| The Medical College Of Wisconsin, Inc. | |
|
1155 N Mayfair Rd, Milwaukee, WI 53226-3421 | |
| (414) 955-5990 | |
| Not Available |
| Full Name | The Medical College Of Wisconsin, Inc. |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 1155 N Mayfair Rd, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699720086 | NPI | - | NPPES |
| 32739000 | Medicaid | WI | |
| 1699720086 | Medicaid | WI | |
| 32730400 | Medicaid | WI | |
| 38381400 | Medicaid | WI | |
| 41170800 | Medicaid | WI |
| Provider Name | David E Engle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386686251 PECOS PAC ID: 2466364120 Enrollment ID: I20031111000530 |
| Provider Name | David L Groden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275575276 PECOS PAC ID: 2365355732 Enrollment ID: I20031112000245 |
| Provider Name | John C Wynsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841231982 PECOS PAC ID: 5294648432 Enrollment ID: I20031112000488 |
| Provider Name | Charles F Reuben |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720025638 PECOS PAC ID: 6901719376 Enrollment ID: I20031112000687 |
| Provider Name | Ralph J Galdieri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992746168 PECOS PAC ID: 4587578778 Enrollment ID: I20031112000728 |
| Provider Name | Marion Eugene Pruitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649224650 PECOS PAC ID: 8820902257 Enrollment ID: I20031118001048 |
| Provider Name | Robin L Helm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073564811 PECOS PAC ID: 9234033747 Enrollment ID: I20031125000493 |
| Provider Name | James G Slawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942252713 PECOS PAC ID: 3375447881 Enrollment ID: I20031125000507 |
| Provider Name | Beth A Damitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700837879 PECOS PAC ID: 4981508413 Enrollment ID: I20031125000604 |
| Provider Name | Margaret E Thew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427009174 PECOS PAC ID: 7517862576 Enrollment ID: I20031203000316 |
| Provider Name | John V Kryger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992760508 PECOS PAC ID: 0840195400 Enrollment ID: I20031205000359 |
| Provider Name | Glen A Bordak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588683718 PECOS PAC ID: 4486558020 Enrollment ID: I20031210000958 |
| Provider Name | James Mesrobian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619936325 PECOS PAC ID: 7911804729 Enrollment ID: I20031218000260 |
| Provider Name | John M Mamalakis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780726661 PECOS PAC ID: 0749188712 Enrollment ID: I20031229000688 |
| Provider Name | Sailaja Kamaraju |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093763260 PECOS PAC ID: 2668373424 Enrollment ID: I20040115000832 |
| Provider Name | Michael G Tresp |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245265644 PECOS PAC ID: 3173424447 Enrollment ID: I20040119000704 |
| Provider Name | Raj Narayan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871545541 PECOS PAC ID: 5799686887 Enrollment ID: I20040120001055 |
| Provider Name | Christopher M Inglese |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194794792 PECOS PAC ID: 4587566633 Enrollment ID: I20040121000338 |
| Provider Name | Jennifer N Apps |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700837226 PECOS PAC ID: 5698677607 Enrollment ID: I20040121000812 |
| Provider Name | Jennifer A Heinemann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770538480 PECOS PAC ID: 3274435003 Enrollment ID: I20040122000951 |
| Provider Name | Sumana Koduri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942252762 PECOS PAC ID: 7618879347 Enrollment ID: I20040123000209 |
| Provider Name | Srividya Kidambi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376614446 PECOS PAC ID: 2668374224 Enrollment ID: I20040123000425 |
| Provider Name | Valerie J Bonne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407936016 PECOS PAC ID: 1850293317 Enrollment ID: I20040123001045 |
| Provider Name | Yee Chung C Cheng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811948318 PECOS PAC ID: 7618879123 Enrollment ID: I20040124000174 |
| Provider Name | David Gummin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497702898 PECOS PAC ID: 2163324674 Enrollment ID: I20040124000180 |
| Provider Name | Michael J Schwabe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316998735 PECOS PAC ID: 6002718525 Enrollment ID: I20040124000236 |
| Provider Name | Christopher D Spahr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346291010 PECOS PAC ID: 3375445729 Enrollment ID: I20040126000040 |
| Provider Name | Mark D Simms |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154373918 PECOS PAC ID: 8426950809 Enrollment ID: I20040126000271 |
| Provider Name | Lori A Sadowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942252622 PECOS PAC ID: 6800798208 Enrollment ID: I20040126000364 |
| Provider Name | Girija G Konduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407808223 PECOS PAC ID: 6305748625 Enrollment ID: I20040126000531 |
| Provider Name | Kristin M Bingen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104877547 PECOS PAC ID: 8426950627 Enrollment ID: I20040127000021 |
| Provider Name | James B Gosset |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144335407 PECOS PAC ID: 0345143434 Enrollment ID: I20040128000030 |
| Provider Name | Loryjean M Kostich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669589107 PECOS PAC ID: 0446153555 Enrollment ID: I20040128000143 |
| Provider Name | Jamie W Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336204973 PECOS PAC ID: 3476456419 Enrollment ID: I20040128000841 |
| Provider Name | Amy C Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376650804 PECOS PAC ID: 7416850342 Enrollment ID: I20040129000084 |
| Provider Name | Michael D Plotkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881636819 PECOS PAC ID: 4789587585 Enrollment ID: I20040129000536 |
| Provider Name | Cynthia E Samonte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881714400 PECOS PAC ID: 5799688479 Enrollment ID: I20040129001001 |
| Provider Name | Michelle A Michel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821041567 PECOS PAC ID: 6002719739 Enrollment ID: I20040130000038 |
| Provider Name | Albert D Penney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083680847 PECOS PAC ID: 2961305404 Enrollment ID: I20040130000805 |
| Provider Name | Panayotis Fasseas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407800709 PECOS PAC ID: 1153224563 Enrollment ID: I20040131000120 |
| Provider Name | Scott D Rand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932151636 PECOS PAC ID: 0648173062 Enrollment ID: I20040131000228 |
| Provider Name | Neil L Drake |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023060936 PECOS PAC ID: 5698678043 Enrollment ID: I20040202000064 |
| Provider Name | Jeanne E Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841242443 PECOS PAC ID: 6103729579 Enrollment ID: I20040202000177 |
| Provider Name | John W Haeberlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477650109 PECOS PAC ID: 9436043593 Enrollment ID: I20040210000536 |
| Provider Name | Manish H Acharya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437129715 PECOS PAC ID: 2163316233 Enrollment ID: I20040210000609 |
| Provider Name | Larry L Duenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649236985 PECOS PAC ID: 2769376631 Enrollment ID: I20040211000694 |
| Provider Name | Leighton P Mark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114970852 PECOS PAC ID: 0143114611 Enrollment ID: I20040214000145 |
| Provider Name | James M Strottmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770534455 PECOS PAC ID: 0042104515 Enrollment ID: I20040214000152 |
| Provider Name | Nancy E Havas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255382081 PECOS PAC ID: 7618862665 Enrollment ID: I20040218000518 |
| Provider Name | Robert A Beres |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801817614 PECOS PAC ID: 4880581495 Enrollment ID: I20040301000617 |
| Provider Name | Jon C Gould |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538120449 PECOS PAC ID: 0941197792 Enrollment ID: I20040304000475 |
| Provider Name | Paul E Koch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306953849 PECOS PAC ID: 7012805807 Enrollment ID: I20040304000790 |
| Provider Name | Monica Mary Osullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043262546 PECOS PAC ID: 2466340120 Enrollment ID: I20040305000493 |
| Provider Name | David S Marks |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164460010 PECOS PAC ID: 3274421854 Enrollment ID: I20040305000650 |
| Provider Name | James A Roth |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679527618 PECOS PAC ID: 1153219738 Enrollment ID: I20040305000680 |
| Provider Name | Michael P Cinquegrani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164473567 PECOS PAC ID: 5597653188 Enrollment ID: I20040305000756 |
| Provider Name | Gregory N Van Winkle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487764700 PECOS PAC ID: 1759270325 Enrollment ID: I20040317000095 |
| Provider Name | Timothy J Morton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407966732 PECOS PAC ID: 3476442047 Enrollment ID: I20040317000130 |
| Provider Name | Rose A Franco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821040494 PECOS PAC ID: 1254222789 Enrollment ID: I20040323001227 |
| Provider Name | Joseph L Shaker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164561247 PECOS PAC ID: 4183516487 Enrollment ID: I20040329001679 |
| Provider Name | Beth M Lalande |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053428599 PECOS PAC ID: 7416849724 Enrollment ID: I20040329001718 |
| Provider Name | Joan A Vansloun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528035243 PECOS PAC ID: 3173415494 Enrollment ID: I20040329001780 |
| Provider Name | James W Findling |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295803401 PECOS PAC ID: 8527950849 Enrollment ID: I20040329001786 |
| Provider Name | Steven B Magill |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508973066 PECOS PAC ID: 5698667913 Enrollment ID: I20040329001800 |
| Provider Name | Yogendra Bharat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871560581 PECOS PAC ID: 9830081173 Enrollment ID: I20040330000035 |
| Provider Name | Thomas G Stauss |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1841267572 PECOS PAC ID: 7618960238 Enrollment ID: I20040407001222 |
| Provider Name | John Atwell Humphrey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386695112 PECOS PAC ID: 5890788368 Enrollment ID: I20040408000588 |
| Provider Name | Michael G Earing |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053362004 PECOS PAC ID: 4880688670 Enrollment ID: I20040414000020 |
| Provider Name | Carey A Ehlert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376594283 PECOS PAC ID: 6709878234 Enrollment ID: I20040414000066 |
| Provider Name | James B Nelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245291061 PECOS PAC ID: 4183618762 Enrollment ID: I20040414001513 |
| Provider Name | Jean L Koelbl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659322493 PECOS PAC ID: 6305831678 Enrollment ID: I20040416000456 |
| Provider Name | John M Skantz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871545699 PECOS PAC ID: 4688669641 Enrollment ID: I20040419000696 |
| Provider Name | Salim M Shammo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295791937 PECOS PAC ID: 0345236832 Enrollment ID: I20040421000824 |
| Provider Name | Martin D Muntz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467404111 PECOS PAC ID: 4082600929 Enrollment ID: I20040424000026 |
| Provider Name | Robert V Purtock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992789390 PECOS PAC ID: 1658267745 Enrollment ID: I20040429000192 |
| Provider Name | Amy L Drendel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245284538 PECOS PAC ID: 5597752402 Enrollment ID: I20040430000337 |
| Provider Name | Susan P Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144271891 PECOS PAC ID: 8325037963 Enrollment ID: I20040510000643 |
| Provider Name | Mark K Aasen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1184609356 PECOS PAC ID: 4789673260 Enrollment ID: I20040510001035 |
| Provider Name | Mark W Lodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265483739 PECOS PAC ID: 5991795940 Enrollment ID: I20040513000392 |
| Provider Name | Deborah M Costakos |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568466928 PECOS PAC ID: 7810987773 Enrollment ID: I20040513001181 |
| Provider Name | Jane E Reid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528042793 PECOS PAC ID: 7810985595 Enrollment ID: I20040514000274 |
| Provider Name | Ofer M Zikel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558404236 PECOS PAC ID: 2961391586 Enrollment ID: I20040515000428 |
| Provider Name | Brian D Lewis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205888948 PECOS PAC ID: 2567452907 Enrollment ID: I20040517000779 |
| Provider Name | Chad E Hoitink |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124100953 PECOS PAC ID: 7214928886 Enrollment ID: I20040521000601 |
| Provider Name | Peter G Parrino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215901558 PECOS PAC ID: 5092705434 Enrollment ID: I20040521000654 |
| Provider Name | Mauricio Tovar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427140102 PECOS PAC ID: 2264423839 Enrollment ID: I20040524000049 |
| Provider Name | Jacquelyn F Dinusson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649221722 PECOS PAC ID: 0648251280 Enrollment ID: I20040528000232 |
| Provider Name | Maria I Mas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083703060 PECOS PAC ID: 4385625722 Enrollment ID: I20040601000294 |
| Provider Name | Eric J Hohenwalter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619929411 PECOS PAC ID: 9234111840 Enrollment ID: I20040607000107 |
| Provider Name | Frederick F Origenes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720062250 PECOS PAC ID: 8022092519 Enrollment ID: I20040614000946 |
| Provider Name | Christian G Reikersdorfer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578512695 PECOS PAC ID: 5597656611 Enrollment ID: I20040614001014 |
| Provider Name | Mario A Laguna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851342695 PECOS PAC ID: 2163406521 Enrollment ID: I20040615000469 |
| Provider Name | Allan M Roza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154374882 PECOS PAC ID: 6709860968 Enrollment ID: I20040615001320 |
| Provider Name | Tanya K Heinrich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861566317 PECOS PAC ID: 3870577737 Enrollment ID: I20040617000238 |
| Provider Name | Brian J Jellison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225016835 PECOS PAC ID: 9032194428 Enrollment ID: I20040621000871 |
| Provider Name | Eric A Soneson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811079643 PECOS PAC ID: 1254316417 Enrollment ID: I20040622000394 |
| Provider Name | Robert D Blank |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326015009 PECOS PAC ID: 7315922325 Enrollment ID: I20040623000684 |
| Provider Name | Elizabeth Lee Roth-wojcicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447204300 PECOS PAC ID: 4284610510 Enrollment ID: I20040628000705 |
| Provider Name | Calvin B Williams |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467408658 PECOS PAC ID: 6800872136 Enrollment ID: I20040628000780 |
| Provider Name | Judyann C Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285688028 PECOS PAC ID: 9638155872 Enrollment ID: I20040628000824 |
| Provider Name | Karl Anthony Greene |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376535492 PECOS PAC ID: 3779569942 Enrollment ID: I20040628001077 |
| Provider Name | James J Nocton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508818287 PECOS PAC ID: 9638155963 Enrollment ID: I20040628001078 |
| Provider Name | David J Driscoll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477525368 PECOS PAC ID: 6507843935 Enrollment ID: I20040702001036 |
| Provider Name | Craig C Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215989579 PECOS PAC ID: 8729065768 Enrollment ID: I20040707000656 |
| Provider Name | Charles J Harkins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275584773 PECOS PAC ID: 0547248841 Enrollment ID: I20040713000305 |
| Provider Name | Robert L Krippendorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811941164 PECOS PAC ID: 6901885441 Enrollment ID: I20040717000051 |
| Provider Name | Paola A Palma Sisto |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982658936 PECOS PAC ID: 3870572316 Enrollment ID: I20040717000086 |
| Provider Name | J Channing Tassone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629022546 PECOS PAC ID: 0244219707 Enrollment ID: I20040717000272 |
| Provider Name | Timothy K Schultz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225010689 PECOS PAC ID: 1456240365 Enrollment ID: I20040721000915 |
| Provider Name | Megan L Grekowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255382073 PECOS PAC ID: 4981684370 Enrollment ID: I20040726000289 |
| Provider Name | Julie A Bobholz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982659538 PECOS PAC ID: 0749250348 Enrollment ID: I20040730000078 |
| Provider Name | Parameswaran N Hari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083665814 PECOS PAC ID: 8628048071 Enrollment ID: I20040731000028 |
| Provider Name | Mark T Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386696748 PECOS PAC ID: 2961472352 Enrollment ID: I20040731000298 |
| Provider Name | Candace S Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336191840 PECOS PAC ID: 6204808660 Enrollment ID: I20040806001247 |
| Provider Name | Krista M Wiger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891747366 PECOS PAC ID: 9739151325 Enrollment ID: I20040812001141 |
| Provider Name | Humberto A Battistini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174574594 PECOS PAC ID: 5991778540 Enrollment ID: I20040813000046 |
| Provider Name | Manoj Raghavan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467404178 PECOS PAC ID: 9638142284 Enrollment ID: I20040813000114 |
| Provider Name | Timothy E Klatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891746632 PECOS PAC ID: 4587637939 Enrollment ID: I20040816000074 |
| Provider Name | Allison D Duey Holtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285685214 PECOS PAC ID: 5496729915 Enrollment ID: I20040820001072 |
| Provider Name | Peiman Hematti |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1710953732 PECOS PAC ID: 5395719546 Enrollment ID: I20040823001515 |
| Provider Name | Rachel L Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861443541 PECOS PAC ID: 1153395371 Enrollment ID: I20040824000350 |
| Provider Name | Robert A Hieb |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578514022 PECOS PAC ID: 5991770687 Enrollment ID: I20040826001085 |
| Provider Name | Robert F Taylor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528043098 PECOS PAC ID: 0840191748 Enrollment ID: I20040826001227 |
| Provider Name | David A Scalzo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669407060 PECOS PAC ID: 3678548724 Enrollment ID: I20040901000027 |
| Provider Name | Kristen E Holland |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427001155 PECOS PAC ID: 2062487945 Enrollment ID: I20040902000149 |
| Provider Name | Dan S Heffez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841232725 PECOS PAC ID: 5597664003 Enrollment ID: I20040908000930 |
| Provider Name | Marylou C Sabino |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1912950221 PECOS PAC ID: 0648247585 Enrollment ID: I20040910001258 |
| Provider Name | Christopher M Long |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659382117 PECOS PAC ID: 2163499005 Enrollment ID: I20040910001285 |
| Provider Name | Denise A Teves Qualler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609827351 PECOS PAC ID: 1557338340 Enrollment ID: I20040913000039 |
| Provider Name | Hong Wu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861444275 PECOS PAC ID: 9830166354 Enrollment ID: I20040914000971 |
| Provider Name | Joseph P Herzog |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508859901 PECOS PAC ID: 9830166339 Enrollment ID: I20040915000214 |
| Provider Name | Roseann Gumina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295728681 PECOS PAC ID: 1658348156 Enrollment ID: I20040915000256 |
| Provider Name | Colleen T Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043261894 PECOS PAC ID: 5698742765 Enrollment ID: I20040916000954 |
| Provider Name | Keith T Oldham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023060753 PECOS PAC ID: 6800863986 Enrollment ID: I20040916001087 |
| Provider Name | Farhad Sepahpanah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508818451 PECOS PAC ID: 5193792281 Enrollment ID: I20040916001159 |
| Provider Name | Jennifer S Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184675928 PECOS PAC ID: 1052389145 Enrollment ID: I20040916001210 |
| Provider Name | Rachel Budithi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093766461 PECOS PAC ID: 5890763890 Enrollment ID: I20040917000719 |
| Provider Name | Rodney E Willoughby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720030216 PECOS PAC ID: 3870561814 Enrollment ID: I20040917001061 |
| Provider Name | Kevin D Walter |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316975089 PECOS PAC ID: 6507834553 Enrollment ID: I20040917001071 |
| Provider Name | Kelly J Henrickson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033161708 PECOS PAC ID: 0244208296 Enrollment ID: I20040917001137 |
| Provider Name | Bonnie J Stojadinovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629082623 PECOS PAC ID: 9638147416 Enrollment ID: I20040920000715 |
| Provider Name | Kimberley E Culp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912902149 PECOS PAC ID: 5991773673 Enrollment ID: I20040921000421 |
| Provider Name | Amy K Vallejo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710929096 PECOS PAC ID: 7113995838 Enrollment ID: I20040921000562 |
| Provider Name | Lynn A D Andrea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073565982 PECOS PAC ID: 7911975156 Enrollment ID: I20040924000156 |
| Provider Name | Tina W F Yen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1215989702 PECOS PAC ID: 4880663772 Enrollment ID: I20040928000511 |
| Provider Name | Sumi D Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467403204 PECOS PAC ID: 0840269379 Enrollment ID: I20040930000625 |
| Provider Name | Madhuri H Trivedi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467415604 PECOS PAC ID: 0244299774 Enrollment ID: I20041008000793 |
| Provider Name | Byung Il W Choi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467403840 PECOS PAC ID: 6800855396 Enrollment ID: I20041008001307 |
| Provider Name | Carmen S Balding |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811095342 PECOS PAC ID: 0446210405 Enrollment ID: I20041013001297 |
| Provider Name | Jose C Mendez |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1013965482 PECOS PAC ID: 0941261887 Enrollment ID: I20041022001183 |
| Provider Name | Susanne Krasovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043261886 PECOS PAC ID: 4587625462 Enrollment ID: I20041023000257 |
| Provider Name | Mary S Jay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649221482 PECOS PAC ID: 1456313659 Enrollment ID: I20041030000166 |
| Provider Name | Inshirah Farhoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689628976 PECOS PAC ID: 2860454972 Enrollment ID: I20041101000839 |
| Provider Name | Sean M Lew |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013968866 PECOS PAC ID: 3971401274 Enrollment ID: I20041102000776 |
| Provider Name | Sakti Chakrabarti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538260104 PECOS PAC ID: 4880656784 Enrollment ID: I20041102001134 |
| Provider Name | Takushi Kohmoto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013971688 PECOS PAC ID: 6800858606 Enrollment ID: I20041103000746 |
| Provider Name | Angela M Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215993555 PECOS PAC ID: 5799749594 Enrollment ID: I20041111001032 |
| Provider Name | Aaron T Dall |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730131061 PECOS PAC ID: 8123082807 Enrollment ID: I20041112000571 |
| Provider Name | Irene M Oshaughnessy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437102118 PECOS PAC ID: 1153385471 Enrollment ID: I20041116001235 |
| Provider Name | Amanda M Brandow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316961113 PECOS PAC ID: 4789648841 Enrollment ID: I20041117001190 |
| Provider Name | Oksana Y Sayko |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851344592 PECOS PAC ID: 8527022615 Enrollment ID: I20041118000169 |
| Provider Name | Steven S Weinshel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255352951 PECOS PAC ID: 1658283841 Enrollment ID: I20041118001155 |
| Provider Name | Beth Nicole Healy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639119993 PECOS PAC ID: 3678538287 Enrollment ID: I20041123000528 |
| Provider Name | Denise S Uyar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407807175 PECOS PAC ID: 7012973944 Enrollment ID: I20041202000760 |
| Provider Name | Christina T Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750332508 PECOS PAC ID: 4183680903 Enrollment ID: I20041203000386 |
| Provider Name | Bao Lan Raikar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841308830 PECOS PAC ID: 5991761546 Enrollment ID: I20041206000199 |
| Provider Name | Goya V Raikar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376516229 PECOS PAC ID: 4587620133 Enrollment ID: I20041206000234 |
| Provider Name | Helen H Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972554715 PECOS PAC ID: 8729044086 Enrollment ID: I20041208000413 |
