| Lehigh Valley Physician Group-hazleton | |
|
700 East Broad Street, Hazleton, PA 18201-6835 | |
| (570) 501-4584 | |
| (570) 501-4754 |
| Full Name | Lehigh Valley Physician Group-hazleton |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 700 East Broad Street, Hazleton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952464638 | NPI | - | NPPES |
| 1019653980001 | Medicaid | PA | |
| 1954699 | Other | PA | HIGHMARK BLUE SHIELD |
| Provider Name | Ganesan Murali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306897434 PECOS PAC ID: 9032016589 Enrollment ID: I20031215000272 |
| Provider Name | Anthony Valente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538197835 PECOS PAC ID: 1456259548 Enrollment ID: I20031229000224 |
| Provider Name | Marc A Vengrove |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578650073 PECOS PAC ID: 7911809736 Enrollment ID: I20040122000911 |
| Provider Name | Robert Jay Kruklitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366414252 PECOS PAC ID: 1951296821 Enrollment ID: I20040219000082 |
| Provider Name | Prasant Pandey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457466518 PECOS PAC ID: 9133016652 Enrollment ID: I20040301000585 |
| Provider Name | David Allen Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447202395 PECOS PAC ID: 5799674701 Enrollment ID: I20040315000950 |
| Provider Name | Guillermo L Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689666836 PECOS PAC ID: 8729072970 Enrollment ID: I20040412001063 |
| Provider Name | Amanda Beth Flicker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245344076 PECOS PAC ID: 5193716231 Enrollment ID: I20040519000361 |
| Provider Name | Eric Brian Lebby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215933502 PECOS PAC ID: 5698766947 Enrollment ID: I20040524001170 |
| Provider Name | Jonathan B Bingham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063449809 PECOS PAC ID: 8123000866 Enrollment ID: I20040604000930 |
| Provider Name | Frederic A Stelzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962405175 PECOS PAC ID: 3476539933 Enrollment ID: I20040625000309 |
| Provider Name | Mark D Cipolle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609883289 PECOS PAC ID: 8628060688 Enrollment ID: I20040701000996 |
| Provider Name | Jon Hernandez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871591198 PECOS PAC ID: 3678550639 Enrollment ID: I20040707000803 |
| Provider Name | Paul H Mccabe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114975299 PECOS PAC ID: 5092793802 Enrollment ID: I20040708001394 |
| Provider Name | Recaredo Berbano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942275748 PECOS PAC ID: 4284612912 Enrollment ID: I20040709000783 |
| Provider Name | Charles Gerard Petersen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285684183 PECOS PAC ID: 1557333788 Enrollment ID: I20040809001163 |
| Provider Name | Gerald John Michael Rossini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215935598 PECOS PAC ID: 4688649262 Enrollment ID: I20040827000378 |
| Provider Name | Vadim Loshakov |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003815721 PECOS PAC ID: 7416913793 Enrollment ID: I20041209000094 |
| Provider Name | Susan U Haikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003894114 PECOS PAC ID: 3274590864 Enrollment ID: I20041215000542 |
| Provider Name | Albert Peter Sarno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295786820 PECOS PAC ID: 6406807916 Enrollment ID: I20050202000278 |
| Provider Name | Osun Kwon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528016243 PECOS PAC ID: 4688625502 Enrollment ID: I20050208000384 |
| Provider Name | Francis J Braconaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558349167 PECOS PAC ID: 9335187582 Enrollment ID: I20050419001122 |
| Provider Name | Harvey J Hotchner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932299054 PECOS PAC ID: 4284672759 Enrollment ID: I20050425000666 |
| Provider Name | Nilesh H Baxi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851322457 PECOS PAC ID: 5698717197 Enrollment ID: I20050525000351 |
| Provider Name | Barry Ivan Berger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730185893 PECOS PAC ID: 0547204638 Enrollment ID: I20050620000714 |
| Provider Name | James Christopher Xenophon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265430334 PECOS PAC ID: 0143265553 Enrollment ID: I20050627000520 |
| Provider Name | Joanne N Quinones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639275027 PECOS PAC ID: 1153367248 Enrollment ID: I20050629000597 |
| Provider Name | Nicole Christine Chiappetta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275525503 PECOS PAC ID: 8325084064 Enrollment ID: I20050701000807 |
| Provider Name | Constance Denardo Molchany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376659094 PECOS PAC ID: 1759306582 Enrollment ID: I20051011000875 |
| Provider Name | Meredith L Rochon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366555377 PECOS PAC ID: 1658397567 Enrollment ID: I20051020000318 |
| Provider Name | Robert B Doll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043203375 PECOS PAC ID: 6901820810 Enrollment ID: I20060118000868 |
| Provider Name | Brian P Burlew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598712119 PECOS PAC ID: 2365450475 Enrollment ID: I20060331000340 |
| Provider Name | Gretchen A Perilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043306343 PECOS PAC ID: 6305856451 Enrollment ID: I20060504000212 |
| Provider Name | Brian Anthony Delvecchio |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215993613 PECOS PAC ID: 5597776245 Enrollment ID: I20060510000146 |
| Provider Name | Jennifer Christine Rovella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679525166 PECOS PAC ID: 6901817436 Enrollment ID: I20060519000007 |
