: 5294791711 Enrollment ID: I20041207000476 |
| Provider Name | Kelley C Cajahuaringa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699765677 PECOS PAC ID: 5890743140 Enrollment ID: I20050104000586 |
| Provider Name | Benito V Marrufo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710953575 PECOS PAC ID: 2567410327 Enrollment ID: I20050107000698 |
| Provider Name | Puneet Patni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700040169 PECOS PAC ID: 2264480763 Enrollment ID: I20050111001048 |
| Provider Name | Thomas Varghese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841255668 PECOS PAC ID: 8921057662 Enrollment ID: I20050119001073 |
| Provider Name | Michael P Leung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053490334 PECOS PAC ID: 7719939339 Enrollment ID: I20050211000355 |
| Provider Name | Nasreen J Notta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194811372 PECOS PAC ID: 8921050923 Enrollment ID: I20050217000945 |
| Provider Name | Shari D Rochen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871595561 PECOS PAC ID: 7012969892 Enrollment ID: I20050221000451 |
| Provider Name | Rachel Brown Parry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730275918 PECOS PAC ID: 7517910037 Enrollment ID: I20050224000703 |
| Provider Name | Carlos R Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851488407 PECOS PAC ID: 9032162284 Enrollment ID: I20050228000618 |
| Provider Name | Michael Paul Auringer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487637344 PECOS PAC ID: 1850204942 Enrollment ID: I20050310001013 |
| Provider Name | Vu Doan Theriot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407882731 PECOS PAC ID: 2961456967 Enrollment ID: I20050311000200 |
| Provider Name | Yee Ru Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013942705 PECOS PAC ID: 4082669312 Enrollment ID: I20050318000612 |
| Provider Name | Sara Begum Rizvi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639275399 PECOS PAC ID: 1456307545 Enrollment ID: I20050322000786 |
| Provider Name | Tom M Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306933957 PECOS PAC ID: 8123074846 Enrollment ID: I20050325000321 |
| Provider Name | Jaesoon Woo Hite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790871077 PECOS PAC ID: 2668428384 Enrollment ID: I20050325000334 |
| Provider Name | Molly M Nakyonyi Ntwatwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053341842 PECOS PAC ID: 0941257380 Enrollment ID: I20050407000208 |
| Provider Name | James David Baird |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255362596 PECOS PAC ID: 6901843648 Enrollment ID: I20050413001011 |
| Provider Name | Shahnaz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164694477 PECOS PAC ID: 7810935210 Enrollment ID: I20050418000385 |
| Provider Name | Meena Eswaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093801375 PECOS PAC ID: 3274571039 Enrollment ID: I20050421000755 |
| Provider Name | Roxanne P Toole |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215023403 PECOS PAC ID: 6608815642 Enrollment ID: I20050428000554 |
| Provider Name | Pratibha R. Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215972211 PECOS PAC ID: 9032150479 Enrollment ID: I20050517000186 |
| Provider Name | Vipinder K Mann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578659850 PECOS PAC ID: 1850335878 Enrollment ID: I20050610000516 |
| Provider Name | Ann C Tholen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619414877 PECOS PAC ID: 0042254559 Enrollment ID: I20050615000817 |
| Provider Name | Suzanne Condron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528049293 PECOS PAC ID: 5496799678 Enrollment ID: I20050617000844 |
| Provider Name | Nadya H Alibhai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538109368 PECOS PAC ID: 6406891597 Enrollment ID: I20050620000752 |
| Provider Name | Sunil M Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679666473 PECOS PAC ID: 5991740318 Enrollment ID: I20050624000937 |
| Provider Name | Zakia Nuruddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407935786 PECOS PAC ID: 7911942248 Enrollment ID: I20050627000777 |
| Provider Name | Sachin S Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780770966 PECOS PAC ID: 5890731087 Enrollment ID: I20050628000788 |
| Provider Name | Frank T Gerow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023055431 PECOS PAC ID: 1759327901 Enrollment ID: I20050628001296 |
| Provider Name | Jakeen W Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295821486 PECOS PAC ID: 2466498860 Enrollment ID: I20050707000747 |
| Provider Name | Desiree B Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821095258 PECOS PAC ID: 1759317530 Enrollment ID: I20050713000197 |
| Provider Name | Stephen M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497841688 PECOS PAC ID: 3274560941 Enrollment ID: I20050725000594 |
| Provider Name | Shreda J Paire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194818591 PECOS PAC ID: 0941238737 Enrollment ID: I20050802000999 |
| Provider Name | Leonardo Espitia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669469607 PECOS PAC ID: 6002845278 Enrollment ID: I20050808000844 |
| Provider Name | Bambi Lynn Leis Hoefner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811005069 PECOS PAC ID: 5597796714 Enrollment ID: I20050827000221 |
| Provider Name | Howard Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619965563 PECOS PAC ID: 3375575822 Enrollment ID: I20050906000358 |
| Provider Name | John David Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013080761 PECOS PAC ID: 6002849031 Enrollment ID: I20050912000369 |
| Provider Name | Victor Kai-fu Hsiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316010002 PECOS PAC ID: 7113950155 Enrollment ID: I20050912000422 |
| Provider Name | Glenda Read |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518030212 PECOS PAC ID: 3971536913 Enrollment ID: I20050912000473 |
| Provider Name | Jennifer Terrasas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013060532 PECOS PAC ID: 7911930391 Enrollment ID: I20050915000846 |
| Provider Name | Michelle Aileen Hanes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942259247 PECOS PAC ID: 5395779508 Enrollment ID: I20050926001214 |
| Provider Name | Sherry Janeen Lemley |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1811946569 PECOS PAC ID: 4486679826 Enrollment ID: I20051013000970 |
| Provider Name | Hyunmo L Koo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043292352 PECOS PAC ID: 9537185665 Enrollment ID: I20051018001169 |
| Provider Name | Javed Rehman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083608160 PECOS PAC ID: 3971521691 Enrollment ID: I20051110000441 |
| Provider Name | Sridevi Muppidi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215985965 PECOS PAC ID: 4789604471 Enrollment ID: I20051123000535 |
| Provider Name | Meiyu T Lai |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467446021 PECOS PAC ID: 0446270821 Enrollment ID: I20051130000367 |
| Provider Name | Robert L Cook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437143518 PECOS PAC ID: 0244250454 Enrollment ID: I20051202000412 |
| Provider Name | Chandra R Chaudhuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104809003 PECOS PAC ID: 4981625241 Enrollment ID: I20051214000427 |
| Provider Name | Zeba Qaadri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447344247 PECOS PAC ID: 9537180849 Enrollment ID: I20051214000857 |
| Provider Name | Dennis L Hatherill |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891881173 PECOS PAC ID: 7618999616 Enrollment ID: I20051219000607 |
| Provider Name | Anne L White |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841378791 PECOS PAC ID: 5597787820 Enrollment ID: I20051229000471 |
| Provider Name | Adam Michael Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104849298 PECOS PAC ID: 0446281711 Enrollment ID: I20060120000084 |
| Provider Name | Selvarani Nallusamy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598741225 PECOS PAC ID: 7618991357 Enrollment ID: I20060120000091 |
| Provider Name | Olufunke A Odetunde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154378958 PECOS PAC ID: 6901717578 Enrollment ID: I20060307000359 |
| Provider Name | Karen R Scheinbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710924618 PECOS PAC ID: 9537176813 Enrollment ID: I20060310000388 |
| Provider Name | Abdul Majid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225018112 PECOS PAC ID: 7719973098 Enrollment ID: I20060310000470 |
| Provider Name | Valerie S Kirkby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740229525 PECOS PAC ID: 8123035433 Enrollment ID: I20060310000643 |
| Provider Name | Glenn C Landon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780770065 PECOS PAC ID: 0749264844 Enrollment ID: I20060315000789 |
| Provider Name | Rosina Avila Connelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245310689 PECOS PAC ID: 0840208252 Enrollment ID: I20060327000706 |
| Provider Name | Heine Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962553255 PECOS PAC ID: 7517976129 Enrollment ID: I20060410000579 |
| Provider Name | Ashley Pham Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760445266 PECOS PAC ID: 2264441534 Enrollment ID: I20060413000580 |
| Provider Name | Shawn Christina Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750463105 PECOS PAC ID: 2062499569 Enrollment ID: I20060418000136 |
| Provider Name | Jennifer D Kimberly |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013970425 PECOS PAC ID: 5395754360 Enrollment ID: I20060419000572 |
| Provider Name | Angela Maria Davis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487672754 PECOS PAC ID: 9931119450 Enrollment ID: I20060428000085 |
| Provider Name | Michele Didier Lesslie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124064134 PECOS PAC ID: 3173534807 Enrollment ID: I20060509001052 |
| Provider Name | Carol Lee Munsterman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174587133 PECOS PAC ID: 8224049341 Enrollment ID: I20060605000114 |
| Provider Name | Jagjit S Khairah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083658348 PECOS PAC ID: 6103839394 Enrollment ID: I20060710000111 |
| Provider Name | Toicha Ann Vincent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871532002 PECOS PAC ID: 8022021955 Enrollment ID: I20060719000241 |
| Provider Name | Jose M Nolla |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225028491 PECOS PAC ID: 8022047034 Enrollment ID: I20060725000248 |
| Provider Name | Tony Quang Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285676023 PECOS PAC ID: 3870506355 Enrollment ID: I20060731000162 |
| Provider Name | Varsha V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184651929 PECOS PAC ID: 3577566330 Enrollment ID: I20060816000370 |
| Provider Name | David T Netscher |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1346272390 PECOS PAC ID: 2163427576 Enrollment ID: I20060918000484 |
| Provider Name | Marianna Karpinos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013953082 PECOS PAC ID: 1355346099 Enrollment ID: I20061002000217 |
| Provider Name | Sheila M Albuquerque |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447286281 PECOS PAC ID: 8527064195 Enrollment ID: I20061005000181 |
| Provider Name | Madhuri Chilakapatai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326065327 PECOS PAC ID: 5395710289 Enrollment ID: I20061010000632 |
| Provider Name | Brandon W Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093758039 PECOS PAC ID: 4284630377 Enrollment ID: I20061012000483 |
| Provider Name | Michelle Umengan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104838085 PECOS PAC ID: 2163429440 Enrollment ID: I20061030000266 |
| Provider Name | Kara C Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467566513 PECOS PAC ID: 3870590193 Enrollment ID: I20061030000574 |
| Provider Name | Hassan Ali Javanshir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225073794 PECOS PAC ID: 7810992773 Enrollment ID: I20061113000026 |
| Provider Name | Myung Kyu Han |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770590507 PECOS PAC ID: 6901805803 Enrollment ID: I20061202000180 |
| Provider Name | Francis R Ibarra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922028703 PECOS PAC ID: 7810996717 Enrollment ID: I20061202000182 |
| Provider Name | Shala Sommers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649370552 PECOS PAC ID: 0244231546 Enrollment ID: I20070130000293 |
| Provider Name | Ajit Dwivedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659387447 PECOS PAC ID: 7315949088 Enrollment ID: I20070208000515 |
| Provider Name | Tri T Vu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891871661 PECOS PAC ID: 6204938335 Enrollment ID: I20070220000825 |
| Provider Name | Francis M Williams |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275519449 PECOS PAC ID: 0941302814 Enrollment ID: I20070223000093 |
| Provider Name | Margaux Poizat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568549244 PECOS PAC ID: 0143322909 Enrollment ID: I20070226000071 |
| Provider Name | Ayeshia L Hilliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235209891 PECOS PAC ID: 9032211693 Enrollment ID: I20070228000303 |
| Provider Name | Rupa Puttappa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205910601 PECOS PAC ID: 8628048899 Enrollment ID: I20070305000226 |
| Provider Name | Rosemary Schempp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659357374 PECOS PAC ID: 4183727670 Enrollment ID: I20070322000072 |
| Provider Name | Roland Prezas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326044777 PECOS PAC ID: 0648172072 Enrollment ID: I20070402000111 |
| Provider Name | Kelly M Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629165238 PECOS PAC ID: 9032215157 Enrollment ID: I20070507000592 |
| Provider Name | Kelly N Santesteban |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699798397 PECOS PAC ID: 9335245364 Enrollment ID: I20070508000072 |
| Provider Name | Gurjit Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619933827 PECOS PAC ID: 1153358460 Enrollment ID: I20070517000163 |
| Provider Name | Jonathan A Garza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912080250 PECOS PAC ID: 5991802175 Enrollment ID: I20070523000192 |
| Provider Name | Jamal M Bullocks |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134249451 PECOS PAC ID: 8820197205 Enrollment ID: I20070626000412 |
| Provider Name | Muhammed G Nathani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497745145 PECOS PAC ID: 8426158379 Enrollment ID: I20070709000046 |
| Provider Name | Mary Rebecca George |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386655678 PECOS PAC ID: 8527168962 Enrollment ID: I20070713000363 |
| Provider Name | Sharon K T Pettway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740409234 PECOS PAC ID: 4789784133 Enrollment ID: I20070713000485 |
| Provider Name | Sujatha Anand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396807558 PECOS PAC ID: 1153422266 Enrollment ID: I20070719000370 |
| Provider Name | Kemba B Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649487463 PECOS PAC ID: 1456452515 Enrollment ID: I20070719000778 |
| Provider Name | Deepali P Patni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366475048 PECOS PAC ID: 0840381174 Enrollment ID: I20070801000164 |
| Provider Name | Sebastian I Scobercea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619905320 PECOS PAC ID: 9436240660 Enrollment ID: I20070802000292 |
| Provider Name | Kimberlie J Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275536740 PECOS PAC ID: 0648361238 Enrollment ID: I20070810000739 |
| Provider Name | Swarna Kamble |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528194370 PECOS PAC ID: 7911099338 Enrollment ID: I20070815000297 |
| Provider Name | Kevin A Grimes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023137494 PECOS PAC ID: 8426140385 Enrollment ID: I20070822001602 |
| Provider Name | Lily Fu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558582619 PECOS PAC ID: 2365534112 Enrollment ID: I20070823000902 |
| Provider Name | Vanessa T Wellinghoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336361039 PECOS PAC ID: 7810089356 Enrollment ID: I20070828000868 |
| Provider Name | Kimberly A Mullinax |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720291800 PECOS PAC ID: 8729170287 Enrollment ID: I20070828001098 |
| Provider Name | Chanelle M Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285830174 PECOS PAC ID: 7315030244 Enrollment ID: I20070907000483 |
| Provider Name | Abhishek S Prasad |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740496496 PECOS PAC ID: 2961596994 Enrollment ID: I20070920000618 |
| Provider Name | Kate Cooper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972703759 PECOS PAC ID: 0042307308 Enrollment ID: I20071102000262 |
| Provider Name | Puja A Sehgal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588854194 PECOS PAC ID: 7618066705 Enrollment ID: I20071127000430 |
| Provider Name | Shonte Byrd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710046289 PECOS PAC ID: 4486743523 Enrollment ID: I20071127000823 |
| Provider Name | Gwendolyn E Brobbey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801833744 PECOS PAC ID: 4183713225 Enrollment ID: I20071127000856 |
| Provider Name | Dennis Ferrer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386750917 PECOS PAC ID: 9032208194 Enrollment ID: I20071128000126 |
| Provider Name | Fawzia Noreen Javed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831120518 PECOS PAC ID: 9335169291 Enrollment ID: I20071130000152 |
| Provider Name | Franchelle C Boateng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295939890 PECOS PAC ID: 7618067992 Enrollment ID: I20071227000143 |
| Provider Name | Irma H Pfister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790740926 PECOS PAC ID: 6709966039 Enrollment ID: I20071227000611 |
| Provider Name | Sue A Douglas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497750731 PECOS PAC ID: 5597845644 Enrollment ID: I20080102000548 |
| Provider Name | Jonathan C Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194933812 PECOS PAC ID: 5496837874 Enrollment ID: I20080123000874 |
| Provider Name | Anita G Dhir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598812745 PECOS PAC ID: 5991778110 Enrollment ID: I20080124000326 |
| Provider Name | Michael M Pedrosa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588857312 PECOS PAC ID: 9234226705 Enrollment ID: I20080129000219 |
| Provider Name | Seshasree Marupudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992998645 PECOS PAC ID: 0547342438 Enrollment ID: I20080131000114 |
| Provider Name | Grace M Varas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295958627 PECOS PAC ID: 5890879217 Enrollment ID: I20080225000340 |
| Provider Name | Clare N Gentry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881635209 PECOS PAC ID: 3577575893 Enrollment ID: I20080310000268 |
| Provider Name | Amy C Lothian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407886690 PECOS PAC ID: 1355426693 Enrollment ID: I20080311000131 |
| Provider Name | Shoshana R Nock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417923277 PECOS PAC ID: 0648355800 Enrollment ID: I20080312000085 |
| Provider Name | Rebecca B Laster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144402280 PECOS PAC ID: 8527143684 Enrollment ID: I20080313000205 |
| Provider Name | Satnam Singh Saini Bhondi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477654176 PECOS PAC ID: 6002993003 Enrollment ID: I20080401000580 |
| Provider Name | Sheela Chandra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316147465 PECOS PAC ID: 0244319598 Enrollment ID: I20080512000429 |
| Provider Name | Yee-pin Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457468134 PECOS PAC ID: 5193894780 Enrollment ID: I20080522000249 |
| Provider Name | Neville S Leibman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720130313 PECOS PAC ID: 5496825929 Enrollment ID: I20080610000239 |
| Provider Name | Christina G Frome |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629249057 PECOS PAC ID: 2365513884 Enrollment ID: I20080611000210 |
| Provider Name | Steven J Dileo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932132941 PECOS PAC ID: 0840361671 Enrollment ID: I20080620000556 |
| Provider Name | Sally Ann Vetter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477536977 PECOS PAC ID: 5193743656 Enrollment ID: I20080623000308 |
| Provider Name | Oladapo A Alade |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255480430 PECOS PAC ID: 2264504877 Enrollment ID: I20080626000216 |
| Provider Name | Oscar J Longoria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619187903 PECOS PAC ID: 4385716208 Enrollment ID: I20080709000243 |
| Provider Name | Wei-ming Tuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265510705 PECOS PAC ID: 7113099896 Enrollment ID: I20080714000066 |
| Provider Name | Yetunde E Adigun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730356569 PECOS PAC ID: 1759454333 Enrollment ID: I20080715000358 |
| Provider Name | Lisa E Weiss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689847824 PECOS PAC ID: 9335212794 Enrollment ID: I20080717000329 |
| Provider Name | Tahirih T Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144255233 PECOS PAC ID: 4486727690 Enrollment ID: I20080722000234 |
| Provider Name | Arlette G Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578598439 PECOS PAC ID: 3375616345 Enrollment ID: I20080724000076 |
| Provider Name | Felicia Yvette Workeneh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699888768 PECOS PAC ID: 1254362841 Enrollment ID: I20080724000297 |