| Provider Name | Stephanie A Rossi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922051101 PECOS PAC ID: 7214993591 Enrollment ID: I20041208000557 |
| Provider Name | Siddhartha Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437101169 PECOS PAC ID: 3779549068 Enrollment ID: I20041208000635 |
| Provider Name | Praveen S Goday |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619928496 PECOS PAC ID: 6800852930 Enrollment ID: I20041209000508 |
| Provider Name | Adrian Miranda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972557015 PECOS PAC ID: 9133186950 Enrollment ID: I20041214000247 |
| Provider Name | Manu R Sood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669423414 PECOS PAC ID: 0749247492 Enrollment ID: I20041214000591 |
| Provider Name | Joel G Schaeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033159116 PECOS PAC ID: 0042277303 Enrollment ID: I20041217000715 |
| Provider Name | Aruna S Ahluwalia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205852506 PECOS PAC ID: 8224096508 Enrollment ID: I20050103000966 |
| Provider Name | Julie A Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174575864 PECOS PAC ID: 1658333794 Enrollment ID: I20050108000125 |
| Provider Name | Thangam Venkatesan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710939384 PECOS PAC ID: 9537117346 Enrollment ID: I20050108000131 |
| Provider Name | Gary R Scherr |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083614341 PECOS PAC ID: 2466400296 Enrollment ID: I20050110000026 |
| Provider Name | Laura M Gottschlich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033160882 PECOS PAC ID: 3870541246 Enrollment ID: I20050112000421 |
| Provider Name | Sharniecia L Norman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538112289 PECOS PAC ID: 9133178585 Enrollment ID: I20050112001122 |
| Provider Name | John J Aiken |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003867599 PECOS PAC ID: 1355390972 Enrollment ID: I20050120000498 |
| Provider Name | James P Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023026267 PECOS PAC ID: 7618925231 Enrollment ID: I20050125000737 |
| Provider Name | Kathryn Hanley |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396079307 PECOS PAC ID: 6901888924 Enrollment ID: I20050125000927 |
| Provider Name | Bertrand D. Berger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093766446 PECOS PAC ID: 1951351675 Enrollment ID: I20050131000037 |
| Provider Name | Nadir Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205981024 PECOS PAC ID: 9234189929 Enrollment ID: I20050131000488 |
| Provider Name | Elizabeth M Gore |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710938519 PECOS PAC ID: 0143271486 Enrollment ID: I20050203000884 |
| Provider Name | Eva Hanko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225082555 PECOS PAC ID: 2860443967 Enrollment ID: I20050207000301 |
| Provider Name | Christopher E Wolfla |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003868589 PECOS PAC ID: 5294787842 Enrollment ID: I20050211000525 |
| Provider Name | Ty B Carroll |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558312942 PECOS PAC ID: 6901858554 Enrollment ID: I20050211000546 |
| Provider Name | Laura M Kleczka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285685735 PECOS PAC ID: 1850343310 Enrollment ID: I20050214000424 |
| Provider Name | Kristine T Hoiland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679525240 PECOS PAC ID: 5991757049 Enrollment ID: I20050216000782 |
| Provider Name | Michael J Gitter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467403410 PECOS PAC ID: 9537072541 Enrollment ID: I20050222000338 |
| Provider Name | Silja Majahalme |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336199926 PECOS PAC ID: 1052364817 Enrollment ID: I20050222000420 |
| Provider Name | Ann K Rosenthal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841243128 PECOS PAC ID: 8628022563 Enrollment ID: I20050303000798 |
| Provider Name | Mary Ellen Csuka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467403527 PECOS PAC ID: 6709830649 Enrollment ID: I20050303000823 |
| Provider Name | Nilto De Oliveira |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376507939 PECOS PAC ID: 4284680232 Enrollment ID: I20050323000789 |
| Provider Name | Mary K Ellis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962452706 PECOS PAC ID: 4082660832 Enrollment ID: I20050324001043 |
| Provider Name | Loretta L Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669423059 PECOS PAC ID: 6204882962 Enrollment ID: I20050324001197 |
| Provider Name | Casey M Calkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093766495 PECOS PAC ID: 5698721041 Enrollment ID: I20050329000532 |
| Provider Name | Agrahara G Bharatkumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689603425 PECOS PAC ID: 0143267153 Enrollment ID: I20050412000398 |
| Provider Name | William H Annesley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407899552 PECOS PAC ID: 6002884889 Enrollment ID: I20050412000569 |
| Provider Name | Heather L Toth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306897061 PECOS PAC ID: 9335186949 Enrollment ID: I20050414001116 |
| Provider Name | Joseph J Hine |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568413391 PECOS PAC ID: 5294773487 Enrollment ID: I20050419000695 |
| Provider Name | Teddi R Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023062395 PECOS PAC ID: 1456399658 Enrollment ID: I20050419000728 |
| Provider Name | Joseph E Kerschner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912958455 PECOS PAC ID: 1254379456 Enrollment ID: I20050419000744 |
| Provider Name | Mariko Suchi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285685933 PECOS PAC ID: 5698713618 Enrollment ID: I20050420000940 |
| Provider Name | Luke Joseph Lamers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952353799 PECOS PAC ID: 6305894668 Enrollment ID: I20050420001011 |
| Provider Name | Timothy S Fenske |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104877935 PECOS PAC ID: 8022056068 Enrollment ID: I20050420001111 |
| Provider Name | David I Kinsman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912942368 PECOS PAC ID: 0648218347 Enrollment ID: I20050422000482 |
| Provider Name | Scott E Van Valin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891784633 PECOS PAC ID: 9638118599 Enrollment ID: I20050429000225 |
| Provider Name | James P Russell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235122870 PECOS PAC ID: 0648249763 Enrollment ID: I20050509000379 |
| Provider Name | Tina L Sowinski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922101229 PECOS PAC ID: 0143260992 Enrollment ID: I20050511000265 |
| Provider Name | Christine A Schindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508819988 PECOS PAC ID: 6800836594 Enrollment ID: I20050512000382 |
| Provider Name | Kimberly M Stoner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649221391 PECOS PAC ID: 5294622171 Enrollment ID: I20050512000599 |
| Provider Name | Laurie S Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275584021 PECOS PAC ID: 1052352770 Enrollment ID: I20050512000660 |
| Provider Name | Andreea L Anton |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1841241353 PECOS PAC ID: 7810938560 Enrollment ID: I20050512000852 |
| Provider Name | Viday A Heffner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538110374 PECOS PAC ID: 3779525514 Enrollment ID: I20050523000873 |
| Provider Name | Travis P Webb |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760434062 PECOS PAC ID: 1951343540 Enrollment ID: I20050524000839 |
| Provider Name | John D Burfeind |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316026214 PECOS PAC ID: 9931141546 Enrollment ID: I20050524000962 |
| Provider Name | Eric J Olafsson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316021785 PECOS PAC ID: 3173565546 Enrollment ID: I20050525000920 |
| Provider Name | Melissa A Knabe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346357985 PECOS PAC ID: 3971545849 Enrollment ID: I20050601000884 |
| Provider Name | Nancy A Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154375012 PECOS PAC ID: 8426091240 Enrollment ID: I20050602000976 |
| Provider Name | Peter C Frommelt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508817461 PECOS PAC ID: 4789627514 Enrollment ID: I20050602001089 |
| Provider Name | Michele A Frommelt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114979911 PECOS PAC ID: 2264427541 Enrollment ID: I20050602001106 |
| Provider Name | Raymond T Fedderly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790736619 PECOS PAC ID: 7113960956 Enrollment ID: I20050602001119 |
| Provider Name | Christopher J Plambeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053363770 PECOS PAC ID: 6901849538 Enrollment ID: I20050606000387 |
| Provider Name | Thomas W Heinrich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083668354 PECOS PAC ID: 6305889742 Enrollment ID: I20050607000046 |
| Provider Name | Timothy S Wells |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225080542 PECOS PAC ID: 5496798894 Enrollment ID: I20050607000443 |
| Provider Name | David A Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154345403 PECOS PAC ID: 1456394741 Enrollment ID: I20050607001378 |
| Provider Name | Jason M Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528010105 PECOS PAC ID: 6002850955 Enrollment ID: I20050613000587 |
| Provider Name | Anwer A Dhala |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932178407 PECOS PAC ID: 6608760517 Enrollment ID: I20050613001199 |
| Provider Name | James D Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588612170 PECOS PAC ID: 8921042771 Enrollment ID: I20050614000119 |
| Provider Name | Kirsten L O Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841237781 PECOS PAC ID: 0446294060 Enrollment ID: I20050615000112 |
| Provider Name | Joel H Blumin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316998768 PECOS PAC ID: 0941244453 Enrollment ID: I20050615000823 |
| Provider Name | Alberto A Maya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518941947 PECOS PAC ID: 1153224027 Enrollment ID: I20050617000768 |
| Provider Name | Russell C Dabrowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770694481 PECOS PAC ID: 3375516248 Enrollment ID: I20050621000504 |
| Provider Name | Sean Merrill Tutton |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326099086 PECOS PAC ID: 2466497409 Enrollment ID: I20050621000829 |
| Provider Name | Syed M Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982655460 PECOS PAC ID: 9335184308 Enrollment ID: I20050621001061 |
| Provider Name | John F Hamer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093763864 PECOS PAC ID: 3779529912 Enrollment ID: I20050628001262 |
| Provider Name | Satish Kodali |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861405748 PECOS PAC ID: 7618960527 Enrollment ID: I20050630000790 |
| Provider Name | Ajaz M Qhavi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184702615 PECOS PAC ID: 9931145471 Enrollment ID: I20050706000528 |
| Provider Name | Ian H Gilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659486744 PECOS PAC ID: 8527095249 Enrollment ID: I20050725000205 |
| Provider Name | Daniel B Jankins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093756272 PECOS PAC ID: 7911934641 Enrollment ID: I20050725000346 |
| Provider Name | Dennis W Shepherd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346279940 PECOS PAC ID: 9032009808 Enrollment ID: I20050725000597 |
| Provider Name | Mary E Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982634523 PECOS PAC ID: 8527095298 Enrollment ID: I20050725000618 |
| Provider Name | Grzegorz W Telega |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356392005 PECOS PAC ID: 2466480900 Enrollment ID: I20050727000324 |
| Provider Name | Lynn K Sheets |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275585085 PECOS PAC ID: 5890723183 Enrollment ID: I20050728000441 |
| Provider Name | Michelle C Pesek-mccoy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265468656 PECOS PAC ID: 0143297952 Enrollment ID: I20050809000876 |
| Provider Name | Lynn N Abad Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184675696 PECOS PAC ID: 5698705374 Enrollment ID: I20050813000037 |
| Provider Name | Trisha L Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457303315 PECOS PAC ID: 7012947690 Enrollment ID: I20050813000176 |
| Provider Name | George B Haasler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275584096 PECOS PAC ID: 4284664863 Enrollment ID: I20050813000182 |
| Provider Name | Ruth E Drazewski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962453944 PECOS PAC ID: 8628008216 Enrollment ID: I20050813000215 |
| Provider Name | Herodotos Ellinas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306934179 PECOS PAC ID: 3971533522 Enrollment ID: I20050815000311 |
| Provider Name | Tiffany L Mork |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376650671 PECOS PAC ID: 7416937339 Enrollment ID: I20050817000477 |
| Provider Name | Jim J Mueggenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326014416 PECOS PAC ID: 9739119959 Enrollment ID: I20050817000845 |
| Provider Name | Alexander A Romashko |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831163963 PECOS PAC ID: 5799716320 Enrollment ID: I20050824000171 |
| Provider Name | Steven Bartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548280258 PECOS PAC ID: 0749211217 Enrollment ID: I20050824000638 |
| Provider Name | Theodore G Mackinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033162763 PECOS PAC ID: 5698706109 Enrollment ID: I20050824000953 |
| Provider Name | Robert Corey Oconnor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295789030 PECOS PAC ID: 0345228581 Enrollment ID: I20050825000556 |
| Provider Name | Max C Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841231958 PECOS PAC ID: 0446236962 Enrollment ID: I20050830000777 |
| Provider Name | Patrick T Fitzgerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326010026 PECOS PAC ID: 2062326549 Enrollment ID: I20050830001008 |
| Provider Name | Steven H Kroft |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952352791 PECOS PAC ID: 2062444979 Enrollment ID: I20050831000316 |
| Provider Name | Merle R Orr |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336193176 PECOS PAC ID: 3779515697 Enrollment ID: I20050831000413 |
| Provider Name | Jane R Zlotocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376595744 PECOS PAC ID: 8325070394 Enrollment ID: I20050910000057 |
| Provider Name | Huma A Asghar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114936721 PECOS PAC ID: 2668405515 Enrollment ID: I20050913000150 |
| Provider Name | Karen L Fickel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336190255 PECOS PAC ID: 5395778161 Enrollment ID: I20050913000322 |
| Provider Name | Rick D Gillis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962453746 PECOS PAC ID: 1557394327 Enrollment ID: I20050913000343 |
| Provider Name | Sandra S Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871544692 PECOS PAC ID: 3072546852 Enrollment ID: I20050913000368 |
| Provider Name | Neil K Luy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609827450 PECOS PAC ID: 7911930706 Enrollment ID: I20050913000424 |
| Provider Name | Steven B Koenig |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477504868 PECOS PAC ID: 4587697370 Enrollment ID: I20050913000485 |
| Provider Name | Paula Elizabeth North |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710930466 PECOS PAC ID: 4688607344 Enrollment ID: I20050913001126 |
| Provider Name | Hope N Benthien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255384293 PECOS PAC ID: 3577596782 Enrollment ID: I20050916000657 |
| Provider Name | Janel Schneider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720002694 PECOS PAC ID: 3072547082 Enrollment ID: I20050920000483 |
| Provider Name | Robert Aaron Niebler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336253822 PECOS PAC ID: 7012995681 Enrollment ID: I20050922000621 |
| Provider Name | Laura R Field |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174585582 PECOS PAC ID: 0244264786 Enrollment ID: I20050923000142 |
| Provider Name | Eric T Dellamater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023176617 PECOS PAC ID: 6901830363 Enrollment ID: I20050924000172 |
| Provider Name | Barbara A Bresnahan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073564431 PECOS PAC ID: 2567497530 Enrollment ID: I20050928000751 |
| Provider Name | Amy K Harker-murray |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760459663 PECOS PAC ID: 3375582620 Enrollment ID: I20050928001348 |
| Provider Name | Hariharan Shankar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1275585028 PECOS PAC ID: 6608801410 Enrollment ID: I20050929001331 |
| Provider Name | Chafik Bengana |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881796001 PECOS PAC ID: 9436184108 Enrollment ID: I20050930000523 |
| Provider Name | Robert P Chayer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962444711 PECOS PAC ID: 5294760849 Enrollment ID: I20051003000203 |
| Provider Name | Rahul S Nanchal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619929320 PECOS PAC ID: 9830124122 Enrollment ID: I20051005001003 |
| Provider Name | Jeanne E Hryciuk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124006846 PECOS PAC ID: 4183649940 Enrollment ID: I20051011000291 |
| Provider Name | Marcelo C Pasquini |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174575856 PECOS PAC ID: 0648295428 Enrollment ID: I20051011000452 |
| Provider Name | Stacee M Lerret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750332599 PECOS PAC ID: 1456377845 Enrollment ID: I20051014000467 |
| Provider Name | Cynthia G Pan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164474896 PECOS PAC ID: 6002832052 Enrollment ID: I20051019000134 |
| Provider Name | Tyshunda L Manning |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205803749 PECOS PAC ID: 1052337961 Enrollment ID: I20051020000295 |
| Provider Name | Dhimant R Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851330120 PECOS PAC ID: 7810914397 Enrollment ID: I20051025000547 |
| Provider Name | William A See |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457303208 PECOS PAC ID: 9638196025 Enrollment ID: I20051025000653 |
| Provider Name | Renee A Foutz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720046964 PECOS PAC ID: 1355368283 Enrollment ID: I20051028001009 |
| Provider Name | Marcie G Berger |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952403818 PECOS PAC ID: 4082606967 Enrollment ID: I20051031000179 |
| Provider Name | Lisa A Crandall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295787729 PECOS PAC ID: 6305864836 Enrollment ID: I20051103000456 |
| Provider Name | Kirstin M. Certalic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275542326 PECOS PAC ID: 6103844592 Enrollment ID: I20051103001023 |
| Provider Name | Ernest S Stremski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760434344 PECOS PAC ID: 4486672292 Enrollment ID: I20051109000876 |
| Provider Name | Brahm S Vasudev |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588616155 PECOS PAC ID: 1557389392 Enrollment ID: I20051109001086 |
| Provider Name | Jennifer M Chevalier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003867409 PECOS PAC ID: 1153349998 Enrollment ID: I20051109001117 |
| Provider Name | Kurt E Hecox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164473997 PECOS PAC ID: 5991723694 Enrollment ID: I20051110000296 |
| Provider Name | Melissa M Wein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235181843 PECOS PAC ID: 3375561020 Enrollment ID: I20051110000673 |
| Provider Name | Alfred C Nicolosi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1760434443 PECOS PAC ID: 2860411485 Enrollment ID: I20051114000363 |
| Provider Name | John J.w. Fangman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881645737 PECOS PAC ID: 9335168996 Enrollment ID: I20051114000617 |
| Provider Name | Harold H Harsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265486591 PECOS PAC ID: 8527087014 Enrollment ID: I20051114000982 |
| Provider Name | Scott W Kelley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700863685 PECOS PAC ID: 6608784723 Enrollment ID: I20051115000499 |
| Provider Name | David V Weinberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952353302 PECOS PAC ID: 3577514710 Enrollment ID: I20051116000403 |
| Provider Name | Jennifer I Koop Olsta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053362897 PECOS PAC ID: 2860411097 Enrollment ID: I20051117000141 |
| Provider Name | Cristino Caayao Canga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588631253 PECOS PAC ID: 3779502828 Enrollment ID: I20051117000401 |
| Provider Name | Jill Depke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275631558 PECOS PAC ID: 6608895594 Enrollment ID: I20051121000659 |
| Provider Name | Bruce A Kaufman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427009265 PECOS PAC ID: 6800816547 Enrollment ID: I20051128000236 |
| Provider Name | David H Klehm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619928454 PECOS PAC ID: 1557381175 Enrollment ID: I20051129000047 |
| Provider Name | Michael C Decker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982656211 PECOS PAC ID: 4183644610 Enrollment ID: I20051129001013 |
| Provider Name | Mary A Stauber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558361196 PECOS PAC ID: 4385542968 Enrollment ID: I20051129001020 |
| Provider Name | Linda Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912999558 PECOS PAC ID: 2264452796 Enrollment ID: I20051129001027 |
| Provider Name | Tristram C Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619084233 PECOS PAC ID: 9234159617 Enrollment ID: I20051130000399 |
| Provider Name | Jutta Novalija |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437102183 PECOS PAC ID: 1254352628 Enrollment ID: I20051213000505 |
| Provider Name | Svetlana Yuryevna Zaharova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154373652 PECOS PAC ID: 7012939671 Enrollment ID: I20051222000590 |
| Provider Name | Julie A Biller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619928066 PECOS PAC ID: 6103848320 Enrollment ID: I20051230000404 |
| Provider Name | Rowena C Punzalan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376646695 PECOS PAC ID: 9830112341 Enrollment ID: I20060111000370 |
| Provider Name | Jason G Rosenberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336179340 PECOS PAC ID: 0244253540 Enrollment ID: I20060112000838 |
| Provider Name | Raman Khanna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083645410 PECOS PAC ID: 0345264503 Enrollment ID: I20060116000271 |
| Provider Name | Edward H Kovnar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366472524 PECOS PAC ID: 6800810615 Enrollment ID: I20060119000706 |
| Provider Name | Walter L Longo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629044649 PECOS PAC ID: 4688624851 Enrollment ID: I20060123000629 |
| Provider Name | Kristin K Magner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083666937 PECOS PAC ID: 0941214373 Enrollment ID: I20060206000475 |
| Provider Name | Rebecca C Cogwell Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386695435 PECOS PAC ID: 9032124292 Enrollment ID: I20060209000584 |
| Provider Name | Therese J Gesteland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649227950 PECOS PAC ID: 4688654015 Enrollment ID: I20060214000583 |
| Provider Name | Scott J Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346291168 PECOS PAC ID: 1658386214 Enrollment ID: I20060217000576 |
| Provider Name | Mark D Hohenwalter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235180068 PECOS PAC ID: 6800801465 Enrollment ID: I20060217000590 |
| Provider Name | William S Rilling |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437102175 PECOS PAC ID: 5294741690 Enrollment ID: I20060228000340 |
| Provider Name | John E Conto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578515003 PECOS PAC ID: 4587670294 Enrollment ID: I20060303000326 |
| Provider Name | Stuart Wong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265483291 PECOS PAC ID: 6901813187 Enrollment ID: I20060313000585 |
| Provider Name | Christopher R Chitambar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215987748 PECOS PAC ID: 7416964697 Enrollment ID: I20060313000615 |
| Provider Name | Paul S Ritch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720030430 PECOS PAC ID: 4082621271 Enrollment ID: I20060313000665 |
| Provider Name | James D Rizzo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962456988 PECOS PAC ID: 5890702088 Enrollment ID: I20060313000672 |
| Provider Name | Paul E Knudson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417908252 PECOS PAC ID: 3678485901 Enrollment ID: I20060315000458 |
| Provider Name | Debra J Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558314849 PECOS PAC ID: 9133136906 Enrollment ID: I20060320000478 |
| Provider Name | Kristina L Keppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871545467 PECOS PAC ID: 6305853011 Enrollment ID: I20060321000186 |
| Provider Name | Stephen F Conley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932151537 PECOS PAC ID: 7113934829 Enrollment ID: I20060321000224 |
| Provider Name | Diana L Maas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427009273 PECOS PAC ID: 3779591839 Enrollment ID: I20060330000672 |
| Provider Name | Joseph F Cusick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285685347 PECOS PAC ID: 3779591631 Enrollment ID: I20060404000333 |
| Provider Name | Dennis J Maiman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265483010 PECOS PAC ID: 8628980307 Enrollment ID: I20060404000344 |
| Provider Name | Shekar N Kurpad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033160874 PECOS PAC ID: 3476561341 Enrollment ID: I20060404000360 |