| Provider Name | Michael John Nimeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578500799 PECOS PAC ID: 2062423213 Enrollment ID: I20060601000117 |
| Provider Name | Alexandria J George |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417995788 PECOS PAC ID: 3072525773 Enrollment ID: I20060622000218 |
| Provider Name | Joseph Leo Yozviak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174561674 PECOS PAC ID: 9234141862 Enrollment ID: I20060627000354 |
| Provider Name | Rebecca J Odorizzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932167020 PECOS PAC ID: 3678586286 Enrollment ID: I20060727000334 |
| Provider Name | Michael J Yeager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396795829 PECOS PAC ID: 5991718066 Enrollment ID: I20060728000098 |
| Provider Name | Philip J Benyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184622391 PECOS PAC ID: 8426051335 Enrollment ID: I20060815000313 |
| Provider Name | James Ross |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588697403 PECOS PAC ID: 8123022290 Enrollment ID: I20060901000026 |
| Provider Name | Mark Christopher Molnar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386687309 PECOS PAC ID: 5395749352 Enrollment ID: I20060905000432 |
| Provider Name | Shakuntala Y Varhade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811918758 PECOS PAC ID: 3476557265 Enrollment ID: I20060911000110 |
| Provider Name | Kara Coassolo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861423055 PECOS PAC ID: 9739184649 Enrollment ID: I20060928000181 |
| Provider Name | Luther V Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174504633 PECOS PAC ID: 0345279329 Enrollment ID: I20061120000035 |
| Provider Name | Jaan Peter Naktin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639150253 PECOS PAC ID: 2264461243 Enrollment ID: I20061120000606 |
| Provider Name | Mark Christian Knouse |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144201765 PECOS PAC ID: 8527097500 Enrollment ID: I20061120000610 |
| Provider Name | Guillermo Antonio De La Vega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083780761 PECOS PAC ID: 5294737037 Enrollment ID: I20070208000134 |
| Provider Name | Kevin K Anbari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972514958 PECOS PAC ID: 8628094265 Enrollment ID: I20070307000032 |
| Provider Name | Ya-yu Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235271545 PECOS PAC ID: 0244338069 Enrollment ID: I20070601000381 |
| Provider Name | Scott Sauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336149145 PECOS PAC ID: 8426029299 Enrollment ID: I20070605000267 |
| Provider Name | Thomas G Pollock |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134120025 PECOS PAC ID: 0840398962 Enrollment ID: I20070613000099 |
| Provider Name | Darren J Hohn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023018488 PECOS PAC ID: 6204934326 Enrollment ID: I20070613000121 |
| Provider Name | Vanessa Ribaudo Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306060348 PECOS PAC ID: 5496856361 Enrollment ID: I20070723000008 |
| Provider Name | Scott E Sexton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770515520 PECOS PAC ID: 3173520434 Enrollment ID: I20070726000210 |
| Provider Name | Timothy Michael Pellini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033217302 PECOS PAC ID: 5294826095 Enrollment ID: I20070808000621 |
| Provider Name | Leah E Ahoya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831390095 PECOS PAC ID: 3476644113 Enrollment ID: I20070809000224 |
| Provider Name | Kevin Allen Vrablik |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1366404766 PECOS PAC ID: 6901998061 Enrollment ID: I20070821000045 |
| Provider Name | Kristin Marie Ingraham |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285757534 PECOS PAC ID: 3678665650 Enrollment ID: I20070822000825 |
| Provider Name | Daniel Gavio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689873473 PECOS PAC ID: 6800989435 Enrollment ID: I20070912000372 |
| Provider Name | Shahzad A Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689632036 PECOS PAC ID: 8729184825 Enrollment ID: I20071116000020 |
| Provider Name | Joseph D Eckstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760661409 PECOS PAC ID: 0446348734 Enrollment ID: I20071120000631 |
| Provider Name | Karl W Helmold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912947797 PECOS PAC ID: 2860402823 Enrollment ID: I20080128000055 |
| Provider Name | Gerald J Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639124753 PECOS PAC ID: 2466366224 Enrollment ID: I20080212000303 |
| Provider Name | Stephen N Shoemaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780681262 PECOS PAC ID: 2567548605 Enrollment ID: I20080328000592 |
| Provider Name | William E Scorza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255401741 PECOS PAC ID: 6507943610 Enrollment ID: I20080414000137 |
| Provider Name | Scott D Muir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982662524 PECOS PAC ID: 8527168335 Enrollment ID: I20080506000204 |
| Provider Name | Robert Yamulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376527655 PECOS PAC ID: 1254401607 Enrollment ID: I20080528000577 |
| Provider Name | Karen E Tiedeken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184730723 PECOS PAC ID: 4587735550 Enrollment ID: I20080618000651 |
| Provider Name | Heather A Sugarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952511842 PECOS PAC ID: 6204900764 Enrollment ID: I20080731000412 |
| Provider Name | Eugene D Gorski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942275854 PECOS PAC ID: 3678641081 Enrollment ID: I20081010000690 |
| Provider Name | Nirupama Kakumanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194873356 PECOS PAC ID: 6901907476 Enrollment ID: I20081024000205 |