| Provider Name | Jia Yen Chi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932109824 PECOS PAC ID: 4789757600 Enrollment ID: I20080724000652 |
| Provider Name | Bin S Teh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164414439 PECOS PAC ID: 8921171869 Enrollment ID: I20080724000798 |
| Provider Name | Courtney S. Sutherland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114187317 PECOS PAC ID: 5597839399 Enrollment ID: I20080728000478 |
| Provider Name | Sara L Meloche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689724981 PECOS PAC ID: 1153499371 Enrollment ID: I20081001000282 |
| Provider Name | Rubin Bashir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568653798 PECOS PAC ID: 9234228230 Enrollment ID: I20081002000083 |
| Provider Name | Ashu Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548420011 PECOS PAC ID: 3375611932 Enrollment ID: I20081009000057 |
| Provider Name | Faunda Nicola Armstrong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255540126 PECOS PAC ID: 9234297805 Enrollment ID: I20081027000203 |
| Provider Name | Misba S Lateef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396932778 PECOS PAC ID: 2264590710 Enrollment ID: I20081028000131 |
| Provider Name | Alan D Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518935006 PECOS PAC ID: 0244390755 Enrollment ID: I20081113000391 |
| Provider Name | Andrew C Kopel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568575140 PECOS PAC ID: 3971663105 Enrollment ID: I20081118000737 |
| Provider Name | Teresa H Chae |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790898476 PECOS PAC ID: 4688735210 Enrollment ID: I20081202000046 |
| Provider Name | Rajkumar Alagugurusamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285652925 PECOS PAC ID: 6204933138 Enrollment ID: I20081203000507 |
| Provider Name | Gisele A Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457416463 PECOS PAC ID: 8527129964 Enrollment ID: I20081204000288 |
| Provider Name | Angela R Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194973016 PECOS PAC ID: 1759444979 Enrollment ID: I20090114000822 |
| Provider Name | Frene De'shawn Lacour Chestnut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316196884 PECOS PAC ID: 5991868952 Enrollment ID: I20090116000483 |
| Provider Name | Isis Wadie Gayed |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1447328950 PECOS PAC ID: 5799848628 Enrollment ID: I20090120000337 |
| Provider Name | Jennifer Anne Dessel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548445943 PECOS PAC ID: 5991869711 Enrollment ID: I20090122000633 |
| Provider Name | Isabella K Gyening |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417036799 PECOS PAC ID: 9830253608 Enrollment ID: I20090123000314 |
| Provider Name | Marie F Maurice |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932295219 PECOS PAC ID: 5193880136 Enrollment ID: I20090209000076 |
| Provider Name | Kirkwood A Johnston |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639281066 PECOS PAC ID: 9638234693 Enrollment ID: I20090209000282 |
| Provider Name | Frederick P Gregg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851382923 PECOS PAC ID: 4082779681 Enrollment ID: I20090216000080 |
| Provider Name | Amy Cherlene Hardy-covey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801041728 PECOS PAC ID: 4082770169 Enrollment ID: I20090226000259 |
| Provider Name | Humaira Maqbool |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457598328 PECOS PAC ID: 7810053683 Enrollment ID: I20090303000089 |
| Provider Name | Sameh Aziz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609096296 PECOS PAC ID: 0143387068 Enrollment ID: I20090320000329 |
| Provider Name | Diana R El-zaim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902859572 PECOS PAC ID: 7315004611 Enrollment ID: I20090331000191 |
| Provider Name | Sonja M Longbotham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366603185 PECOS PAC ID: 1456401322 Enrollment ID: I20090615000680 |
| Provider Name | Kalyan Gupta Kuna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316172935 PECOS PAC ID: 3375693070 Enrollment ID: I20090617000555 |
| Provider Name | Vinita Bhagia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508060104 PECOS PAC ID: 3971654666 Enrollment ID: I20090618000664 |
| Provider Name | Tushar Dilip Dharia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043317605 PECOS PAC ID: 3870645674 Enrollment ID: I20090708000558 |
| Provider Name | Meenu Singh Bhatti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093786394 PECOS PAC ID: 2163444282 Enrollment ID: I20090709000294 |
| Provider Name | Shelley Q Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366608556 PECOS PAC ID: 8729130448 Enrollment ID: I20090710000091 |
| Provider Name | Yitzchak E Weinstock |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568698017 PECOS PAC ID: 3779635420 Enrollment ID: I20090710000322 |
| Provider Name | Homayon Sidiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033301502 PECOS PAC ID: 9830241322 Enrollment ID: I20090714000524 |
| Provider Name | Samuel P O Itam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326288184 PECOS PAC ID: 7214089705 Enrollment ID: I20090714000587 |
| Provider Name | Isabel T Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174789168 PECOS PAC ID: 0042362493 Enrollment ID: I20090715000353 |
| Provider Name | Lauren E Noriega |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356575443 PECOS PAC ID: 4183776206 Enrollment ID: I20090720000572 |
| Provider Name | Ibrahim Omeis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881866424 PECOS PAC ID: 5698841195 Enrollment ID: I20090724000369 |
| Provider Name | Zahir K Javeri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093925976 PECOS PAC ID: 4284787029 Enrollment ID: I20090727000795 |
| Provider Name | Ashley S Rizzutto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962644948 PECOS PAC ID: 2668525213 Enrollment ID: I20090730000162 |
| Provider Name | Sophie Kim Lung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285863449 PECOS PAC ID: 7810040250 Enrollment ID: I20090731000583 |
| Provider Name | Shayan A Izaddoost |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457599706 PECOS PAC ID: 6002969342 Enrollment ID: I20090804000145 |
| Provider Name | Douglas B Szeto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508018516 PECOS PAC ID: 7719031426 Enrollment ID: I20090814000337 |
| Provider Name | Neha R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326221771 PECOS PAC ID: 3577646470 Enrollment ID: I20090818000449 |
| Provider Name | Kashif Khan |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1164514352 PECOS PAC ID: 6608921515 Enrollment ID: I20090828000232 |
| Provider Name | Ned Snyder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568521953 PECOS PAC ID: 4486709227 Enrollment ID: I20090901000091 |
| Provider Name | Sancak Yuksel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184876039 PECOS PAC ID: 4486709094 Enrollment ID: I20090903000415 |
| Provider Name | Fayyaz Ahmed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669435996 PECOS PAC ID: 6507911922 Enrollment ID: I20090908000288 |
| Provider Name | Joi M Findley-smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700878493 PECOS PAC ID: 9436205549 Enrollment ID: I20090915000263 |
| Provider Name | Marjorie A Broussard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184880379 PECOS PAC ID: 3476699158 Enrollment ID: I20091009000505 |
| Provider Name | Jeannette Ouyang-latimer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184877177 PECOS PAC ID: 0840337093 Enrollment ID: I20091021000404 |
| Provider Name | Dietrich Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669707022 PECOS PAC ID: 8426195983 Enrollment ID: I20091102000578 |
| Provider Name | Kirsta Leigh Herder |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699808220 PECOS PAC ID: 2668510009 Enrollment ID: I20091105000235 |
| Provider Name | Syed M Quadri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134148976 PECOS PAC ID: 8820091820 Enrollment ID: I20091118000225 |
| Provider Name | Yelena Krupnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568638450 PECOS PAC ID: 1153460795 Enrollment ID: I20091120000309 |
| Provider Name | Ronda K Elsenbrook |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124206040 PECOS PAC ID: 8325187883 Enrollment ID: I20091123000641 |
| Provider Name | Michael Paul Marquardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104887397 PECOS PAC ID: 3577603232 Enrollment ID: I20091210000768 |
| Provider Name | Mary E Round |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306837331 PECOS PAC ID: 9638134299 Enrollment ID: I20100203000571 |
| Provider Name | Christina Celeste Walker |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1841408747 PECOS PAC ID: 4082782784 Enrollment ID: I20100210000394 |
| Provider Name | Barbara Sickler Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629038781 PECOS PAC ID: 6002941523 Enrollment ID: I20100322000898 |
| Provider Name | Judith A Munoz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689607608 PECOS PAC ID: 9931235207 Enrollment ID: I20100326000254 |
| Provider Name | Larry Steven Carpenter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215929518 PECOS PAC ID: 6800843699 Enrollment ID: I20100406000616 |
| Provider Name | Abdi Rasekh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376645515 PECOS PAC ID: 3072508902 Enrollment ID: I20100430000406 |
| Provider Name | David B Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528074721 PECOS PAC ID: 4688702632 Enrollment ID: I20100512000375 |
| Provider Name | Michael J Vennix |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902821077 PECOS PAC ID: 9335278548 Enrollment ID: I20100526001068 |
| Provider Name | Maria M Argao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629003769 PECOS PAC ID: 5890825608 Enrollment ID: I20100604000522 |
| Provider Name | Kunagzoo S Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154324655 PECOS PAC ID: 7416088653 Enrollment ID: I20100701000481 |
| Provider Name | Walter Randall Sassard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053359752 PECOS PAC ID: 2769514744 Enrollment ID: I20100712000245 |
| Provider Name | Wilber A Estrada Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164620860 PECOS PAC ID: 6800981499 Enrollment ID: I20100714000608 |
| Provider Name | Kenneth Scott Lloyd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619985363 PECOS PAC ID: 0244362408 Enrollment ID: I20100723000290 |
| Provider Name | Stephen Tabor |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497969240 PECOS PAC ID: 1052444767 Enrollment ID: I20100802000817 |
| Provider Name | Matthew J Isom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346287877 PECOS PAC ID: 7416080833 Enrollment ID: I20100804001234 |
| Provider Name | Mohsin R Mir |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821250994 PECOS PAC ID: 8022141480 Enrollment ID: I20100805000312 |
| Provider Name | Jegy M Tennison |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447579602 PECOS PAC ID: 1557494853 Enrollment ID: I20100807000057 |
| Provider Name | Jonard H Zalavarria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518283811 PECOS PAC ID: 4587798186 Enrollment ID: I20100818000691 |
| Provider Name | Benjamin E Dillon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881853877 PECOS PAC ID: 1355465287 Enrollment ID: I20100830001022 |
| Provider Name | Aaron Kriss Joseph |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538148168 PECOS PAC ID: 7315045275 Enrollment ID: I20100831000376 |
| Provider Name | Richard Lee Byrd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679508550 PECOS PAC ID: 5496879900 Enrollment ID: I20100903000559 |
| Provider Name | Patrick M Conoley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366473316 PECOS PAC ID: 0840315263 Enrollment ID: I20100908001076 |
| Provider Name | Linh T Dang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154425213 PECOS PAC ID: 5294751079 Enrollment ID: I20100915000826 |
| Provider Name | Nisha L Sidhwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639335243 PECOS PAC ID: 9032234893 Enrollment ID: I20100916000742 |
| Provider Name | Candace P Siegel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043306228 PECOS PAC ID: 4385769967 Enrollment ID: I20100920000786 |
| Provider Name | Son Bao Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609962984 PECOS PAC ID: 1557486156 Enrollment ID: I20100920001081 |
| Provider Name | Sandra J Irving |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508952888 PECOS PAC ID: 0345365813 Enrollment ID: I20100921000897 |
| Provider Name | Muhammad Janaid Motiwala |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447576707 PECOS PAC ID: 7517082092 Enrollment ID: I20100921000926 |
| Provider Name | Cecilia I Lowder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205922580 PECOS PAC ID: 8022134535 Enrollment ID: I20100921001510 |
| Provider Name | Jonathan A Aliota |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598712812 PECOS PAC ID: 1850327057 Enrollment ID: I20100929001139 |
| Provider Name | Anjana Dhingra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568558849 PECOS PAC ID: 2466578257 Enrollment ID: I20100929001213 |
| Provider Name | Caroline A Marcus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134445737 PECOS PAC ID: 1153513635 Enrollment ID: I20101004000514 |
| Provider Name | Christine E Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578659751 PECOS PAC ID: 9234321688 Enrollment ID: I20101004001488 |
| Provider Name | Devanshi Somaiya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659467934 PECOS PAC ID: 1951593953 Enrollment ID: I20101008000702 |
| Provider Name | Linda Lan Anh Ly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740436849 PECOS PAC ID: 5092907766 Enrollment ID: I20101013000607 |
| Provider Name | Cynthia C Basaldua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861422511 PECOS PAC ID: 2466645023 Enrollment ID: I20101015000424 |
| Provider Name | Hsiaw-luen Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639253016 PECOS PAC ID: 2961695200 Enrollment ID: I20101019001573 |
| Provider Name | Ketul Rajanikant Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295832020 PECOS PAC ID: 6204838709 Enrollment ID: I20101020000449 |
| Provider Name | Rubina Wahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992707756 PECOS PAC ID: 1254455959 Enrollment ID: I20101028001381 |
| Provider Name | Olethia Chisolm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679504120 PECOS PAC ID: 8426242983 Enrollment ID: I20101029000105 |
| Provider Name | Nicholas J Solomos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497841670 PECOS PAC ID: 2466646922 Enrollment ID: I20101029000179 |
| Provider Name | Magda M Ragab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366538548 PECOS PAC ID: 9638363195 Enrollment ID: I20101029000189 |
| Provider Name | Debra L Luben |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023104304 PECOS PAC ID: 5799979159 Enrollment ID: I20101029000261 |
| Provider Name | Marilyn B Lemos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861570707 PECOS PAC ID: 3173717410 Enrollment ID: I20101101001079 |
| Provider Name | Mary F Weinert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881672541 PECOS PAC ID: 4183818180 Enrollment ID: I20101103001293 |
| Provider Name | Tobias C Samo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790763456 PECOS PAC ID: 0840382347 Enrollment ID: I20101103001381 |
| Provider Name | Victor Fainstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912985664 PECOS PAC ID: 9537242433 Enrollment ID: I20101103001398 |
| Provider Name | Stuart M Weil |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336127745 PECOS PAC ID: 6608801055 Enrollment ID: I20101103001431 |
| Provider Name | Roula Sabbagh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073609251 PECOS PAC ID: 6709070659 Enrollment ID: I20101104000522 |
| Provider Name | Scott D Meshberger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750477931 PECOS PAC ID: 5597959460 Enrollment ID: I20101104000702 |
| Provider Name | Cynthia B Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639265812 PECOS PAC ID: 1052505922 Enrollment ID: I20101104000793 |
| Provider Name | Randal R Stavinoha |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124114301 PECOS PAC ID: 3173718616 Enrollment ID: I20101110000995 |
| Provider Name | Thuy Hanh T Trinh |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144383381 PECOS PAC ID: 9830384270 Enrollment ID: I20101111000779 |
| Provider Name | Bret A Mcaden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205922481 PECOS PAC ID: 5991990244 Enrollment ID: I20101111000995 |
| Provider Name | Debra Atkinson Cutler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104912484 PECOS PAC ID: 0244425478 Enrollment ID: I20101112000491 |
| Provider Name | Jennifer H Breazeale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104851047 PECOS PAC ID: 2163617309 Enrollment ID: I20101112000611 |
| Provider Name | Gilchrist L Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326134602 PECOS PAC ID: 6305031550 Enrollment ID: I20101112000811 |
| Provider Name | Amar Gaalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164455176 PECOS PAC ID: 1658566856 Enrollment ID: I20101113000097 |
| Provider Name | Allen A Deutsch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962581231 PECOS PAC ID: 9234324385 Enrollment ID: I20101115000612 |
| Provider Name | Asma N Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134215312 PECOS PAC ID: 3678768769 Enrollment ID: I20101115001049 |
| Provider Name | Eve N Bowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649425836 PECOS PAC ID: 4385839489 Enrollment ID: I20101115001208 |
| Provider Name | Jeffrey L Rochen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265528442 PECOS PAC ID: 8527253541 Enrollment ID: I20101116000261 |
| Provider Name | Benjamin Nathan Hendin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619063997 PECOS PAC ID: 5294920229 Enrollment ID: I20101116000444 |
| Provider Name | Sylvia M Trumble |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457384471 PECOS PAC ID: 3779778758 Enrollment ID: I20101116000907 |
| Provider Name | Satish S Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659467835 PECOS PAC ID: 9830384775 Enrollment ID: I20101117000543 |
| Provider Name | Mohammad Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629278312 PECOS PAC ID: 4486840881 Enrollment ID: I20101124000757 |
| Provider Name | Daniel Belley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538199294 PECOS PAC ID: 1951597111 Enrollment ID: I20101130000700 |
| Provider Name | Angelica Y Higgins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346336625 PECOS PAC ID: 6103012216 Enrollment ID: I20101130001406 |
| Provider Name | Irfan Mansuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487740767 PECOS PAC ID: 7810183993 Enrollment ID: I20101201000805 |
| Provider Name | Phong N Van-liaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154409696 PECOS PAC ID: 9830386416 Enrollment ID: I20101208000658 |
| Provider Name | Tracy Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316972185 PECOS PAC ID: 6002003415 Enrollment ID: I20101210001022 |
| Provider Name | Madjid Mirzaitehrane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598844870 PECOS PAC ID: 7618164989 Enrollment ID: I20101213000599 |
| Provider Name | Edith D Schatte |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053407239 PECOS PAC ID: 6800084922 Enrollment ID: I20101216000040 |
| Provider Name | Janeen G Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871687244 PECOS PAC ID: 8426074907 Enrollment ID: I20101220000532 |
| Provider Name | Chikku Paul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386841237 PECOS PAC ID: 5496943276 Enrollment ID: I20101221000221 |
| Provider Name | Maher Daas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013003391 PECOS PAC ID: 8022182344 Enrollment ID: I20101221000776 |
| Provider Name | Ali J Al-himyary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033149810 PECOS PAC ID: 0840208567 Enrollment ID: I20101221000889 |
| Provider Name | Patrick M Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497785125 PECOS PAC ID: 0941498448 Enrollment ID: I20101228000689 |
| Provider Name | Ekanem O Ohia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003902289 PECOS PAC ID: 7911195417 Enrollment ID: I20101228000726 |
| Provider Name | Yan Yan B Yip |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386730570 PECOS PAC ID: 8820286271 Enrollment ID: I20101229000341 |
| Provider Name | Azam K Kundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962580498 PECOS PAC ID: 6709074024 Enrollment ID: I20101230000192 |
| Provider Name | Guiying Hu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154417434 PECOS PAC ID: 6901095108 Enrollment ID: I20110104000373 |
| Provider Name | Jessy C Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346328283 PECOS PAC ID: 8729277819 Enrollment ID: I20110105000181 |
| Provider Name | Maritza I Homs Guilloty |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235218512 PECOS PAC ID: 6901095074 Enrollment ID: I20110105001294 |
| Provider Name | Timothy Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649349622 PECOS PAC ID: 0941499891 Enrollment ID: I20110107001000 |
| Provider Name | Lana Hawayek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437103652 PECOS PAC ID: 2769486778 Enrollment ID: I20110110000181 |
| Provider Name | Purnima I Rao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801982087 PECOS PAC ID: 9032398052 Enrollment ID: I20110124000506 |