| Provider Name | Jamie L Baisden |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811948334 PECOS PAC ID: 9537177407 Enrollment ID: I20060404000381 |
| Provider Name | Philip A Nelson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003868704 PECOS PAC ID: 1153339031 Enrollment ID: I20060404000510 |
| Provider Name | David K De Dianous |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386695815 PECOS PAC ID: 6406864396 Enrollment ID: I20060404000525 |
| Provider Name | Boyd M Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417901422 PECOS PAC ID: 9537177423 Enrollment ID: I20060404000586 |
| Provider Name | Diane W Braza |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467404970 PECOS PAC ID: 1254349145 Enrollment ID: I20060404000598 |
| Provider Name | Gregory L Whitcomb |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649226838 PECOS PAC ID: 5395753297 Enrollment ID: I20060404000636 |
| Provider Name | Joanne L Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639121429 PECOS PAC ID: 9830107739 Enrollment ID: I20060404000649 |
| Provider Name | Linda E Scaffidi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720151749 PECOS PAC ID: 0244275741 Enrollment ID: I20060404000734 |
| Provider Name | Christina M Schulta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811949605 PECOS PAC ID: 4486663010 Enrollment ID: I20060411000041 |
| Provider Name | James W Verbsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528010113 PECOS PAC ID: 5496764607 Enrollment ID: I20060417000761 |
| Provider Name | Michelle M Snyderman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821040684 PECOS PAC ID: 1759390719 Enrollment ID: I20060419000485 |
| Provider Name | Melissa A Kalt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326011701 PECOS PAC ID: 1052322427 Enrollment ID: I20060523000087 |
| Provider Name | Michael E Mitchell |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1730132473 PECOS PAC ID: 7618928292 Enrollment ID: I20060607000111 |
| Provider Name | Shari K Liesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922059773 PECOS PAC ID: 7911919055 Enrollment ID: I20060608000086 |
| Provider Name | Margaret Mary Friedhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205880523 PECOS PAC ID: 8224040365 Enrollment ID: I20060608000122 |
| Provider Name | Linda N Meurer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508817354 PECOS PAC ID: 5991717050 Enrollment ID: I20060608000260 |
| Provider Name | Marjorie C Wang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346293479 PECOS PAC ID: 0345252177 Enrollment ID: I20060619000230 |
| Provider Name | Denise Marie Kilway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811949639 PECOS PAC ID: 1759393200 Enrollment ID: I20060627000030 |
| Provider Name | Arthur Ralph Derse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245287887 PECOS PAC ID: 6709898273 Enrollment ID: I20060627000183 |
| Provider Name | Michael Paul Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396792537 PECOS PAC ID: 6204848781 Enrollment ID: I20060627000216 |
| Provider Name | Judy E Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992756746 PECOS PAC ID: 1951313444 Enrollment ID: I20060627000294 |
| Provider Name | Dennis P Han |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598716334 PECOS PAC ID: 8022020510 Enrollment ID: I20060627000312 |
| Provider Name | Thomas B Connor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497707921 PECOS PAC ID: 1456363944 Enrollment ID: I20060627000344 |
| Provider Name | William J Wirostko |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255383733 PECOS PAC ID: 1355353848 Enrollment ID: I20060627000350 |
| Provider Name | Hrair-george Mesrobian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407803240 PECOS PAC ID: 9830101245 Enrollment ID: I20060630000153 |
| Provider Name | Robert J Brodish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164498549 PECOS PAC ID: 8628980281 Enrollment ID: I20060630000259 |
| Provider Name | Andrew E Petroll |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013964022 PECOS PAC ID: 5092728204 Enrollment ID: I20060710000223 |
| Provider Name | Peter J Mason |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144282120 PECOS PAC ID: 7810900081 Enrollment ID: I20060711000466 |
| Provider Name | Mary S Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831127893 PECOS PAC ID: 6103839956 Enrollment ID: I20060720000167 |
| Provider Name | Carol M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760434336 PECOS PAC ID: 4486667037 Enrollment ID: I20060726000269 |
| Provider Name | Vladimir Ivanovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578542767 PECOS PAC ID: 9830102276 Enrollment ID: I20060801000168 |
| Provider Name | Mary K Laus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043239262 PECOS PAC ID: 4688677834 Enrollment ID: I20060809000108 |
| Provider Name | Joseph S Goveas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013957737 PECOS PAC ID: 4880698901 Enrollment ID: I20060905000017 |
| Provider Name | Steven Denson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912951203 PECOS PAC ID: 8325042450 Enrollment ID: I20060905000042 |
| Provider Name | Peter J Bartz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497728794 PECOS PAC ID: 4688678733 Enrollment ID: I20060905000219 |
| Provider Name | John M Routes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396792891 PECOS PAC ID: 8729082771 Enrollment ID: I20060905000361 |
| Provider Name | David Gourlay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740221092 PECOS PAC ID: 3678577632 Enrollment ID: I20060905000420 |
| Provider Name | Meghan C Belongia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205857364 PECOS PAC ID: 9931103991 Enrollment ID: I20060905000437 |
| Provider Name | Veronica H Flood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205846466 PECOS PAC ID: 3870525207 Enrollment ID: I20060906000049 |
| Provider Name | Omar Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568402188 PECOS PAC ID: 0547283509 Enrollment ID: I20060906000466 |
| Provider Name | Michael A Kron |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174564637 PECOS PAC ID: 0941204879 Enrollment ID: I20060908000064 |
| Provider Name | John Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043251648 PECOS PAC ID: 0840294773 Enrollment ID: I20060908000075 |
| Provider Name | Rebecca K Fannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922014018 PECOS PAC ID: 9234133810 Enrollment ID: I20060913000320 |
| Provider Name | Marshall A Beckman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063520963 PECOS PAC ID: 7911902432 Enrollment ID: I20060915000293 |
| Provider Name | Rajasree Sreedharan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922031079 PECOS PAC ID: 5294730743 Enrollment ID: I20060915000534 |
| Provider Name | Thomas Joseph Russell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528051166 PECOS PAC ID: 0446297014 Enrollment ID: I20060918000438 |
| Provider Name | Cecille G Sulman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003802166 PECOS PAC ID: 2668477712 Enrollment ID: I20060922000322 |
| Provider Name | Ru Jeng Teng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659330520 PECOS PAC ID: 6002811155 Enrollment ID: I20060922000334 |
| Provider Name | Tzong Jin Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568422780 PECOS PAC ID: 3173592987 Enrollment ID: I20060922000370 |
| Provider Name | Joshua E Medow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023073400 PECOS PAC ID: 8224033006 Enrollment ID: I20060929000186 |
| Provider Name | Michelle Shasha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639280142 PECOS PAC ID: 3476559907 Enrollment ID: I20061005000649 |
| Provider Name | Charles S Marn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275558553 PECOS PAC ID: 0042216335 Enrollment ID: I20061010000308 |
| Provider Name | Margaret M Samyn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467414631 PECOS PAC ID: 5890791552 Enrollment ID: I20061020000128 |
| Provider Name | Kristen K Volkman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1013920297 PECOS PAC ID: 6608873377 Enrollment ID: I20061023000504 |
| Provider Name | Ehab R Saad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922005081 PECOS PAC ID: 8224000864 Enrollment ID: I20061024000454 |
| Provider Name | Jonathan W Florczak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942213996 PECOS PAC ID: 7618974254 Enrollment ID: I20061025000059 |
| Provider Name | Sunu S Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609819382 PECOS PAC ID: 2466459656 Enrollment ID: I20061101000053 |
| Provider Name | Becky L Massey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851493597 PECOS PAC ID: 0446291249 Enrollment ID: I20061103000487 |
| Provider Name | Brian-fred M Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134210594 PECOS PAC ID: 9032116082 Enrollment ID: I20061103000489 |
| Provider Name | John T Bjork |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538121512 PECOS PAC ID: 3375530405 Enrollment ID: I20061109000045 |
| Provider Name | Timothy E Corden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659347714 PECOS PAC ID: 2264439041 Enrollment ID: I20061109000227 |
| Provider Name | Michelle L Skierka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396828851 PECOS PAC ID: 4284632019 Enrollment ID: I20061110000025 |
| Provider Name | Christopher J Leichliter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023029048 PECOS PAC ID: 5092713826 Enrollment ID: I20061110000038 |
| Provider Name | Leah D Demares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295748630 PECOS PAC ID: 7012915671 Enrollment ID: I20061116000103 |
| Provider Name | Jill C Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174612253 PECOS PAC ID: 5395743835 Enrollment ID: I20061117000221 |
| Provider Name | Wael Sherif Saber |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730145863 PECOS PAC ID: 7911892773 Enrollment ID: I20061205000017 |
| Provider Name | Elaine Parton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609820653 PECOS PAC ID: 6901805787 Enrollment ID: I20061205000099 |
| Provider Name | Jennifer S Lindstedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417032517 PECOS PAC ID: 4880693670 Enrollment ID: I20061205000125 |
| Provider Name | Tammy L Albelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073692554 PECOS PAC ID: 7911906441 Enrollment ID: I20061212000110 |
| Provider Name | Mark A Vukovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154490217 PECOS PAC ID: 4587663943 Enrollment ID: I20061212000451 |
| Provider Name | John G Heisdorf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821071630 PECOS PAC ID: 6204829765 Enrollment ID: I20061219000415 |
| Provider Name | Laurie A Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437241999 PECOS PAC ID: 9335149194 Enrollment ID: I20070102000221 |
| Provider Name | Catherine M Drexler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962485896 PECOS PAC ID: 8123011681 Enrollment ID: I20070102000234 |
| Provider Name | Michael E Timins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851342505 PECOS PAC ID: 4385644624 Enrollment ID: I20070110000272 |
| Provider Name | Jonathan S Treisman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1699778860 PECOS PAC ID: 5799786828 Enrollment ID: I20070116000500 |
| Provider Name | Julie-an M Talano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538110283 PECOS PAC ID: 0840291647 Enrollment ID: I20070122000442 |
| Provider Name | Steven C Borene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851345383 PECOS PAC ID: 1153398615 Enrollment ID: I20070125000020 |
| Provider Name | Gregory J Downs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982687810 PECOS PAC ID: 9335132885 Enrollment ID: I20070129000498 |
| Provider Name | Tina M Rentmeester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336204908 PECOS PAC ID: 9830191030 Enrollment ID: I20070131000596 |
| Provider Name | Panna A Codner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356410898 PECOS PAC ID: 3072539873 Enrollment ID: I20070131000651 |
| Provider Name | David C Gregg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134178601 PECOS PAC ID: 5395708036 Enrollment ID: I20070202000075 |
| Provider Name | Kristine M Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639158330 PECOS PAC ID: 4981606902 Enrollment ID: I20070205000312 |
| Provider Name | Jeffrey G Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457440919 PECOS PAC ID: 6709887110 Enrollment ID: I20070209000240 |
| Provider Name | Christopher J Schultz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487606273 PECOS PAC ID: 9436151016 Enrollment ID: I20070212000068 |
| Provider Name | Stephanie G Christian Lobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265486567 PECOS PAC ID: 7719089945 Enrollment ID: I20070219000582 |
| Provider Name | Sarah E Trost |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609920586 PECOS PAC ID: 4183726342 Enrollment ID: I20070220000061 |
| Provider Name | Jesse F Wilson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932151396 PECOS PAC ID: 5991807158 Enrollment ID: I20070220000074 |
| Provider Name | Robert S Hellman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1447201280 PECOS PAC ID: 2961504139 Enrollment ID: I20070220000128 |
| Provider Name | Rebecca A Bertrandt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053459305 PECOS PAC ID: 7719089515 Enrollment ID: I20070226000379 |
| Provider Name | Gretchen M Zirbel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588658371 PECOS PAC ID: 0547362378 Enrollment ID: I20070226000677 |
| Provider Name | Corrado Ugolini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316903727 PECOS PAC ID: 1355443904 Enrollment ID: I20070228000165 |
| Provider Name | Mir Ismail Quryshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871506089 PECOS PAC ID: 1557463056 Enrollment ID: I20070302000048 |
| Provider Name | Matthew J Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326121898 PECOS PAC ID: 5698878874 Enrollment ID: I20070308000104 |
| Provider Name | Paul J Pearson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336250950 PECOS PAC ID: 0749383982 Enrollment ID: I20070308000609 |
| Provider Name | Gail E Butterfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699728964 PECOS PAC ID: 0648177196 Enrollment ID: I20070315000129 |
| Provider Name | Amy R Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245282912 PECOS PAC ID: 7810092111 Enrollment ID: I20070416000217 |
| Provider Name | Todd J Muche |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861484859 PECOS PAC ID: 8628173515 Enrollment ID: I20070423000116 |
| Provider Name | Heidi H Vanderpool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801910047 PECOS PAC ID: 8022114024 Enrollment ID: I20070508000680 |
| Provider Name | Kristi E Caddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841403888 PECOS PAC ID: 4486751328 Enrollment ID: I20070529000491 |
| Provider Name | Robert R Montgomery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649222381 PECOS PAC ID: 4587762257 Enrollment ID: I20070604000246 |
| Provider Name | Keith E Baynes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598842742 PECOS PAC ID: 8224136734 Enrollment ID: I20070607000087 |
| Provider Name | Jacob P Prunuske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326004102 PECOS PAC ID: 9436101375 Enrollment ID: I20070615000388 |
| Provider Name | Joseph J Budovec |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609961499 PECOS PAC ID: 8224137856 Enrollment ID: I20070622000415 |
| Provider Name | Mohammad I El-orbany |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255464657 PECOS PAC ID: 4880619378 Enrollment ID: I20070626000371 |
| Provider Name | Irina Konon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912077041 PECOS PAC ID: 4385743764 Enrollment ID: I20070626000399 |
| Provider Name | Sun Young Ruggeri |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427121979 PECOS PAC ID: 0244339307 Enrollment ID: I20070702000068 |
| Provider Name | Farzad Kamrani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710951363 PECOS PAC ID: 2365542412 Enrollment ID: I20070703000282 |
| Provider Name | Kumar Sujeet |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467659672 PECOS PAC ID: 0547360216 Enrollment ID: I20070710000732 |
| Provider Name | Stuti Shankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710099379 PECOS PAC ID: 3678675865 Enrollment ID: I20070710000747 |
| Provider Name | Kamlesh R Kurre |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679669766 PECOS PAC ID: 8224138904 Enrollment ID: I20070710000848 |
| Provider Name | Jason Jarzembowski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558563783 PECOS PAC ID: 2860592425 Enrollment ID: I20070711000600 |
| Provider Name | Elizabeth L Thiel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689730764 PECOS PAC ID: 3870693450 Enrollment ID: I20070711000790 |
| Provider Name | Ryan D Blenker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144305905 PECOS PAC ID: 1951401421 Enrollment ID: I20070712000626 |
| Provider Name | Rafal J Ryzka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164635041 PECOS PAC ID: 0648370064 Enrollment ID: I20070713000230 |
| Provider Name | John R Meurer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841241692 PECOS PAC ID: 5395845762 Enrollment ID: I20070713000606 |
| Provider Name | Sonia B Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447333232 PECOS PAC ID: 0345340725 Enrollment ID: I20070713000745 |
| Provider Name | Ehab L Atallah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235206285 PECOS PAC ID: 1153421532 Enrollment ID: I20070713000757 |
| Provider Name | Dawn M Regner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437122652 PECOS PAC ID: 8022911130 Enrollment ID: I20070718000624 |
| Provider Name | Joanne M Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255335030 PECOS PAC ID: 2365543329 Enrollment ID: I20070720000852 |
| Provider Name | David M Poetker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265447783 PECOS PAC ID: 7113937731 Enrollment ID: I20070723000379 |
| Provider Name | Kathryn A Bylow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437370095 PECOS PAC ID: 7719088202 Enrollment ID: I20070727000602 |
| Provider Name | Thomas C Kotsonis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639377815 PECOS PAC ID: 1951402452 Enrollment ID: I20070727000640 |
| Provider Name | Marc S Eiseman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124091855 PECOS PAC ID: 2769583277 Enrollment ID: I20070727000758 |
| Provider Name | Kevin R Regner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811969843 PECOS PAC ID: 6608853726 Enrollment ID: I20070727000784 |
| Provider Name | Joseph A Bovi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376639732 PECOS PAC ID: 3072604172 Enrollment ID: I20070803000150 |
| Provider Name | David E Saudek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477756765 PECOS PAC ID: 0042301822 Enrollment ID: I20070808000499 |
| Provider Name | Tracy S Wang |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1316141955 PECOS PAC ID: 2466543046 Enrollment ID: I20070810000636 |
| Provider Name | John A Logiudice |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669567905 PECOS PAC ID: 6204927890 Enrollment ID: I20070810000717 |
| Provider Name | Ana Perelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295936409 PECOS PAC ID: 2062504475 Enrollment ID: I20070815000253 |
| Provider Name | Reshmi Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881899102 PECOS PAC ID: 4789776063 Enrollment ID: I20070816000045 |
| Provider Name | Dave Raj Lal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467532366 PECOS PAC ID: 3274523725 Enrollment ID: I20070816000895 |
| Provider Name | Cheryl A Grandlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629184924 PECOS PAC ID: 9931291903 Enrollment ID: I20070822000746 |
| Provider Name | Mei-ying Liang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134207327 PECOS PAC ID: 0244322741 Enrollment ID: I20070828000466 |
| Provider Name | Kristine H Saudek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376599357 PECOS PAC ID: 4587630876 Enrollment ID: I20070904000367 |
| Provider Name | Sara A Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659579514 PECOS PAC ID: 7214020494 Enrollment ID: I20070904000455 |
| Provider Name | Mary Lynn Schneider |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942399480 PECOS PAC ID: 1557454394 Enrollment ID: I20070910000610 |
| Provider Name | Michael Widlansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467568220 PECOS PAC ID: 2264403849 Enrollment ID: I20070913000091 |
| Provider Name | James L Troy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184601122 PECOS PAC ID: 0042262560 Enrollment ID: I20071005000574 |
| Provider Name | Edward C Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265630651 PECOS PAC ID: 2961390968 Enrollment ID: I20071005000593 |
| Provider Name | Joanne D Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962697953 PECOS PAC ID: 6507951415 Enrollment ID: I20071005000602 |
| Provider Name | Marjorie J. Arca |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922059443 PECOS PAC ID: 5395830210 Enrollment ID: I20071005000744 |
| Provider Name | Steven R Leuthner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104877950 PECOS PAC ID: 0840385761 Enrollment ID: I20071005000748 |
| Provider Name | Lewis B Somberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760448526 PECOS PAC ID: 3476648395 Enrollment ID: I20071005000751 |
| Provider Name | Leena V Maramattom |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518007707 PECOS PAC ID: 2668567488 Enrollment ID: I20071009000082 |
| Provider Name | James Colin Robinson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699727305 PECOS PAC ID: 3072609726 Enrollment ID: I20071011000340 |
| Provider Name | Paul E Seifert |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609839406 PECOS PAC ID: 1254329592 Enrollment ID: I20071012000138 |
| Provider Name | Mario Riccardo Colella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336106277 PECOS PAC ID: 9638147044 Enrollment ID: I20071012000540 |
| Provider Name | Alvina R Kansra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154456838 PECOS PAC ID: 4880780444 Enrollment ID: I20071012000551 |
| Provider Name | Saul Suster |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215974795 PECOS PAC ID: 0042306508 Enrollment ID: I20071012000683 |
| Provider Name | Jane N Wainaina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609899954 PECOS PAC ID: 2769486331 Enrollment ID: I20071026000378 |
| Provider Name | Amanda M Mcqueen Klein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982792149 PECOS PAC ID: 1355438029 Enrollment ID: I20071026000423 |
| Provider Name | Julie M Banda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508053505 PECOS PAC ID: 2860589538 Enrollment ID: I20071026000448 |
| Provider Name | Mark A Kostic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306893896 PECOS PAC ID: 9234100660 Enrollment ID: I20071026000701 |
| Provider Name | Sara J Schedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336336510 PECOS PAC ID: 5991892119 Enrollment ID: I20071103000038 |
| Provider Name | Kimberly E Stepien |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497709174 PECOS PAC ID: 6406853902 Enrollment ID: I20071110000145 |
| Provider Name | Gilbert G Fareau |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225221138 PECOS PAC ID: 3678661238 Enrollment ID: I20071114000556 |
| Provider Name | John S Heighway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861469215 PECOS PAC ID: 7810923406 Enrollment ID: I20071126000075 |
| Provider Name | Annmarie D Wendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932394764 PECOS PAC ID: 8224127055 Enrollment ID: I20071203000082 |
| Provider Name | Prabhas Mittal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366476319 PECOS PAC ID: 3870683758 Enrollment ID: I20071214000706 |
| Provider Name | Jacqueline K Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699961763 PECOS PAC ID: 5597855429 Enrollment ID: I20071217000057 |
| Provider Name | Ashraf El Meanawy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659486470 PECOS PAC ID: 4880784537 Enrollment ID: I20071218000259 |
| Provider Name | Richard L Tower |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386831527 PECOS PAC ID: 2769562925 Enrollment ID: I20071231000409 |
| Provider Name | Coleen W Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750578290 PECOS PAC ID: 8820178080 Enrollment ID: I20071231000435 |
| Provider Name | Beth A Erickson-wittmann |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730130659 PECOS PAC ID: 9739269374 Enrollment ID: I20080108000621 |
| Provider Name | Brian C Hinde |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821287616 PECOS PAC ID: 8921188525 Enrollment ID: I20080109000130 |
| Provider Name | Erik P Gierahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255368189 PECOS PAC ID: 6901800028 Enrollment ID: I20080110000604 |
| Provider Name | Katherine E Aussem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023297264 PECOS PAC ID: 7416038674 Enrollment ID: I20080115000085 |
| Provider Name | Venelin J Kounev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902979750 PECOS PAC ID: 8921189937 Enrollment ID: I20080116000250 |
| Provider Name | Vaqaruddin M Syed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053367243 PECOS PAC ID: 3375624158 Enrollment ID: I20080117000691 |
| Provider Name | John P Scott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174659601 PECOS PAC ID: 8426139049 Enrollment ID: I20080121000204 |
| Provider Name | Karen Youngquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073798344 PECOS PAC ID: 2769563295 Enrollment ID: I20080122000691 |