| Provider Name | Wendy J Prutsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477669018 PECOS PAC ID: 4981763356 Enrollment ID: I20081030000663 |
| Provider Name | Rita M Pechulis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740319987 PECOS PAC ID: 7719047711 Enrollment ID: I20081120000660 |
| Provider Name | Ivor F Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861453144 PECOS PAC ID: 3870580996 Enrollment ID: I20090123000429 |
| Provider Name | Dorothea T Watson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184744328 PECOS PAC ID: 1052472891 Enrollment ID: I20090622000024 |
| Provider Name | Yaqoob A Mohyuddin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558400010 PECOS PAC ID: 8527166495 Enrollment ID: I20090707000032 |
| Provider Name | Lalita Shastry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831230689 PECOS PAC ID: 2860425261 Enrollment ID: I20090707000172 |
| Provider Name | Nicole L Balchune |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659505931 PECOS PAC ID: 7012060916 Enrollment ID: I20090724000277 |
| Provider Name | Leann Zuby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386874188 PECOS PAC ID: 4981757002 Enrollment ID: I20090806000237 |
| Provider Name | Yury L Bykov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376767780 PECOS PAC ID: 9436221298 Enrollment ID: I20090818000681 |
| Provider Name | Jeffrey P Kulsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730328303 PECOS PAC ID: 0345396750 Enrollment ID: I20090925000169 |
| Provider Name | Orion A Rust |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144333154 PECOS PAC ID: 4789721846 Enrollment ID: I20091021000594 |
| Provider Name | Timothy B Coyle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316144413 PECOS PAC ID: 2567502651 Enrollment ID: I20091222000114 |
| Provider Name | Thomas Meade |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275525917 PECOS PAC ID: 0648184507 Enrollment ID: I20100114000358 |
| Provider Name | Nalan Reibschied |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952369209 PECOS PAC ID: 4385648526 Enrollment ID: I20100122000562 |
| Provider Name | Joseph B Schellenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417929399 PECOS PAC ID: 6901895580 Enrollment ID: I20100128000567 |
| Provider Name | Francis Schwiep |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326010307 PECOS PAC ID: 6103815782 Enrollment ID: I20100129000053 |
| Provider Name | Richard Strobel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184696072 PECOS PAC ID: 1557350139 Enrollment ID: I20100203000189 |
| Provider Name | Jeffrey R Mcconnell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619969987 PECOS PAC ID: 0143222075 Enrollment ID: I20100203000491 |
| Provider Name | Christopher Chadwick Ghigiarelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275553208 PECOS PAC ID: 5799829230 Enrollment ID: I20100223000633 |
| Provider Name | Daniel E Schwed Lustgarten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760696561 PECOS PAC ID: 4385789510 Enrollment ID: I20100226000529 |
| Provider Name | Edward A Schwartz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366440406 PECOS PAC ID: 3678608627 Enrollment ID: I20100317000044 |
| Provider Name | Steven B Mazza |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699773051 PECOS PAC ID: 6204961253 Enrollment ID: I20100317000055 |
| Provider Name | Brett Godbout |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184621948 PECOS PAC ID: 2466361407 Enrollment ID: I20100322000272 |
| Provider Name | Dana Cam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841455839 PECOS PAC ID: 5698800159 Enrollment ID: I20100323000343 |
| Provider Name | Lisa M Rusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922324318 PECOS PAC ID: 9830227347 Enrollment ID: I20100504000336 |
| Provider Name | Wayne Luchetti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942208392 PECOS PAC ID: 0749310472 Enrollment ID: I20100607000687 |
| Provider Name | Deborah Gorski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225254386 PECOS PAC ID: 1850421397 Enrollment ID: I20100610000399 |
| Provider Name | Mal R Homan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215905898 PECOS PAC ID: 6901936277 Enrollment ID: I20100612000016 |
| Provider Name | Christopher Richard Ferrante |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013904416 PECOS PAC ID: 3476572694 Enrollment ID: I20100624000073 |
| Provider Name | Christopher P Henderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528249489 PECOS PAC ID: 3779639018 Enrollment ID: I20100628000898 |
| Provider Name | Jodi Lenko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124226907 PECOS PAC ID: 3476684820 Enrollment ID: I20100629000039 |
| Provider Name | Liany C Diven |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992912091 PECOS PAC ID: 7517099161 Enrollment ID: I20100716000248 |
| Provider Name | Robert Friedman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790772499 PECOS PAC ID: 9931128154 Enrollment ID: I20100721000318 |
| Provider Name | Anthony C Falvello |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124227236 PECOS PAC ID: 6507998929 Enrollment ID: I20100721000453 |
| Provider Name | Jason Rudolph |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023052446 PECOS PAC ID: 3678583630 Enrollment ID: I20100804000668 |
| Provider Name | Robert A Mccauley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992920466 PECOS PAC ID: 4486786183 Enrollment ID: I20100813000209 |
| Provider Name | Thomas D Dibenedetto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104822485 PECOS PAC ID: 5597889162 Enrollment ID: I20100903000034 |
| Provider Name | Angelo A Baccala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811019797 PECOS PAC ID: 7810065612 Enrollment ID: I20100914000347 |