| Provider Name | David Mouton |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1104912385 PECOS PAC ID: 3678752417 Enrollment ID: I20110125000887 |
| Provider Name | Ali Mortazavi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1295821478 PECOS PAC ID: 9830378546 Enrollment ID: I20110127000443 |
| Provider Name | Shahid Muhammad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922194109 PECOS PAC ID: 9537349543 Enrollment ID: I20110208001075 |
| Provider Name | Connie L Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669615365 PECOS PAC ID: 5193905040 Enrollment ID: I20110209000626 |
| Provider Name | Evette C Kingcaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568540052 PECOS PAC ID: 2668376187 Enrollment ID: I20110218000681 |
| Provider Name | Mammen Maliakkal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497730816 PECOS PAC ID: 5092743104 Enrollment ID: I20110218000791 |
| Provider Name | Renato Franco Zuniga Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649461849 PECOS PAC ID: 6901087675 Enrollment ID: I20110301000403 |
| Provider Name | Anna M Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902984511 PECOS PAC ID: 1456534833 Enrollment ID: I20110322000800 |
| Provider Name | Anuj Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215231964 PECOS PAC ID: 1153504337 Enrollment ID: I20110325000091 |
| Provider Name | Holli W Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457653818 PECOS PAC ID: 3173706306 Enrollment ID: I20110325000650 |
| Provider Name | Maria Ellionore Jarbrink-sehgal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801053194 PECOS PAC ID: 0749463578 Enrollment ID: I20110331000456 |
| Provider Name | Kimberly A Vernon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912198102 PECOS PAC ID: 1052596095 Enrollment ID: I20110506000236 |
| Provider Name | Jocelyn Ricafrente Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932258167 PECOS PAC ID: 1658557442 Enrollment ID: I20110511000781 |
| Provider Name | Matthew R Wilkening |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295967230 PECOS PAC ID: 0749467983 Enrollment ID: I20110615000558 |
| Provider Name | Snehal S Desai |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689808149 PECOS PAC ID: 6406024751 Enrollment ID: I20110713000035 |
| Provider Name | Amna Waqar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437478575 PECOS PAC ID: 9537337696 Enrollment ID: I20110718000281 |
| Provider Name | Kristine R Kuhl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184879801 PECOS PAC ID: 1759550833 Enrollment ID: I20110805000454 |
| Provider Name | Robert H Cook-norris |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1164641171 PECOS PAC ID: 4688760309 Enrollment ID: I20110811000364 |
| Provider Name | Ruhi Singh Soni |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841443579 PECOS PAC ID: 4880863323 Enrollment ID: I20110817000863 |
| Provider Name | Maygol Sarvi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093723777 PECOS PAC ID: 3870548423 Enrollment ID: I20110819000380 |
| Provider Name | Trey Cullen Burrow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689967804 PECOS PAC ID: 5799955068 Enrollment ID: I20110823000880 |
| Provider Name | Enyioma Anuli Muolokwu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992037055 PECOS PAC ID: 1153591433 Enrollment ID: I20110823001017 |
| Provider Name | Stephanie Ann S. Soria |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629366042 PECOS PAC ID: 6103096037 Enrollment ID: I20110831000568 |
| Provider Name | John S Colen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982934063 PECOS PAC ID: 5193996387 Enrollment ID: I20110920000284 |
| Provider Name | Amy E Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659536993 PECOS PAC ID: 6507037793 Enrollment ID: I20110920000343 |
| Provider Name | Kamran I Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952562126 PECOS PAC ID: 7416128632 Enrollment ID: I20110920000604 |
| Provider Name | Rupesh Nigam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093010878 PECOS PAC ID: 0345411245 Enrollment ID: I20110927000030 |
| Provider Name | Manpreet Mangat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740469287 PECOS PAC ID: 0749451557 Enrollment ID: I20110927000246 |
| Provider Name | U Kanti Murtineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689994840 PECOS PAC ID: 6103098801 Enrollment ID: I20110930000146 |
| Provider Name | Lona R Winnegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316080286 PECOS PAC ID: 2567634157 Enrollment ID: I20111003000728 |
| Provider Name | Renita B Varghese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356554349 PECOS PAC ID: 8325178577 Enrollment ID: I20111005000636 |
| Provider Name | Anita Mehta |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346430139 PECOS PAC ID: 8527230911 Enrollment ID: I20111006000611 |
| Provider Name | Yu-lin Irene Chung-nielsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497913933 PECOS PAC ID: 4486826898 Enrollment ID: I20111007000029 |
| Provider Name | Carlos Alberto Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639330699 PECOS PAC ID: 9537333018 Enrollment ID: I20111118000157 |
| Provider Name | Anup Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336323799 PECOS PAC ID: 0648324632 Enrollment ID: I20111121000695 |
| Provider Name | Lee H Bar-eli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609006543 PECOS PAC ID: 6608040027 Enrollment ID: I20111122000145 |
| Provider Name | Sheba Poulose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205917390 PECOS PAC ID: 7810955366 Enrollment ID: I20111122000846 |
| Provider Name | Caroline Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396955902 PECOS PAC ID: 7416089610 Enrollment ID: I20111122000875 |
| Provider Name | Laura Lee Ritchie |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386925741 PECOS PAC ID: 0244404358 Enrollment ID: I20111129000162 |
| Provider Name | Bazgha Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851538482 PECOS PAC ID: 3173798014 Enrollment ID: I20111205000761 |
| Provider Name | Leah Boudreaux Gonsoulin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932412699 PECOS PAC ID: 8527225135 Enrollment ID: I20120209000691 |
| Provider Name | Antony Bijoy Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275620577 PECOS PAC ID: 6800073834 Enrollment ID: I20120326000488 |
| Provider Name | Eileen Wan Ying Wu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760653729 PECOS PAC ID: 1658496567 Enrollment ID: I20120416000356 |
| Provider Name | Young Joo Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174893424 PECOS PAC ID: 3375705718 Enrollment ID: I20120502000102 |
| Provider Name | Lowell Gay Rollins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447323159 PECOS PAC ID: 0345315859 Enrollment ID: I20120502000734 |
| Provider Name | Chris Ann Fahrenbruch Nixon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427314848 PECOS PAC ID: 0547425167 Enrollment ID: I20120705000668 |
| Provider Name | Sahil Mittal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326242900 PECOS PAC ID: 1557526902 Enrollment ID: I20120710000169 |
| Provider Name | Jung-hoon Kim |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1821200296 PECOS PAC ID: 0042385312 Enrollment ID: I20120712000635 |
| Provider Name | Amy H Landry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497018832 PECOS PAC ID: 7315102597 Enrollment ID: I20120713000515 |
| Provider Name | Thai D Dang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578841425 PECOS PAC ID: 7315103843 Enrollment ID: I20120726000720 |
| Provider Name | Cory Khoiquoc T Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689757197 PECOS PAC ID: 8729170709 Enrollment ID: I20120802000670 |
| Provider Name | Amar S Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730241563 PECOS PAC ID: 8123112315 Enrollment ID: I20120806000791 |
| Provider Name | Rosella D Creed |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023384005 PECOS PAC ID: 7810143856 Enrollment ID: I20120808000127 |
| Provider Name | Sidra Younus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346474699 PECOS PAC ID: 0648426361 Enrollment ID: I20120813000755 |
| Provider Name | Marcus La Velle Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982837464 PECOS PAC ID: 8527214139 Enrollment ID: I20120815000227 |
| Provider Name | Jose L Mier Y Teran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386870970 PECOS PAC ID: 3274780606 Enrollment ID: I20120820001085 |
| Provider Name | Steffanie R Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962669267 PECOS PAC ID: 9830214030 Enrollment ID: I20120821000301 |
| Provider Name | Edgard Ivan Gonzalez Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477525202 PECOS PAC ID: 0345285557 Enrollment ID: I20120821000477 |
| Provider Name | Angela M Guerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811122773 PECOS PAC ID: 6204083413 Enrollment ID: I20120823000108 |
| Provider Name | Muneeb Mohammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467686857 PECOS PAC ID: 5991952657 Enrollment ID: I20120831000133 |
| Provider Name | Iadara L Martinez Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609022045 PECOS PAC ID: 2860651809 Enrollment ID: I20120924000332 |
| Provider Name | Tuyen Tran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801146865 PECOS PAC ID: 1951550292 Enrollment ID: I20121002000657 |
| Provider Name | Abimbola O Sokunbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316111677 PECOS PAC ID: 9537318613 Enrollment ID: I20121004000630 |
| Provider Name | Kalpna Kantilal Mistry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447488903 PECOS PAC ID: 1557510484 Enrollment ID: I20121009000321 |
| Provider Name | Varsha R Gillala |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740442144 PECOS PAC ID: 4082864608 Enrollment ID: I20121017000212 |
| Provider Name | Jason T Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295052504 PECOS PAC ID: 3577713064 Enrollment ID: I20121018000143 |
| Provider Name | Quocdai Dochull Park |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679721799 PECOS PAC ID: 7012167109 Enrollment ID: I20121026000029 |
| Provider Name | Angela D. Ferguson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437443686 PECOS PAC ID: 1759533680 Enrollment ID: I20121128000561 |
| Provider Name | Kamayani Khare |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275826075 PECOS PAC ID: 8224280649 Enrollment ID: I20121212000046 |
| Provider Name | Hana K Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295031656 PECOS PAC ID: 9133307028 Enrollment ID: I20121212000386 |
| Provider Name | Yussein Aguirre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780820258 PECOS PAC ID: 2567615099 Enrollment ID: I20130114000271 |
| Provider Name | Bushra Khalil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396097598 PECOS PAC ID: 8820242514 Enrollment ID: I20130205000219 |
| Provider Name | Kevin S Chap |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770856288 PECOS PAC ID: 2769636968 Enrollment ID: I20130215000121 |
| Provider Name | Kemi A. Sells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043554074 PECOS PAC ID: 2961657614 Enrollment ID: I20130301000230 |
| Provider Name | Charles A Klinar |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558510099 PECOS PAC ID: 7214182971 Enrollment ID: I20130301000349 |
| Provider Name | Lesley Ramos Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659500973 PECOS PAC ID: 4688729965 Enrollment ID: I20130323000021 |
| Provider Name | Farheen Tariq |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083674485 PECOS PAC ID: 1951330836 Enrollment ID: I20130501000169 |
| Provider Name | Erin Kathleen Linton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922341759 PECOS PAC ID: 6901043009 Enrollment ID: I20130509000199 |
| Provider Name | Karen Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073853032 PECOS PAC ID: 0345487369 Enrollment ID: I20130513000093 |
| Provider Name | Asim Abbasi |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1922208776 PECOS PAC ID: 8224125620 Enrollment ID: I20130521000444 |
| Provider Name | Louise N Eko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255775094 PECOS PAC ID: 4688813025 Enrollment ID: I20130617000162 |
| Provider Name | Jocelyn Szeto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265663710 PECOS PAC ID: 0244479483 Enrollment ID: I20130618000781 |
| Provider Name | Jesse Morrow Proett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699058891 PECOS PAC ID: 6709026321 Enrollment ID: I20130702000669 |
| Provider Name | Jayme Lynn Reuter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629317359 PECOS PAC ID: 9335389584 Enrollment ID: I20130711000149 |
| Provider Name | Angie C Sung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801914197 PECOS PAC ID: 7214013648 Enrollment ID: I20130718000192 |
| Provider Name | Jameel R Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942520143 PECOS PAC ID: 6406097690 Enrollment ID: I20130731000294 |
| Provider Name | Nneka U Edokpayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205064102 PECOS PAC ID: 6709027899 Enrollment ID: I20130801000608 |
| Provider Name | Kate B Meza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700126208 PECOS PAC ID: 1456593268 Enrollment ID: I20130807000511 |
| Provider Name | Catherine Wynne Cahill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871737015 PECOS PAC ID: 5395999312 Enrollment ID: I20130813000927 |
| Provider Name | Paul A O'leary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881914158 PECOS PAC ID: 4082857529 Enrollment ID: I20130830000378 |
| Provider Name | Joslyn John |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619205325 PECOS PAC ID: 7113160680 Enrollment ID: I20130830000731 |
| Provider Name | Sangita John Pogge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407174774 PECOS PAC ID: 4880838929 Enrollment ID: I20130911000762 |
| Provider Name | Annapoorani Arumugam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558673905 PECOS PAC ID: 9931343951 Enrollment ID: I20130912000798 |
| Provider Name | Theresa Lebleu Broussard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750392015 PECOS PAC ID: 2062416449 Enrollment ID: I20130919000067 |
| Provider Name | Stefanie A Teng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558596320 PECOS PAC ID: 4385882232 Enrollment ID: I20130919000465 |
| Provider Name | Matthew Christopher Moretto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467615351 PECOS PAC ID: 0446401657 Enrollment ID: I20130920000559 |
| Provider Name | Megan Becker Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275767899 PECOS PAC ID: 5496999096 Enrollment ID: I20130923000111 |
| Provider Name | Amy L Turner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689864043 PECOS PAC ID: 0648354738 Enrollment ID: I20130927000582 |
| Provider Name | Tison Latoi Price Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194158527 PECOS PAC ID: 2769616531 Enrollment ID: I20131010000043 |
| Provider Name | Pamela Paige Dallas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093147084 PECOS PAC ID: 1850525460 Enrollment ID: I20131015001653 |
| Provider Name | Noma Abbasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225230428 PECOS PAC ID: 4587899984 Enrollment ID: I20131019000019 |
| Provider Name | Jose Maria Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144548876 PECOS PAC ID: 5193952299 Enrollment ID: I20131217001275 |
| Provider Name | Bashar I Farjo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730361221 PECOS PAC ID: 2264561737 Enrollment ID: I20131220000433 |
| Provider Name | Amy Lily Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548306277 PECOS PAC ID: 1355578121 Enrollment ID: I20131226001653 |
| Provider Name | George Shelton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235454158 PECOS PAC ID: 1456589522 Enrollment ID: I20140117000209 |
| Provider Name | Mi Kyung Ko |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184711954 PECOS PAC ID: 1658370788 Enrollment ID: I20140213000457 |
| Provider Name | Misbat Chaudry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447561337 PECOS PAC ID: 2365680758 Enrollment ID: I20140228000959 |
| Provider Name | Elizabeth Grace Suri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306269519 PECOS PAC ID: 2163652678 Enrollment ID: I20140303000526 |
| Provider Name | Anita Udayamurthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609103035 PECOS PAC ID: 5991935264 Enrollment ID: I20140306000515 |
| Provider Name | Latanya Graylyn Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235479791 PECOS PAC ID: 8325279995 Enrollment ID: I20140324001859 |
| Provider Name | Geenu Tressy James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629403175 PECOS PAC ID: 8224269337 Enrollment ID: I20140402001021 |
| Provider Name | Alvin Jamal Barrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255517231 PECOS PAC ID: 1052505666 Enrollment ID: I20140429001458 |
| Provider Name | Ghazala Abuazza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952565673 PECOS PAC ID: 6204903214 Enrollment ID: I20140505000614 |
| Provider Name | Akash J Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972737112 PECOS PAC ID: 9638392343 Enrollment ID: I20140528000871 |
| Provider Name | Philip L Ho |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437402583 PECOS PAC ID: 0648494435 Enrollment ID: I20140618000467 |
| Provider Name | Najda Ansari Mujtaba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033390828 PECOS PAC ID: 7810173853 Enrollment ID: I20140619002081 |
| Provider Name | Ashley Z Schilling |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508894650 PECOS PAC ID: 9739304031 Enrollment ID: I20140630000716 |
| Provider Name | Carisa S H Liew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306077060 PECOS PAC ID: 4183849409 Enrollment ID: I20140630001530 |
| Provider Name | Robert E Klinglesmith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922270578 PECOS PAC ID: 5496970162 Enrollment ID: I20140714001369 |
| Provider Name | Sarah Elizabeth Duong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689920274 PECOS PAC ID: 6002032315 Enrollment ID: I20140723000227 |
| Provider Name | Lena Abraham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780003053 PECOS PAC ID: 4880810969 Enrollment ID: I20140725001040 |
| Provider Name | John Randall Griffin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548490212 PECOS PAC ID: 7012100258 Enrollment ID: I20140822000360 |
| Provider Name | Jeanene G Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659628857 PECOS PAC ID: 1456579945 Enrollment ID: I20140825002107 |
| Provider Name | Jennifer A. Lai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720333404 PECOS PAC ID: 9335367754 Enrollment ID: I20140827001298 |
| Provider Name | Bernice D Adu-gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043566631 PECOS PAC ID: 2264650415 Enrollment ID: I20140829000460 |
| Provider Name | Joshua D Udoetuk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568691772 PECOS PAC ID: 4183887003 Enrollment ID: I20140902001019 |
| Provider Name | Erin A Eckhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114182177 PECOS PAC ID: 8123246261 Enrollment ID: I20140902001578 |
| Provider Name | Sara M Perez-stokes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932491818 PECOS PAC ID: 6406083393 Enrollment ID: I20140905000778 |
| Provider Name | Stella C Yeung-shi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801189246 PECOS PAC ID: 7911125877 Enrollment ID: I20140905002405 |
| Provider Name | Rachel Wanjini Nginyi Munyoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265831911 PECOS PAC ID: 7113146705 Enrollment ID: I20140912001701 |
| Provider Name | Kimberly Chanel Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386059186 PECOS PAC ID: 6608095963 Enrollment ID: I20140918000778 |
| Provider Name | Bilal Anwer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912274572 PECOS PAC ID: 5092935007 Enrollment ID: I20140925000516 |
| Provider Name | Santosh Yatam Ganesh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639495351 PECOS PAC ID: 9335377605 Enrollment ID: I20141002000474 |
| Provider Name | Susana Carolina Moreno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336548791 PECOS PAC ID: 9931329547 Enrollment ID: I20141002001579 |
| Provider Name | Sunaina B Likhari |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033430087 PECOS PAC ID: 1153541552 Enrollment ID: I20141007002242 |
| Provider Name | Summer R Branda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851621379 PECOS PAC ID: 4789829391 Enrollment ID: I20141016002339 |
| Provider Name | Ali Al-ameri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760786958 PECOS PAC ID: 4880832658 Enrollment ID: I20141018000035 |
| Provider Name | Tahir M Maya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558653576 PECOS PAC ID: 7012142615 Enrollment ID: I20141104001009 |
| Provider Name | Valerie K Meshell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629409057 PECOS PAC ID: 4981826047 Enrollment ID: I20141105002548 |
| Provider Name | Ijeoma Nwaeze |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1477547826 PECOS PAC ID: 9335118892 Enrollment ID: I20141106000879 |
| Provider Name | Firas A Quddos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295010981 PECOS PAC ID: 3072733955 Enrollment ID: I20141114001377 |
| Provider Name | Margaret A Skaug |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710279245 PECOS PAC ID: 7012239106 Enrollment ID: I20141126001505 |
| Provider Name | Angie L Curtis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265648190 PECOS PAC ID: 8628390143 Enrollment ID: I20141211000117 |