| Provider Name | Stephanie J Offord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477736163 PECOS PAC ID: 8729160650 Enrollment ID: I20080130000556 |
| Provider Name | Sarah E Wawrzyniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740465111 PECOS PAC ID: 6204918931 Enrollment ID: I20080201000605 |
| Provider Name | Neil Patrick Connor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588689889 PECOS PAC ID: 5890878078 Enrollment ID: I20080211000775 |
| Provider Name | Jane A Bachman Groth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932153061 PECOS PAC ID: 4183707235 Enrollment ID: I20080212000525 |
| Provider Name | David R Deltoro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326090663 PECOS PAC ID: 5597848317 Enrollment ID: I20080215000597 |
| Provider Name | Eric J Walbergh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710939319 PECOS PAC ID: 1557444254 Enrollment ID: I20080218000498 |
| Provider Name | Richard J Berens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831140284 PECOS PAC ID: 4880777507 Enrollment ID: I20080218000642 |
| Provider Name | Sheila J Hanson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184678450 PECOS PAC ID: 8325121049 Enrollment ID: I20080218000657 |
| Provider Name | Daiva E Parakininkas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265484117 PECOS PAC ID: 9133202856 Enrollment ID: I20080218000666 |
| Provider Name | Kathryn L Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740231588 PECOS PAC ID: 2961586474 Enrollment ID: I20080222000103 |
| Provider Name | Kenneth L Grizzle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912958737 PECOS PAC ID: 7618051087 Enrollment ID: I20080222000579 |
| Provider Name | Jeffrey A Wesson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326090879 PECOS PAC ID: 9032293980 Enrollment ID: I20080301000071 |
| Provider Name | Kirk A Ludwig |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1750465803 PECOS PAC ID: 6608950506 Enrollment ID: I20080303000266 |
| Provider Name | Malgorzata B Franczak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558312488 PECOS PAC ID: 3577648088 Enrollment ID: I20080307000471 |
| Provider Name | William Rhead |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861445512 PECOS PAC ID: 4183709611 Enrollment ID: I20080308000029 |
| Provider Name | Christine M Hogan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063573004 PECOS PAC ID: 9931183209 Enrollment ID: I20080320000648 |
| Provider Name | Andrea J Hilgenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255501987 PECOS PAC ID: 7416033568 Enrollment ID: I20080328000724 |
| Provider Name | Himanshu Agrawal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477747954 PECOS PAC ID: 8820175623 Enrollment ID: I20080403000196 |
| Provider Name | Staci L Milosavljevic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356481949 PECOS PAC ID: 0042397424 Enrollment ID: I20080409000571 |
| Provider Name | Richard A Staudacher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851360275 PECOS PAC ID: 3476648080 Enrollment ID: I20080409000651 |
| Provider Name | Venkata K Puppala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619170438 PECOS PAC ID: 5991882151 Enrollment ID: I20080411000500 |
| Provider Name | John R Mcguire |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003869744 PECOS PAC ID: 6406934439 Enrollment ID: I20080416000437 |
| Provider Name | B Tucker Woodson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366494858 PECOS PAC ID: 3476631284 Enrollment ID: I20080418000574 |
| Provider Name | Todd Michael Gudausky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881604932 PECOS PAC ID: 7012912470 Enrollment ID: I20080423000391 |
| Provider Name | Pamela L Souders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508050824 PECOS PAC ID: 5890889786 Enrollment ID: I20080429000495 |
| Provider Name | David P Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235180084 PECOS PAC ID: 5799864989 Enrollment ID: I20080429000618 |
| Provider Name | Rebecca R Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952352635 PECOS PAC ID: 5890874663 Enrollment ID: I20080505000591 |
| Provider Name | Suzie J Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730131301 PECOS PAC ID: 0143309724 Enrollment ID: I20080507000547 |
| Provider Name | Robert F Newby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285686964 PECOS PAC ID: 6507935822 Enrollment ID: I20080513000298 |
| Provider Name | Catherine D Malmsten |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205812195 PECOS PAC ID: 4284704115 Enrollment ID: I20080604000661 |
| Provider Name | Paula J Soung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891859187 PECOS PAC ID: 6103997507 Enrollment ID: I20080612000251 |
| Provider Name | Valerie A Flanary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659424570 PECOS PAC ID: 5698846012 Enrollment ID: I20080612000426 |
| Provider Name | Jean Anne Leininger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366489767 PECOS PAC ID: 8921070236 Enrollment ID: I20080613000415 |
| Provider Name | Stacey M Gardiner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407930332 PECOS PAC ID: 8820169790 Enrollment ID: I20080619000738 |
| Provider Name | John A Charlson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386668192 PECOS PAC ID: 9436220357 Enrollment ID: I20080620000342 |
| Provider Name | Alan M Spira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194726075 PECOS PAC ID: 0547332918 Enrollment ID: I20080630000211 |
| Provider Name | Lawrence A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528151909 PECOS PAC ID: 5193897981 Enrollment ID: I20080711000033 |
| Provider Name | James A Oujiri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134187412 PECOS PAC ID: 7416020797 Enrollment ID: I20080719000011 |
| Provider Name | Paul M Knechtges |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518048636 PECOS PAC ID: 0547291163 Enrollment ID: I20080719000119 |
| Provider Name | Hanadi M Bu-ali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316069776 PECOS PAC ID: 1153494463 Enrollment ID: I20080721000200 |
| Provider Name | William P Waring |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942252242 PECOS PAC ID: 4183797210 Enrollment ID: I20080722000565 |
| Provider Name | Sean M Marks |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1548480254 PECOS PAC ID: 2365515251 Enrollment ID: I20080725000383 |
| Provider Name | Kenneth M Jacobsohn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679772164 PECOS PAC ID: 4183718679 Enrollment ID: I20080725000685 |
| Provider Name | Janice K Kuiper Pikna |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851550693 PECOS PAC ID: 9638243223 Enrollment ID: I20080730000582 |
| Provider Name | Edmund H Duthie |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174574123 PECOS PAC ID: 6901981786 Enrollment ID: I20080805000672 |
| Provider Name | Cresta W Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235146556 PECOS PAC ID: 9436181393 Enrollment ID: I20080807000524 |
| Provider Name | Ankur Segon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326248444 PECOS PAC ID: 3971678525 Enrollment ID: I20080818000270 |
| Provider Name | Daniel W Hampton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225226863 PECOS PAC ID: 4587745864 Enrollment ID: I20080819000931 |
| Provider Name | Danny G Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861436669 PECOS PAC ID: 0345315685 Enrollment ID: I20080820000557 |
| Provider Name | Hillary S Bauer Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699881367 PECOS PAC ID: 9032284260 Enrollment ID: I20080821000593 |
| Provider Name | Candice D Lovell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780759670 PECOS PAC ID: 2860567989 Enrollment ID: I20080823000094 |
| Provider Name | Bruce B Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710065230 PECOS PAC ID: 8921173972 Enrollment ID: I20080826000550 |
| Provider Name | Kimberly J Anderson Khan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932153053 PECOS PAC ID: 4880760859 Enrollment ID: I20080828000110 |
| Provider Name | Casey J Flanary |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467431254 PECOS PAC ID: 1355420837 Enrollment ID: I20080828000196 |
| Provider Name | Patricia A Donohoue |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083609739 PECOS PAC ID: 3375585136 Enrollment ID: I20080902000180 |
| Provider Name | Robert H Chun |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861651390 PECOS PAC ID: 1052487808 Enrollment ID: I20080903000115 |
| Provider Name | Todd W Burner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396705828 PECOS PAC ID: 9436111291 Enrollment ID: I20080905000042 |
| Provider Name | Jennifer B Jablonowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770730418 PECOS PAC ID: 0547336158 Enrollment ID: I20080905000238 |
| Provider Name | Jennifer M Connelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780768531 PECOS PAC ID: 1052487683 Enrollment ID: I20080905000347 |
| Provider Name | Bradley Javorsky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568402139 PECOS PAC ID: 5193745123 Enrollment ID: I20080905000426 |
| Provider Name | Carlyle H Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528019924 PECOS PAC ID: 7810063450 Enrollment ID: I20080905000506 |
| Provider Name | David Margolis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760435499 PECOS PAC ID: 5395811848 Enrollment ID: I20080905000666 |
| Provider Name | Tracy R Kelly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518057249 PECOS PAC ID: 7517033012 Enrollment ID: I20080908000221 |
| Provider Name | Melanie J Donnelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902902919 PECOS PAC ID: 1850489204 Enrollment ID: I20080909000387 |
| Provider Name | Brett A Barkimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255540134 PECOS PAC ID: 9234205519 Enrollment ID: I20080910000637 |
| Provider Name | Nichole J Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750555363 PECOS PAC ID: 5496821662 Enrollment ID: I20080912000055 |
| Provider Name | Katherine R Burrows |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679524250 PECOS PAC ID: 3779659875 Enrollment ID: I20080912000414 |
| Provider Name | Travis J Fisher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215023460 PECOS PAC ID: 1254407364 Enrollment ID: I20080912000509 |
| Provider Name | Jane-lorelie Cueto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922024249 PECOS PAC ID: 5294769360 Enrollment ID: I20080913000034 |
| Provider Name | Jessica C Phelps |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467531848 PECOS PAC ID: 7113093295 Enrollment ID: I20080915000325 |
| Provider Name | James E Macioch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033148895 PECOS PAC ID: 2769474675 Enrollment ID: I20080918000318 |
| Provider Name | Andrea L Woodard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558448100 PECOS PAC ID: 4587731492 Enrollment ID: I20080918000378 |
| Provider Name | Marlene D Melzer Lange |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063463818 PECOS PAC ID: 1658448279 Enrollment ID: I20080924000335 |
| Provider Name | Alex A Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750476081 PECOS PAC ID: 7214004761 Enrollment ID: I20080924000694 |
| Provider Name | Betsy L Manor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134208820 PECOS PAC ID: 2466529920 Enrollment ID: I20080924000736 |
| Provider Name | Stacy L Lynch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346214673 PECOS PAC ID: 7113951120 Enrollment ID: I20080925000489 |
| Provider Name | Hillary Lynn Mccown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689837221 PECOS PAC ID: 3577631464 Enrollment ID: I20081006000173 |
| Provider Name | Martin K Wakeham |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073623260 PECOS PAC ID: 3678538097 Enrollment ID: I20081006000204 |
| Provider Name | Kathryn A Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861658502 PECOS PAC ID: 1355419961 Enrollment ID: I20081009000567 |
| Provider Name | Kaushik S Shahir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407046816 PECOS PAC ID: 2264500784 Enrollment ID: I20081009000681 |
| Provider Name | Joshua A Meskin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457422230 PECOS PAC ID: 8022176221 Enrollment ID: I20081016000283 |
| Provider Name | Gislaine E Tsemo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851351068 PECOS PAC ID: 1456388750 Enrollment ID: I20081017000195 |
| Provider Name | Leslie L Talbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003092420 PECOS PAC ID: 3971661067 Enrollment ID: I20081017000503 |
| Provider Name | Christina D Diaz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013004779 PECOS PAC ID: 0143388264 Enrollment ID: I20081018000124 |
| Provider Name | Carley M Davis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518130376 PECOS PAC ID: 1355409335 Enrollment ID: I20081020000419 |
| Provider Name | Marionito N Montalbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407800543 PECOS PAC ID: 4688680564 Enrollment ID: I20081020000538 |
| Provider Name | William B Lutes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437123080 PECOS PAC ID: 0345216933 Enrollment ID: I20081022000503 |
| Provider Name | Keriann M Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447401120 PECOS PAC ID: 4789742388 Enrollment ID: I20081027000408 |
| Provider Name | Grace S Damrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194972711 PECOS PAC ID: 9638237134 Enrollment ID: I20081028000616 |
| Provider Name | Nancy S Ghanayem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538110390 PECOS PAC ID: 7416015870 Enrollment ID: I20081029000425 |
| Provider Name | Mark S Obermyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669634820 PECOS PAC ID: 7517025901 Enrollment ID: I20081029000657 |
| Provider Name | Abdul H Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922129774 PECOS PAC ID: 2668564758 Enrollment ID: I20081029000699 |
| Provider Name | Julie E Noe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326214974 PECOS PAC ID: 6709848542 Enrollment ID: I20081029000781 |
| Provider Name | Mary Eapen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306897210 PECOS PAC ID: 1850450297 Enrollment ID: I20081030000279 |
| Provider Name | William H Bradley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1578739090 PECOS PAC ID: 8123004470 Enrollment ID: I20081101000024 |
| Provider Name | Mario G Gasparri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114971439 PECOS PAC ID: 6002975208 Enrollment ID: I20081103000401 |
| Provider Name | Jerald P Marifke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821091679 PECOS PAC ID: 6901867126 Enrollment ID: I20081106000604 |
| Provider Name | Wanda M Martinez Navarro |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821053109 PECOS PAC ID: 5496814386 Enrollment ID: I20081106000692 |
| Provider Name | Samantha L Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326290115 PECOS PAC ID: 5092874818 Enrollment ID: I20081110000184 |
| Provider Name | Amy M Henry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639369721 PECOS PAC ID: 6103985643 Enrollment ID: I20081112000563 |
| Provider Name | Parag J Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447431556 PECOS PAC ID: 6507926904 Enrollment ID: I20081114000448 |
| Provider Name | Helmut V Ammon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457387896 PECOS PAC ID: 8325108590 Enrollment ID: I20081118000190 |
| Provider Name | David C. Cronin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063496925 PECOS PAC ID: 4880596204 Enrollment ID: I20081118000232 |
| Provider Name | Amy E Kenny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780768994 PECOS PAC ID: 3779643432 Enrollment ID: I20081125000652 |
| Provider Name | Astrid G Stucke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083794879 PECOS PAC ID: 8325108947 Enrollment ID: I20081126000454 |
| Provider Name | Michael L Cada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356529804 PECOS PAC ID: 6204997836 Enrollment ID: I20081201000697 |
| Provider Name | John J Seidl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700838430 PECOS PAC ID: 6305907981 Enrollment ID: I20081202000467 |
| Provider Name | Daryl L Kruse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659361772 PECOS PAC ID: 0446311997 Enrollment ID: I20081203000275 |
| Provider Name | Brian M Brotz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427084029 PECOS PAC ID: 4789745258 Enrollment ID: I20081203000428 |
| Provider Name | Elizabeth Hollenback Ellinas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598716094 PECOS PAC ID: 5991866378 Enrollment ID: I20081203000598 |
| Provider Name | Brenda J Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811177280 PECOS PAC ID: 4880755263 Enrollment ID: I20081203000610 |
| Provider Name | Anil Aggarwal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164405288 PECOS PAC ID: 4880687326 Enrollment ID: I20081204000068 |
| Provider Name | Amanda L Kong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063677755 PECOS PAC ID: 0143381509 Enrollment ID: I20081204000406 |
| Provider Name | Edit B Olasz Harken |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548333024 PECOS PAC ID: 0840351003 Enrollment ID: I20081205000442 |
| Provider Name | Craig C Porter |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265413298 PECOS PAC ID: 7911068945 Enrollment ID: I20081209000220 |
| Provider Name | Gina M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982611570 PECOS PAC ID: 2466455829 Enrollment ID: I20081210000282 |
| Provider Name | Kari L Rajzer-wakeham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386801199 PECOS PAC ID: 9931260684 Enrollment ID: I20081212000497 |
| Provider Name | Anoop K Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225239619 PECOS PAC ID: 0749341493 Enrollment ID: I20081212000508 |
| Provider Name | Kathleen B Sawasky |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407809130 PECOS PAC ID: 0648331397 Enrollment ID: I20081212000525 |
| Provider Name | Maria K Wellenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942451844 PECOS PAC ID: 1254492945 Enrollment ID: I20081213000129 |
| Provider Name | Anna B Edlebeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073790804 PECOS PAC ID: 9436211414 Enrollment ID: I20081230000075 |
| Provider Name | Mary-anne Ottilie Kowol |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972698223 PECOS PAC ID: 4183786007 Enrollment ID: I20081230000446 |
| Provider Name | Dawn M Zahrt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326092230 PECOS PAC ID: 0244392140 Enrollment ID: I20081231000501 |
| Provider Name | Nanjappareddy M Reddy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285687913 PECOS PAC ID: 4981767795 Enrollment ID: I20090105000566 |
| Provider Name | David Boyd Bresnahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376595884 PECOS PAC ID: 7012070709 Enrollment ID: I20090106000801 |
| Provider Name | Ramandeep Sachdeva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619150166 PECOS PAC ID: 5092881565 Enrollment ID: I20090107000464 |
| Provider Name | Jay I Sandlow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063465797 PECOS PAC ID: 0244240786 Enrollment ID: I20090115000333 |
| Provider Name | Jamie Marie Hunter |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1952465627 PECOS PAC ID: 1951328665 Enrollment ID: I20090115000348 |
| Provider Name | Peter Langenstroer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780635532 PECOS PAC ID: 9436212594 Enrollment ID: I20090115000353 |
| Provider Name | Michael L Guralnick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003867482 PECOS PAC ID: 5698838753 Enrollment ID: I20090115000375 |
| Provider Name | Robert Francis Donnell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659323566 PECOS PAC ID: 3678636735 Enrollment ID: I20090115000396 |
| Provider Name | Mary Kay Voegeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508017625 PECOS PAC ID: 1456414465 Enrollment ID: I20090116000096 |
| Provider Name | Heather M Martens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962524991 PECOS PAC ID: 7911061817 Enrollment ID: I20090121000347 |
| Provider Name | Jason C Rubenstein |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063603975 PECOS PAC ID: 6002970977 Enrollment ID: I20090122000181 |
| Provider Name | Scott K Vanwhy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437103348 PECOS PAC ID: 4486718111 Enrollment ID: I20090126000154 |
| Provider Name | Mary C Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508848250 PECOS PAC ID: 7810969953 Enrollment ID: I20090202000196 |
| Provider Name | Lindsey M Katzmark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831340785 PECOS PAC ID: 5092879122 Enrollment ID: I20090204000047 |
| Provider Name | Stephen C Malcom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225254998 PECOS PAC ID: 1153486063 Enrollment ID: I20090210000142 |
| Provider Name | Cheryl L Brosig Soto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134173776 PECOS PAC ID: 2961567615 Enrollment ID: I20090213000107 |
| Provider Name | Douglas B Evans |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1295820116 PECOS PAC ID: 9032274477 Enrollment ID: I20090218000266 |
| Provider Name | Candi M Humphreys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801840145 PECOS PAC ID: 8022173442 Enrollment ID: I20090219000263 |
| Provider Name | Christina S Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265677280 PECOS PAC ID: 6608931878 Enrollment ID: I20090223000468 |
| Provider Name | Harry T Whelan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558313015 PECOS PAC ID: 6002971157 Enrollment ID: I20090224000564 |
| Provider Name | Stephen P Pontus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659324382 PECOS PAC ID: 7618032764 Enrollment ID: I20090224000591 |
| Provider Name | Michael T Meyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083675979 PECOS PAC ID: 4385709468 Enrollment ID: I20090225000042 |
| Provider Name | Guillermo F Carrera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821049214 PECOS PAC ID: 6800952706 Enrollment ID: I20090302000129 |
| Provider Name | Mary Beth Gonyo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649221441 PECOS PAC ID: 1456417294 Enrollment ID: I20090304000121 |
| Provider Name | Robert P Cronin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235183534 PECOS PAC ID: 5799841540 Enrollment ID: I20090304000153 |
| Provider Name | Hani S Matloub |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316998164 PECOS PAC ID: 0345139291 Enrollment ID: I20090304000412 |
| Provider Name | Jaime L Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063591923 PECOS PAC ID: 0244396711 Enrollment ID: I20090309000085 |
| Provider Name | John V Selthafner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013024207 PECOS PAC ID: 8820154065 Enrollment ID: I20090312000635 |
| Provider Name | Somchai Laowattana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245315365 PECOS PAC ID: 9830189943 Enrollment ID: I20090313000419 |
| Provider Name | Shahryar Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528253267 PECOS PAC ID: 6800955535 Enrollment ID: I20090319000352 |
| Provider Name | William Dennis Foley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033160965 PECOS PAC ID: 2769549690 Enrollment ID: I20090320000365 |
| Provider Name | Alfonso M Martinez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841243581 PECOS PAC ID: 5799842480 Enrollment ID: I20090325000112 |
| Provider Name | Dean E Klinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215906375 PECOS PAC ID: 9032215876 Enrollment ID: I20090325000568 |
| Provider Name | Kathleen E Puca |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942303250 PECOS PAC ID: 5395802854 Enrollment ID: I20090327000100 |
| Provider Name | Barbara J Provo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992944300 PECOS PAC ID: 4789741281 Enrollment ID: I20090327000442 |
| Provider Name | Joshua D Noe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659560712 PECOS PAC ID: 5294892709 Enrollment ID: I20090327000579 |
| Provider Name | Francisco A Quiroz Y Ferrari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275585994 PECOS PAC ID: 2264599695 Enrollment ID: I20090330000193 |
| Provider Name | Mara Pheister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639208440 PECOS PAC ID: 3971530262 Enrollment ID: I20090402000070 |
| Provider Name | David C Moe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952411779 PECOS PAC ID: 1254332141 Enrollment ID: I20090406000345 |
| Provider Name | Markus Kaiser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548402357 PECOS PAC ID: 8921155185 Enrollment ID: I20090406000385 |
| Provider Name | Kristine M Broge Reynen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285880856 PECOS PAC ID: 2062569940 Enrollment ID: I20090410000006 |
| Provider Name | Syed H Mehdi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518931138 PECOS PAC ID: 3375622863 Enrollment ID: I20090416000562 |
| Provider Name | Gregory J Griepentrog |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114991890 PECOS PAC ID: 9931139284 Enrollment ID: I20090420000089 |
| Provider Name | James F Kleczka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699726430 PECOS PAC ID: 0446307912 Enrollment ID: I20090421000168 |
| Provider Name | Roger M Lyon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518918366 PECOS PAC ID: 2062569437 Enrollment ID: I20090422000423 |
| Provider Name | Laura L Mesenbrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346486768 PECOS PAC ID: 0648334805 Enrollment ID: I20090427000261 |
| Provider Name | Mark A Timm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093780124 PECOS PAC ID: 5991617649 Enrollment ID: I20090505000079 |
| Provider Name | Nicholas C Ketchum |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801979885 PECOS PAC ID: 2264580026 Enrollment ID: I20090505000131 |