| Provider Name | John W Caruno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043281520 PECOS PAC ID: 8628051737 Enrollment ID: I20100924000466 |
| Provider Name | John Henzes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134156706 PECOS PAC ID: 6608882980 Enrollment ID: I20101012001117 |
| Provider Name | James F. Cornell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285637488 PECOS PAC ID: 4688649668 Enrollment ID: I20101018000187 |
| Provider Name | Anthony G Auteri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689678500 PECOS PAC ID: 1153212469 Enrollment ID: I20101018000779 |
| Provider Name | Ronald Bross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386648202 PECOS PAC ID: 5597865626 Enrollment ID: I20101019000785 |
| Provider Name | Ernesto Rodriguez Granados |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306950035 PECOS PAC ID: 5193919835 Enrollment ID: I20101027000383 |
| Provider Name | Mitchell Cooper |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033115316 PECOS PAC ID: 5991917544 Enrollment ID: I20101101000261 |
| Provider Name | John T Rich |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1366479933 PECOS PAC ID: 0345256624 Enrollment ID: I20101116000551 |
| Provider Name | Alan P Gillick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003843681 PECOS PAC ID: 3971519257 Enrollment ID: I20101116000765 |
| Provider Name | James Sunday |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316945132 PECOS PAC ID: 5698730935 Enrollment ID: I20101119000591 |
| Provider Name | Harry Schmaltz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457388027 PECOS PAC ID: 0446272561 Enrollment ID: I20101123000081 |
| Provider Name | Jill T Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033158175 PECOS PAC ID: 5092881300 Enrollment ID: I20101203001244 |
| Provider Name | Christine E Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801106448 PECOS PAC ID: 7810186541 Enrollment ID: I20110112000446 |
| Provider Name | Chase M White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558561803 PECOS PAC ID: 6800085531 Enrollment ID: I20110112000460 |
| Provider Name | Heather Gosch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770588469 PECOS PAC ID: 7810179843 Enrollment ID: I20110311000118 |
| Provider Name | Theresa Mary Baseski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245260850 PECOS PAC ID: 4284818444 Enrollment ID: I20110412000925 |
| Provider Name | Franklin Margolis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487727517 PECOS PAC ID: 4789604265 Enrollment ID: I20110420000591 |
| Provider Name | Denny John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568422848 PECOS PAC ID: 2668657693 Enrollment ID: I20110506000141 |
| Provider Name | Bonnie E Osterwald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053377119 PECOS PAC ID: 1355352436 Enrollment ID: I20110516000090 |
| Provider Name | Chandra M Mohan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972542736 PECOS PAC ID: 8628254190 Enrollment ID: I20110517000830 |
| Provider Name | Thomas J Ciotola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730147067 PECOS PAC ID: 9335127281 Enrollment ID: I20110517000854 |
| Provider Name | Robert Miles Zimmerman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174529457 PECOS PAC ID: 5092790675 Enrollment ID: I20110609000193 |
| Provider Name | David Paul Krewson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134124811 PECOS PAC ID: 0547447021 Enrollment ID: I20110609000509 |
| Provider Name | Nauman Islam |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1689627788 PECOS PAC ID: 2466412010 Enrollment ID: I20110719000027 |
| Provider Name | Michael W Evans |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972782522 PECOS PAC ID: 1759550825 Enrollment ID: I20110805000316 |
| Provider Name | Joseph Feliciano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902003338 PECOS PAC ID: 8022299742 Enrollment ID: I20110823000395 |
| Provider Name | Danielle E Durie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104952134 PECOS PAC ID: 0244325314 Enrollment ID: I20110824000281 |
| Provider Name | Anthony M Carrato |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700812666 PECOS PAC ID: 7810974797 Enrollment ID: I20110920000729 |
| Provider Name | James R Johannes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235313164 PECOS PAC ID: 4082885165 Enrollment ID: I20110921000466 |
| Provider Name | Jayme D Lieberman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144311234 PECOS PAC ID: 8729089206 Enrollment ID: I20111010000096 |
| Provider Name | Noelle Altavilla |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275827008 PECOS PAC ID: 3678746278 Enrollment ID: I20111026000761 |
| Provider Name | Mohammed Abdu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275856221 PECOS PAC ID: 8729251665 Enrollment ID: I20111109000405 |
| Provider Name | Adrian Secheresiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861473415 PECOS PAC ID: 8022119643 Enrollment ID: I20120220000385 |
| Provider Name | Emilia Secheresiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982681474 PECOS PAC ID: 2769665744 Enrollment ID: I20120301000047 |
| Provider Name | Mohammad Elmusa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215227541 PECOS PAC ID: 2264603034 Enrollment ID: I20120510000036 |
| Provider Name | Brian J Patson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598916892 PECOS PAC ID: 5991969297 Enrollment ID: I20120619000024 |
| Provider Name | Jennifer L Ruch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558636423 PECOS PAC ID: 0648434878 Enrollment ID: I20120619000334 |
| Provider Name | Lindsay G Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003143280 PECOS PAC ID: 9739343898 Enrollment ID: I20120621000274 |
| Provider Name | Ammar S. Abbasi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710132139 PECOS PAC ID: 3577728914 Enrollment ID: I20120710000143 |