| Provider Name | Vanessa T Barrow |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356513626 PECOS PAC ID: 0042382798 Enrollment ID: I20141217000025 |
| Provider Name | Adriana Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588919120 PECOS PAC ID: 7012230220 Enrollment ID: I20141219000254 |
| Provider Name | Marilyn N Wilking |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619979077 PECOS PAC ID: 0345563599 Enrollment ID: I20141219002002 |
| Provider Name | Kelly O'neal Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235481037 PECOS PAC ID: 5597088641 Enrollment ID: I20141223000263 |
| Provider Name | Selby Koduvathara Mathews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902200421 PECOS PAC ID: 3476627886 Enrollment ID: I20141230000399 |
| Provider Name | Elizabeth A Vandergaag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174697296 PECOS PAC ID: 4688674583 Enrollment ID: I20150126000155 |
| Provider Name | Jiwan L Gupta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861880775 PECOS PAC ID: 2961726880 Enrollment ID: I20150126001068 |
| Provider Name | Jacqueline Mytu Le-guevara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417242637 PECOS PAC ID: 6709100589 Enrollment ID: I20150127001523 |
| Provider Name | Julie T Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033459219 PECOS PAC ID: 8527287739 Enrollment ID: I20150202001571 |
| Provider Name | Asma Ali |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497070387 PECOS PAC ID: 2567636228 Enrollment ID: I20150205000762 |
| Provider Name | Shamail Butt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043531981 PECOS PAC ID: 5496871907 Enrollment ID: I20150212000046 |
| Provider Name | Michelle Elizabeth Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528459021 PECOS PAC ID: 2567787518 Enrollment ID: I20150213001616 |
| Provider Name | Zehra Jaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346598026 PECOS PAC ID: 4385967389 Enrollment ID: I20150224000578 |
| Provider Name | Neel Sharad Choksi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124228234 PECOS PAC ID: 2668506650 Enrollment ID: I20150225001152 |
| Provider Name | Sabah Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669762654 PECOS PAC ID: 7618293465 Enrollment ID: I20150313001033 |
| Provider Name | Susan S Jarrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912298308 PECOS PAC ID: 8224354071 Enrollment ID: I20150313001151 |
| Provider Name | Gareth John Adams |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750611158 PECOS PAC ID: 6507999489 Enrollment ID: I20150316001342 |
| Provider Name | Kenneth Ball |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326438979 PECOS PAC ID: 1759608490 Enrollment ID: I20150318000493 |
| Provider Name | Swathi Murali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104111517 PECOS PAC ID: 0042537383 Enrollment ID: I20150325000335 |
| Provider Name | Roseline I Onwuchuruba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255722823 PECOS PAC ID: 9133135726 Enrollment ID: I20150406001459 |
| Provider Name | Kimberly Menzie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194884411 PECOS PAC ID: 3375446453 Enrollment ID: I20150416000471 |
| Provider Name | Natalia R Maani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093945461 PECOS PAC ID: 8325216229 Enrollment ID: I20150514002036 |
| Provider Name | Teena Malayil Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538552294 PECOS PAC ID: 9537489703 Enrollment ID: I20150529001092 |
| Provider Name | Amber Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508027814 PECOS PAC ID: 2961627260 Enrollment ID: I20150609001027 |
| Provider Name | Shifat J Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194120527 PECOS PAC ID: 8628389798 Enrollment ID: I20150616000584 |
| Provider Name | Andrew M Farach |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356720841 PECOS PAC ID: 3971814971 Enrollment ID: I20150617001894 |
| Provider Name | Hunaid A Gurji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356697197 PECOS PAC ID: 6800107327 Enrollment ID: I20150624001114 |
| Provider Name | Vicki A Uremovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043477391 PECOS PAC ID: 5597900449 Enrollment ID: I20150626001482 |
| Provider Name | Amina Zubair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053690388 PECOS PAC ID: 5991017923 Enrollment ID: I20150706001892 |
| Provider Name | Lauren Michelle Aguilarte |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245617653 PECOS PAC ID: 1557673282 Enrollment ID: I20150708002632 |
| Provider Name | Pernia Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760643050 PECOS PAC ID: 4082889373 Enrollment ID: I20150714001166 |
| Provider Name | Thuyminh T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750635777 PECOS PAC ID: 4587977574 Enrollment ID: I20150720002929 |
| Provider Name | Alexander E Ropper |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497998264 PECOS PAC ID: 1355589904 Enrollment ID: I20150729007319 |
| Provider Name | Rebekah Montes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417339599 PECOS PAC ID: 6204140528 Enrollment ID: I20150730013322 |
| Provider Name | Adrienne L Legendre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215220371 PECOS PAC ID: 1759695943 Enrollment ID: I20150731016111 |
| Provider Name | Charity H Grannis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629380977 PECOS PAC ID: 4981918810 Enrollment ID: I20150805007392 |
| Provider Name | Kathryn S Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740545946 PECOS PAC ID: 3870807704 Enrollment ID: I20150805007454 |
| Provider Name | Yetunde Sokunbi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952664823 PECOS PAC ID: 6608014055 Enrollment ID: I20150817000999 |
| Provider Name | Charlene Crockett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720379316 PECOS PAC ID: 6002121217 Enrollment ID: I20150818003913 |
| Provider Name | Tony Trang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467607226 PECOS PAC ID: 0042525149 Enrollment ID: I20150819006865 |
| Provider Name | Jose A Tschen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508038258 PECOS PAC ID: 3870808983 Enrollment ID: I20150819007169 |
| Provider Name | Rahana Sunesara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306135256 PECOS PAC ID: 4880909613 Enrollment ID: I20150821014428 |
| Provider Name | Alison M Urey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861753360 PECOS PAC ID: 3870809593 Enrollment ID: I20150826000898 |
| Provider Name | Kathryn E Nowak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730563131 PECOS PAC ID: 1759697212 Enrollment ID: I20150828000251 |
| Provider Name | Rohan R Wagle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396912960 PECOS PAC ID: 7315125929 Enrollment ID: I20150904002326 |
| Provider Name | Sadiya H Jamal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275888109 PECOS PAC ID: 7113233016 Enrollment ID: I20150908001354 |
| Provider Name | Jermale Sam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295049799 PECOS PAC ID: 3779890579 Enrollment ID: I20150910002282 |
| Provider Name | Benafsha B Irani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689937468 PECOS PAC ID: 6406163146 Enrollment ID: I20150914001480 |
| Provider Name | Kim Tu Chau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831489038 PECOS PAC ID: 6406163922 Enrollment ID: I20150916001548 |
| Provider Name | Tiffany N Tracy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619226255 PECOS PAC ID: 1355658436 Enrollment ID: I20150922002799 |
| Provider Name | Diana R Schulz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982969184 PECOS PAC ID: 6002123049 Enrollment ID: I20150923001862 |
| Provider Name | Sanah Q Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730436072 PECOS PAC ID: 2163730052 Enrollment ID: I20150925000941 |
| Provider Name | Jessica Lynne Brown Obiora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609121151 PECOS PAC ID: 1951619402 Enrollment ID: I20151001002616 |
| Provider Name | Sameera Jabeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205181419 PECOS PAC ID: 5294043717 Enrollment ID: I20151002001883 |
| Provider Name | Linh B Hong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871993535 PECOS PAC ID: 7113235417 Enrollment ID: I20151007000542 |
| Provider Name | Angel Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952786626 PECOS PAC ID: 0547578718 Enrollment ID: I20151008000268 |
| Provider Name | George Oladipo Adesina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457642647 PECOS PAC ID: 4981912086 Enrollment ID: I20151008001720 |
| Provider Name | Kelvin J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154678506 PECOS PAC ID: 3375852361 Enrollment ID: I20151013002198 |
| Provider Name | Theodore F Wissink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780813139 PECOS PAC ID: 3173746872 Enrollment ID: I20151014001029 |
| Provider Name | Mihir Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417203092 PECOS PAC ID: 4789993668 Enrollment ID: I20151015000381 |
| Provider Name | Nimisha G Vakil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407178791 PECOS PAC ID: 1456585348 Enrollment ID: I20151015000478 |
| Provider Name | Kehinde O Ogunmakin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659651008 PECOS PAC ID: 3870802622 Enrollment ID: I20151019002090 |
| Provider Name | Huiqing Yang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710271234 PECOS PAC ID: 5991014664 Enrollment ID: I20151020000926 |
| Provider Name | Ankitkumar N Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871818740 PECOS PAC ID: 4688983034 Enrollment ID: I20151026001162 |
| Provider Name | Megan Mccormick Gaut |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790070290 PECOS PAC ID: 8123337508 Enrollment ID: I20151026002181 |
| Provider Name | Joy Assumpta Fobanjong Yango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700277340 PECOS PAC ID: 6305156233 Enrollment ID: I20151105001173 |
| Provider Name | Thu Anh Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134480437 PECOS PAC ID: 3577794643 Enrollment ID: I20151106000218 |
| Provider Name | Katrina Mae Zalavarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376924530 PECOS PAC ID: 5092024885 Enrollment ID: I20151110000271 |
| Provider Name | Vu Thi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871849463 PECOS PAC ID: 2567772940 Enrollment ID: I20151116000885 |
| Provider Name | Krishnawari Pant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346568904 PECOS PAC ID: 5496065781 Enrollment ID: I20151117002932 |
| Provider Name | Lucila A Rosines |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194963546 PECOS PAC ID: 6406164466 Enrollment ID: I20151118001073 |
| Provider Name | Ammar S Dhari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437444262 PECOS PAC ID: 2466768726 Enrollment ID: I20151209000565 |
| Provider Name | Constance Igwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770957540 PECOS PAC ID: 6709914062 Enrollment ID: I20151217000414 |
| Provider Name | Harjaneet S Bedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497763189 PECOS PAC ID: 7810090909 Enrollment ID: I20160201001295 |
| Provider Name | Robert W Dillon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679541577 PECOS PAC ID: 3072510437 Enrollment ID: I20160219000797 |
| Provider Name | Kaoswi K Shih |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1295020428 PECOS PAC ID: 4183929722 Enrollment ID: I20160219001241 |
| Provider Name | Deep G Bassi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134138803 PECOS PAC ID: 7810926946 Enrollment ID: I20160311000783 |
| Provider Name | Margaret C Childress |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518243864 PECOS PAC ID: 2264738319 Enrollment ID: I20160315002960 |
| Provider Name | Sangeetha Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770726259 PECOS PAC ID: 6608014899 Enrollment ID: I20160322002118 |
| Provider Name | Maria Viviana Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821485624 PECOS PAC ID: 9133426695 Enrollment ID: I20160328002015 |
| Provider Name | Fatimat Alhassan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053667360 PECOS PAC ID: 8729385141 Enrollment ID: I20160330002423 |
| Provider Name | Amna Asim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669727343 PECOS PAC ID: 2961718143 Enrollment ID: I20160419000137 |
| Provider Name | Maria L Ciccarello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528467438 PECOS PAC ID: 5496077497 Enrollment ID: I20160426000232 |
| Provider Name | Archana S Varma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013234764 PECOS PAC ID: 2961701677 Enrollment ID: I20160502001686 |
| Provider Name | Kubrat K Kuforiji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902269970 PECOS PAC ID: 9638079528 Enrollment ID: I20160502002153 |
| Provider Name | Nada Furqaan Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538426135 PECOS PAC ID: 4082913660 Enrollment ID: I20160503001856 |
| Provider Name | Christi A B Flores |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154505873 PECOS PAC ID: 0244529436 Enrollment ID: I20160511000682 |
| Provider Name | Nesha Nizar Prasla |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497196273 PECOS PAC ID: 1456640218 Enrollment ID: I20160518000569 |
| Provider Name | Salman Ashiq Rahman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881954451 PECOS PAC ID: 4183913791 Enrollment ID: I20160523000272 |
| Provider Name | Michelle Udayamurthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205272515 PECOS PAC ID: 7113217886 Enrollment ID: I20160608001642 |
| Provider Name | Jerecia Estell Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447696166 PECOS PAC ID: 5395041958 Enrollment ID: I20160617000506 |
| Provider Name | Jewel N Appleton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578880159 PECOS PAC ID: 2163731563 Enrollment ID: I20160621001055 |
| Provider Name | Ricardo Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346608023 PECOS PAC ID: 5799077087 Enrollment ID: I20160706002580 |
| Provider Name | Megan G Pallister |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639414428 PECOS PAC ID: 4880986744 Enrollment ID: I20160713001540 |
| Provider Name | Laura E. Pena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487098364 PECOS PAC ID: 5799077665 Enrollment ID: I20160713001886 |
| Provider Name | Pauline L Scott |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407116437 PECOS PAC ID: 2860702610 Enrollment ID: I20160714001817 |
| Provider Name | Chi Tran |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457613762 PECOS PAC ID: 4688967045 Enrollment ID: I20160721002419 |
| Provider Name | Dino Q Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053754192 PECOS PAC ID: 5698069433 Enrollment ID: I20160802002368 |
| Provider Name | Philip H Saikin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609118934 PECOS PAC ID: 9133413818 Enrollment ID: I20160803000409 |
| Provider Name | Dania Northcutt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013373877 PECOS PAC ID: 2163727637 Enrollment ID: I20160805002173 |
| Provider Name | Mary K Schlichtemeier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265774400 PECOS PAC ID: 0749574275 Enrollment ID: I20160805002352 |
| Provider Name | Sana I Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811336431 PECOS PAC ID: 1557655081 Enrollment ID: I20160805002385 |
| Provider Name | Abeer Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265759062 PECOS PAC ID: 6103054093 Enrollment ID: I20160808000256 |
| Provider Name | Jia Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922159854 PECOS PAC ID: 1850305111 Enrollment ID: I20160808002044 |
| Provider Name | Rumana Hoque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215374145 PECOS PAC ID: 8325346570 Enrollment ID: I20160808002541 |
| Provider Name | Richard E Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134563927 PECOS PAC ID: 5294029591 Enrollment ID: I20160809003095 |
| Provider Name | Jamie Respondek Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184065021 PECOS PAC ID: 1456645761 Enrollment ID: I20160810000134 |
| Provider Name | Kenneth Xuan Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306047345 PECOS PAC ID: 9638347891 Enrollment ID: I20160810000664 |
| Provider Name | Oliver C Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518253434 PECOS PAC ID: 3971897182 Enrollment ID: I20160811000503 |
| Provider Name | Hassan K Dakik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275850513 PECOS PAC ID: 9931493038 Enrollment ID: I20160812000720 |
| Provider Name | Jessica A Lanerie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184067639 PECOS PAC ID: 7618261538 Enrollment ID: I20160815002608 |
| Provider Name | Chung H. Yoon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235368630 PECOS PAC ID: 0941466072 Enrollment ID: I20160817000986 |
| Provider Name | Jonathan Allen Kobrin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972948321 PECOS PAC ID: 8426351057 Enrollment ID: I20160818000719 |
| Provider Name | Hannah Grace Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366886384 PECOS PAC ID: 7416242276 Enrollment ID: I20160818001882 |
| Provider Name | Jessica M Stull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033553706 PECOS PAC ID: 5193010882 Enrollment ID: I20160819000335 |
| Provider Name | Elizabeth Pena |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477809846 PECOS PAC ID: 0749575454 Enrollment ID: I20160819000963 |
| Provider Name | Brenna M Muniz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003158411 PECOS PAC ID: 6800181439 Enrollment ID: I20160822002550 |
| Provider Name | Yoav Kaufman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114257276 PECOS PAC ID: 6204121239 Enrollment ID: I20160830000315 |
| Provider Name | Sarita Danyel Dillard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801237615 PECOS PAC ID: 6103112057 Enrollment ID: I20160901001840 |
| Provider Name | Saif Hassan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124315114 PECOS PAC ID: 0648566117 Enrollment ID: I20160908002772 |
| Provider Name | Divya R Danda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073856209 PECOS PAC ID: 6901192384 Enrollment ID: I20160912000641 |
| Provider Name | Jamise Crooms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104269810 PECOS PAC ID: 4880980960 Enrollment ID: I20160916000176 |
| Provider Name | Neelima Tammareddi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154565406 PECOS PAC ID: 2163718255 Enrollment ID: I20160916000498 |
| Provider Name | Alex Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184068769 PECOS PAC ID: 9830486877 Enrollment ID: I20160920000441 |
| Provider Name | Shane M Magee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700175171 PECOS PAC ID: 7113159930 Enrollment ID: I20160920002858 |
| Provider Name | Jonas Gunawan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841634284 PECOS PAC ID: 8325335607 Enrollment ID: I20160930000181 |
| Provider Name | Shira Amdur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467728345 PECOS PAC ID: 6002041258 Enrollment ID: I20161003001125 |
| Provider Name | Siddharth Vijay Aranke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720342660 PECOS PAC ID: 4284872953 Enrollment ID: I20161011002359 |
| Provider Name | Adebimpe Blessing Ogunsefunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093269722 PECOS PAC ID: 8628366325 Enrollment ID: I20161012002691 |
| Provider Name | Elmira Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225472434 PECOS PAC ID: 5496043051 Enrollment ID: I20161013002204 |
| Provider Name | Rahul Trikha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528388188 PECOS PAC ID: 9133417744 Enrollment ID: I20161014000942 |
| Provider Name | Claire Gordon Dakik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184941429 PECOS PAC ID: 0749581098 Enrollment ID: I20161019000132 |
| Provider Name | Kanza S Abbas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396065934 PECOS PAC ID: 8123306321 Enrollment ID: I20161021001983 |
| Provider Name | Jennifer Anne White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730506569 PECOS PAC ID: 9436437563 Enrollment ID: I20161025001378 |
| Provider Name | Linda X Pang |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962722645 PECOS PAC ID: 0042450314 Enrollment ID: I20161026001617 |
| Provider Name | Richard Beauregard Jenkins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780950899 PECOS PAC ID: 6901184795 Enrollment ID: I20161029000028 |
| Provider Name | Neema Nayeb-hashemi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457517245 PECOS PAC ID: 3779749288 Enrollment ID: I20161029000106 |
| Provider Name | Mehreen Fatima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598999765 PECOS PAC ID: 8820248362 Enrollment ID: I20161029000182 |
| Provider Name | Blythe L Mansfield |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1417009424 PECOS PAC ID: 0941588396 Enrollment ID: I20161105000117 |
| Provider Name | Micah Ryan Bosley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144666785 PECOS PAC ID: 9830494525 Enrollment ID: I20161109002156 |
| Provider Name | Jennifer Wu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972858983 PECOS PAC ID: 6204131089 Enrollment ID: I20161110001787 |
| Provider Name | Twisha C Verma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629332770 PECOS PAC ID: 0143500389 Enrollment ID: I20161206000983 |
| Provider Name | Biren P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932543311 PECOS PAC ID: 8729368477 Enrollment ID: I20161215000175 |
| Provider Name | Homaira Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609139369 PECOS PAC ID: 1951681626 Enrollment ID: I20161215000838 |