| Provider Name | Miranda G Gries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609017425 PECOS PAC ID: 9335297100 Enrollment ID: I20090505000240 |
| Provider Name | Sang H Hong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124079959 PECOS PAC ID: 2860541232 Enrollment ID: I20090514000580 |
| Provider Name | Matthew C Scanlon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801849278 PECOS PAC ID: 0547319717 Enrollment ID: I20090518000357 |
| Provider Name | Jennifer Ann Hickman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043399967 PECOS PAC ID: 1355490574 Enrollment ID: I20090519000255 |
| Provider Name | Abdelghaffar M Elobeid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922267582 PECOS PAC ID: 5991854580 Enrollment ID: I20090602000156 |
| Provider Name | Alexandria M Harrington |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205919446 PECOS PAC ID: 2860542420 Enrollment ID: I20090603000102 |
| Provider Name | Pinky Jha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699975581 PECOS PAC ID: 1658443163 Enrollment ID: I20090603000195 |
| Provider Name | David J Cipriano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811068265 PECOS PAC ID: 8426108002 Enrollment ID: I20090603000263 |
| Provider Name | Jason E Gonzaga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710026430 PECOS PAC ID: 4688724834 Enrollment ID: I20090609000340 |
| Provider Name | Richard Hariman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811156482 PECOS PAC ID: 9739239906 Enrollment ID: I20090609000490 |
| Provider Name | S Dalip Singh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043264955 PECOS PAC ID: 2264582436 Enrollment ID: I20090609000519 |
| Provider Name | Peter J Rossi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063450229 PECOS PAC ID: 3779596515 Enrollment ID: I20090609000574 |
| Provider Name | Anu Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124290440 PECOS PAC ID: 0840362802 Enrollment ID: I20090609000585 |
| Provider Name | Jessica N Rock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639247562 PECOS PAC ID: 1355491580 Enrollment ID: I20090610000387 |
| Provider Name | Jonathan M Bock |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306055868 PECOS PAC ID: 3375614712 Enrollment ID: I20090610000618 |
| Provider Name | John C Densmore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508930033 PECOS PAC ID: 2567512619 Enrollment ID: I20090610000624 |
| Provider Name | Melissa S Dubois |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497839617 PECOS PAC ID: 4284784349 Enrollment ID: I20090610000635 |
| Provider Name | Todd A Neideen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720172893 PECOS PAC ID: 0345390449 Enrollment ID: I20090611000327 |
| Provider Name | Vaishnavi Muqeet |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467527457 PECOS PAC ID: 2961552070 Enrollment ID: I20090611000361 |
| Provider Name | Mohit Maheshwari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831279512 PECOS PAC ID: 6002966892 Enrollment ID: I20090617000332 |
| Provider Name | Matthew I Goldblatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790771517 PECOS PAC ID: 4284613365 Enrollment ID: I20090618000291 |
| Provider Name | Janak Wagle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962687749 PECOS PAC ID: 9638229396 Enrollment ID: I20090618000335 |
| Provider Name | Andrew P Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700961331 PECOS PAC ID: 8123178894 Enrollment ID: I20090618000396 |
| Provider Name | Parag P Tolat |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497837124 PECOS PAC ID: 3375693054 Enrollment ID: I20090618000518 |
| Provider Name | Travis W Groth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487703864 PECOS PAC ID: 7012068752 Enrollment ID: I20090619000339 |
| Provider Name | Teresa G Kelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275580672 PECOS PAC ID: 7012939341 Enrollment ID: I20090625000439 |
| Provider Name | Naveet S Bal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578773131 PECOS PAC ID: 8426109653 Enrollment ID: I20090630000272 |
| Provider Name | Kelly L Hodges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932302668 PECOS PAC ID: 9830290840 Enrollment ID: I20090702000186 |
| Provider Name | Alexei V Agapitov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841201514 PECOS PAC ID: 0446301428 Enrollment ID: I20090702000445 |
| Provider Name | Edward M Nelsen Freund |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831141506 PECOS PAC ID: 3173674009 Enrollment ID: I20090706000274 |
| Provider Name | Judith A Marchant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548494032 PECOS PAC ID: 0042361826 Enrollment ID: I20090708000316 |
| Provider Name | Emily B Porter |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245270446 PECOS PAC ID: 9830240613 Enrollment ID: I20090708000336 |
| Provider Name | Lorin R Browne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093868796 PECOS PAC ID: 8628171873 Enrollment ID: I20090708000355 |
| Provider Name | Kimberly Jane Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902857451 PECOS PAC ID: 8527119312 Enrollment ID: I20090708000367 |
| Provider Name | Laura M Musolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760626360 PECOS PAC ID: 3577615210 Enrollment ID: I20090710000249 |
| Provider Name | Christine A Wynveen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659469096 PECOS PAC ID: 3971669516 Enrollment ID: I20090713000371 |
| Provider Name | Karie N Zach |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1053489815 PECOS PAC ID: 9335291988 Enrollment ID: I20090714000041 |
| Provider Name | Julie W Raaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710931720 PECOS PAC ID: 8628120151 Enrollment ID: I20090715000116 |
| Provider Name | Sarah M Gaglianello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750324570 PECOS PAC ID: 1254483662 Enrollment ID: I20090716000139 |
| Provider Name | Jeffrey P Schwab |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366494171 PECOS PAC ID: 5799837050 Enrollment ID: I20090716000638 |
| Provider Name | Joseph R Cava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528019015 PECOS PAC ID: 9638061104 Enrollment ID: I20090804000464 |
| Provider Name | Larry K Hamberger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780635524 PECOS PAC ID: 9234282518 Enrollment ID: I20090804000502 |
| Provider Name | John G Thometz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093766776 PECOS PAC ID: 1951455757 Enrollment ID: I20090813000160 |
| Provider Name | Karen A Hulbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679524409 PECOS PAC ID: 7416001128 Enrollment ID: I20090814000371 |
| Provider Name | Colleen A Crowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003071283 PECOS PAC ID: 8527112861 Enrollment ID: I20090820000386 |
| Provider Name | Daniel Siker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558315473 PECOS PAC ID: 2163576398 Enrollment ID: I20090821000345 |
| Provider Name | Rodrigo G Valadares De Sousa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023250321 PECOS PAC ID: 8325193477 Enrollment ID: I20090826000333 |
| Provider Name | Joseph R Block |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316068364 PECOS PAC ID: 0345395240 Enrollment ID: I20090828000134 |
| Provider Name | J Eric D Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316971807 PECOS PAC ID: 7719884527 Enrollment ID: I20090828000375 |
| Provider Name | Jonathan B Gully |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1568650158 PECOS PAC ID: 2567517402 Enrollment ID: I20090828000483 |
| Provider Name | Aggeliki Zikos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447471677 PECOS PAC ID: 3971658824 Enrollment ID: I20090828000527 |
| Provider Name | Angela L Rabbitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891975306 PECOS PAC ID: 4688744774 Enrollment ID: I20090828000621 |
| Provider Name | Brenda Sue Nolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720236789 PECOS PAC ID: 5395890941 Enrollment ID: I20090902000616 |
| Provider Name | Abdul Q Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255315586 PECOS PAC ID: 4880749449 Enrollment ID: I20090902000671 |
| Provider Name | Jeremy Scott Juern |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669650826 PECOS PAC ID: 9638224124 Enrollment ID: I20090904000487 |
| Provider Name | Susan M Thoreson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912137126 PECOS PAC ID: 4183770324 Enrollment ID: I20090914000293 |
| Provider Name | Karen M Glasenapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497862908 PECOS PAC ID: 7416003405 Enrollment ID: I20090916000250 |
| Provider Name | Laura T Brusky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093885659 PECOS PAC ID: 7214083203 Enrollment ID: I20090916000266 |
| Provider Name | Sara E Libby Glapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750514873 PECOS PAC ID: 8921154931 Enrollment ID: I20090916000399 |
| Provider Name | Kia Saeian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932152212 PECOS PAC ID: 2365598372 Enrollment ID: I20090916000429 |
| Provider Name | Jennifer L Thimmesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083841639 PECOS PAC ID: 3678629698 Enrollment ID: I20090916000483 |
| Provider Name | Christopher P Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528010329 PECOS PAC ID: 0840346862 Enrollment ID: I20090916000499 |
| Provider Name | Karolyn Ivanovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457337867 PECOS PAC ID: 2264460799 Enrollment ID: I20090917000294 |
| Provider Name | Khawaja A Ammar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477528065 PECOS PAC ID: 1951342963 Enrollment ID: I20091002000443 |
| Provider Name | Anne E. Lakatos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003149295 PECOS PAC ID: 5193861664 Enrollment ID: I20091014000306 |
| Provider Name | Kathy D Hartke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932129921 PECOS PAC ID: 5799739132 Enrollment ID: I20091016000088 |
| Provider Name | Sara K Quates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750513537 PECOS PAC ID: 3173660529 Enrollment ID: I20091016000574 |
| Provider Name | Debra J Lanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033341995 PECOS PAC ID: 1850438607 Enrollment ID: I20091027000583 |
| Provider Name | Janet S Rader |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316965098 PECOS PAC ID: 6204973795 Enrollment ID: I20091103000217 |
| Provider Name | Mohan S Dhariwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356395644 PECOS PAC ID: 3375681810 Enrollment ID: I20091103000674 |
| Provider Name | Syed M Rizvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548376312 PECOS PAC ID: 4486687266 Enrollment ID: I20091103000700 |
| Provider Name | Gabriela Gheorghe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457407066 PECOS PAC ID: 9436297975 Enrollment ID: I20091103000708 |
| Provider Name | Daniel C Mielnicki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366407272 PECOS PAC ID: 7911093711 Enrollment ID: I20091103000716 |
| Provider Name | Joanne M Lagatta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013195510 PECOS PAC ID: 9436219433 Enrollment ID: I20091105000573 |
| Provider Name | Carol Ann Idso Eling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942259122 PECOS PAC ID: 0042358384 Enrollment ID: I20091106000423 |
| Provider Name | Christine Restivo Pritzl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437380409 PECOS PAC ID: 7012056336 Enrollment ID: I20091130000287 |
| Provider Name | Evgueni Fayn |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336181072 PECOS PAC ID: 0941203657 Enrollment ID: I20091211000257 |
| Provider Name | Catherine R English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346477866 PECOS PAC ID: 6608916952 Enrollment ID: I20091216000509 |
| Provider Name | Christina L Wichman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801873245 PECOS PAC ID: 6103888615 Enrollment ID: I20100106000799 |
| Provider Name | Steven A Harvey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720045867 PECOS PAC ID: 2163563545 Enrollment ID: I20100107000309 |
| Provider Name | George K Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821049677 PECOS PAC ID: 3072654938 Enrollment ID: I20100114000279 |
| Provider Name | Heidi T Zafra |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1245282748 PECOS PAC ID: 3971645797 Enrollment ID: I20100116000162 |
| Provider Name | Eckehard Ae Stuth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376594028 PECOS PAC ID: 3678615952 Enrollment ID: I20100125000592 |
| Provider Name | Patricia M Quinn Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124351101 PECOS PAC ID: 5294878252 Enrollment ID: I20100130000137 |
| Provider Name | John P Lacey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578645305 PECOS PAC ID: 9537202510 Enrollment ID: I20100201000056 |
| Provider Name | Lester T Proctor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710953856 PECOS PAC ID: 6507909462 Enrollment ID: I20100201000766 |
| Provider Name | Karri A Huber |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093805319 PECOS PAC ID: 6709929524 Enrollment ID: I20100202000659 |
| Provider Name | Elizabeth J Cochran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306821103 PECOS PAC ID: 5597808311 Enrollment ID: I20100202000683 |
| Provider Name | Seema Menon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427060458 PECOS PAC ID: 1658302294 Enrollment ID: I20100206000227 |
| Provider Name | Molly M Brickler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922245166 PECOS PAC ID: 6901940097 Enrollment ID: I20100212000151 |
| Provider Name | Steven F Butz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801847280 PECOS PAC ID: 6608910559 Enrollment ID: I20100216000837 |
| Provider Name | Jeffery R Smale |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407930886 PECOS PAC ID: 9739262023 Enrollment ID: I20100218000709 |
| Provider Name | Kevin V Moss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114991734 PECOS PAC ID: 5890607451 Enrollment ID: I20100219000709 |
| Provider Name | Kaylinn A Musto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225365018 PECOS PAC ID: 0446394050 Enrollment ID: I20100220000259 |
| Provider Name | Jennifer J Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346578887 PECOS PAC ID: 1951445162 Enrollment ID: I20100225000237 |
| Provider Name | Kiran Kashyap |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134192115 PECOS PAC ID: 6507945094 Enrollment ID: I20100323000062 |
| Provider Name | Michelle R Andrew |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992793327 PECOS PAC ID: 0840379335 Enrollment ID: I20100331000162 |
| Provider Name | Christopher P Sobczak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770534265 PECOS PAC ID: 0648306266 Enrollment ID: I20100407000169 |
| Provider Name | Nevin Uysal Biggs |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649508177 PECOS PAC ID: 7911033576 Enrollment ID: I20100407000526 |
| Provider Name | Mir A Basir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013967546 PECOS PAC ID: 9931236213 Enrollment ID: I20100419000108 |
| Provider Name | Stephanie L Kohler Neuwirth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194937052 PECOS PAC ID: 1951438043 Enrollment ID: I20100421000718 |
| Provider Name | Rehan Sajjad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841376167 PECOS PAC ID: 7517867286 Enrollment ID: I20100423000770 |
| Provider Name | Amy N Kimber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164753786 PECOS PAC ID: 1153459334 Enrollment ID: I20100508000010 |
| Provider Name | Lori A Hagar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316991649 PECOS PAC ID: 1456489517 Enrollment ID: I20100511000251 |
| Provider Name | William G Hope |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912958752 PECOS PAC ID: 9436287596 Enrollment ID: I20100511000281 |
| Provider Name | Gerald J Harris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629029467 PECOS PAC ID: 9335277490 Enrollment ID: I20100511000289 |
| Provider Name | John N Jensen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003867854 PECOS PAC ID: 6608904768 Enrollment ID: I20100511000297 |
| Provider Name | Anne K Wick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902120272 PECOS PAC ID: 4981732625 Enrollment ID: I20100517000641 |
| Provider Name | Lawrence W Platt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467423343 PECOS PAC ID: 5395874812 Enrollment ID: I20100521000280 |
| Provider Name | Joel H Lundberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306827621 PECOS PAC ID: 8426187345 Enrollment ID: I20100602000177 |
| Provider Name | Asriani M Chiu |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548211949 PECOS PAC ID: 8224168901 Enrollment ID: I20100607000135 |
| Provider Name | Pamela A Fleckenstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689996027 PECOS PAC ID: 5597895128 Enrollment ID: I20100609000020 |
| Provider Name | Jerome Vanruiswyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790736460 PECOS PAC ID: 4082744107 Enrollment ID: I20100615000791 |
| Provider Name | Steven J Weisman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891746301 PECOS PAC ID: 4183754229 Enrollment ID: I20100616000110 |
| Provider Name | Anna C Purdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902859788 PECOS PAC ID: 2062542160 Enrollment ID: I20100616000803 |
| Provider Name | Gregory J Schmeling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720031594 PECOS PAC ID: 9739219833 Enrollment ID: I20100616000865 |
| Provider Name | Thomas T Sato |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265485619 PECOS PAC ID: 1456481555 Enrollment ID: I20100616000873 |
| Provider Name | Bernd F Remler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467405191 PECOS PAC ID: 8628108727 Enrollment ID: I20100616000884 |
| Provider Name | William G Raasch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730131434 PECOS PAC ID: 4880724996 Enrollment ID: I20100616000925 |
| Provider Name | Dale K Heuer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336190164 PECOS PAC ID: 2961532072 Enrollment ID: I20100616000933 |
| Provider Name | Donald A Hackbarth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801847637 PECOS PAC ID: 5698805703 Enrollment ID: I20100616000942 |
| Provider Name | Mary F Otterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255385001 PECOS PAC ID: 9133259245 Enrollment ID: I20100616000948 |
| Provider Name | Stephen Dolan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144274465 PECOS PAC ID: 4385774363 Enrollment ID: I20100618000047 |
| Provider Name | Patrick M Gardner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912974858 PECOS PAC ID: 9133182124 Enrollment ID: I20100624000935 |
| Provider Name | Kimberley L Zvara |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437360310 PECOS PAC ID: 7911038591 Enrollment ID: I20100625000241 |
| Provider Name | Ruby Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538362884 PECOS PAC ID: 2365573631 Enrollment ID: I20100630000433 |
| Provider Name | Theodore J Hubley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356390884 PECOS PAC ID: 2668503962 Enrollment ID: I20100630000741 |
| Provider Name | Jonathan M Rubin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346293115 PECOS PAC ID: 8325179443 Enrollment ID: I20100706000172 |
| Provider Name | Mary Beth Phelan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356393037 PECOS PAC ID: 7113058231 Enrollment ID: I20100706000196 |
| Provider Name | James D Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417903675 PECOS PAC ID: 5395876411 Enrollment ID: I20100706000208 |
| Provider Name | Binod Dhakal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710218011 PECOS PAC ID: 6305978354 Enrollment ID: I20100709000736 |
| Provider Name | Robert K Lyon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306899034 PECOS PAC ID: 1254345978 Enrollment ID: I20100714000702 |
| Provider Name | Kusuma C Rao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538276860 PECOS PAC ID: 9335271022 Enrollment ID: I20100715000536 |
| Provider Name | Terri A Deroon-cassini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700100070 PECOS PAC ID: 3577695295 Enrollment ID: I20100715000828 |
| Provider Name | Timothy J Olund |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184678138 PECOS PAC ID: 1153453881 Enrollment ID: I20100715001036 |
| Provider Name | Scott C Hicks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053497362 PECOS PAC ID: 5698807287 Enrollment ID: I20100716000747 |
| Provider Name | Brian Law |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548356967 PECOS PAC ID: 0941332530 Enrollment ID: I20100716000765 |
| Provider Name | Judith K Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821040569 PECOS PAC ID: 3779615133 Enrollment ID: I20100720000934 |
| Provider Name | Paul E Barkhaus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205887601 PECOS PAC ID: 7618009085 Enrollment ID: I20100720001016 |
| Provider Name | Paul M Lemen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457305708 PECOS PAC ID: 6709918170 Enrollment ID: I20100720001024 |
| Provider Name | Ayse Kula |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568534816 PECOS PAC ID: 2769514058 Enrollment ID: I20100722000317 |
| Provider Name | Isaac D Pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255383949 PECOS PAC ID: 2062544174 Enrollment ID: I20100723000927 |
| Provider Name | Jo M Weis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841242294 PECOS PAC ID: 1850423963 Enrollment ID: I20100723000971 |
| Provider Name | Arlen D Denny |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851342331 PECOS PAC ID: 6103958269 Enrollment ID: I20100726000181 |
| Provider Name | Suneeta Gollapudy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932153251 PECOS PAC ID: 7719019876 Enrollment ID: I20100726000200 |
| Provider Name | Julianne R Newcomer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528010295 PECOS PAC ID: 5991837056 Enrollment ID: I20100726000214 |
| Provider Name | Barbara Dahl Wilson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750376901 PECOS PAC ID: 3072645134 Enrollment ID: I20100726000227 |
| Provider Name | Sabina Diehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003867185 PECOS PAC ID: 5698807758 Enrollment ID: I20100726000265 |
| Provider Name | Kenneth G Schellhase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982655452 PECOS PAC ID: 6507998671 Enrollment ID: I20100726000279 |
| Provider Name | Leslie M Gimenez |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1194776971 PECOS PAC ID: 4587796651 Enrollment ID: I20100726000303 |
| Provider Name | Gary R Seabrook |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407809148 PECOS PAC ID: 5395877476 Enrollment ID: I20100726000411 |
| Provider Name | Linus John H Santo Tomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356411540 PECOS PAC ID: 8820120900 Enrollment ID: I20100726000422 |
| Provider Name | Susan R Staudt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043266224 PECOS PAC ID: 7810029998 Enrollment ID: I20100726000429 |
| Provider Name | Thomas A Stekiel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730130485 PECOS PAC ID: 2860557063 Enrollment ID: I20100726000437 |
| Provider Name | Joan M Neuner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093769143 PECOS PAC ID: 7719019892 Enrollment ID: I20100726000444 |
| Provider Name | Joseph P Ogrady |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619920394 PECOS PAC ID: 1456483544 Enrollment ID: I20100726000560 |
| Provider Name | Anne Z Hoch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477504207 PECOS PAC ID: 4880727973 Enrollment ID: I20100726000607 |
| Provider Name | Ann B Nattinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598717266 PECOS PAC ID: 4183757271 Enrollment ID: I20100726000680 |
| Provider Name | Ann M Maguire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689626426 PECOS PAC ID: 4082747183 Enrollment ID: I20100726000700 |
| Provider Name | Barbara A Slawski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215989074 PECOS PAC ID: 4880727981 Enrollment ID: I20100726000722 |
| Provider Name | Kurt J Pfeifer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255385241 PECOS PAC ID: 5597898692 Enrollment ID: I20100726000754 |
| Provider Name | Peter G Sohnle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083666713 PECOS PAC ID: 6204969306 Enrollment ID: I20100726000780 |
| Provider Name | Susan M Retzack |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043263791 PECOS PAC ID: 2567595663 Enrollment ID: I20100726000791 |
| Provider Name | Franklin J Ruiz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972555647 PECOS PAC ID: 1557494663 Enrollment ID: I20100726000812 |
| Provider Name | Shamim A Ansari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205887718 PECOS PAC ID: 9638202740 Enrollment ID: I20100726000823 |
| Provider Name | Jurica Bajic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710938139 PECOS PAC ID: 7719010826 Enrollment ID: I20100726000833 |
| Provider Name | Suzanne M Marchant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780909119 PECOS PAC ID: 4486787512 Enrollment ID: I20100727000130 |
| Provider Name | Reza Shaker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033161989 PECOS PAC ID: 5193858249 Enrollment ID: I20100727000419 |
| Provider Name | George M Hoffman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902857741 PECOS PAC ID: 4183757230 Enrollment ID: I20100727000430 |
| Provider Name | Kenneth W Presberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578515268 PECOS PAC ID: 0244363398 Enrollment ID: I20100727000470 |
| Provider Name | Kavita Ratarasarn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407808157 PECOS PAC ID: 6507999653 Enrollment ID: I20100727000491 |