| Provider Name | Andres Zirlinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720352016 PECOS PAC ID: 1951567924 Enrollment ID: I20120718000743 |
| Provider Name | Faton Bilali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023338019 PECOS PAC ID: 1658527692 Enrollment ID: I20120808000110 |
| Provider Name | Clifford E Georges |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477730695 PECOS PAC ID: 6406002369 Enrollment ID: I20120808000433 |
| Provider Name | Jennifer A Strow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861696338 PECOS PAC ID: 5890941579 Enrollment ID: I20120813000297 |
| Provider Name | Aparna Kumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518194109 PECOS PAC ID: 2466608070 Enrollment ID: I20120815000302 |
| Provider Name | Daniel M Kraus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649445388 PECOS PAC ID: 4082861331 Enrollment ID: I20120822000196 |
| Provider Name | Kathleen Katulis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811207434 PECOS PAC ID: 8628225398 Enrollment ID: I20120831000247 |
| Provider Name | Karina M Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134393713 PECOS PAC ID: 3274781554 Enrollment ID: I20120911000345 |
| Provider Name | Drew A Farber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174562847 PECOS PAC ID: 6507899507 Enrollment ID: I20120924000314 |
| Provider Name | Ayesha Usman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558590455 PECOS PAC ID: 3375794175 Enrollment ID: I20121102000396 |
| Provider Name | Wendy J Jacobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639414220 PECOS PAC ID: 3779753868 Enrollment ID: I20130227000494 |
| Provider Name | Babak Bozorgnia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790914299 PECOS PAC ID: 9931255353 Enrollment ID: I20130502000352 |
| Provider Name | Nicholas R Slenker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720280662 PECOS PAC ID: 5092954933 Enrollment ID: I20130625000483 |
| Provider Name | Lisa Dapuzzo Argiriou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306071386 PECOS PAC ID: 7012154651 Enrollment ID: I20130702000662 |
| Provider Name | Anastasia Shnitser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346443231 PECOS PAC ID: 3375783558 Enrollment ID: I20130711000468 |
| Provider Name | Jessica Boehmler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003013483 PECOS PAC ID: 0143460899 Enrollment ID: I20130806000062 |
| Provider Name | Beth A Maisel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932339470 PECOS PAC ID: 0042452484 Enrollment ID: I20130814000187 |
| Provider Name | Christopher Samujh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588878904 PECOS PAC ID: 4082857875 Enrollment ID: I20130827000015 |
| Provider Name | Shamsuddin Shaik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518271154 PECOS PAC ID: 2567605140 Enrollment ID: I20130829000431 |
| Provider Name | Brian K Civic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780844555 PECOS PAC ID: 1052554540 Enrollment ID: I20130903000209 |
| Provider Name | Elizabeth A Flodin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134354111 PECOS PAC ID: 2860639705 Enrollment ID: I20130909000134 |
| Provider Name | Amy K Slenker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659575934 PECOS PAC ID: 1254580848 Enrollment ID: I20130910000587 |
| Provider Name | Hai-yen T Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376770370 PECOS PAC ID: 3779720636 Enrollment ID: I20131021001297 |
| Provider Name | Aylin Colpan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144480393 PECOS PAC ID: 9335374834 Enrollment ID: I20131107001519 |
| Provider Name | Allison Rostocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396170320 PECOS PAC ID: 3072740661 Enrollment ID: I20131205000064 |
| Provider Name | Anthony A Flaim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851687966 PECOS PAC ID: 8426287749 Enrollment ID: I20140208000131 |
| Provider Name | Jeffrey C Perkins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225139116 PECOS PAC ID: 6608903653 Enrollment ID: I20140227000698 |
| Provider Name | Kerissa Deppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386072585 PECOS PAC ID: 6406087626 Enrollment ID: I20140401000154 |
| Provider Name | Thomas William Jordan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508023086 PECOS PAC ID: 1951525229 Enrollment ID: I20140609000369 |
| Provider Name | Christopher Todd Miller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518100486 PECOS PAC ID: 6709018823 Enrollment ID: I20140708000050 |
| Provider Name | Aaron Czysz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073776332 PECOS PAC ID: 0547487977 Enrollment ID: I20140808000952 |
| Provider Name | Travis Dayon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093135386 PECOS PAC ID: 1658598727 Enrollment ID: I20140813001662 |
| Provider Name | Sharmila C Koshy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609037696 PECOS PAC ID: 5597992461 Enrollment ID: I20140814000831 |
| Provider Name | Kaveh Kousari |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407083199 PECOS PAC ID: 0547499923 Enrollment ID: I20140819000247 |
| Provider Name | Shujayat Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043591308 PECOS PAC ID: 4789802240 Enrollment ID: I20140825001166 |
| Provider Name | Courtney Boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578882114 PECOS PAC ID: 7214174150 Enrollment ID: I20140827002274 |
| Provider Name | Alvaro G Reymunde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497012132 PECOS PAC ID: 8123248192 Enrollment ID: I20140926000032 |
| Provider Name | Stephanie-marie Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972730455 PECOS PAC ID: 6305088105 Enrollment ID: I20140930002728 |