| Provider Name | Jeffrey M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265812846 PECOS PAC ID: 9032418173 Enrollment ID: I20161220000770 |
| Provider Name | Jasmine Patrice Dark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866160 PECOS PAC ID: 2961783469 Enrollment ID: I20161221000291 |
| Provider Name | Elizabeth Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467805846 PECOS PAC ID: 7315229044 Enrollment ID: I20170112002966 |
| Provider Name | Tamikiia A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437552924 PECOS PAC ID: 6002112299 Enrollment ID: I20170117001011 |
| Provider Name | Lakshmi Gudimella |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619068475 PECOS PAC ID: 8820076722 Enrollment ID: I20170119002513 |
| Provider Name | Justin Pelzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861944001 PECOS PAC ID: 7810279049 Enrollment ID: I20170124002404 |
| Provider Name | Brigid Bingham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235422833 PECOS PAC ID: 6406138338 Enrollment ID: I20170128000301 |
| Provider Name | Yen Hoang Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205270584 PECOS PAC ID: 7113200924 Enrollment ID: I20170201001563 |
| Provider Name | Alvin Raymond Co Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093178725 PECOS PAC ID: 7315220704 Enrollment ID: I20170209000385 |
| Provider Name | Wei Hua Kuo |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1982086419 PECOS PAC ID: 5092099937 Enrollment ID: I20170221002065 |
| Provider Name | Shama S Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508126855 PECOS PAC ID: 7911281597 Enrollment ID: I20170227000821 |
| Provider Name | Zachary A Lernor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255879300 PECOS PAC ID: 7517241789 Enrollment ID: I20170307002195 |
| Provider Name | Julie Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821363060 PECOS PAC ID: 2163683129 Enrollment ID: I20170308002785 |
| Provider Name | Asha Nshambi Hadley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538138300 PECOS PAC ID: 7416116660 Enrollment ID: I20170315000663 |
| Provider Name | Inyang Isemin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316298722 PECOS PAC ID: 5991929457 Enrollment ID: I20170323000170 |
| Provider Name | Sangeetha Shankar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265635510 PECOS PAC ID: 5597041152 Enrollment ID: I20170413001405 |
| Provider Name | Ali Jalali |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811228141 PECOS PAC ID: 9436426582 Enrollment ID: I20170522001906 |
| Provider Name | O'neka Wheeler Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164963815 PECOS PAC ID: 0042587461 Enrollment ID: I20170606001152 |
| Provider Name | Jinu Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134548472 PECOS PAC ID: 7719255777 Enrollment ID: I20170615000048 |
| Provider Name | Mehran Massumi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942521711 PECOS PAC ID: 5890063804 Enrollment ID: I20170615002519 |
| Provider Name | Karen T Wittenburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548674922 PECOS PAC ID: 1557639325 Enrollment ID: I20170620001132 |
| Provider Name | Toi Nei Chan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679011423 PECOS PAC ID: 4284904376 Enrollment ID: I20170722000055 |
| Provider Name | Iris Miao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477901015 PECOS PAC ID: 1456643352 Enrollment ID: I20170731002812 |
| Provider Name | Steeven John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467862367 PECOS PAC ID: 8224309513 Enrollment ID: I20170804001033 |
| Provider Name | Humberto C Sasieta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780972497 PECOS PAC ID: 4789800954 Enrollment ID: I20170810000077 |
| Provider Name | Ezekiel S Sachs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093006843 PECOS PAC ID: 7113298043 Enrollment ID: I20170810001377 |
| Provider Name | Olasupo A Olagundoye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164455598 PECOS PAC ID: 9032364872 Enrollment ID: I20170814001775 |
| Provider Name | Tanseem H Abouelseoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477968717 PECOS PAC ID: 5496971061 Enrollment ID: I20170821000120 |
| Provider Name | Melissa P Chen Lin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457581100 PECOS PAC ID: 2769662659 Enrollment ID: I20170825003116 |
| Provider Name | Steve D Kim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912220062 PECOS PAC ID: 6002044609 Enrollment ID: I20170920000452 |
| Provider Name | Tho Duc Le |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851525992 PECOS PAC ID: 8123392602 Enrollment ID: I20170921002900 |
| Provider Name | Rebecca K Longacre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437513421 PECOS PAC ID: 7214219062 Enrollment ID: I20171003004921 |
| Provider Name | Lakenya Chimere Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437559408 PECOS PAC ID: 4183844590 Enrollment ID: I20171004000955 |
| Provider Name | Desh Prakash Mohan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346655867 PECOS PAC ID: 1850664640 Enrollment ID: I20171006002166 |
| Provider Name | Hima Reddy Boppidi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508096066 PECOS PAC ID: 0648561324 Enrollment ID: I20171106001054 |
| Provider Name | Michelle Hadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528321221 PECOS PAC ID: 0042441628 Enrollment ID: I20171107003148 |
| Provider Name | Judenia Chinenye Aririguzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801237854 PECOS PAC ID: 7214211234 Enrollment ID: I20171110001047 |
| Provider Name | Apoorva Murthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588082028 PECOS PAC ID: 9537426838 Enrollment ID: I20171121002313 |
| Provider Name | Katherynn H Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457416679 PECOS PAC ID: 9830456938 Enrollment ID: I20171128001176 |
| Provider Name | Umang Patel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1710305735 PECOS PAC ID: 5698093847 Enrollment ID: I20171204002945 |
| Provider Name | Shahnawaz Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063822203 PECOS PAC ID: 9335406008 Enrollment ID: I20171205002345 |
| Provider Name | You Annie Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316460405 PECOS PAC ID: 3577821040 Enrollment ID: I20171212000315 |
| Provider Name | Ezinne Akunna Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083973390 PECOS PAC ID: 9436417540 Enrollment ID: I20171219002288 |
| Provider Name | Nkeiruka Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275065245 PECOS PAC ID: 8224396049 Enrollment ID: I20171227000518 |
| Provider Name | Carrie Elaine Sprayberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710496286 PECOS PAC ID: 6002174679 Enrollment ID: I20180103002679 |
| Provider Name | Garry Wayne Lambert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942303904 PECOS PAC ID: 2668525783 Enrollment ID: I20180111000714 |
| Provider Name | Jayna Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043726862 PECOS PAC ID: 3678832946 Enrollment ID: I20180111002079 |
| Provider Name | Oksana Marroquin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306251616 PECOS PAC ID: 6305131483 Enrollment ID: I20180116001135 |
| Provider Name | Canh-lien Nguyen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518472646 PECOS PAC ID: 3173882008 Enrollment ID: I20180122001575 |
| Provider Name | Niravkumar A Naik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447319512 PECOS PAC ID: 9537316765 Enrollment ID: I20180205001250 |
| Provider Name | Brittany S Richardson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245658509 PECOS PAC ID: 4981964822 Enrollment ID: I20180214000692 |
| Provider Name | Misbah Aslam Kalair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134477219 PECOS PAC ID: 6305084039 Enrollment ID: I20180220000331 |
| Provider Name | Laura W Howe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376778498 PECOS PAC ID: 3072874387 Enrollment ID: I20180301001996 |
| Provider Name | Cristal Shavon North |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225538887 PECOS PAC ID: 0547522278 Enrollment ID: I20180316001968 |
| Provider Name | Brian Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912355983 PECOS PAC ID: 8325300445 Enrollment ID: I20180329000247 |
| Provider Name | Meredith Elizabeth Davenport |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114362951 PECOS PAC ID: 8820223225 Enrollment ID: I20180417002120 |
| Provider Name | Adelaide Wrottoe During |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992904775 PECOS PAC ID: 6709950702 Enrollment ID: I20180423002626 |
| Provider Name | Jane Varpon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972979037 PECOS PAC ID: 9436404076 Enrollment ID: I20180621002304 |
| Provider Name | Kristin Roxanne Winkler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760989214 PECOS PAC ID: 0446505036 Enrollment ID: I20180622001425 |
| Provider Name | Courtney Faatin Morrow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700399334 PECOS PAC ID: 6204181688 Enrollment ID: I20180626003456 |
| Provider Name | Sheena A Vallido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134584089 PECOS PAC ID: 5193023497 Enrollment ID: I20180711001191 |
| Provider Name | Jordan Ross Fein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528441391 PECOS PAC ID: 5294030003 Enrollment ID: I20180712001569 |
| Provider Name | Amelia Averyt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235549072 PECOS PAC ID: 3072860519 Enrollment ID: I20180716001527 |
| Provider Name | Adeola O Ogunlana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669913489 PECOS PAC ID: 1254688708 Enrollment ID: I20180716002055 |
| Provider Name | Tricia Agnes Bankas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184138067 PECOS PAC ID: 7517214927 Enrollment ID: I20180717001084 |
| Provider Name | Rachel R Yao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215370036 PECOS PAC ID: 4789933490 Enrollment ID: I20180814000734 |
| Provider Name | Sandra Rajan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427544006 PECOS PAC ID: 5799034336 Enrollment ID: I20180815002618 |
| Provider Name | Emily T Patton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396180196 PECOS PAC ID: 8224387758 Enrollment ID: I20180816002367 |
| Provider Name | Michael S Mackelvie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154748119 PECOS PAC ID: 1456600600 Enrollment ID: I20180821001529 |
| Provider Name | Shery Malaty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114314119 PECOS PAC ID: 5092029355 Enrollment ID: I20180822001696 |
| Provider Name | Jeanie D Ling |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821331794 PECOS PAC ID: 2567712912 Enrollment ID: I20180905001657 |
| Provider Name | Hao Jun Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346502606 PECOS PAC ID: 7719237676 Enrollment ID: I20180913003337 |
| Provider Name | Tonja M Johnson-terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376046037 PECOS PAC ID: 8325399892 Enrollment ID: I20180921001579 |
| Provider Name | Barbara A Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063907285 PECOS PAC ID: 2466703657 Enrollment ID: I20180927001409 |
| Provider Name | Rabia S Shakeel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588074702 PECOS PAC ID: 4587937248 Enrollment ID: I20181001001225 |
| Provider Name | John Cherian Koshy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124390190 PECOS PAC ID: 4981955945 Enrollment ID: I20181002000244 |
| Provider Name | Deepthi Chiluvuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740660331 PECOS PAC ID: 5092014753 Enrollment ID: I20181002003348 |
| Provider Name | Linda Udoka Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730404369 PECOS PAC ID: 4688926330 Enrollment ID: I20181009001021 |
| Provider Name | Amaka J Akinade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942781257 PECOS PAC ID: 3375895501 Enrollment ID: I20181016002009 |
| Provider Name | Tashiba Q Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306390414 PECOS PAC ID: 7416201504 Enrollment ID: I20181107003302 |
| Provider Name | Milinda Marie Davila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255808812 PECOS PAC ID: 8123372414 Enrollment ID: I20181127000890 |
| Provider Name | Rahul Suresh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497167266 PECOS PAC ID: 9537403563 Enrollment ID: I20181203001870 |
| Provider Name | Heena Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063778660 PECOS PAC ID: 3476791492 Enrollment ID: I20181204000838 |
| Provider Name | Annette Mouton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447764923 PECOS PAC ID: 5991049595 Enrollment ID: I20181210000998 |
| Provider Name | Flor D M Vasquez Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073999827 PECOS PAC ID: 1850636291 Enrollment ID: I20181213000421 |
| Provider Name | Farooq Z Cheema |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730336868 PECOS PAC ID: 0042443277 Enrollment ID: I20190111001565 |
| Provider Name | Simmi J Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851846133 PECOS PAC ID: 2567708324 Enrollment ID: I20190115003002 |
| Provider Name | David Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902346570 PECOS PAC ID: 2264778828 Enrollment ID: I20190118000767 |
| Provider Name | Saroj Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144215799 PECOS PAC ID: 1557608593 Enrollment ID: I20190129001279 |
| Provider Name | Nida Zaib Momin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457739740 PECOS PAC ID: 5799038667 Enrollment ID: I20190212002060 |
| Provider Name | Kendal Shay Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356814883 PECOS PAC ID: 8921346834 Enrollment ID: I20190218002828 |
| Provider Name | Dhanya Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447728886 PECOS PAC ID: 7517206329 Enrollment ID: I20190221002559 |
| Provider Name | Leticia C Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396128476 PECOS PAC ID: 2668778366 Enrollment ID: I20190305001662 |
| Provider Name | Jonathan Jay A Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417459157 PECOS PAC ID: 8224377403 Enrollment ID: I20190306000618 |
| Provider Name | Sabrina L Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932527041 PECOS PAC ID: 5496057457 Enrollment ID: I20190409003537 |
| Provider Name | Prabha Arumugam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972986735 PECOS PAC ID: 7618218769 Enrollment ID: I20190418000396 |
| Provider Name | Aditi Grover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184884587 PECOS PAC ID: 1052584679 Enrollment ID: I20190418002344 |
| Provider Name | Seobun Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104385343 PECOS PAC ID: 3779825526 Enrollment ID: I20190429000558 |
| Provider Name | Sophia M Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063832574 PECOS PAC ID: 4789959115 Enrollment ID: I20190430002774 |
| Provider Name | Jeffrey Dinh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477973576 PECOS PAC ID: 9830431196 Enrollment ID: I20190507001280 |
| Provider Name | Emily Li Sou |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760860381 PECOS PAC ID: 0143513846 Enrollment ID: I20190508003014 |
| Provider Name | Kasey Lee Matura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871050880 PECOS PAC ID: 8527301696 Enrollment ID: I20190514001068 |
| Provider Name | Charmaigne Ashleigh Lozano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336627199 PECOS PAC ID: 1658614342 Enrollment ID: I20190521001462 |
| Provider Name | Mary Keeler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184287971 PECOS PAC ID: 8022351733 Enrollment ID: I20190521002388 |
| Provider Name | Raven A Atkins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467019703 PECOS PAC ID: 5092048777 Enrollment ID: I20190612000916 |
| Provider Name | Esmeralda Gutierrez-asis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881959526 PECOS PAC ID: 2860637006 Enrollment ID: I20190626003054 |
| Provider Name | Warren E Redfearn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912361015 PECOS PAC ID: 3274867106 Enrollment ID: I20190627000525 |
| Provider Name | Sandra C Nweke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376905430 PECOS PAC ID: 2163757600 Enrollment ID: I20190705000741 |
| Provider Name | Vladimir Avkshtol |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972921062 PECOS PAC ID: 6901021955 Enrollment ID: I20190710002697 |
| Provider Name | David Quang Vu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427445121 PECOS PAC ID: 6204161292 Enrollment ID: I20190712001942 |
| Provider Name | Sahil Parikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780048934 PECOS PAC ID: 3274868120 Enrollment ID: I20190715001299 |
| Provider Name | Asmi Ashwin Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982023776 PECOS PAC ID: 5092040956 Enrollment ID: I20190715001691 |
| Provider Name | Yang Zhou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750736575 PECOS PAC ID: 2163757980 Enrollment ID: I20190716000577 |
| Provider Name | Nikhil Koshy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952728834 PECOS PAC ID: 2860712320 Enrollment ID: I20190716001127 |
| Provider Name | Sheldon Gaines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215399100 PECOS PAC ID: 2466788898 Enrollment ID: I20190723003360 |
| Provider Name | Michael Chuan Wu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235556275 PECOS PAC ID: 3375826019 Enrollment ID: I20190801001173 |
| Provider Name | Balaguru Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790170207 PECOS PAC ID: 2163737198 Enrollment ID: I20190807003801 |
| Provider Name | Annette Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801201322 PECOS PAC ID: 6800123712 Enrollment ID: I20190814002515 |
| Provider Name | Vinh Huu Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679928089 PECOS PAC ID: 8426348731 Enrollment ID: I20190820003257 |
| Provider Name | Srikanth Katragadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295991719 PECOS PAC ID: 1153509229 Enrollment ID: I20190822000805 |
| Provider Name | Daniela C Mcconnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356735997 PECOS PAC ID: 1456689710 Enrollment ID: I20190823001832 |
| Provider Name | Emma A Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659750776 PECOS PAC ID: 3678801909 Enrollment ID: I20190826000696 |
| Provider Name | Amaechi Okori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194298430 PECOS PAC ID: 2860720760 Enrollment ID: I20190829002075 |
| Provider Name | Anisha R Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710306014 PECOS PAC ID: 7719282763 Enrollment ID: I20190904000455 |
| Provider Name | Lekshmi Daram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053653451 PECOS PAC ID: 8628307246 Enrollment ID: I20190906003215 |
| Provider Name | Catherine Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689121451 PECOS PAC ID: 8426388315 Enrollment ID: I20190918003342 |
| Provider Name | Wayne Tie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982022687 PECOS PAC ID: 0345532263 Enrollment ID: I20190919000275 |
| Provider Name | Christina S Klemme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659692242 PECOS PAC ID: 8022251107 Enrollment ID: I20190919002269 |
| Provider Name | Erika K Desimone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184288243 PECOS PAC ID: 7214267186 Enrollment ID: I20190919003008 |
| Provider Name | Nisha Rathore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295179547 PECOS PAC ID: 7214177443 Enrollment ID: I20190923000393 |
| Provider Name | Lakebra Glover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780038729 PECOS PAC ID: 4284928565 Enrollment ID: I20190925001407 |
| Provider Name | Mariana N B Karram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073925327 PECOS PAC ID: 9739419235 Enrollment ID: I20190926000633 |
| Provider Name | Jennie Park Ou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972921401 PECOS PAC ID: 5698025070 Enrollment ID: I20190927000704 |
| Provider Name | Silvia G Los |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790896389 PECOS PAC ID: 8426056854 Enrollment ID: I20191001003006 |
| Provider Name | Jasmine Pettiford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447602685 PECOS PAC ID: 6800127929 Enrollment ID: I20191003002314 |
| Provider Name | Kimberly Rosen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851862247 PECOS PAC ID: 4789915158 Enrollment ID: I20191016001638 |
| Provider Name | Bryan S Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962459255 PECOS PAC ID: 8527399880 Enrollment ID: I20191017001479 |
| Provider Name | Dionne W Rideau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710442199 PECOS PAC ID: 0749512713 Enrollment ID: I20191023002899 |
| Provider Name | Timothy C Borden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720344799 PECOS PAC ID: 0446582498 Enrollment ID: I20191024002499 |
| Provider Name | Jessica L Traver |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275820169 PECOS PAC ID: 2062714462 Enrollment ID: I20191025001392 |
| Provider Name | Stephanie Vachirasudlekha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215399076 PECOS PAC ID: 9537491212 Enrollment ID: I20191030000318 |
| Provider Name | Sumana Basu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275910903 PECOS PAC ID: 0648562181 Enrollment ID: I20191031000413 |
| Provider Name | Abigale Rochelle Owen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508415464 PECOS PAC ID: 8123450418 Enrollment ID: I20191106002830 |
| Provider Name | Albert Yt Wu |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1053721696 PECOS PAC ID: 6305278359 Enrollment ID: I20191113003178 |