| Provider Name | Estil Y Strawn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558312207 PECOS PAC ID: 5193858272 Enrollment ID: I20100727000874 |
| Provider Name | Tatyana C Strong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588618466 PECOS PAC ID: 7618000696 Enrollment ID: I20100727000919 |
| Provider Name | Lawrence A Turner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265484521 PECOS PAC ID: 7315070398 Enrollment ID: I20100727000961 |
| Provider Name | Jaya L Varadarajan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861446767 PECOS PAC ID: 5193858173 Enrollment ID: I20100727001027 |
| Provider Name | Michael R Lund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659325827 PECOS PAC ID: 1153454145 Enrollment ID: I20100727001079 |
| Provider Name | Benson T Massey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407807258 PECOS PAC ID: 9032242029 Enrollment ID: I20100727001108 |
| Provider Name | Scott E Robison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437101144 PECOS PAC ID: 3274666219 Enrollment ID: I20100728000597 |
| Provider Name | Karen E Madsen Drescher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356392104 PECOS PAC ID: 1254464290 Enrollment ID: I20100728000626 |
| Provider Name | Theresa A Mikhailov |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679525356 PECOS PAC ID: 0042343097 Enrollment ID: I20100728000660 |
| Provider Name | Zainab Basir |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689625105 PECOS PAC ID: 4284767245 Enrollment ID: I20100728000843 |
| Provider Name | Kathleen R Beckman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962453316 PECOS PAC ID: 1153454129 Enrollment ID: I20100728000905 |
| Provider Name | N Timothy Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912945064 PECOS PAC ID: 7517090459 Enrollment ID: I20100729000600 |
| Provider Name | Brad K Grunert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588615330 PECOS PAC ID: 1254464100 Enrollment ID: I20100729000709 |
| Provider Name | Mark D Rusch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881640043 PECOS PAC ID: 0244363109 Enrollment ID: I20100729000731 |
| Provider Name | Todd J Troshynski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881645547 PECOS PAC ID: 5597898353 Enrollment ID: I20100729000885 |
| Provider Name | Bhavna P Sheth |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578515334 PECOS PAC ID: 1557494317 Enrollment ID: I20100729000926 |
| Provider Name | Todd A Loehrl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902857758 PECOS PAC ID: 8628101409 Enrollment ID: I20100730000115 |
| Provider Name | David R Friedland |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760433148 PECOS PAC ID: 2062545841 Enrollment ID: I20100730000137 |
| Provider Name | Kellie R Brown |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154375400 PECOS PAC ID: 7214060094 Enrollment ID: I20100730000171 |
| Provider Name | Bruce H Campbell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952353484 PECOS PAC ID: 7012040892 Enrollment ID: I20100730000193 |
| Provider Name | Piero G Antuono |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750332268 PECOS PAC ID: 7911030705 Enrollment ID: I20100730000213 |
| Provider Name | Carole S Vetter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255383840 PECOS PAC ID: 4183757974 Enrollment ID: I20100730000235 |
| Provider Name | Elizabeth A Krzywda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316999139 PECOS PAC ID: 3072646728 Enrollment ID: I20100802000045 |
| Provider Name | Debra A Andris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306897814 PECOS PAC ID: 3971636622 Enrollment ID: I20100802000057 |
| Provider Name | Meg Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427000280 PECOS PAC ID: 9133252885 Enrollment ID: I20100802000084 |
| Provider Name | Lisa A Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942251798 PECOS PAC ID: 1850424508 Enrollment ID: I20100802000099 |
| Provider Name | Cheryl J Blaschuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013961713 PECOS PAC ID: 1456484112 Enrollment ID: I20100802000157 |
| Provider Name | Colleen M Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538113451 PECOS PAC ID: 8527191287 Enrollment ID: I20100802000171 |
| Provider Name | Julie A Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164476073 PECOS PAC ID: 5799818456 Enrollment ID: I20100802000191 |
| Provider Name | Lynnette J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841244969 PECOS PAC ID: 1850424516 Enrollment ID: I20100802000227 |
| Provider Name | Kathy A King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770535403 PECOS PAC ID: 0941333611 Enrollment ID: I20100802000343 |
| Provider Name | Karen A Blindauer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699726034 PECOS PAC ID: 1759414428 Enrollment ID: I20100802000352 |
| Provider Name | Grant P Sinson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952352437 PECOS PAC ID: 4385777051 Enrollment ID: I20100802000371 |
| Provider Name | Albert L Jochen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720030513 PECOS PAC ID: 7911030697 Enrollment ID: I20100802000386 |
| Provider Name | Mary Beth Graham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639123904 PECOS PAC ID: 4981737665 Enrollment ID: I20100802000428 |
| Provider Name | David D Gutterman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609827633 PECOS PAC ID: 2961535646 Enrollment ID: I20100802000448 |
| Provider Name | Kathleen K Christians |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477504884 PECOS PAC ID: 0042343725 Enrollment ID: I20100802000459 |
| Provider Name | Julie L Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407807977 PECOS PAC ID: 5496888174 Enrollment ID: I20100802000477 |
| Provider Name | Kathryn M Denson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629029152 PECOS PAC ID: 8820121510 Enrollment ID: I20100802000510 |
| Provider Name | Michael O Frank |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417908369 PECOS PAC ID: 8921095258 Enrollment ID: I20100802000537 |
| Provider Name | Kulwinder S Dua |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215988290 PECOS PAC ID: 7618000308 Enrollment ID: I20100802000545 |
| Provider Name | Mary Ann C Gilligan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023060829 PECOS PAC ID: 9234262924 Enrollment ID: I20100802000574 |
| Provider Name | Geoffrey C Lamb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962453712 PECOS PAC ID: 1557377975 Enrollment ID: I20100802000689 |
| Provider Name | William R Drobyski |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1861443848 PECOS PAC ID: 5890828594 Enrollment ID: I20100802000702 |
| Provider Name | David M King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699729962 PECOS PAC ID: 3476686189 Enrollment ID: I20100802000773 |
| Provider Name | Charul A Munshi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194777938 PECOS PAC ID: 2264565977 Enrollment ID: I20100802000798 |
| Provider Name | Jose Franco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699726547 PECOS PAC ID: 9234262957 Enrollment ID: I20100802000821 |
| Provider Name | Charles T Durkee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588618805 PECOS PAC ID: 3779616495 Enrollment ID: I20100802000832 |
| Provider Name | Fahim Ud Din Kazi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245284512 PECOS PAC ID: 9931232659 Enrollment ID: I20100802000847 |
| Provider Name | Randolph J Lipchik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891746640 PECOS PAC ID: 7911030630 Enrollment ID: I20100802000863 |
| Provider Name | Olga Y Kaslow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548211386 PECOS PAC ID: 2466585187 Enrollment ID: I20100802000873 |
| Provider Name | Steven I Grindel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053362582 PECOS PAC ID: 2365575081 Enrollment ID: I20100802000888 |
| Provider Name | Lourdes G Burgos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154371680 PECOS PAC ID: 3173656899 Enrollment ID: I20100802000901 |
| Provider Name | Hossein Almassi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255382768 PECOS PAC ID: 1658404207 Enrollment ID: I20100803000328 |
| Provider Name | Hong Chen |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1003860305 PECOS PAC ID: 7911030572 Enrollment ID: I20100803000346 |
| Provider Name | Lois A Connolly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265484166 PECOS PAC ID: 4183757743 Enrollment ID: I20100803000368 |
| Provider Name | Kathryn K Lauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467403212 PECOS PAC ID: 5991838559 Enrollment ID: I20100803000382 |
| Provider Name | Wade M Mueller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356393094 PECOS PAC ID: 0042343600 Enrollment ID: I20100803000430 |
| Provider Name | Jeffrey R Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679524029 PECOS PAC ID: 3678606233 Enrollment ID: I20100803000451 |
| Provider Name | Lynn M Rusy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376595058 PECOS PAC ID: 6002949674 Enrollment ID: I20100803000501 |
| Provider Name | Vicki Tetzlaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538128954 PECOS PAC ID: 0446383012 Enrollment ID: I20100803000520 |
| Provider Name | John P Scott |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689627440 PECOS PAC ID: 0749313344 Enrollment ID: I20100803000902 |
| Provider Name | Diana R Quintero |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992759906 PECOS PAC ID: 2365575966 Enrollment ID: I20100803000929 |
| Provider Name | John S Rhee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497708143 PECOS PAC ID: 7719010313 Enrollment ID: I20100803000935 |
| Provider Name | Benjamin Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346292653 PECOS PAC ID: 5890828495 Enrollment ID: I20100803000959 |
| Provider Name | Meghen B Browning |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184678468 PECOS PAC ID: 5698808293 Enrollment ID: I20100803000982 |
| Provider Name | Timothy Ian Mullin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588752307 PECOS PAC ID: 6406909100 Enrollment ID: I20100803001150 |
| Provider Name | Patrick C Foy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366634040 PECOS PAC ID: 1254464761 Enrollment ID: I20100804001070 |
| Provider Name | Thomas Clark Gamblin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033182175 PECOS PAC ID: 6800832833 Enrollment ID: I20100813000081 |
| Provider Name | Diane S Book |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396796744 PECOS PAC ID: 7911031877 Enrollment ID: I20100813000295 |
| Provider Name | Rainer Gedeit |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083665947 PECOS PAC ID: 1456485325 Enrollment ID: I20100813000326 |
| Provider Name | Ritesh Panwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588826531 PECOS PAC ID: 5799819454 Enrollment ID: I20100817000438 |
| Provider Name | Ben George |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295930519 PECOS PAC ID: 9638203300 Enrollment ID: I20100817000541 |
| Provider Name | Anubha Wadhwa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225275563 PECOS PAC ID: 7719011410 Enrollment ID: I20100817000944 |
| Provider Name | Ross M Cerniglia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578640793 PECOS PAC ID: 6507990215 Enrollment ID: I20100817001001 |
| Provider Name | Sandra M Miels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164476289 PECOS PAC ID: 0547394116 Enrollment ID: I20100818000295 |
| Provider Name | Sarah J Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811941917 PECOS PAC ID: 3173657665 Enrollment ID: I20100819000609 |
| Provider Name | Jasna Jevtic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386695823 PECOS PAC ID: 9537293881 Enrollment ID: I20100823000418 |
| Provider Name | Robert M Kliegman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407807241 PECOS PAC ID: 0042207458 Enrollment ID: I20100824000463 |
| Provider Name | Svapna S Sabnis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326090002 PECOS PAC ID: 0749304095 Enrollment ID: I20100824000590 |
| Provider Name | Laurel M Bear |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760436463 PECOS PAC ID: 1456475714 Enrollment ID: I20100824000733 |
| Provider Name | Nicole Lynn Lohr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205924693 PECOS PAC ID: 0042334930 Enrollment ID: I20100830000490 |
| Provider Name | Aimee C Welsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033233374 PECOS PAC ID: 6204950108 Enrollment ID: I20100830000538 |
| Provider Name | Gabriella A Hangiandreou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861407660 PECOS PAC ID: 6800910688 Enrollment ID: I20100831000544 |
| Provider Name | Michelle L Czarnecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811155302 PECOS PAC ID: 1658495478 Enrollment ID: I20100901000030 |
| Provider Name | Eric U Luy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538110382 PECOS PAC ID: 8022132562 Enrollment ID: I20100903000928 |
| Provider Name | Ann M Carlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215981568 PECOS PAC ID: 7315061702 Enrollment ID: I20100908000513 |
| Provider Name | William W Dzwierzynski |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518918564 PECOS PAC ID: 0941324339 Enrollment ID: I20100908000531 |
| Provider Name | Gary S Sudakoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932150612 PECOS PAC ID: 2860517257 Enrollment ID: I20100908000645 |
| Provider Name | James R Sanger |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1265485023 PECOS PAC ID: 0840315230 Enrollment ID: I20100908000664 |
| Provider Name | Craig A Schneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285960450 PECOS PAC ID: 4688799018 Enrollment ID: I20100909000026 |
| Provider Name | Charles E Cady |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831140227 PECOS PAC ID: 7012032337 Enrollment ID: I20100909001148 |
| Provider Name | Sara J Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841241528 PECOS PAC ID: 5991820219 Enrollment ID: I20100909001189 |
| Provider Name | Annette D Segura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982656732 PECOS PAC ID: 2163547480 Enrollment ID: I20100909001199 |
| Provider Name | Selim Y Firat |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447201363 PECOS PAC ID: 7911022967 Enrollment ID: I20100914000577 |
| Provider Name | Lawrence R Goodman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548211048 PECOS PAC ID: 7719002773 Enrollment ID: I20100914000619 |
| Provider Name | Daniel J Worman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407808736 PECOS PAC ID: 9234254293 Enrollment ID: I20100914000661 |
| Provider Name | Mary Elizabeth S Nelson-biersach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013961077 PECOS PAC ID: 1759406713 Enrollment ID: I20100914000698 |
| Provider Name | Mark A Klingbeil |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679524417 PECOS PAC ID: 8527183599 Enrollment ID: I20100914000761 |
| Provider Name | Stephen W Hargarten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760433502 PECOS PAC ID: 4880719855 Enrollment ID: I20100914000786 |
| Provider Name | Wendy L Peltier |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396796132 PECOS PAC ID: 1951426923 Enrollment ID: I20100914000808 |
| Provider Name | James Ninomiya |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902858681 PECOS PAC ID: 1850416884 Enrollment ID: I20100915000155 |
| Provider Name | Anne M Larosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801110184 PECOS PAC ID: 0143345009 Enrollment ID: I20100915000660 |
| Provider Name | Philip B Sharpless |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154372639 PECOS PAC ID: 3971628868 Enrollment ID: I20100915001025 |
| Provider Name | Alonzo P Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700838240 PECOS PAC ID: 3678698446 Enrollment ID: I20100916000850 |
| Provider Name | Suyan Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093766842 PECOS PAC ID: 1052436847 Enrollment ID: I20100916001124 |
| Provider Name | Dawn Heather Siegel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558429621 PECOS PAC ID: 7315969425 Enrollment ID: I20100916001217 |
| Provider Name | Sylvia M Hillmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417908245 PECOS PAC ID: 3678698339 Enrollment ID: I20100917000774 |
| Provider Name | Melissa Fay Anglin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174522130 PECOS PAC ID: 8527183136 Enrollment ID: I20100918000219 |
| Provider Name | Albert J Pomeranz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184676819 PECOS PAC ID: 5597880153 Enrollment ID: I20100920000601 |
| Provider Name | Oludamilola A Salami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336347574 PECOS PAC ID: 9537284138 Enrollment ID: I20100920001102 |
| Provider Name | David E Pryba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770536534 PECOS PAC ID: 9739205147 Enrollment ID: I20100922001194 |
| Provider Name | Judy P Hoggatt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164592291 PECOS PAC ID: 4587640982 Enrollment ID: I20100922001215 |
| Provider Name | Jonathan G Tlachac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629204078 PECOS PAC ID: 2163575671 Enrollment ID: I20100927001005 |
| Provider Name | Joan L Milott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528010238 PECOS PAC ID: 9234255282 Enrollment ID: I20100927001265 |
| Provider Name | Kathryn C Krieg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316991680 PECOS PAC ID: 2769508712 Enrollment ID: I20100927001295 |
| Provider Name | Michael J Lasser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598716342 PECOS PAC ID: 5193841161 Enrollment ID: I20100927001485 |
| Provider Name | James E Breckenridge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699781328 PECOS PAC ID: 4789876806 Enrollment ID: I20101007001044 |
| Provider Name | Earnestine Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770535247 PECOS PAC ID: 9931391059 Enrollment ID: I20101007001074 |
| Provider Name | Adam G King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932257623 PECOS PAC ID: 0244422384 Enrollment ID: I20101007001301 |
| Provider Name | Louella B Amos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871540518 PECOS PAC ID: 7315139367 Enrollment ID: I20101008000173 |
| Provider Name | Caroline Pace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467636464 PECOS PAC ID: 5092907063 Enrollment ID: I20101008000403 |
| Provider Name | Gary A Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992757595 PECOS PAC ID: 4385836212 Enrollment ID: I20101008001306 |
| Provider Name | David Brousseau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245284595 PECOS PAC ID: 5294927125 Enrollment ID: I20101008001308 |
| Provider Name | Quinn H Hogan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003867847 PECOS PAC ID: 5597957431 Enrollment ID: I20101011000111 |
| Provider Name | Sharon L Busey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063462596 PECOS PAC ID: 5092907949 Enrollment ID: I20101011000179 |
| Provider Name | Joshua J Field |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609938067 PECOS PAC ID: 8729186986 Enrollment ID: I20101011000544 |
| Provider Name | Kimberly J Moriarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356662613 PECOS PAC ID: 2668664400 Enrollment ID: I20101012000311 |
| Provider Name | Kory D Koerner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285753301 PECOS PAC ID: 2163614942 Enrollment ID: I20101012000791 |
| Provider Name | Michael R Uhing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255382750 PECOS PAC ID: 3870785678 Enrollment ID: I20101012000993 |
| Provider Name | Adam D Currey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952491508 PECOS PAC ID: 1759573553 Enrollment ID: I20101012001016 |
| Provider Name | Amy I Guise |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114087640 PECOS PAC ID: 8325230139 Enrollment ID: I20101012001124 |
| Provider Name | David F Stowe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578514220 PECOS PAC ID: 2860684586 Enrollment ID: I20101012001400 |
| Provider Name | Kavita V Naik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205052115 PECOS PAC ID: 7416149042 Enrollment ID: I20101014000192 |
| Provider Name | Marc A Lazzaro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851557623 PECOS PAC ID: 9638361298 Enrollment ID: I20101014000578 |
| Provider Name | Bipin Thapa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407042773 PECOS PAC ID: 3870785447 Enrollment ID: I20101014000651 |
| Provider Name | Michael C Weisgerber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669428850 PECOS PAC ID: 4880887421 Enrollment ID: I20101015000186 |
| Provider Name | Jane M Machi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447201298 PECOS PAC ID: 4587857131 Enrollment ID: I20101015000241 |
| Provider Name | Latha N Kampalath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639120470 PECOS PAC ID: 9739372236 Enrollment ID: I20101015001004 |
| Provider Name | Kenneth Simons |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225089709 PECOS PAC ID: 5799978169 Enrollment ID: I20101018000734 |
| Provider Name | Emmy L Sippel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124332762 PECOS PAC ID: 5597650903 Enrollment ID: I20101019000280 |
| Provider Name | Yvonne E Chiu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043393408 PECOS PAC ID: 5799978763 Enrollment ID: I20101022000262 |
| Provider Name | Katie M Teichmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871802025 PECOS PAC ID: 3274726104 Enrollment ID: I20101022001014 |
| Provider Name | Anne E Gelsthorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720395106 PECOS PAC ID: 3274726021 Enrollment ID: I20101025000864 |
| Provider Name | Lindsey Loveland Baptist |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346578101 PECOS PAC ID: 2365635133 Enrollment ID: I20101025001133 |
| Provider Name | Donald G Basel |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1649478553 PECOS PAC ID: 4789878448 Enrollment ID: I20101027000600 |
| Provider Name | Bryan C Hunt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861679557 PECOS PAC ID: 9234323908 Enrollment ID: I20101027000731 |
| Provider Name | Harvey J Woehlck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871545350 PECOS PAC ID: 7719171115 Enrollment ID: I20101029000831 |
| Provider Name | Cheryl M Cameron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770520983 PECOS PAC ID: 7315131711 Enrollment ID: I20101029000876 |
| Provider Name | Kerry A Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720394372 PECOS PAC ID: 9436343860 Enrollment ID: I20101029001202 |
| Provider Name | Roger Fons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831266352 PECOS PAC ID: 1456545698 Enrollment ID: I20101101001202 |
| Provider Name | Beth Ann Drolet |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477505386 PECOS PAC ID: 2769676931 Enrollment ID: I20101101001588 |
| Provider Name | Alicia M Pilarski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346448735 PECOS PAC ID: 7517151616 Enrollment ID: I20101103000142 |
| Provider Name | Daniel J Stein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700968880 PECOS PAC ID: 0547261968 Enrollment ID: I20101103000166 |
| Provider Name | Dmitriy Kogan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881714426 PECOS PAC ID: 3274727177 Enrollment ID: I20101104001163 |
| Provider Name | Kesavan Kutty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942251780 PECOS PAC ID: 9830383645 Enrollment ID: I20101104001422 |
| Provider Name | Kenneth D Friedman |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1124079082 PECOS PAC ID: 9234323056 Enrollment ID: I20101104001516 |
| Provider Name | Ann K Helms |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982655718 PECOS PAC ID: 0749475580 Enrollment ID: I20101105001302 |
| Provider Name | Colleen A Lawton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669423596 PECOS PAC ID: 9133314818 Enrollment ID: I20101108000549 |
| Provider Name | Katie L Zilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013238047 PECOS PAC ID: 3971798620 Enrollment ID: I20101109000009 |
| Provider Name | Jamie L Neary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477889616 PECOS PAC ID: 3476685413 Enrollment ID: I20101109000763 |
| Provider Name | Wendy L Schmidt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841460839 PECOS PAC ID: 8628263233 Enrollment ID: I20101109000816 |
| Provider Name | Jennifer L Strande |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174617211 PECOS PAC ID: 3072708684 Enrollment ID: I20101109000834 |
| Provider Name | David J Milia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730359548 PECOS PAC ID: 7315132818 Enrollment ID: I20101110000484 |
| Provider Name | Raven A Koeppler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346316239 PECOS PAC ID: 2769677061 Enrollment ID: I20101112000048 |
| Provider Name | Julia J Fishler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427372598 PECOS PAC ID: 9830384130 Enrollment ID: I20101112000065 |
| Provider Name | Kanav Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265635999 PECOS PAC ID: 9234324203 Enrollment ID: I20101116000877 |
| Provider Name | Lakshmi H Kurre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235357138 PECOS PAC ID: 8325233232 Enrollment ID: I20101117000248 |
| Provider Name | Neeraj B Chepuri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740231364 PECOS PAC ID: 4880506047 Enrollment ID: I20101117000685 |
| Provider Name | Jennifer F Gerardin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053523399 PECOS PAC ID: 3779778642 Enrollment ID: I20101117000921 |
| Provider Name | Todd J Schroeder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982639142 PECOS PAC ID: 9032127543 Enrollment ID: I20101117001490 |