| Provider Name | Molly Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790899557 PECOS PAC ID: 6507182482 Enrollment ID: I20150312000713 |
| Provider Name | Patrick Hickey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891052569 PECOS PAC ID: 7416194527 Enrollment ID: I20150515000424 |
| Provider Name | Pius Ochieng |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376813279 PECOS PAC ID: 6103147830 Enrollment ID: I20150608000541 |
| Provider Name | Marcos M Martinez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396052130 PECOS PAC ID: 3577875970 Enrollment ID: I20150626000986 |
| Provider Name | Rebecca Sharim |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669600292 PECOS PAC ID: 8022320480 Enrollment ID: I20150629000843 |
| Provider Name | Brittany A Portonova |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124373246 PECOS PAC ID: 7517279185 Enrollment ID: I20150710000445 |
| Provider Name | Vikram Arora |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033401765 PECOS PAC ID: 0749593549 Enrollment ID: I20150723006598 |
| Provider Name | Scott Blumhof |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568724946 PECOS PAC ID: 0749596385 Enrollment ID: I20150827002571 |
| Provider Name | Jennifer M Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699150441 PECOS PAC ID: 4183930332 Enrollment ID: I20150902001093 |
| Provider Name | Aileen L Love |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538326962 PECOS PAC ID: 9537355706 Enrollment ID: I20150922000757 |
| Provider Name | Michael J Mahoney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912278334 PECOS PAC ID: 8921315060 Enrollment ID: I20150922001172 |
| Provider Name | Christine Du |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851558860 PECOS PAC ID: 5193962090 Enrollment ID: I20150923001892 |
| Provider Name | Asima N Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629346408 PECOS PAC ID: 7416265335 Enrollment ID: I20150925002405 |
| Provider Name | Andrew J Brackbill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447455209 PECOS PAC ID: 3870815400 Enrollment ID: I20151001001459 |
| Provider Name | Paul Sibley |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1699092858 PECOS PAC ID: 6901895457 Enrollment ID: I20151014001638 |
| Provider Name | Emily Brophy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922475417 PECOS PAC ID: 3173833258 Enrollment ID: I20151102000251 |
| Provider Name | Rebecca D Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538536487 PECOS PAC ID: 1951606664 Enrollment ID: I20160217002194 |
| Provider Name | Anita Sargent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053586966 PECOS PAC ID: 5193981637 Enrollment ID: I20160224000141 |
| Provider Name | Brian R Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134487200 PECOS PAC ID: 6406093525 Enrollment ID: I20160301000437 |
| Provider Name | Emily L Cisek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518158740 PECOS PAC ID: 6204988322 Enrollment ID: I20160307000371 |
| Provider Name | Patty Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215190228 PECOS PAC ID: 7012154917 Enrollment ID: I20160314001810 |
| Provider Name | Stella Ferker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952650285 PECOS PAC ID: 8628361615 Enrollment ID: I20160728001460 |
| Provider Name | Elliot Busch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578903555 PECOS PAC ID: 5799076410 Enrollment ID: I20160816002388 |
| Provider Name | Anmol Bhambhwani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316203557 PECOS PAC ID: 2264666379 Enrollment ID: I20160817002375 |
| Provider Name | Amr A Elmeki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053757625 PECOS PAC ID: 9537455589 Enrollment ID: I20160831001211 |
| Provider Name | Maria Voznesensky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831419514 PECOS PAC ID: 6901032853 Enrollment ID: I20160917000359 |
| Provider Name | Paula Monte Ochs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861858169 PECOS PAC ID: 1658668330 Enrollment ID: I20160923000089 |
| Provider Name | Jonaid Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861653156 PECOS PAC ID: 0244406718 Enrollment ID: I20160929000453 |
| Provider Name | Rajbabu Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972955565 PECOS PAC ID: 1254628597 Enrollment ID: I20160929001830 |
| Provider Name | Candice Widuch-mert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902242050 PECOS PAC ID: 9436381852 Enrollment ID: I20161005001110 |
| Provider Name | Gabriel Edward Lewullis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215191655 PECOS PAC ID: 7012100928 Enrollment ID: I20161117000672 |
| Provider Name | Roslon Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639611924 PECOS PAC ID: 0244512176 Enrollment ID: I20170128000159 |
| Provider Name | Nicholas Hinds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346689551 PECOS PAC ID: 2668758970 Enrollment ID: I20170420001108 |
| Provider Name | Cheyenne P Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386047785 PECOS PAC ID: 1557680311 Enrollment ID: I20170509000147 |
| Provider Name | John A Dicasimirro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881812527 PECOS PAC ID: 1052698586 Enrollment ID: I20170510000321 |
| Provider Name | Michael Cummings Engels |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598085334 PECOS PAC ID: 2264672310 Enrollment ID: I20170711003286 |
| Provider Name | Daniel Edwin Benyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023438777 PECOS PAC ID: 7911120498 Enrollment ID: I20170814000280 |
| Provider Name | Rebecca Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689197873 PECOS PAC ID: 0446522023 Enrollment ID: I20170816002422 |
| Provider Name | Brian Friel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821358805 PECOS PAC ID: 8628216835 Enrollment ID: I20170821001305 |