| Provider Name | Sneha Arvindkumar Parmar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750513693 PECOS PAC ID: 4981831385 Enrollment ID: I20191114003315 |
| Provider Name | Wanika Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891719092 PECOS PAC ID: 7012970734 Enrollment ID: I20191120000753 |
| Provider Name | Sara Zarzoso Fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184007981 PECOS PAC ID: 1850724790 Enrollment ID: I20191205003174 |
| Provider Name | Amna Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891143590 PECOS PAC ID: 8820421746 Enrollment ID: I20191209000103 |
| Provider Name | Zishan Hirani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174919138 PECOS PAC ID: 8123314168 Enrollment ID: I20191212000236 |
| Provider Name | Fernando Gomez-rivera |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225303001 PECOS PAC ID: 0446409437 Enrollment ID: I20200107002828 |
| Provider Name | Shanea P Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689116907 PECOS PAC ID: 7416382742 Enrollment ID: I20200115000743 |
| Provider Name | Kelsey Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164818860 PECOS PAC ID: 5193079853 Enrollment ID: I20200203000689 |
| Provider Name | Victoria O Nnadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215999248 PECOS PAC ID: 4789615592 Enrollment ID: I20200219001446 |
| Provider Name | Wanda S Tierno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114123189 PECOS PAC ID: 9335576842 Enrollment ID: I20200224000296 |
| Provider Name | Bruce Shaun Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043729502 PECOS PAC ID: 7012276363 Enrollment ID: I20200226000968 |
| Provider Name | Leah Jacquelyn Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700313970 PECOS PAC ID: 1153690706 Enrollment ID: I20200226002857 |
| Provider Name | Nourelhoda I Farah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609188846 PECOS PAC ID: 5597991943 Enrollment ID: I20200228000482 |
| Provider Name | Melissa D Castillo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386277432 PECOS PAC ID: 3274961552 Enrollment ID: I20200319002792 |
| Provider Name | Mohammed Maruf Qureshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821408188 PECOS PAC ID: 6103116801 Enrollment ID: I20200326000288 |
| Provider Name | Elizabeth T Ninan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487096764 PECOS PAC ID: 6002103694 Enrollment ID: I20200326001101 |
| Provider Name | Camille R Dumoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811455249 PECOS PAC ID: 9436588464 Enrollment ID: I20200326002008 |
| Provider Name | Babylyn C Roos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558824748 PECOS PAC ID: 7113356155 Enrollment ID: I20200326002264 |
| Provider Name | Melanie L Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043867617 PECOS PAC ID: 1456780014 Enrollment ID: I20200401003318 |
| Provider Name | Haley Beth Burnside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184256612 PECOS PAC ID: 7315376670 Enrollment ID: I20200407004014 |
| Provider Name | Robert Obeid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376077172 PECOS PAC ID: 1153690268 Enrollment ID: I20200409002038 |
| Provider Name | Sabiat Shittu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871093161 PECOS PAC ID: 1254761398 Enrollment ID: I20200414000629 |
| Provider Name | Tiffany Nicole Seals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033740642 PECOS PAC ID: 8527499755 Enrollment ID: I20200504000548 |
| Provider Name | Jeffrey Evan Juneau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851681167 PECOS PAC ID: 4486891025 Enrollment ID: I20200518001418 |
| Provider Name | Bethany C Dykes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093169559 PECOS PAC ID: 4183045230 Enrollment ID: I20200528002092 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639588163 PECOS PAC ID: 1850616681 Enrollment ID: I20200528002969 |
| Provider Name | Samim Syed Jafri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073923546 PECOS PAC ID: 6800181652 Enrollment ID: I20200604000917 |
| Provider Name | Patricia Christine Lenihan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013371988 PECOS PAC ID: 1052733383 Enrollment ID: I20200615003200 |
| Provider Name | Stephanie Bodet |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831714401 PECOS PAC ID: 8527480797 Enrollment ID: I20200616001492 |
| Provider Name | Elizabeth Flora Slauter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902336456 PECOS PAC ID: 4183992738 Enrollment ID: I20200616001660 |
| Provider Name | Calvin Chu Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366752826 PECOS PAC ID: 7810261559 Enrollment ID: I20200616002426 |
| Provider Name | Jenny Yeh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114308186 PECOS PAC ID: 9931411873 Enrollment ID: I20200617000595 |
| Provider Name | Carlos J Meheux |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689014623 PECOS PAC ID: 9436484052 Enrollment ID: I20200617001922 |
| Provider Name | Jennifer Zachariah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831651090 PECOS PAC ID: 4082036827 Enrollment ID: I20200623003482 |
| Provider Name | Monica M Suliman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306161468 PECOS PAC ID: 2163647363 Enrollment ID: I20200624001326 |
| Provider Name | Faisal Ahmad Siddiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801258025 PECOS PAC ID: 3072808336 Enrollment ID: I20200701000017 |
| Provider Name | Divina Oweis Timme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770018574 PECOS PAC ID: 6002180478 Enrollment ID: I20200710001777 |
| Provider Name | Daniel Siao Zhang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306264130 PECOS PAC ID: 3375966278 Enrollment ID: I20200710002072 |
| Provider Name | Merlyn Mary Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699122325 PECOS PAC ID: 7012330830 Enrollment ID: I20200710003205 |
| Provider Name | Hibba Aziz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396165759 PECOS PAC ID: 5597189696 Enrollment ID: I20200722001999 |
| Provider Name | Faustina Apolinar Martinez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679190573 PECOS PAC ID: 2163846999 Enrollment ID: I20200727000418 |
| Provider Name | Christopher Hobaugh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912393752 PECOS PAC ID: 7810311560 Enrollment ID: I20200728001426 |
| Provider Name | Jean J John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639608383 PECOS PAC ID: 7517235872 Enrollment ID: I20200728001854 |
| Provider Name | Eric Kessler Rachlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639556566 PECOS PAC ID: 1951725621 Enrollment ID: I20200728002130 |
| Provider Name | Rizwan Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588005276 PECOS PAC ID: 5193968204 Enrollment ID: I20200728002959 |
| Provider Name | Erica Ruth Chapman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285081638 PECOS PAC ID: 7012332778 Enrollment ID: I20200729001503 |
| Provider Name | Hayley Cotton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598380230 PECOS PAC ID: 1850716135 Enrollment ID: I20200804000286 |
| Provider Name | Hiba Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811426653 PECOS PAC ID: 8729403563 Enrollment ID: I20200810003638 |
| Provider Name | Laurel L Mckillip |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578622551 PECOS PAC ID: 7719303197 Enrollment ID: I20200817000133 |
| Provider Name | Roy P Won |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1225470354 PECOS PAC ID: 6800182643 Enrollment ID: I20200818000846 |
| Provider Name | Scott William Barton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639565229 PECOS PAC ID: 5799101010 Enrollment ID: I20200818001269 |
| Provider Name | Omar Tamimi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861929317 PECOS PAC ID: 5698191864 Enrollment ID: I20200818003638 |
| Provider Name | Jenny Jie Bao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295029882 PECOS PAC ID: 3072736321 Enrollment ID: I20200820002325 |
| Provider Name | Mary Dean |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407266745 PECOS PAC ID: 4183958465 Enrollment ID: I20200821000301 |
| Provider Name | Lucero Christian Penaloza Arteaga |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679185037 PECOS PAC ID: 9638595507 Enrollment ID: I20200824000185 |
| Provider Name | Caroline Marzbani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932540143 PECOS PAC ID: 9032401716 Enrollment ID: I20200904000077 |
| Provider Name | Lisa Beiwei Zhang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376962175 PECOS PAC ID: 6103171343 Enrollment ID: I20200909003457 |
| Provider Name | Phetsamong Nhonthachit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750814232 PECOS PAC ID: 3779901830 Enrollment ID: I20200922001353 |
| Provider Name | Vipal Pratin Durkal |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376962795 PECOS PAC ID: 3173942224 Enrollment ID: I20200923002201 |
| Provider Name | Fernando Madero Gorostieta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720219637 PECOS PAC ID: 2365608916 Enrollment ID: I20201015003041 |
| Provider Name | Robert T. Bagwell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518303510 PECOS PAC ID: 6002114857 Enrollment ID: I20201016000728 |
| Provider Name | Moses Osoro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316239957 PECOS PAC ID: 0547402042 Enrollment ID: I20201022003649 |
| Provider Name | Sardar H Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053840454 PECOS PAC ID: 5698195014 Enrollment ID: I20201022003948 |
| Provider Name | Rebecca Greenberg Juneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407416647 PECOS PAC ID: 8820408073 Enrollment ID: I20201029002058 |
| Provider Name | Jessica Fontenot Morehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396348926 PECOS PAC ID: 1153732862 Enrollment ID: I20201202001143 |
| Provider Name | Phoebe Gisele Griffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629315791 PECOS PAC ID: 9032417159 Enrollment ID: I20201207002395 |
| Provider Name | Wendy Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346849338 PECOS PAC ID: 5597177964 Enrollment ID: I20201209002655 |
| Provider Name | Amanda A Gujral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194376624 PECOS PAC ID: 0941612196 Enrollment ID: I20201214000719 |
| Provider Name | Benjamin Farnia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861888224 PECOS PAC ID: 7113339243 Enrollment ID: I20201215001458 |
| Provider Name | Araceli Vanessa Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093321218 PECOS PAC ID: 2365854338 Enrollment ID: I20201215003426 |
| Provider Name | Gina Paola Nieto Duarte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124428784 PECOS PAC ID: 7113339128 Enrollment ID: I20201216001702 |
| Provider Name | Alexander Chan-han Ou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649666256 PECOS PAC ID: 5092135558 Enrollment ID: I20201222000637 |
| Provider Name | Beth Eichler Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659795250 PECOS PAC ID: 7315350998 Enrollment ID: I20201229002065 |
| Provider Name | Lowanna Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366048498 PECOS PAC ID: 1153734157 Enrollment ID: I20210113000050 |
| Provider Name | Bianca A Ramiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588181531 PECOS PAC ID: 7416381009 Enrollment ID: I20210125001721 |
| Provider Name | Robert Louis Blumenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992281711 PECOS PAC ID: 9739593971 Enrollment ID: I20210128002207 |
| Provider Name | Mohammad Ali Syed Jafri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629311774 PECOS PAC ID: 0244511517 Enrollment ID: I20210225002370 |
| Provider Name | Mahjabeen Fathima Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558757831 PECOS PAC ID: 3274839709 Enrollment ID: I20210315000358 |
| Provider Name | Nha Thanh Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467787440 PECOS PAC ID: 9436305562 Enrollment ID: I20210408000525 |
| Provider Name | Danielle Pierce |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891374716 PECOS PAC ID: 2860800778 Enrollment ID: I20210414000835 |
| Provider Name | Tenika Michelle Antoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508458993 PECOS PAC ID: 3870901630 Enrollment ID: I20210415000233 |
| Provider Name | Priya Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881044436 PECOS PAC ID: 1153739958 Enrollment ID: I20210415001989 |
| Provider Name | Chintan Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942662770 PECOS PAC ID: 4880002443 Enrollment ID: I20210420001111 |
| Provider Name | Dhruv Gajendra-desai Bhakta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538663943 PECOS PAC ID: 6800143249 Enrollment ID: I20210426002859 |
| Provider Name | Aalia Al-barwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437388352 PECOS PAC ID: 3476707431 Enrollment ID: I20210428000047 |
| Provider Name | Amber Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619357050 PECOS PAC ID: 3870806235 Enrollment ID: I20210428003213 |
| Provider Name | Varun Dipak Modi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497285183 PECOS PAC ID: 3375952534 Enrollment ID: I20210429002334 |
| Provider Name | John Thomas George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588153720 PECOS PAC ID: 3375952948 Enrollment ID: I20210511002835 |
| Provider Name | Jeny K John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073019493 PECOS PAC ID: 5395154843 Enrollment ID: I20210513000111 |
| Provider Name | Atif Saleem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629279682 PECOS PAC ID: 0446318471 Enrollment ID: I20210514000163 |
| Provider Name | Mohammed Qureshi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770997942 PECOS PAC ID: 5799081527 Enrollment ID: I20210518001595 |
| Provider Name | Shelby Faith Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801381215 PECOS PAC ID: 0345597415 Enrollment ID: I20210519001968 |
| Provider Name | Kenny Chuong Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528565819 PECOS PAC ID: 2668735770 Enrollment ID: I20210519003081 |
| Provider Name | Jayeson Varghese Philip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679927602 PECOS PAC ID: 8022352376 Enrollment ID: I20210602000006 |
| Provider Name | Syedda Saadia Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942609680 PECOS PAC ID: 5991012403 Enrollment ID: I20210608001060 |
| Provider Name | Diana Stella Amaya Hellman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255663357 PECOS PAC ID: 7517185333 Enrollment ID: I20210610000512 |
| Provider Name | Alexander Constantine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902332901 PECOS PAC ID: 5193125037 Enrollment ID: I20210614002802 |
| Provider Name | Rikki De Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558970962 PECOS PAC ID: 5395145189 Enrollment ID: I20210616000889 |
| Provider Name | Heidi Chwan Ko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083008965 PECOS PAC ID: 2466852199 Enrollment ID: I20210616003050 |
| Provider Name | Madiha Sajid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235626276 PECOS PAC ID: 9638428543 Enrollment ID: I20210617000772 |
| Provider Name | Justin John Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679070502 PECOS PAC ID: 0547517690 Enrollment ID: I20210621000595 |
| Provider Name | Amirhossein Nikahd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184159402 PECOS PAC ID: 8628478153 Enrollment ID: I20210621001140 |
| Provider Name | Min Shen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922356385 PECOS PAC ID: 8224264312 Enrollment ID: I20210621002752 |
| Provider Name | Meredith Stocks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740712124 PECOS PAC ID: 2062813561 Enrollment ID: I20210622000566 |
| Provider Name | Holly Elizabeth Hundl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790388932 PECOS PAC ID: 9830590132 Enrollment ID: I20210624000144 |
| Provider Name | Hussam Alhasson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730672726 PECOS PAC ID: 3971904202 Enrollment ID: I20210624001469 |
| Provider Name | Ayesha Irani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932690476 PECOS PAC ID: 5698176949 Enrollment ID: I20210624001930 |
| Provider Name | Roopa Samant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124289764 PECOS PAC ID: 4880852557 Enrollment ID: I20210625001227 |
| Provider Name | Bindu Mary Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164926838 PECOS PAC ID: 9335540327 Enrollment ID: I20210629000113 |
| Provider Name | Shalini Elizabeth Koshy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245767417 PECOS PAC ID: 3779984703 Enrollment ID: I20210629001254 |
| Provider Name | Mary Alice Sallman Hickson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699203091 PECOS PAC ID: 2466853171 Enrollment ID: I20210701000303 |
| Provider Name | Sadaf Alnoor Siddiqui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962071829 PECOS PAC ID: 5294137683 Enrollment ID: I20210707003472 |
| Provider Name | Marian Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619469681 PECOS PAC ID: 2062814171 Enrollment ID: I20210713000646 |
| Provider Name | Ashley Savoie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578068441 PECOS PAC ID: 8527460518 Enrollment ID: I20210713004057 |
| Provider Name | Bobby Joseph Tharayil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801152467 PECOS PAC ID: 2466772827 Enrollment ID: I20210714002855 |
| Provider Name | Husain Mogri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467959635 PECOS PAC ID: 2769745876 Enrollment ID: I20210714002887 |
| Provider Name | Jason Edward Kappa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124413976 PECOS PAC ID: 6608278577 Enrollment ID: I20210714003370 |
| Provider Name | Ngozi Uloma Okorafor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669975439 PECOS PAC ID: 7214339100 Enrollment ID: I20210715000070 |
| Provider Name | Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386133957 PECOS PAC ID: 6406258235 Enrollment ID: I20210715002131 |
| Provider Name | Teryn Perkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912403353 PECOS PAC ID: 9931501798 Enrollment ID: I20210715002978 |
| Provider Name | Miguel Ernesto Velez |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013361591 PECOS PAC ID: 1254684426 Enrollment ID: I20210719002397 |
| Provider Name | Isabel Padilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447644950 PECOS PAC ID: 0244525525 Enrollment ID: I20210720003676 |
| Provider Name | Ariana Farnaz Samani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922598283 PECOS PAC ID: 0446653984 Enrollment ID: I20210721004041 |
| Provider Name | John Edward Ruelas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134624356 PECOS PAC ID: 0042613432 Enrollment ID: I20210722002092 |
| Provider Name | Momtaz Nahar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306339825 PECOS PAC ID: 3274881537 Enrollment ID: I20210723001630 |
| Provider Name | Matthew Doan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508353319 PECOS PAC ID: 8224431515 Enrollment ID: I20210723002364 |
| Provider Name | Benjamin Yang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558710988 PECOS PAC ID: 5092118323 Enrollment ID: I20210726000259 |
| Provider Name | Xuyen Dong-thi Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437647880 PECOS PAC ID: 6800146614 Enrollment ID: I20210726000375 |
| Provider Name | Maygen Michelle Del Castillo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760877526 PECOS PAC ID: 1850794066 Enrollment ID: I20210726003098 |
| Provider Name | Leila El-kweifi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205332681 PECOS PAC ID: 3375892243 Enrollment ID: I20210727002716 |
| Provider Name | Meherin Samina Huque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750888483 PECOS PAC ID: 7113320193 Enrollment ID: I20210728002465 |
| Provider Name | Kelly Cario Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184215683 PECOS PAC ID: 7517360522 Enrollment ID: I20210728003693 |
| Provider Name | Mohammad Albu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609365584 PECOS PAC ID: 5395095335 Enrollment ID: I20210730002421 |
| Provider Name | Evan Phillip Wenker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902283195 PECOS PAC ID: 5991109720 Enrollment ID: I20210802001336 |
| Provider Name | Stephanie Ho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972038073 PECOS PAC ID: 9133523814 Enrollment ID: I20210803000193 |
| Provider Name | Ramin Bajoghli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922503507 PECOS PAC ID: 6305240060 Enrollment ID: I20210803003045 |
| Provider Name | Melanie Elyse Levy-meeks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962932657 PECOS PAC ID: 6103220629 Enrollment ID: I20210805002179 |
| Provider Name | Michael Andrew Harms |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669869285 PECOS PAC ID: 1759697287 Enrollment ID: I20210809000722 |
| Provider Name | Nicole Thurmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871081133 PECOS PAC ID: 7012311293 Enrollment ID: I20210810002811 |
| Provider Name | Tiffany Raye Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942802624 PECOS PAC ID: 2567866684 Enrollment ID: I20210811000721 |
| Provider Name | Ravi Chandubhai Patel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851747224 PECOS PAC ID: 4789003401 Enrollment ID: I20210814000248 |
| Provider Name | Mohiuddin Bilal Shamsi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588922686 PECOS PAC ID: 0042459828 Enrollment ID: I20210817001565 |
| Provider Name | Nicole Canon |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1104288398 PECOS PAC ID: 0042552697 Enrollment ID: I20210819002013 |