| Provider Name | Jessica A Scott Schwoerer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275590572 PECOS PAC ID: 0143416875 Enrollment ID: I20101120000165 |
| Provider Name | Jenna L Jozwik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063725760 PECOS PAC ID: 0840486593 Enrollment ID: I20101122000113 |
| Provider Name | Fahad M Iqbal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285848291 PECOS PAC ID: 1759438963 Enrollment ID: I20101124000246 |
| Provider Name | Mahesh G Belani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477537298 PECOS PAC ID: 8426148339 Enrollment ID: I20101124001004 |
| Provider Name | Tracey J Strombeck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548417637 PECOS PAC ID: 5395931695 Enrollment ID: I20101129000932 |
| Provider Name | Anand Padmanabhan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104085075 PECOS PAC ID: 6800082025 Enrollment ID: I20101130000128 |
| Provider Name | David F Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285792127 PECOS PAC ID: 9739276353 Enrollment ID: I20101130000143 |
| Provider Name | Patrick W O'leary |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881672632 PECOS PAC ID: 1254425010 Enrollment ID: I20101130000854 |
| Provider Name | Arthur Z Krasnow |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1982655734 PECOS PAC ID: 3870789977 Enrollment ID: I20101201000965 |
| Provider Name | Alan K David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043261530 PECOS PAC ID: 4385831379 Enrollment ID: I20101202000959 |
| Provider Name | Alexander C Mackinnon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710214820 PECOS PAC ID: 8921295932 Enrollment ID: I20101202001205 |
| Provider Name | Rebecca C Lundh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467678102 PECOS PAC ID: 9234326158 Enrollment ID: I20101203001253 |
| Provider Name | John D Suson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619047735 PECOS PAC ID: 2769468156 Enrollment ID: I20101207001165 |
| Provider Name | Timothy L Sie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366763450 PECOS PAC ID: 0446447932 Enrollment ID: I20101209000794 |
| Provider Name | Catherine C Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134275746 PECOS PAC ID: 5092902510 Enrollment ID: I20101209001220 |
| Provider Name | Charlene M Vander Zanden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235339532 PECOS PAC ID: 4688861008 Enrollment ID: I20101211000029 |
| Provider Name | Kelly A Gordon Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275849630 PECOS PAC ID: 9032306451 Enrollment ID: I20101211000037 |
| Provider Name | Jennifer C Mackinnon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316985427 PECOS PAC ID: 1557348828 Enrollment ID: I20101211000049 |
| Provider Name | Camille B Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356415178 PECOS PAC ID: 5597807750 Enrollment ID: I20101213000061 |
| Provider Name | Amy E Zosel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477754943 PECOS PAC ID: 4385736107 Enrollment ID: I20101213000130 |
| Provider Name | Deborah K Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245559723 PECOS PAC ID: 2365639671 Enrollment ID: I20101213001132 |
| Provider Name | Anna Witt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568558054 PECOS PAC ID: 4284787987 Enrollment ID: I20101216000206 |
| Provider Name | Patricia A Hautala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912215211 PECOS PAC ID: 7517155526 Enrollment ID: I20101217000037 |
| Provider Name | Kathleen T Ryan Loker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609079326 PECOS PAC ID: 2062541188 Enrollment ID: I20101217000673 |
| Provider Name | Erin R Hills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689987372 PECOS PAC ID: 7214125038 Enrollment ID: I20101221000606 |
| Provider Name | Michael W.b. Mccormick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366557852 PECOS PAC ID: 7012091549 Enrollment ID: I20110105001245 |
| Provider Name | Paul D Rasmussen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336256676 PECOS PAC ID: 8820287410 Enrollment ID: I20110113000208 |
| Provider Name | Janelle M Petinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336453315 PECOS PAC ID: 8224227699 Enrollment ID: I20110117000069 |
| Provider Name | Bernadette Elaine Vitola |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962677310 PECOS PAC ID: 5092904466 Enrollment ID: I20110117000143 |
| Provider Name | Michelle D Fleischmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417962143 PECOS PAC ID: 9436338639 Enrollment ID: I20110120000097 |
| Provider Name | Michael J Malan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669515045 PECOS PAC ID: 6103005111 Enrollment ID: I20110124000401 |
| Provider Name | Michael J Falender |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932182573 PECOS PAC ID: 1951580695 Enrollment ID: I20110126000892 |
| Provider Name | Megan N Mchugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598909244 PECOS PAC ID: 1850570367 Enrollment ID: I20110128000601 |
| Provider Name | Nirja P Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316098593 PECOS PAC ID: 6507045051 Enrollment ID: I20110128001110 |
| Provider Name | Susan R Foerster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215953450 PECOS PAC ID: 2062437338 Enrollment ID: I20110131000304 |
| Provider Name | Heidi Fowell Christianson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124260633 PECOS PAC ID: 5890974372 Enrollment ID: I20110131000328 |
| Provider Name | Mark S Remshak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194709303 PECOS PAC ID: 8224924311 Enrollment ID: I20110201000725 |
| Provider Name | Christopher K Wichert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861700189 PECOS PAC ID: 8022298496 Enrollment ID: I20110202000765 |
| Provider Name | Karl B Scheidt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023159712 PECOS PAC ID: 7214924752 Enrollment ID: I20110202000807 |
| Provider Name | Edwin L Mathews |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043294192 PECOS PAC ID: 3072409168 Enrollment ID: I20110203000418 |
| Provider Name | Stephen J Heaney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477536282 PECOS PAC ID: 0547440851 Enrollment ID: I20110203000475 |
| Provider Name | Andrea D Bobke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215175021 PECOS PAC ID: 9335290030 Enrollment ID: I20110204000554 |
| Provider Name | Scott Linton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588648661 PECOS PAC ID: 4789787763 Enrollment ID: I20110207000385 |
| Provider Name | Rita V Guttersen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518940329 PECOS PAC ID: 7416137401 Enrollment ID: I20110208000851 |
| Provider Name | Terry M Zacharias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730497785 PECOS PAC ID: 4385824119 Enrollment ID: I20110210000513 |
| Provider Name | Candice A Johnstone |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518982461 PECOS PAC ID: 5294764478 Enrollment ID: I20110210001081 |
| Provider Name | Richard A Paulsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588735435 PECOS PAC ID: 7113107871 Enrollment ID: I20110211000874 |
| Provider Name | Ann E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679886378 PECOS PAC ID: 3678753209 Enrollment ID: I20110214000674 |
| Provider Name | Robert T Whitney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134103153 PECOS PAC ID: 0547292021 Enrollment ID: I20110214000878 |
| Provider Name | Kathleen A Koth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366572000 PECOS PAC ID: 1951581503 Enrollment ID: I20110214000912 |
| Provider Name | Sharon K Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134389513 PECOS PAC ID: 7911187570 Enrollment ID: I20110214000955 |
| Provider Name | Eric R Larson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386763902 PECOS PAC ID: 0143275255 Enrollment ID: I20110215000438 |
| Provider Name | Claire S Dohmen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497064141 PECOS PAC ID: 0345421855 Enrollment ID: I20110216000698 |
| Provider Name | Jill M Grevenow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124337043 PECOS PAC ID: 0941481485 Enrollment ID: I20110216001014 |
| Provider Name | Julia R Houdek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386954816 PECOS PAC ID: 4284815564 Enrollment ID: I20110218000781 |
| Provider Name | Jeffrey S Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659470763 PECOS PAC ID: 3173435732 Enrollment ID: I20110223000299 |
| Provider Name | Sara Kg. Petre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285942235 PECOS PAC ID: 3678754520 Enrollment ID: I20110224000744 |
| Provider Name | Amy K Heffelfinger-miles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073564803 PECOS PAC ID: 7113108838 Enrollment ID: I20110228000805 |
| Provider Name | Rachel A Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720380942 PECOS PAC ID: 2860673464 Enrollment ID: I20110301000856 |
| Provider Name | Sweeta D Gandhi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194776575 PECOS PAC ID: 6901088384 Enrollment ID: I20110307000116 |
| Provider Name | Tuyet Hang Nghiem Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821007105 PECOS PAC ID: 9133155450 Enrollment ID: I20110308000799 |
| Provider Name | Tia C Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609182161 PECOS PAC ID: 5395927552 Enrollment ID: I20110309000172 |
| Provider Name | Kimberly A Spitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881998565 PECOS PAC ID: 4587846704 Enrollment ID: I20110309000797 |
| Provider Name | Casey J Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912209263 PECOS PAC ID: 6305028432 Enrollment ID: I20110310001088 |
| Provider Name | Sarah Reck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528218203 PECOS PAC ID: 1557485067 Enrollment ID: I20110311000281 |
| Provider Name | John C Neilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376601294 PECOS PAC ID: 4284816257 Enrollment ID: I20110311000539 |
| Provider Name | Tara M Webb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346392669 PECOS PAC ID: 5799967766 Enrollment ID: I20110311000595 |
| Provider Name | Amy J Wagner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134263619 PECOS PAC ID: 5799967782 Enrollment ID: I20110311000823 |
| Provider Name | Michael A Mccrea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316018997 PECOS PAC ID: 0840472767 Enrollment ID: I20110314000275 |
| Provider Name | Erwin T Cabacungan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932121803 PECOS PAC ID: 5991693459 Enrollment ID: I20110314000371 |
| Provider Name | Thomas C Abshire |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730249681 PECOS PAC ID: 9032392741 Enrollment ID: I20110317000555 |
| Provider Name | Jill C Kuester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376845776 PECOS PAC ID: 6406039908 Enrollment ID: I20110321000977 |
| Provider Name | Ronald K Woods |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1669497624 PECOS PAC ID: 2466467501 Enrollment ID: I20110324000785 |
| Provider Name | Kendra S Hain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598701153 PECOS PAC ID: 2961685094 Enrollment ID: I20110325000693 |
| Provider Name | Media S Esser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154626729 PECOS PAC ID: 2163605155 Enrollment ID: I20110329000777 |
| Provider Name | Rhonda R Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366772345 PECOS PAC ID: 6901089739 Enrollment ID: I20110331000489 |
| Provider Name | Gary P Barnas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902857329 PECOS PAC ID: 5597949313 Enrollment ID: I20110401000759 |
| Provider Name | Jeffery Scott Garland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578538658 PECOS PAC ID: 7911181631 Enrollment ID: I20110405000126 |
| Provider Name | Smitha P Menon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487627253 PECOS PAC ID: 0648240499 Enrollment ID: I20110406000858 |
| Provider Name | Melissa A Atwood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720221450 PECOS PAC ID: 3476737917 Enrollment ID: I20110407000827 |
| Provider Name | Rama I Bhat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679583314 PECOS PAC ID: 0042494593 Enrollment ID: I20110407000918 |
| Provider Name | Jamie W Jensen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275606345 PECOS PAC ID: 9537343876 Enrollment ID: I20110411000277 |
| Provider Name | Jennifer L Barker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1790784650 PECOS PAC ID: 4587560313 Enrollment ID: I20110419000918 |
| Provider Name | Laurel T Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750432209 PECOS PAC ID: 4688626229 Enrollment ID: I20110421000401 |
| Provider Name | Ryan J Scheper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306007489 PECOS PAC ID: 6002091717 Enrollment ID: I20110422000255 |
| Provider Name | Robert G Huberty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124205794 PECOS PAC ID: 6901081272 Enrollment ID: I20110502000179 |
| Provider Name | Stephanie C Zanowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417185687 PECOS PAC ID: 1557546769 Enrollment ID: I20110504000319 |
| Provider Name | Jessica J Kurowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376849406 PECOS PAC ID: 3870779226 Enrollment ID: I20110519000114 |
| Provider Name | Jacqueline O Peebles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447455753 PECOS PAC ID: 4082891106 Enrollment ID: I20110526000640 |
| Provider Name | Salil Ginde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174779664 PECOS PAC ID: 8022295898 Enrollment ID: I20110602000695 |
| Provider Name | Malika L Siker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346444874 PECOS PAC ID: 6608053202 Enrollment ID: I20110608000380 |
| Provider Name | Erika L Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841238060 PECOS PAC ID: 7416951157 Enrollment ID: I20110608000637 |
| Provider Name | Amit Taneja |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639115090 PECOS PAC ID: 5991794182 Enrollment ID: I20110615000605 |
| Provider Name | Sarah B White |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710043013 PECOS PAC ID: 2668659822 Enrollment ID: I20110615000776 |
| Provider Name | Dianne C Montenero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174815377 PECOS PAC ID: 5890973697 Enrollment ID: I20110627000393 |
| Provider Name | Jennifer Henningfeld |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023280831 PECOS PAC ID: 7113105933 Enrollment ID: I20110627000594 |
| Provider Name | Neda Esmaili |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790900363 PECOS PAC ID: 3274658703 Enrollment ID: I20110630000377 |
| Provider Name | Matthew M Weston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497973267 PECOS PAC ID: 7719165281 Enrollment ID: I20110705000215 |
| Provider Name | Andrew B Foy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538146287 PECOS PAC ID: 2163495987 Enrollment ID: I20110705000295 |
| Provider Name | Scott B Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184840175 PECOS PAC ID: 8325226806 Enrollment ID: I20110705000369 |
| Provider Name | Jayshil J Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588830129 PECOS PAC ID: 2365620663 Enrollment ID: I20110708000240 |
| Provider Name | Jeffrey S Quintana |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992885297 PECOS PAC ID: 7012195332 Enrollment ID: I20110708000473 |
| Provider Name | Susan S Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841246493 PECOS PAC ID: 3870696339 Enrollment ID: I20110712000740 |
| Provider Name | David J Gazeley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932228723 PECOS PAC ID: 8820266026 Enrollment ID: I20110713000697 |
| Provider Name | Susan L Davids |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023032851 PECOS PAC ID: 1557539707 Enrollment ID: I20110714000448 |
| Provider Name | Laura H Jacques |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336335686 PECOS PAC ID: 6204004302 Enrollment ID: I20110715000260 |
| Provider Name | Katherine A Recka |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467512178 PECOS PAC ID: 1456529569 Enrollment ID: I20110715000310 |
| Provider Name | Bradley A Locke |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1336300276 PECOS PAC ID: 1951579986 Enrollment ID: I20110719000328 |
| Provider Name | Shayne D Fehr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659587244 PECOS PAC ID: 9830367887 Enrollment ID: I20110719000622 |
| Provider Name | Abigail T. La Nou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437338845 PECOS PAC ID: 0345435004 Enrollment ID: I20110720000178 |
| Provider Name | Nathan J Schloemer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689830465 PECOS PAC ID: 2264600188 Enrollment ID: I20110720000690 |
| Provider Name | Katja K Karrento |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609036391 PECOS PAC ID: 4789852476 Enrollment ID: I20110725000399 |
| Provider Name | Kristin L Kozlowski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225323413 PECOS PAC ID: 5597933010 Enrollment ID: I20110727000323 |
| Provider Name | Sarah A Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447457940 PECOS PAC ID: 3577750033 Enrollment ID: I20110729000411 |
| Provider Name | Sanjay Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740445436 PECOS PAC ID: 4486823754 Enrollment ID: I20110803000668 |
| Provider Name | Dmitriy Chester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235283508 PECOS PAC ID: 4486823408 Enrollment ID: I20110809000416 |
| Provider Name | Breanne Kp Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174789283 PECOS PAC ID: 4284803206 Enrollment ID: I20110809000436 |
| Provider Name | Vijender R Karody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659589323 PECOS PAC ID: 5890964829 Enrollment ID: I20110809000603 |
| Provider Name | Thomas A Giever |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700059383 PECOS PAC ID: 3476722364 Enrollment ID: I20110810000402 |
| Provider Name | David W Johnstone |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366470627 PECOS PAC ID: 9133196041 Enrollment ID: I20110811000175 |
| Provider Name | Catherine I Kuo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396917035 PECOS PAC ID: 8325217094 Enrollment ID: I20110815000400 |
| Provider Name | Jeffrey P Bejma |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770707358 PECOS PAC ID: 0840472312 Enrollment ID: I20110818000521 |
| Provider Name | Dawn A Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841136 PECOS PAC ID: 1850561242 Enrollment ID: I20110822000346 |
| Provider Name | Colin J Mooney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831302082 PECOS PAC ID: 1658541974 Enrollment ID: I20110824000401 |
| Provider Name | Sumana Devata |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265609564 PECOS PAC ID: 5092985341 Enrollment ID: I20110824000830 |
| Provider Name | Ruchi Singla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235383456 PECOS PAC ID: 8325218688 Enrollment ID: I20110824000881 |
| Provider Name | Aparna S Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548330467 PECOS PAC ID: 9830178490 Enrollment ID: I20110906000096 |
| Provider Name | Dora A Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306125562 PECOS PAC ID: 8820268600 Enrollment ID: I20110906000152 |
| Provider Name | Juan P Ruiz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053347989 PECOS PAC ID: 4284647702 Enrollment ID: I20110906000310 |
| Provider Name | Chad G Vanden Heuvel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467436444 PECOS PAC ID: 0446421820 Enrollment ID: I20110914000741 |
| Provider Name | Sridhar Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528039849 PECOS PAC ID: 0244339570 Enrollment ID: I20110921000638 |
| Provider Name | Jorge Marquez Deleon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184671869 PECOS PAC ID: 5395756605 Enrollment ID: I20110922000449 |
| Provider Name | Diana L Rawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033497953 PECOS PAC ID: 3870764848 Enrollment ID: I20110922000778 |
| Provider Name | Michael N Levas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962677864 PECOS PAC ID: 2769549070 Enrollment ID: I20110923000464 |
| Provider Name | Andrew S Kastenmeier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093914731 PECOS PAC ID: 6608047527 Enrollment ID: I20110923000564 |
| Provider Name | Jennifer M Wright |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669661013 PECOS PAC ID: 8224209192 Enrollment ID: I20110926000618 |
| Provider Name | Michelle A Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124316583 PECOS PAC ID: 4587835467 Enrollment ID: I20110926000643 |
| Provider Name | Michael W Lawlor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669508420 PECOS PAC ID: 9739351008 Enrollment ID: I20111010000185 |
| Provider Name | Jennifer M Knight |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811153083 PECOS PAC ID: 4880732528 Enrollment ID: I20111017000045 |
| Provider Name | Julie Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689952525 PECOS PAC ID: 8921270729 Enrollment ID: I20111019000848 |
| Provider Name | Lindsay M Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952684235 PECOS PAC ID: 6406029248 Enrollment ID: I20111024000352 |
| Provider Name | Samuel S Blumenthal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437100880 PECOS PAC ID: 5092848796 Enrollment ID: I20111024000787 |
| Provider Name | Leah M Borchardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467735944 PECOS PAC ID: 9739352469 Enrollment ID: I20111025000647 |
| Provider Name | Nina R Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780965418 PECOS PAC ID: 5890968564 Enrollment ID: I20111026000202 |
| Provider Name | Andrea Katherine Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194989822 PECOS PAC ID: 3678746252 Enrollment ID: I20111026000511 |
| Provider Name | Robb A Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639259948 PECOS PAC ID: 4486827771 Enrollment ID: I20111102000137 |
| Provider Name | Jonathan N Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285648899 PECOS PAC ID: 0446253470 Enrollment ID: I20111103000894 |
| Provider Name | Courtney Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033404496 PECOS PAC ID: 5698948594 Enrollment ID: I20111108000831 |
| Provider Name | Danielle Bruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790073997 PECOS PAC ID: 7911170873 Enrollment ID: I20111109000641 |
| Provider Name | Rebecca L Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063790699 PECOS PAC ID: 2860665734 Enrollment ID: I20111109000726 |
| Provider Name | Rosanne Clement |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780770396 PECOS PAC ID: 2163634163 Enrollment ID: I20111118000035 |
| Provider Name | Andrea J Fetherston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467730580 PECOS PAC ID: 0941475834 Enrollment ID: I20111205000164 |
| Provider Name | Jennifer L Schaeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407039704 PECOS PAC ID: 2668647116 Enrollment ID: I20111212000255 |
| Provider Name | Deanna R Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588834220 PECOS PAC ID: 1557536083 Enrollment ID: I20111213000229 |
| Provider Name | W Harley Sobin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972550929 PECOS PAC ID: 9931398419 Enrollment ID: I20111215000599 |
| Provider Name | Pamela E Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558647909 PECOS PAC ID: 7214103811 Enrollment ID: I20120103000624 |
| Provider Name | Hillary M Giorgi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376823385 PECOS PAC ID: 3870760408 Enrollment ID: I20120121000062 |
| Provider Name | Rachael L Zastrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982907077 PECOS PAC ID: 1850568429 Enrollment ID: I20120123000413 |
| Provider Name | Lisa D Lockett-neumuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821378647 PECOS PAC ID: 0547437972 Enrollment ID: I20120125000415 |
| Provider Name | Thao Mee A Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447528674 PECOS PAC ID: 9537326855 Enrollment ID: I20120127000991 |
| Provider Name | Sabrina L Hofmeister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942442413 PECOS PAC ID: 9739346628 Enrollment ID: I20120203000625 |
| Provider Name | Navdeep Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275730335 PECOS PAC ID: 0143367821 Enrollment ID: I20120223000803 |
| Provider Name | Gisela G Chelimsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760491336 PECOS PAC ID: 1557350840 Enrollment ID: I20120228000768 |
| Provider Name | Allison L Grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902184815 PECOS PAC ID: 0749449254 Enrollment ID: I20120301000822 |
| Provider Name | Carolyn S Raasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093085474 PECOS PAC ID: 8325207798 Enrollment ID: I20120306000076 |
| Provider Name | Kathryn R Seidl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619247129 PECOS PAC ID: 5092974378 Enrollment ID: I20120306000283 |
| Provider Name | Hoda Ahmadi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447459912 PECOS PAC ID: 0446410484 Enrollment ID: I20120329000840 |
| Provider Name | Veronica L Gunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851488969 PECOS PAC ID: 9234390543 Enrollment ID: I20120413000222 |
| Provider Name | Jeffrey Adam King |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790057909 PECOS PAC ID: 8022279926 Enrollment ID: I20120420000326 |
| Provider Name | Karie P Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679847347 PECOS PAC ID: 7618139312 Enrollment ID: I20120425000394 |
| Provider Name | Thomas C Chelimsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275550790 PECOS PAC ID: 6406895234 Enrollment ID: I20120501000824 |
| Provider Name | Roy Lee Silverstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205892379 PECOS PAC ID: 1658338124 Enrollment ID: I20120508000429 |