| Provider Name | Jatin P Gupta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477834547 PECOS PAC ID: 5395036230 Enrollment ID: I20170905002460 |
| Provider Name | Rupam Das |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073834768 PECOS PAC ID: 1850664376 Enrollment ID: I20170906000124 |
| Provider Name | Jason C Ly |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851684997 PECOS PAC ID: 4688893001 Enrollment ID: I20170927000249 |
| Provider Name | Daniel Torres |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1972738979 PECOS PAC ID: 8527287879 Enrollment ID: I20171019000058 |
| Provider Name | Steven Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386601615 PECOS PAC ID: 2264320340 Enrollment ID: I20171023001951 |
| Provider Name | Erin M Scholten |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235496241 PECOS PAC ID: 8527334317 Enrollment ID: I20171023002226 |
| Provider Name | Joshua Nochumson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1740481407 PECOS PAC ID: 4284769555 Enrollment ID: I20171109001299 |
| Provider Name | Sherilyn Gibbs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184729147 PECOS PAC ID: 8921061193 Enrollment ID: I20171201000496 |
| Provider Name | Moualla Kazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205223948 PECOS PAC ID: 1759692999 Enrollment ID: I20180110000046 |
| Provider Name | Leslie A Colip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760774798 PECOS PAC ID: 0244519502 Enrollment ID: I20180124002199 |
| Provider Name | Jillian M Mcardle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649780099 PECOS PAC ID: 3375804495 Enrollment ID: I20180305002612 |
| Provider Name | Aaron H Mendelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235499898 PECOS PAC ID: 4486918976 Enrollment ID: I20180509001711 |
| Provider Name | Zachary A Zator |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669793816 PECOS PAC ID: 8527229962 Enrollment ID: I20180614002022 |
| Provider Name | Philip J Dunn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962847772 PECOS PAC ID: 8224278197 Enrollment ID: I20180619001617 |
| Provider Name | Andrew Dean Shoemaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215355755 PECOS PAC ID: 9739302993 Enrollment ID: I20180625001221 |
| Provider Name | Jonathan Perry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427497254 PECOS PAC ID: 1658512496 Enrollment ID: I20180724001404 |
| Provider Name | Kiranpreet Kaur Khurana |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033351887 PECOS PAC ID: 3476869967 Enrollment ID: I20180727001396 |
| Provider Name | Jonathon Mitchell Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619242195 PECOS PAC ID: 8325312226 Enrollment ID: I20180824001515 |
| Provider Name | Muhammad Kashif |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114274065 PECOS PAC ID: 9032469200 Enrollment ID: I20180910001147 |
| Provider Name | Alan C Stuto |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821409632 PECOS PAC ID: 6204104268 Enrollment ID: I20180911000555 |
| Provider Name | Simeng Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316380611 PECOS PAC ID: 5890046767 Enrollment ID: I20180918000216 |
| Provider Name | Tammy L Merrifield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053894543 PECOS PAC ID: 7214289990 Enrollment ID: I20181008001556 |
| Provider Name | Monica Brandau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598923393 PECOS PAC ID: 1759634967 Enrollment ID: I20181105001344 |
| Provider Name | David V Nenna |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306945456 PECOS PAC ID: 1557464054 Enrollment ID: I20190117000095 |
| Provider Name | Amber N Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881178424 PECOS PAC ID: 1557608692 Enrollment ID: I20190128000722 |
| Provider Name | Molly A Sweeney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336606557 PECOS PAC ID: 1254671274 Enrollment ID: I20190328001791 |
| Provider Name | Lisa K O'brien |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992146559 PECOS PAC ID: 6002048865 Enrollment ID: I20190405001667 |
| Provider Name | Shabnam Assar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962744664 PECOS PAC ID: 4284869975 Enrollment ID: I20190524000016 |
| Provider Name | Eric Nellis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699112359 PECOS PAC ID: 0345531752 Enrollment ID: I20190531001604 |
| Provider Name | Pradeep Adumala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770983272 PECOS PAC ID: 3577782432 Enrollment ID: I20190821001002 |
| Provider Name | Cori Shollenberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225416118 PECOS PAC ID: 5698004893 Enrollment ID: I20190913000994 |
| Provider Name | Ann Sheridan Vale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497133706 PECOS PAC ID: 1951631316 Enrollment ID: I20190927000064 |
| Provider Name | Kevan T Iffrig |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215347471 PECOS PAC ID: 9032546890 Enrollment ID: I20200218000326 |
| Provider Name | Brian Marcel Cable |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386743284 PECOS PAC ID: 0244120699 Enrollment ID: I20200402002394 |
| Provider Name | Matthew Romagano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427494038 PECOS PAC ID: 3971747940 Enrollment ID: I20200715001401 |
| Provider Name | Kristopher Grajny |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124414917 PECOS PAC ID: 5991031486 Enrollment ID: I20200805001498 |
| Provider Name | Robert Wessel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437564556 PECOS PAC ID: 8820397516 Enrollment ID: I20200805002313 |
| Provider Name | Bhumi B Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982132668 PECOS PAC ID: 0749559698 Enrollment ID: I20200924002884 |