| Provider Name | Morgan Dione Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417531286 PECOS PAC ID: 8921403338 Enrollment ID: I20210824001087 |
| Provider Name | Puja Bharat Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710481510 PECOS PAC ID: 9133476955 Enrollment ID: I20210830001451 |
| Provider Name | Sonia John |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316471030 PECOS PAC ID: 3779989892 Enrollment ID: I20210914003730 |
| Provider Name | Tasnim Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811483332 PECOS PAC ID: 1850648098 Enrollment ID: I20210917000737 |
| Provider Name | Shannon Nicole Levy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205501475 PECOS PAC ID: 2567869415 Enrollment ID: I20210921000793 |
| Provider Name | Michael Pan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649667569 PECOS PAC ID: 6800211236 Enrollment ID: I20210923001398 |
| Provider Name | John Hanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851605216 PECOS PAC ID: 2769639434 Enrollment ID: I20210924000130 |
| Provider Name | Mona Haj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750877890 PECOS PAC ID: 1254685720 Enrollment ID: I20210927003169 |
| Provider Name | Alimatu Sadia Garuba-sedenu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053805028 PECOS PAC ID: 1658778972 Enrollment ID: I20210929000053 |
| Provider Name | Vinay Vanodia |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538554084 PECOS PAC ID: 5395044184 Enrollment ID: I20210929001579 |
| Provider Name | Suhani Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881186658 PECOS PAC ID: 1355743949 Enrollment ID: I20211001001297 |
| Provider Name | Zahra Piyar Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407349426 PECOS PAC ID: 3870840333 Enrollment ID: I20211004003405 |
| Provider Name | Umera Thebo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851637532 PECOS PAC ID: 8921303280 Enrollment ID: I20211007002988 |
| Provider Name | Jacob Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154826352 PECOS PAC ID: 0042618456 Enrollment ID: I20211014001582 |
| Provider Name | Madison Haley Vick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669002952 PECOS PAC ID: 3375941727 Enrollment ID: I20211014003207 |
| Provider Name | Vida Chitsazzadeh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255795225 PECOS PAC ID: 7719375013 Enrollment ID: I20211019000535 |
| Provider Name | Grace Tung Tyler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700152899 PECOS PAC ID: 9335562412 Enrollment ID: I20211021001508 |
| Provider Name | Mona Sanghani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992825079 PECOS PAC ID: 2769544113 Enrollment ID: I20211025001019 |
| Provider Name | Wesam Safwat Mohamed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245622398 PECOS PAC ID: 1153689047 Enrollment ID: I20211025002451 |
| Provider Name | Tiorra Radlena Johnson Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114421518 PECOS PAC ID: 9830587310 Enrollment ID: I20211103000229 |
| Provider Name | Edna Nwanyinma Chukwurah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861996449 PECOS PAC ID: 4789918038 Enrollment ID: I20211103003150 |
| Provider Name | Rachael Elizabeth Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003581901 PECOS PAC ID: 3173912045 Enrollment ID: I20211115001752 |
| Provider Name | Nita Kommula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821483157 PECOS PAC ID: 7810317005 Enrollment ID: I20211117000089 |
| Provider Name | Tayler Symone Wilborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104477447 PECOS PAC ID: 6709275241 Enrollment ID: I20211122003044 |
| Provider Name | Sara Ashraf |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689069163 PECOS PAC ID: 1153679147 Enrollment ID: I20211202000815 |
| Provider Name | Nidhi Girishchandra Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093147217 PECOS PAC ID: 5991001349 Enrollment ID: I20211203001996 |
| Provider Name | Shmaila Ishaq |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851375067 PECOS PAC ID: 4486618832 Enrollment ID: I20211207001781 |
| Provider Name | Ndianabasi Mbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316479033 PECOS PAC ID: 8426013657 Enrollment ID: I20211209000776 |
| Provider Name | Jack W Janoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922009018 PECOS PAC ID: 8426294646 Enrollment ID: I20211230000124 |
| Provider Name | Nicole Salcedo Pepito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194304147 PECOS PAC ID: 0941691745 Enrollment ID: I20220105002895 |
| Provider Name | Emily N Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992325906 PECOS PAC ID: 4688066301 Enrollment ID: I20220110000452 |
| Provider Name | Yamini Natarajan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528392354 PECOS PAC ID: 3476945924 Enrollment ID: I20220113001907 |
| Provider Name | Atif Ahmed |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437396116 PECOS PAC ID: 2668692005 Enrollment ID: I20220127002696 |
| Provider Name | Jalaja Joseph |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922388057 PECOS PAC ID: 9335368562 Enrollment ID: I20220131001944 |
| Provider Name | Alison Cherian Philip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417440215 PECOS PAC ID: 1456741461 Enrollment ID: I20220201000566 |
| Provider Name | Melanie Ribbeck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265937239 PECOS PAC ID: 5799034294 Enrollment ID: I20220202002997 |
| Provider Name | Hina Usman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720575053 PECOS PAC ID: 7315297017 Enrollment ID: I20220203000646 |
| Provider Name | Niki Rose Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083140891 PECOS PAC ID: 6406125087 Enrollment ID: I20220203001065 |
| Provider Name | Anthony Joseph Puthumana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164955266 PECOS PAC ID: 1850784232 Enrollment ID: I20220207002401 |
| Provider Name | Changhua Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487994620 PECOS PAC ID: 2860631553 Enrollment ID: I20220208000954 |
| Provider Name | Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245700608 PECOS PAC ID: 8325388960 Enrollment ID: I20220209001005 |
| Provider Name | Colt Wakefield Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477124253 PECOS PAC ID: 1557755899 Enrollment ID: I20220302000841 |
| Provider Name | Danielle Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639780554 PECOS PAC ID: 2163816356 Enrollment ID: I20220304000839 |
| Provider Name | Oghenevwiroro Akpovwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205148608 PECOS PAC ID: 1254599244 Enrollment ID: I20220307000725 |
| Provider Name | Maggy Mata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891115895 PECOS PAC ID: 4284927443 Enrollment ID: I20220307002053 |
| Provider Name | Anef Hasan Syed Niaz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982131280 PECOS PAC ID: 5991075012 Enrollment ID: I20220311001908 |
| Provider Name | Faisal Rab Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407293202 PECOS PAC ID: 2163645318 Enrollment ID: I20220321001174 |
| Provider Name | Matthew Rand Mccarley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326485319 PECOS PAC ID: 3678851318 Enrollment ID: I20220321002163 |
| Provider Name | Isela Prado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720659683 PECOS PAC ID: 8123414711 Enrollment ID: I20220407001123 |
| Provider Name | Aisha Imtiaz Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457797805 PECOS PAC ID: 3870989361 Enrollment ID: I20220411000265 |
| Provider Name | Annie Pally |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720519242 PECOS PAC ID: 4880963412 Enrollment ID: I20220413001512 |
| Provider Name | Kathryn Leigh Tierling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609258821 PECOS PAC ID: 3072900265 Enrollment ID: I20220418000479 |
| Provider Name | Nichelle Monet Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063071025 PECOS PAC ID: 9133457716 Enrollment ID: I20220426002590 |
| Provider Name | Melanie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952959512 PECOS PAC ID: 7517354996 Enrollment ID: I20220504001004 |
| Provider Name | Myra Pacaldo Debonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427524420 PECOS PAC ID: 0749667061 Enrollment ID: I20220506000394 |
| Provider Name | Bernard Joseph Danna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891291399 PECOS PAC ID: 6103203765 Enrollment ID: I20220519002426 |
| Provider Name | Mark Andrew Mingo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588014617 PECOS PAC ID: 4789976044 Enrollment ID: I20220524001530 |
| Provider Name | Craig Randall Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265938948 PECOS PAC ID: 0345627790 Enrollment ID: I20220524002565 |
| Provider Name | Chau Cao Vo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790147825 PECOS PAC ID: 0941595375 Enrollment ID: I20220525002724 |
| Provider Name | Deborah Alicia Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437610946 PECOS PAC ID: 4880072172 Enrollment ID: I20220526002574 |
| Provider Name | Peter Yong Soo Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043672892 PECOS PAC ID: 6204123151 Enrollment ID: I20220613001911 |
| Provider Name | Scott Kevin Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639666290 PECOS PAC ID: 7719236009 Enrollment ID: I20220614000005 |
| Provider Name | Cynthia Abou Zeid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003376807 PECOS PAC ID: 5395124804 Enrollment ID: I20220614000087 |
| Provider Name | Luis Alberto Juarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992368906 PECOS PAC ID: 1456693860 Enrollment ID: I20220615000921 |
| Provider Name | Christina Andrea Rappazzo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013656701 PECOS PAC ID: 3476932732 Enrollment ID: I20220617000324 |
| Provider Name | Emily Hope Steen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104203306 PECOS PAC ID: 2668851411 Enrollment ID: I20220624000780 |
| Provider Name | Brittney Alexi Jimenez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194309872 PECOS PAC ID: 9133508815 Enrollment ID: I20220627002248 |
| Provider Name | Karmen Danielle Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285373910 PECOS PAC ID: 8527448125 Enrollment ID: I20220628003819 |
| Provider Name | Tamer Khashab |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336502723 PECOS PAC ID: 5597002428 Enrollment ID: I20220629003610 |
| Provider Name | Christa Justice |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992395313 PECOS PAC ID: 1153701602 Enrollment ID: I20220630001965 |
| Provider Name | Giancarlo Anselmo Piletti Rincon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790348506 PECOS PAC ID: 7315327475 Enrollment ID: I20220707000035 |
| Provider Name | Jessica Min Joung Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740777366 PECOS PAC ID: 6103206297 Enrollment ID: I20220707000757 |
| Provider Name | Alexander Jordan Metoxen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265896898 PECOS PAC ID: 3375834237 Enrollment ID: I20220707001008 |
| Provider Name | Linden Brook Dixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528415973 PECOS PAC ID: 5496136145 Enrollment ID: I20220713001107 |
| Provider Name | Olivia Kizzee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588168546 PECOS PAC ID: 7416369327 Enrollment ID: I20220713004307 |
| Provider Name | Sarah Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366977316 PECOS PAC ID: 0648651281 Enrollment ID: I20220714000081 |
| Provider Name | Emediong Udo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447614425 PECOS PAC ID: 4587045034 Enrollment ID: I20220715000588 |
| Provider Name | Ankita Trivedi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225561970 PECOS PAC ID: 9638550023 Enrollment ID: I20220715002526 |
| Provider Name | Steven Anh Kiet Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700347770 PECOS PAC ID: 3577944909 Enrollment ID: I20220718000821 |
| Provider Name | Fatimah Lawal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033646492 PECOS PAC ID: 0648536557 Enrollment ID: I20220719002044 |
| Provider Name | Abigail H Garbarino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821585316 PECOS PAC ID: 6608258363 Enrollment ID: I20220728000757 |
| Provider Name | Emily Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093387128 PECOS PAC ID: 0244612828 Enrollment ID: I20220728002047 |
| Provider Name | Annie Hsiao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134624836 PECOS PAC ID: 4284016866 Enrollment ID: I20220728002321 |
| Provider Name | Amrita Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891114310 PECOS PAC ID: 6103182746 Enrollment ID: I20220728003095 |
| Provider Name | Kati Choi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841644820 PECOS PAC ID: 5395127955 Enrollment ID: I20220729001665 |
| Provider Name | Omar Bari |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467958785 PECOS PAC ID: 3274897756 Enrollment ID: I20220801002900 |
| Provider Name | Rachel Mary Tanas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083272074 PECOS PAC ID: 9931435690 Enrollment ID: I20220802000945 |
| Provider Name | Nisreen Husain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790948248 PECOS PAC ID: 5890980726 Enrollment ID: I20220804000459 |
| Provider Name | German Eduardo Mendoza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104279314 PECOS PAC ID: 2961768619 Enrollment ID: I20220805000352 |
| Provider Name | Harkaran S Guryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780062224 PECOS PAC ID: 1052793130 Enrollment ID: I20220805002236 |
| Provider Name | Tam Phan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528412541 PECOS PAC ID: 9537541594 Enrollment ID: I20220808001483 |
| Provider Name | George Naah Ansoanuur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902292105 PECOS PAC ID: 8426477621 Enrollment ID: I20220808001722 |
| Provider Name | Kevin Ting |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114372471 PECOS PAC ID: 4789067505 Enrollment ID: I20220811001898 |
| Provider Name | Yuanyue Sun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790132165 PECOS PAC ID: 5698158434 Enrollment ID: I20220811002789 |
| Provider Name | Jade Zhou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154775476 PECOS PAC ID: 4486037256 Enrollment ID: I20220811003879 |
| Provider Name | Anjali Sebastian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477050045 PECOS PAC ID: 3779966064 Enrollment ID: I20220818003809 |
| Provider Name | Layth Haitham Alzubaidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144883380 PECOS PAC ID: 1759764798 Enrollment ID: I20220824000097 |
| Provider Name | Jennifer Tinn Kep |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750813721 PECOS PAC ID: 6507264157 Enrollment ID: I20220826001696 |
| Provider Name | Raman Olumide Bamidele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760048292 PECOS PAC ID: 9931583606 Enrollment ID: I20220829003797 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356832513 PECOS PAC ID: 8729339395 Enrollment ID: I20220830002077 |
| Provider Name | Shreya Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245791854 PECOS PAC ID: 4688058852 Enrollment ID: I20220907002601 |
| Provider Name | Aysenur Akoglu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952964181 PECOS PAC ID: 7719361815 Enrollment ID: I20220908000210 |
| Provider Name | Andrew Michael Albrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255893111 PECOS PAC ID: 9537543632 Enrollment ID: I20220908000225 |
| Provider Name | Beryle Awino Ogweno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659805919 PECOS PAC ID: 1850625096 Enrollment ID: I20220913002423 |
| Provider Name | Christopher Campos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932762507 PECOS PAC ID: 7618203381 Enrollment ID: I20220915002785 |
| Provider Name | Fisayomi Shobayo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932555364 PECOS PAC ID: 6103201439 Enrollment ID: I20220922000769 |
| Provider Name | Akshita Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073048096 PECOS PAC ID: 2365863941 Enrollment ID: I20220922001762 |
| Provider Name | Angalie Koshy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851029334 PECOS PAC ID: 4284019415 Enrollment ID: I20220923001086 |
| Provider Name | Regina Kay Pickering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558909739 PECOS PAC ID: 7416333497 Enrollment ID: I20220928001306 |
| Provider Name | Brittany Nicole Geegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194141283 PECOS PAC ID: 6103202114 Enrollment ID: I20220928002562 |
| Provider Name | Carlos M Zapata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851849343 PECOS PAC ID: 3173932498 Enrollment ID: I20220928003093 |
| Provider Name | Bohui Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760129613 PECOS PAC ID: 6103292438 Enrollment ID: I20221012000027 |
| Provider Name | Lavender Atieno Muirhead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700318508 PECOS PAC ID: 1850780115 Enrollment ID: I20221012002325 |
| Provider Name | Antony Grege Jeganathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437628989 PECOS PAC ID: 9739555327 Enrollment ID: I20221024000871 |
| Provider Name | Daniel Richard Catt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497217467 PECOS PAC ID: 4981071966 Enrollment ID: I20221103002048 |
| Provider Name | Alexandrya Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205568839 PECOS PAC ID: 9739216037 Enrollment ID: I20221108003300 |
| Provider Name | Susanne Danielle Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093056210 PECOS PAC ID: 5496046047 Enrollment ID: I20221116003254 |
| Provider Name | Bryan Randolph Yuncker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235500802 PECOS PAC ID: 9133597081 Enrollment ID: I20221125000203 |
| Provider Name | Patrick Neal Marcus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053706929 PECOS PAC ID: 1850607854 Enrollment ID: I20221128000062 |
| Provider Name | Sarah Nadeem |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427266212 PECOS PAC ID: 5092806661 Enrollment ID: I20221128000354 |
| Provider Name | Benjamin Isaac Mwanika |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457595258 PECOS PAC ID: 3375713027 Enrollment ID: I20221128000710 |
| Provider Name | Urooj Qazi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306512116 PECOS PAC ID: 4789052499 Enrollment ID: I20221129003410 |
| Provider Name | Nadia Jamil |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861926651 PECOS PAC ID: 7517236565 Enrollment ID: I20221206000455 |
| Provider Name | Oluwatoyin Grace Ukinamemen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730807892 PECOS PAC ID: 8426427683 Enrollment ID: I20221209000574 |
| Provider Name | Aida Michelle Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942966114 PECOS PAC ID: 0840669735 Enrollment ID: I20221215002876 |
| Provider Name | Jennifer Lynn Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215536370 PECOS PAC ID: 8820467590 Enrollment ID: I20221220001460 |
| Provider Name | Jacqueline Minasso |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407122674 PECOS PAC ID: 6406120112 Enrollment ID: I20221221000071 |
| Provider Name | Eyad Kawar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205038296 PECOS PAC ID: 1557502168 Enrollment ID: I20230109000086 |
| Provider Name | Sahar Jamalyaria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629502497 PECOS PAC ID: 8022386069 Enrollment ID: I20230110001330 |
| Provider Name | Saraswathi Jampala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083615710 PECOS PAC ID: 9830098268 Enrollment ID: I20230125001519 |
| Provider Name | Jordan Michael Gales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285166702 PECOS PAC ID: 8729459979 Enrollment ID: I20230125002822 |
| Provider Name | Nicole D Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306000708 PECOS PAC ID: 8527239540 Enrollment ID: I20230126000036 |
| Provider Name | Elizabeth Alessandra Maccato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508329400 PECOS PAC ID: 1658607320 Enrollment ID: I20230202003181 |
| Provider Name | Denys Rybka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922560010 PECOS PAC ID: 2264804798 Enrollment ID: I20230210000205 |
| Provider Name | Margaret Wat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477972032 PECOS PAC ID: 4981909736 Enrollment ID: I20230210001418 |
| Provider Name | Elizabeth Surface |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649945890 PECOS PAC ID: 9739552795 Enrollment ID: I20230222002794 |
| Provider Name | Agnes Maria Oliva East |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417653528 PECOS PAC ID: 0446623987 Enrollment ID: I20230302001516 |
| Provider Name | Kyle Jordan Jolas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528785201 PECOS PAC ID: 7416320973 Enrollment ID: I20230302002488 |
| Provider Name | Salimah Sadruddin Panjwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548866452 PECOS PAC ID: 5597138933 Enrollment ID: I20230306000372 |
| Provider Name | Karsta Lynn Sunne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073115952 PECOS PAC ID: 4486027570 Enrollment ID: I20230311000262 |
| Provider Name | Salvatore Paul Carbonaro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194202028 PECOS PAC ID: 9739552829 Enrollment ID: I20230311000336 |
| Provider Name | Jaya Bharathi Peddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629226113 PECOS PAC ID: 7416126180 Enrollment ID: I20230322001243 |
| Provider Name | Crystal L Cartwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134202864 PECOS PAC ID: 7416187299 Enrollment ID: I20230419001400 |