| Provider Name | Juli L Pyle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457950560 PECOS PAC ID: 3971914201 Enrollment ID: I20201118000272 |
| Provider Name | Samantha Newstadt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952838294 PECOS PAC ID: 4587070966 Enrollment ID: I20210310000028 |
| Provider Name | Sharon A Wittenbreder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518550151 PECOS PAC ID: 9335556901 Enrollment ID: I20210326000233 |
| Provider Name | Heidi Fiorelli |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992380638 PECOS PAC ID: 4385053784 Enrollment ID: I20210517000407 |
| Provider Name | Bhavesh Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962841155 PECOS PAC ID: 7416215447 Enrollment ID: I20210617001183 |
| Provider Name | Chelsea Christine Giagni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548799398 PECOS PAC ID: 2365840451 Enrollment ID: I20211004001535 |
| Provider Name | Seymour Kilstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548277411 PECOS PAC ID: 0547343014 Enrollment ID: I20211022002144 |
| Provider Name | Shanna Kulick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578233102 PECOS PAC ID: 5597154716 Enrollment ID: I20211110000037 |
| Provider Name | Anita Z. Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346910023 PECOS PAC ID: 5294125522 Enrollment ID: I20211201000450 |
| Provider Name | Michael Socher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811056344 PECOS PAC ID: 3870801814 Enrollment ID: I20220111002462 |
| Provider Name | Samir Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962934463 PECOS PAC ID: 6800155623 Enrollment ID: I20220118000575 |
| Provider Name | Anthony Marco Corbo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841781069 PECOS PAC ID: 1951780469 Enrollment ID: I20220614000008 |
| Provider Name | Jennifer M Tymon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346735479 PECOS PAC ID: 7113307695 Enrollment ID: I20220629003371 |
| Provider Name | Mboutidem Etokakpan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467851634 PECOS PAC ID: 4284937442 Enrollment ID: I20220813000831 |
| Provider Name | Christopher Lenivy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184074338 PECOS PAC ID: 7214228980 Enrollment ID: I20220818000099 |
| Provider Name | Rady Ho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609295278 PECOS PAC ID: 4183847676 Enrollment ID: I20220823000311 |
| Provider Name | Peter Reisz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083091227 PECOS PAC ID: 3072803618 Enrollment ID: I20220824003555 |
| Provider Name | Solomon Saul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023493111 PECOS PAC ID: 4082915434 Enrollment ID: I20220914002661 |
| Provider Name | Navin Natarajan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053774687 PECOS PAC ID: 5698199636 Enrollment ID: I20221013002817 |
| Provider Name | Rachael Artinyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154046779 PECOS PAC ID: 5799152377 Enrollment ID: I20221111000119 |
| Provider Name | Megan Ferderber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386082147 PECOS PAC ID: 1355619545 Enrollment ID: I20230112001539 |
| Provider Name | Frankline Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023716040 PECOS PAC ID: 9032582408 Enrollment ID: I20230306001605 |
| Provider Name | Christopher Urbanek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548608318 PECOS PAC ID: 0749554954 Enrollment ID: I20230317002058 |
| Provider Name | George Rofaiel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265622138 PECOS PAC ID: 4486785516 Enrollment ID: I20230411001529 |
| Provider Name | Eric Rottenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598793713 PECOS PAC ID: 6103826037 Enrollment ID: I20230422000033 |
| Provider Name | John Ogrodnick |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1164407581 PECOS PAC ID: 4284608886 Enrollment ID: I20230615000872 |
| Provider Name | Liang Chen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982100715 PECOS PAC ID: 2062837388 Enrollment ID: I20230627003461 |
| Provider Name | Vijaykumar Sekar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659859171 PECOS PAC ID: 9335508134 Enrollment ID: I20230711001263 |
| Provider Name | Robert Victor Decker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114452935 PECOS PAC ID: 3870870330 Enrollment ID: I20230808002274 |
| Provider Name | Galo Sanchez Palacios |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063827103 PECOS PAC ID: 7810115987 Enrollment ID: I20230810003293 |
| Provider Name | Ava Fasano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487249132 PECOS PAC ID: 8628425048 Enrollment ID: I20231107001947 |
| Provider Name | Jennifer Nicole Shuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750053344 PECOS PAC ID: 1557710266 Enrollment ID: I20231206003229 |
| Provider Name | Suneil Bapat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033990940 PECOS PAC ID: 5193174233 Enrollment ID: I20231214000304 |
| Provider Name | Binod Sinha |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134293723 PECOS PAC ID: 7214072776 Enrollment ID: I20240118002156 |
| Provider Name | Jhenette Lauder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912392770 PECOS PAC ID: 1557673134 Enrollment ID: I20240129003734 |
| Provider Name | Renee Dougherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609260835 PECOS PAC ID: 3779820469 Enrollment ID: I20240312000100 |
| Provider Name | Ashley Zigarelli |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124488028 PECOS PAC ID: 5991003006 Enrollment ID: I20240416000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Lehigh Valley Physician Group-hazleton Po Box 1830, Allentown, PA 18105-1830 Ph: (570) 501-6368 | Lehigh Valley Physician Group-hazleton 700 East Broad Street, Hazleton, PA 18201-6835 Ph: (570) 501-4584 |