| Provider Name | Jeffrey Trent Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558060715 PECOS PAC ID: 2466817721 Enrollment ID: I20230420002796 |
| Provider Name | Cassandra Franchesca St. Fleur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578285029 PECOS PAC ID: 6204291289 Enrollment ID: I20230426001439 |
| Provider Name | Uloma Mercy Chiakwelu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184106080 PECOS PAC ID: 0143234138 Enrollment ID: I20230509001542 |
| Provider Name | Taiwo Kemi Awosola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235894239 PECOS PAC ID: 7113383555 Enrollment ID: I20230510000466 |
| Provider Name | Heather Y O Laughlin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326294455 PECOS PAC ID: 2860420627 Enrollment ID: I20230525000019 |
| Provider Name | Alyssa Marie Short |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437788734 PECOS PAC ID: 8123485513 Enrollment ID: I20230530002152 |
| Provider Name | Kaley Geroux Kemp |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730877598 PECOS PAC ID: 1951768241 Enrollment ID: I20230531003545 |
| Provider Name | Matxalen Amezaga Urruela |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205083276 PECOS PAC ID: 8921248766 Enrollment ID: I20230601001555 |
| Provider Name | Kaylin Joy Ogbor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295175149 PECOS PAC ID: 7012374119 Enrollment ID: I20230606000020 |
| Provider Name | Mengwei Ni |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1710471701 PECOS PAC ID: 3072970086 Enrollment ID: I20230607001099 |
| Provider Name | Hassan Sajjad Rizvi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1083102800 PECOS PAC ID: 3173980034 Enrollment ID: I20230607003373 |
| Provider Name | Monte Keith Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972772044 PECOS PAC ID: 9537233853 Enrollment ID: I20230608003502 |
| Provider Name | Christian Daniel Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891351904 PECOS PAC ID: 1658738208 Enrollment ID: I20230613001671 |
| Provider Name | Courtney Champagne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043928229 PECOS PAC ID: 4486012051 Enrollment ID: I20230614002882 |
| Provider Name | Amber Nicole Sleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316501208 PECOS PAC ID: 0345579546 Enrollment ID: I20230614003701 |
| Provider Name | Javid Alakbarli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992168280 PECOS PAC ID: 4385982982 Enrollment ID: I20230615002825 |
| Provider Name | Jingxin Sun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285165423 PECOS PAC ID: 4284997156 Enrollment ID: I20230616000760 |
| Provider Name | Atif Javed Cheema |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003300278 PECOS PAC ID: 3072864511 Enrollment ID: I20230623001617 |
| Provider Name | Ujuchukwu Chizurum Okpechi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366997496 PECOS PAC ID: 9931487295 Enrollment ID: I20230626003058 |
| Provider Name | Emily Anne Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639878853 PECOS PAC ID: 2163880931 Enrollment ID: I20230627000976 |
| Provider Name | Jennifer Jaworski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265125454 PECOS PAC ID: 0749649358 Enrollment ID: I20230629002312 |
| Provider Name | Alan Hsieh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508360736 PECOS PAC ID: 9335508738 Enrollment ID: I20230703001615 |
| Provider Name | Chad Ryan Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306472329 PECOS PAC ID: 7416316849 Enrollment ID: I20230703002557 |
| Provider Name | Faiza Mubeen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932606258 PECOS PAC ID: 7214286376 Enrollment ID: I20230703003033 |
| Provider Name | Khushbu R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447810718 PECOS PAC ID: 7315306768 Enrollment ID: I20230704000281 |
| Provider Name | Rahima Tuke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720634678 PECOS PAC ID: 8729447941 Enrollment ID: I20230706003073 |
| Provider Name | Fahd Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740809581 PECOS PAC ID: 0244641363 Enrollment ID: I20230710000488 |
| Provider Name | Amanda Noel Mccord |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346879657 PECOS PAC ID: 8426417429 Enrollment ID: I20230710000771 |
| Provider Name | Nidia M Perez Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831755115 PECOS PAC ID: 8325424815 Enrollment ID: I20230710001364 |
| Provider Name | Harriet Ifeakanwan Adeleke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487270880 PECOS PAC ID: 4880053685 Enrollment ID: I20230711001334 |
| Provider Name | Cynthia Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831582691 PECOS PAC ID: 2860851615 Enrollment ID: I20230711003258 |
| Provider Name | Van Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649852328 PECOS PAC ID: 7214397926 Enrollment ID: I20230713000418 |
| Provider Name | Rachel Nicole Dillard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679138457 PECOS PAC ID: 9234465238 Enrollment ID: I20230714003226 |
| Provider Name | Ronald T Baptiste |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730473695 PECOS PAC ID: 7012220379 Enrollment ID: I20230714003432 |
| Provider Name | Tony Yuan-ting Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841720729 PECOS PAC ID: 2466812953 Enrollment ID: I20230714003656 |
| Provider Name | Brandon Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093344079 PECOS PAC ID: 5698198364 Enrollment ID: I20230717003015 |
| Provider Name | Angie Aybar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376994723 PECOS PAC ID: 4981963949 Enrollment ID: I20230730000138 |
| Provider Name | Jacey Marie Beasley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447814736 PECOS PAC ID: 9830423615 Enrollment ID: I20230731000058 |
| Provider Name | Meuryn Hechavarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306561667 PECOS PAC ID: 5294196846 Enrollment ID: I20230731001947 |
| Provider Name | Ashley Ekharele Ojeaga |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548729585 PECOS PAC ID: 0648695205 Enrollment ID: I20230731002703 |
| Provider Name | Sierra Haq |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437712973 PECOS PAC ID: 3476914946 Enrollment ID: I20230731003124 |
| Provider Name | Hien The Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861014136 PECOS PAC ID: 4385005867 Enrollment ID: I20230731003179 |
| Provider Name | Shreeya Popat |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215399340 PECOS PAC ID: 0042610982 Enrollment ID: I20230731003483 |
| Provider Name | Lauren Duong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922627389 PECOS PAC ID: 7416387741 Enrollment ID: I20230731003669 |
| Provider Name | Rohit Singhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053933127 PECOS PAC ID: 4486015971 Enrollment ID: I20230731003715 |
| Provider Name | Sarah Maxey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477118388 PECOS PAC ID: 1052772548 Enrollment ID: I20230731004039 |
| Provider Name | Anna Marie Calara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962031849 PECOS PAC ID: 4587025911 Enrollment ID: I20230802001231 |
| Provider Name | Ashley Ann Lamping |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700383163 PECOS PAC ID: 7810358074 Enrollment ID: I20230803002820 |
| Provider Name | Deepak Varun Chona |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205369964 PECOS PAC ID: 8224499413 Enrollment ID: I20230803004022 |
| Provider Name | Joshua David Eubanks |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1659794279 PECOS PAC ID: 0446549711 Enrollment ID: I20230806000113 |
| Provider Name | Megan Fitch Craddock |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124318720 PECOS PAC ID: 0648403683 Enrollment ID: I20230807001727 |
| Provider Name | Robin Jacob |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538516059 PECOS PAC ID: 2769843705 Enrollment ID: I20230807002746 |
| Provider Name | Madeline Elizabeth Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124581269 PECOS PAC ID: 1557722519 Enrollment ID: I20230807003279 |
| Provider Name | Sammy P Raad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306404520 PECOS PAC ID: 7416283163 Enrollment ID: I20230809004147 |
| Provider Name | Andrew Steven Gerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578192613 PECOS PAC ID: 5991136764 Enrollment ID: I20230809004167 |
| Provider Name | Sri Pallavi Morampudi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609373984 PECOS PAC ID: 6204298078 Enrollment ID: I20230810000986 |
| Provider Name | Bryan Jay Bessellieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720607104 PECOS PAC ID: 7719301035 Enrollment ID: I20230810002649 |
| Provider Name | Randy Uyi Igbinoba |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154884914 PECOS PAC ID: 1254793979 Enrollment ID: I20230814000008 |
| Provider Name | Margaret Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598391427 PECOS PAC ID: 5395107874 Enrollment ID: I20230815003481 |
| Provider Name | Alexandria Patrice Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427687292 PECOS PAC ID: 6709217094 Enrollment ID: I20230816002331 |
| Provider Name | Andrea Marie Costello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881251239 PECOS PAC ID: 5092178111 Enrollment ID: I20230822003976 |
| Provider Name | Briana Nicole Gonner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144849332 PECOS PAC ID: 5597182626 Enrollment ID: I20230825000903 |
| Provider Name | Zayeem Zaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699238063 PECOS PAC ID: 6002291457 Enrollment ID: I20230825002887 |
| Provider Name | Benjamin Hieu Vu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588261309 PECOS PAC ID: 6608286158 Enrollment ID: I20230829003808 |
| Provider Name | Maryam Hadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386271005 PECOS PAC ID: 9234554221 Enrollment ID: I20230830001988 |
| Provider Name | Paul Daniel Kanaby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275159402 PECOS PAC ID: 4981027166 Enrollment ID: I20230831001119 |
| Provider Name | Lisa Rozita Keiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891468575 PECOS PAC ID: 4880084250 Enrollment ID: I20230905001002 |
| Provider Name | Rachelle Lee Dawkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902682354 PECOS PAC ID: 3072977248 Enrollment ID: I20230907001311 |
| Provider Name | Sumaira Shafi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164859278 PECOS PAC ID: 4587992474 Enrollment ID: I20230907003690 |
| Provider Name | Jayne Renee Schulte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699702084 PECOS PAC ID: 2961467097 Enrollment ID: I20230907004390 |
| Provider Name | Aishwarya Ramachandran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407209448 PECOS PAC ID: 6103154943 Enrollment ID: I20230913004379 |
| Provider Name | Samarina Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417910951 PECOS PAC ID: 4082635560 Enrollment ID: I20230918004233 |
| Provider Name | Jade Lyna Smith Syffus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366129207 PECOS PAC ID: 7911361241 Enrollment ID: I20230919003610 |
| Provider Name | Ngozi Bridget Agorua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316515554 PECOS PAC ID: 0446641229 Enrollment ID: I20230920001271 |
| Provider Name | Kim Minh Dang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750886610 PECOS PAC ID: 4587911144 Enrollment ID: I20230921002426 |
| Provider Name | Jessica Angelaka Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629796057 PECOS PAC ID: 7618321845 Enrollment ID: I20230921003305 |
| Provider Name | Hima Bodagala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821408329 PECOS PAC ID: 5991015034 Enrollment ID: I20230925000713 |
| Provider Name | Shlonda Briana Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659071421 PECOS PAC ID: 9638523483 Enrollment ID: I20230927001574 |
| Provider Name | Tyler Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174083448 PECOS PAC ID: 7517311301 Enrollment ID: I20230927003546 |
| Provider Name | Adeola Elizabeth Oyenuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336602598 PECOS PAC ID: 7315391109 Enrollment ID: I20230927003630 |
| Provider Name | Laleh Ebrahimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972282648 PECOS PAC ID: 8022462837 Enrollment ID: I20230927004331 |
| Provider Name | Salman Hasan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316358492 PECOS PAC ID: 7416238373 Enrollment ID: I20230928000508 |
| Provider Name | Margaret L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962102996 PECOS PAC ID: 6204280944 Enrollment ID: I20230928001565 |
| Provider Name | Mai Thi Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063101087 PECOS PAC ID: 8123472743 Enrollment ID: I20230929001340 |
| Provider Name | Kaleb Douglas Lambeth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679061550 PECOS PAC ID: 9133478902 Enrollment ID: I20230929002011 |
| Provider Name | Lindsay Nicole Riddick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003548231 PECOS PAC ID: 5092169664 Enrollment ID: I20230930000217 |
| Provider Name | Nirosha Selvakumaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952923476 PECOS PAC ID: 7214381771 Enrollment ID: I20231002003349 |
| Provider Name | Saira Dayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780205534 PECOS PAC ID: 5698129195 Enrollment ID: I20231003001361 |
| Provider Name | Toya Demetria Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740068956 PECOS PAC ID: 9931553310 Enrollment ID: I20231004001126 |
| Provider Name | Kate Ekaette Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144745340 PECOS PAC ID: 3476608035 Enrollment ID: I20231005000615 |
| Provider Name | Shravan Sarvepalli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972951267 PECOS PAC ID: 2961795653 Enrollment ID: I20231005002206 |
| Provider Name | Kailee Nazminia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649907189 PECOS PAC ID: 2860847118 Enrollment ID: I20231006001497 |
| Provider Name | Samira Yasmeen Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003183179 PECOS PAC ID: 3072773258 Enrollment ID: I20231009002579 |
| Provider Name | Saber J Eslaminejad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912632282 PECOS PAC ID: 6103271291 Enrollment ID: I20231010000965 |
| Provider Name | Loan Thi Minh Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245800903 PECOS PAC ID: 7315392461 Enrollment ID: I20231010003826 |
| Provider Name | Brian Yum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326572231 PECOS PAC ID: 6406266683 Enrollment ID: I20231011002351 |
| Provider Name | Dolapo Oyenuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679230015 PECOS PAC ID: 1951756899 Enrollment ID: I20231012000149 |
| Provider Name | Marissa Lee Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902536527 PECOS PAC ID: 8729433586 Enrollment ID: I20231013001491 |
| Provider Name | Janelle Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548047236 PECOS PAC ID: 7214382092 Enrollment ID: I20231013002373 |
| Provider Name | Rosylyn James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033773767 PECOS PAC ID: 7214382019 Enrollment ID: I20231014000098 |
| Provider Name | Kailey Ann Graybill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093339152 PECOS PAC ID: 1759736556 Enrollment ID: I20231014000164 |
| Provider Name | Hallie Clason |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033632633 PECOS PAC ID: 9537514096 Enrollment ID: I20231018003050 |
| Provider Name | Victoria Hinckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851013940 PECOS PAC ID: 0840669594 Enrollment ID: I20231019000167 |
| Provider Name | Teresa A Herrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588336895 PECOS PAC ID: 8224484787 Enrollment ID: I20231019003439 |
| Provider Name | Kaitlyn Elizabeth Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518666221 PECOS PAC ID: 8921454380 Enrollment ID: I20231023000395 |
| Provider Name | Vivian Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164122156 PECOS PAC ID: 0345696654 Enrollment ID: I20231023002942 |
| Provider Name | Samah Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699200469 PECOS PAC ID: 0345500088 Enrollment ID: I20231024002208 |
| Provider Name | Mohammed Al Tameemi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235620659 PECOS PAC ID: 7517313794 Enrollment ID: I20231024002528 |
| Provider Name | Angelica Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114703261 PECOS PAC ID: 3870949936 Enrollment ID: I20231025002081 |
| Provider Name | Yvonne Ntukogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992397061 PECOS PAC ID: 5395190987 Enrollment ID: I20231025002334 |
| Provider Name | Jennifer Keller Burdette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427746981 PECOS PAC ID: 3476909094 Enrollment ID: I20231102000127 |
| Provider Name | Dzifaa Kofi Lotsu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770739211 PECOS PAC ID: 1355582354 Enrollment ID: I20231104000103 |
| Provider Name | Bushra Jehan Jilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558983619 PECOS PAC ID: 0941657084 Enrollment ID: I20231109003865 |
| Provider Name | Chithra Poongkunran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477782548 PECOS PAC ID: 4880840909 Enrollment ID: I20231110000527 |
| Provider Name | Garrett Sean Levy-meeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245890789 PECOS PAC ID: 8921334855 Enrollment ID: I20231111000234 |
| Provider Name | Danny T Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487185823 PECOS PAC ID: 2567819592 Enrollment ID: I20231113001027 |
| Provider Name | Emily Gao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144859414 PECOS PAC ID: 5991152779 Enrollment ID: I20231116000660 |
| Provider Name | Tricia Jean Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699555920 PECOS PAC ID: 1850749557 Enrollment ID: I20231117002639 |
| Provider Name | Sepehr Saberian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093077075 PECOS PAC ID: 2567778228 Enrollment ID: I20231121001597 |
| Provider Name | Jana Neva Joiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790132124 PECOS PAC ID: 6507153699 Enrollment ID: I20231121002481 |
| Provider Name | Mayra Quiroz Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962101246 PECOS PAC ID: 7214385723 Enrollment ID: I20231122000473 |
| Provider Name | Shanel Rose Parlar-chun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245573484 PECOS PAC ID: 5092163493 Enrollment ID: I20231125000034 |
| Provider Name | Nicole Hunt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750776134 PECOS PAC ID: 6305146879 Enrollment ID: I20231125000181 |
| Provider Name | Fibha Arshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497378152 PECOS PAC ID: 1658720495 Enrollment ID: I20231206000036 |
| Provider Name | Son Hai Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427580562 PECOS PAC ID: 1658619945 Enrollment ID: I20231207000267 |
| Provider Name | Nour Batarseh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184023384 PECOS PAC ID: 3971813866 Enrollment ID: I20231208000327 |
| Provider Name | Airatu Soyinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245006683 PECOS PAC ID: 8921457003 Enrollment ID: I20231214002076 |
| Provider Name | Muhammad Umer Awan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306263736 PECOS PAC ID: 8628357993 Enrollment ID: I20240103001850 |
| Provider Name | Skye A Heller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447765110 PECOS PAC ID: 5799136677 Enrollment ID: I20240104001890 |
| Provider Name | Walter Alomar-jimenez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598173890 PECOS PAC ID: 2769726652 Enrollment ID: I20240104002357 |
| Provider Name | Elizabeth Ifeyironwa Onyechi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568088854 PECOS PAC ID: 3375994825 Enrollment ID: I20240109001949 |
| Provider Name | Stacey Maxine Wells |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578855466 PECOS PAC ID: 6507188158 Enrollment ID: I20240110003997 |
| Provider Name | Chidinma J Okere Mbawuike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851526321 PECOS PAC ID: 1658383450 Enrollment ID: I20240110004889 |
| Provider Name | Anusha Abbas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952920530 PECOS PAC ID: 6002268612 Enrollment ID: I20240119000744 |
| Provider Name | Yiika Alexia Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790485209 PECOS PAC ID: 0941652317 Enrollment ID: I20240122002032 |
| Provider Name | Surya Jacob |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699161273 PECOS PAC ID: 1759687742 Enrollment ID: I20240207002891 |
| Provider Name | Attiyah Shahid Zaheer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912460155 PECOS PAC ID: 9739564279 Enrollment ID: I20240208004152 |
| Provider Name | Kiran Luke Malikayil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619473824 PECOS PAC ID: 9032457023 Enrollment ID: I20240213000121 |
| Provider Name | Raheem Y Habib |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053818542 PECOS PAC ID: 8224385513 Enrollment ID: I20240214001761 |
| Provider Name | Asher Qarni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245297886 PECOS PAC ID: 9133203946 Enrollment ID: I20240220000693 |
| Provider Name | Jeanette Layfield |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205289972 PECOS PAC ID: 1254777360 Enrollment ID: I20240312001870 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Seybold Clinic 11511 Shadow Creek Parkway, Administrative Offices, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Kelsey Seybold Clinic 2727 W Holcombe Blvd, Houston, TX 77025-1669 Ph: (713) 442-0000 |