| Provider Name | Ann M Draghicchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891065967 PECOS PAC ID: 7012170871 Enrollment ID: I20120515000649 |
| Provider Name | Carley N Sauter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740453844 PECOS PAC ID: 6709049232 Enrollment ID: I20120521000641 |
| Provider Name | Lori A Duesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770852451 PECOS PAC ID: 9931362266 Enrollment ID: I20120523000389 |
| Provider Name | Kathryn K Valukas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407129893 PECOS PAC ID: 9234392481 Enrollment ID: I20120525000215 |
| Provider Name | Emily A Ehrengren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578820932 PECOS PAC ID: 1254595713 Enrollment ID: I20120614000070 |
| Provider Name | Janaki Y Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164544524 PECOS PAC ID: 2365606894 Enrollment ID: I20120614000138 |
| Provider Name | Binod Balakrishnan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619956042 PECOS PAC ID: 1850313073 Enrollment ID: I20120614000394 |
| Provider Name | Sarah K Dobrozsi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831331131 PECOS PAC ID: 0648434019 Enrollment ID: I20120614000622 |
| Provider Name | Mark J England |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295981967 PECOS PAC ID: 6305000779 Enrollment ID: I20120614000698 |
| Provider Name | Patrick C Drayna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225184120 PECOS PAC ID: 9032259932 Enrollment ID: I20120615000087 |
| Provider Name | Surendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265748404 PECOS PAC ID: 1850555145 Enrollment ID: I20120618000561 |
| Provider Name | Amanda J Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346483005 PECOS PAC ID: 3476717760 Enrollment ID: I20120618000591 |
| Provider Name | Michael E Stadler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194945972 PECOS PAC ID: 2567630874 Enrollment ID: I20120618000602 |
| Provider Name | Raghu Chandra Gowda Hanumaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194916445 PECOS PAC ID: 3971634551 Enrollment ID: I20120619000165 |
| Provider Name | Dawn F Wolfgram |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699975193 PECOS PAC ID: 0941464069 Enrollment ID: I20120620000786 |
| Provider Name | Dhiraj Baruah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235442963 PECOS PAC ID: 7517121643 Enrollment ID: I20120620000860 |
| Provider Name | Heidi L Ludtke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275767279 PECOS PAC ID: 2264697374 Enrollment ID: I20120622000123 |
| Provider Name | Sean W Marquis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053554089 PECOS PAC ID: 5496921249 Enrollment ID: I20120622000151 |
| Provider Name | Cynthia Kay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063654630 PECOS PAC ID: 5799940805 Enrollment ID: I20120622000155 |
| Provider Name | Joshua R Kovach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437375649 PECOS PAC ID: 8123119898 Enrollment ID: I20120627000497 |
| Provider Name | Scott R Welak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679757975 PECOS PAC ID: 1759546690 Enrollment ID: I20120627000620 |
| Provider Name | Kristin Auer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821362468 PECOS PAC ID: 0042475865 Enrollment ID: I20120629000057 |
| Provider Name | Sahibzada U Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184841595 PECOS PAC ID: 6305033192 Enrollment ID: I20120629000249 |
| Provider Name | Morgan L Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932469525 PECOS PAC ID: 4284899030 Enrollment ID: I20120629000441 |
| Provider Name | Mark W Bosbous |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1033203906 PECOS PAC ID: 7214105352 Enrollment ID: I20120711000155 |
| Provider Name | Joshua R Johnston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962477075 PECOS PAC ID: 7012173230 Enrollment ID: I20120716000348 |
| Provider Name | Jose Md Cabrera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235330721 PECOS PAC ID: 6305002460 Enrollment ID: I20120718000554 |
| Provider Name | Susanne M Cabrera |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346441540 PECOS PAC ID: 1658537717 Enrollment ID: I20120718000571 |
| Provider Name | Shannon L Schmidt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033351465 PECOS PAC ID: 7214193200 Enrollment ID: I20120718000922 |
| Provider Name | Veronica M Loy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972780013 PECOS PAC ID: 6406017664 Enrollment ID: I20120723000023 |
| Provider Name | Hilda M Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851653992 PECOS PAC ID: 0042476988 Enrollment ID: I20120723000301 |
| Provider Name | Adeleye J Afolayan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760649776 PECOS PAC ID: 4587820428 Enrollment ID: I20120723000321 |
| Provider Name | Joseph M Schwab |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568540508 PECOS PAC ID: 2466618111 Enrollment ID: I20120724000685 |
| Provider Name | Aaron L Staley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093073736 PECOS PAC ID: 2668638941 Enrollment ID: I20120801000303 |
| Provider Name | Hillary W Petska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649400383 PECOS PAC ID: 1456517747 Enrollment ID: I20120801000481 |
| Provider Name | Camila L Bomtempo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831402908 PECOS PAC ID: 0648426817 Enrollment ID: I20120804000067 |
| Provider Name | Tejaswini K Deshmukh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891025722 PECOS PAC ID: 6103095823 Enrollment ID: I20120807000897 |
| Provider Name | Jessica L Kuester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134392566 PECOS PAC ID: 9133375074 Enrollment ID: I20120809000237 |
| Provider Name | Becky J. Buelow |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235454331 PECOS PAC ID: 3577719327 Enrollment ID: I20120809000521 |
| Provider Name | Priya Alexandra Monrad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710193891 PECOS PAC ID: 1658445119 Enrollment ID: I20120809000668 |
| Provider Name | Brittany A Player |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023245107 PECOS PAC ID: 0648426346 Enrollment ID: I20120813000510 |
| Provider Name | Rebecca S Bernstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184859316 PECOS PAC ID: 8022264688 Enrollment ID: I20120814000367 |
| Provider Name | Sara M Lauck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235366576 PECOS PAC ID: 0941456511 Enrollment ID: I20120814000481 |
| Provider Name | Kristen L Labovsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245490838 PECOS PAC ID: 1759537269 Enrollment ID: I20120815000412 |
| Provider Name | James R Baumgart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932334216 PECOS PAC ID: 6305092842 Enrollment ID: I20120815000792 |
| Provider Name | Dudley W Benson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710906185 PECOS PAC ID: 7517960966 Enrollment ID: I20120815000810 |
| Provider Name | Kevin P Boyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114172004 PECOS PAC ID: 3072769579 Enrollment ID: I20120816000573 |
| Provider Name | Michael E Mccormick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528262839 PECOS PAC ID: 9638325053 Enrollment ID: I20120816000939 |
| Provider Name | Zubin T Lathara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073756870 PECOS PAC ID: 9436305885 Enrollment ID: I20120820000035 |
| Provider Name | Beth M Weinman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356584320 PECOS PAC ID: 9436306420 Enrollment ID: I20120827000491 |
| Provider Name | Jessica L Noll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386929131 PECOS PAC ID: 6608024070 Enrollment ID: I20120911000179 |
| Provider Name | Erica Y Chou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902113988 PECOS PAC ID: 4385892561 Enrollment ID: I20120912000838 |
| Provider Name | Poonam Beniwal Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760617484 PECOS PAC ID: 9436307642 Enrollment ID: I20120913000174 |
| Provider Name | Christopher L White |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992948640 PECOS PAC ID: 0345498119 Enrollment ID: I20120920000078 |
| Provider Name | Ryan D Walsh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396900437 PECOS PAC ID: 6800044561 Enrollment ID: I20120921000315 |
| Provider Name | David J Beste |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437144235 PECOS PAC ID: 5395908495 Enrollment ID: I20120924000054 |
| Provider Name | Thomas C Robey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407816119 PECOS PAC ID: 9830352939 Enrollment ID: I20120924000097 |
| Provider Name | Timothy J Martin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427137132 PECOS PAC ID: 1658534755 Enrollment ID: I20120924000149 |
| Provider Name | Suzette A Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174886162 PECOS PAC ID: 2668370248 Enrollment ID: I20120925000123 |
| Provider Name | Katherine D Schoyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932140480 PECOS PAC ID: 9133202120 Enrollment ID: I20120925000153 |
| Provider Name | Rebecca L Buchholtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215250717 PECOS PAC ID: 1052560687 Enrollment ID: I20120925000788 |
| Provider Name | Meredith O Cruz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154515849 PECOS PAC ID: 6002952991 Enrollment ID: I20121002000598 |
| Provider Name | Rachel S Bercovitz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932112505 PECOS PAC ID: 6709932650 Enrollment ID: I20121003000634 |
| Provider Name | Kristina M Simpson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134390727 PECOS PAC ID: 7517116718 Enrollment ID: I20121003000649 |
| Provider Name | Michelle L Pickett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891923264 PECOS PAC ID: 8729237938 Enrollment ID: I20121003000748 |
| Provider Name | Alexander S Bajgrowicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336328319 PECOS PAC ID: 3072769926 Enrollment ID: I20121004000120 |
| Provider Name | Maureen Longeway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508009069 PECOS PAC ID: 6103075130 Enrollment ID: I20121005000433 |
| Provider Name | Joshua A Steinberg |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326153917 PECOS PAC ID: 6002008851 Enrollment ID: I20121008000004 |
| Provider Name | Kathleen N Dreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306107537 PECOS PAC ID: 8921257924 Enrollment ID: I20121008000495 |
| Provider Name | Alyssa K O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245588284 PECOS PAC ID: 9830348770 Enrollment ID: I20121009000423 |
| Provider Name | Hari R Paudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811160948 PECOS PAC ID: 0749335537 Enrollment ID: I20121010000482 |
| Provider Name | Sara L Hariman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689838690 PECOS PAC ID: 8729237516 Enrollment ID: I20121011000713 |
| Provider Name | Stacy J.b. Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356515704 PECOS PAC ID: 8729238324 Enrollment ID: I20121016000699 |
| Provider Name | Rebecca L Macallister |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013147883 PECOS PAC ID: 8820248479 Enrollment ID: I20121017000534 |
| Provider Name | Kelly R Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033407010 PECOS PAC ID: 3375793854 Enrollment ID: I20121018000036 |
| Provider Name | Brandon J Rebholz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871675264 PECOS PAC ID: 2961674395 Enrollment ID: I20121024000657 |
| Provider Name | Alastair Tucker Hoyt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316027501 PECOS PAC ID: 7517117641 Enrollment ID: I20121025000209 |
| Provider Name | Bethany A Auble |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780699355 PECOS PAC ID: 9234389271 Enrollment ID: I20121027000019 |
| Provider Name | Katrina M Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639435373 PECOS PAC ID: 3072763077 Enrollment ID: I20121029000729 |
| Provider Name | Brooks M Hawley |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447486386 PECOS PAC ID: 5890945802 Enrollment ID: I20121029000738 |
| Provider Name | Sadie E Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912250960 PECOS PAC ID: 0648420471 Enrollment ID: I20121101000081 |
| Provider Name | Jennifer E Rauscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700133873 PECOS PAC ID: 1557512381 Enrollment ID: I20121103000038 |
| Provider Name | Kathryn J Malin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225220668 PECOS PAC ID: 9931265568 Enrollment ID: I20121108000016 |
| Provider Name | Aaron Grace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720311467 PECOS PAC ID: 4183875453 Enrollment ID: I20121114000150 |
| Provider Name | Rosanna V Fiallo-scharer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700890027 PECOS PAC ID: 9638205628 Enrollment ID: I20121119000059 |
| Provider Name | Johnny C Hong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538194436 PECOS PAC ID: 3870538689 Enrollment ID: I20121119000074 |
| Provider Name | Brianna Lw Nigro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619220696 PECOS PAC ID: 5991956021 Enrollment ID: I20121119000082 |
| Provider Name | Erika J Rouleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669722526 PECOS PAC ID: 1658522719 Enrollment ID: I20121119000397 |
| Provider Name | Cole T O'hara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407099476 PECOS PAC ID: 6305097494 Enrollment ID: I20121120000156 |
| Provider Name | Matthew T. Tallar |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376785691 PECOS PAC ID: 8820240740 Enrollment ID: I20121128000451 |
| Provider Name | Shpresa S Mullikin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215282702 PECOS PAC ID: 6901058866 Enrollment ID: I20121129000206 |
| Provider Name | Jennifer A Hoag |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033342183 PECOS PAC ID: 0042462640 Enrollment ID: I20121205000532 |
| Provider Name | Miraj Shah-khan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1407007958 PECOS PAC ID: 6002087525 Enrollment ID: I20121211000406 |
| Provider Name | Carrie A Alme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720255359 PECOS PAC ID: 9133288574 Enrollment ID: I20121219000586 |
| Provider Name | Cassandra J Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902159825 PECOS PAC ID: 5890947832 Enrollment ID: I20121220000225 |
| Provider Name | Virginia A Kaperick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457345258 PECOS PAC ID: 9537311592 Enrollment ID: I20121220000443 |
| Provider Name | Farhat N Ashai-khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326015090 PECOS PAC ID: 2860492188 Enrollment ID: I20121220000455 |
| Provider Name | Matthew P Barnard |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508115767 PECOS PAC ID: 0941453823 Enrollment ID: I20121228000102 |
| Provider Name | Jeffrey David Larson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144266479 PECOS PAC ID: 3072778430 Enrollment ID: I20130116000487 |
| Provider Name | Mary K Hintermeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467562686 PECOS PAC ID: 6800049057 Enrollment ID: I20130121000209 |
| Provider Name | Gail L Stendahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134380025 PECOS PAC ID: 9032362298 Enrollment ID: I20130122000041 |
| Provider Name | Mary J Dalzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942552658 PECOS PAC ID: 7214180306 Enrollment ID: I20130124000243 |
| Provider Name | Giana D Sabatino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912258286 PECOS PAC ID: 6507010410 Enrollment ID: I20130131000021 |
| Provider Name | Nghia N Vo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871528224 PECOS PAC ID: 5395792055 Enrollment ID: I20130131000088 |
| Provider Name | Heidi Jane Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366795940 PECOS PAC ID: 8022262674 Enrollment ID: I20130206000425 |
| Provider Name | Sushma Bangalore Raju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912138199 PECOS PAC ID: 5991959561 Enrollment ID: I20130206000643 |
| Provider Name | Laura A Mccauley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578699609 PECOS PAC ID: 6002061140 Enrollment ID: I20130221000353 |
| Provider Name | Maria K Chilbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205170404 PECOS PAC ID: 6608021746 Enrollment ID: I20130221000400 |
| Provider Name | Carey R Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356685978 PECOS PAC ID: 3173778081 Enrollment ID: I20130226000475 |
| Provider Name | Nina L Bendre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225381445 PECOS PAC ID: 0941455893 Enrollment ID: I20130227000262 |
| Provider Name | Jason H Przybylo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083908677 PECOS PAC ID: 6507011285 Enrollment ID: I20130302000013 |
| Provider Name | Jacqueline K Dake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487904785 PECOS PAC ID: 9436394764 Enrollment ID: I20130314000311 |
| Provider Name | Amy B Detzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598004921 PECOS PAC ID: 1153566427 Enrollment ID: I20130315000082 |
| Provider Name | Mary E Wiesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801130190 PECOS PAC ID: 1456596642 Enrollment ID: I20130315000372 |
| Provider Name | Kelly A Kristbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215271994 PECOS PAC ID: 0143465252 Enrollment ID: I20130320000492 |
| Provider Name | Helene R Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093069619 PECOS PAC ID: 9537304662 Enrollment ID: I20130320000676 |
| Provider Name | Juan J Figueroa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336288364 PECOS PAC ID: 8729152285 Enrollment ID: I20130402000294 |
| Provider Name | Tessa W Damm |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972524064 PECOS PAC ID: 5092950436 Enrollment ID: I20130405000427 |
| Provider Name | Christopher Todd Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932382827 PECOS PAC ID: 8729169354 Enrollment ID: I20130410000303 |
| Provider Name | Peter A Pahapill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447244298 PECOS PAC ID: 3577561117 Enrollment ID: I20130410000629 |
| Provider Name | Chad Edward Carlson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235247669 PECOS PAC ID: 1153335617 Enrollment ID: I20130412000646 |
| Provider Name | Karen-sue B Carlson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417114158 PECOS PAC ID: 2365620754 Enrollment ID: I20130419000319 |
| Provider Name | Rudra P Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750539599 PECOS PAC ID: 5991859803 Enrollment ID: I20130424000479 |
| Provider Name | Brian Carl Hilgeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104141126 PECOS PAC ID: 8527205509 Enrollment ID: I20130510000392 |
| Provider Name | Jamie L Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578843405 PECOS PAC ID: 5799923132 Enrollment ID: I20130524000507 |
| Provider Name | Nicole L Brueck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679810857 PECOS PAC ID: 4587802699 Enrollment ID: I20130531000399 |
| Provider Name | Necole M Streeper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285816439 PECOS PAC ID: 9931348216 Enrollment ID: I20130618000090 |
| Provider Name | Michael C Trawicki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730321886 PECOS PAC ID: 0547400228 Enrollment ID: I20130628000744 |
| Provider Name | Robert J Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215252564 PECOS PAC ID: 6305086992 Enrollment ID: I20130702000362 |
| Provider Name | Megan E Oconnell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083849350 PECOS PAC ID: 9436399052 Enrollment ID: I20130702000660 |
| Provider Name | Liliana Osadchuk |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255643987 PECOS PAC ID: 7618117128 Enrollment ID: I20130705000240 |
| Provider Name | Scott Baginski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932379229 PECOS PAC ID: 7113070178 Enrollment ID: I20130712000019 |
| Provider Name | Erik J Amoroso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922322585 PECOS PAC ID: 9638319791 Enrollment ID: I20130712000568 |
| Provider Name | Katie L Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760724108 PECOS PAC ID: 2264672112 Enrollment ID: I20130717000470 |
| Provider Name | Rosa K Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922154103 PECOS PAC ID: 2365542453 Enrollment ID: I20130717000672 |
| Provider Name | Rajeev R Mannem |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306038906 PECOS PAC ID: 2567603335 Enrollment ID: I20130722000406 |
| Provider Name | Jonathan C Kraus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568585602 PECOS PAC ID: 3678721388 Enrollment ID: I20130723000946 |
| Provider Name | Michael J Burke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134173842 PECOS PAC ID: 4183727407 Enrollment ID: I20130724000717 |
| Provider Name | Jeffrey M Gehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730321209 PECOS PAC ID: 4789825308 Enrollment ID: I20130724000767 |
| Provider Name | Jasmeet K Sidhu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164665840 PECOS PAC ID: 3870734346 Enrollment ID: I20130725000405 |
| Provider Name | Adrian Umpierrez De Reguero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083920128 PECOS PAC ID: 0941441398 Enrollment ID: I20130726000430 |
| Provider Name | Jean I Pearce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154558864 PECOS PAC ID: 5991961930 Enrollment ID: I20130729000334 |
| Provider Name | Thomas W Carver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437121548 PECOS PAC ID: 0244408862 Enrollment ID: I20130729000393 |
| Provider Name | Timothy J Lenz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659514883 PECOS PAC ID: 3971744228 Enrollment ID: I20130729000671 |
| Provider Name | Barbara J Meinecke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376798165 PECOS PAC ID: 0345481610 Enrollment ID: I20130729000935 |
| Provider Name | Lana M Volz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801051727 PECOS PAC ID: 1456592625 Enrollment ID: I20130731000080 |
| Provider Name | Anne H. Lincoln |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053637439 PECOS PAC ID: 6406097575 Enrollment ID: I20130801000345 |
| Provider Name | Sarah H Vepraskas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053636787 PECOS PAC ID: 4880835974 Enrollment ID: I20130801000503 |
| Provider Name | Ana N Caban Cardona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649412974 PECOS PAC ID: 5193967172 Enrollment ID: I20130805000734 |
| Provider Name | John G Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164643052 PECOS PAC ID: 2163664749 Enrollment ID: I20130810000048 |
| Provider Name | Joohyun Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407144686 PECOS PAC ID: 6204074164 Enrollment ID: I20130812000194 |
| Provider Name | Manpreet Bedi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427213438 PECOS PAC ID: 9638311269 Enrollment ID: I20130812000556 |
| Provider Name | Sirisha Paruchuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285865311 PECOS PAC ID: 7012159577 Enrollment ID: I20130813000180 |
| Provider Name | Timothy J Ridolfi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023190386 PECOS PAC ID: 6204078736 Enrollment ID: I20130813000944 |
| Provider Name | Carmen Renee Bergom |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932363553 PECOS PAC ID: 5890937270 Enrollment ID: I20130814000702 |
| Provider Name | Ameya P Patil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720425572 PECOS PAC ID: 3779725023 Enrollment ID: I20130815000580 |
| Provider Name | John M Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932424900 PECOS PAC ID: 2466694740 Enrollment ID: I20130815000867 |
| Provider Name | Matthew W Buelow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659513158 PECOS PAC ID: 1951543057 Enrollment ID: I20130819000713 |
| Provider Name | Frederick G Freitag |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386636272 PECOS PAC ID: 8426184151 Enrollment ID: I20130820000564 |
| Provider Name | Lyndsey N Runaas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265758668 PECOS PAC ID: 8729220801 Enrollment ID: I20130820000853 |
| Provider Name | Heather M Curtiss |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912143140 PECOS PAC ID: 5092851493 Enrollment ID: I20130820000952 |
| Provider Name | Mohamed Gendy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508183427 PECOS PAC ID: 7012150139 Enrollment ID: I20130821000262 |
| Provider Name | Robert H Lane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528147097 PECOS PAC ID: 2567413313 Enrollment ID: I20130821000605 |
| Provider Name | Veneshia N Mckinney Whitson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194041574 PECOS PAC ID: 2163665225 Enrollment ID: I20130821000847 |
| Provider Name | Amalia J Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083939524 PECOS PAC ID: 4880837962 Enrollment ID: I20130821000972 |
| Provider Name | Vijay Johnson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023298072 PECOS PAC ID: 8820231822 Enrollment ID: I20130823000130 |
| Provider Name | Deepak Kilari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164652947 PECOS PAC ID: 1355495474 Enrollment ID: I20130823000171 |
| Provider Name | Richard N Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124342738 PECOS PAC ID: 7911140942 Enrollment ID: I20130823000527 |
| Provider Name | Gabrielle Christine Geddes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972803161 PECOS PAC ID: 8325281363 Enrollment ID: I20130823000717 |
| Provider Name | Amanda N Umnus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619311040 PECOS PAC ID: 1153564125 Enrollment ID: I20130823000975 |
| Provider Name | Kelly M England |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144497496 PECOS PAC ID: 1153564000 Enrollment ID: I20130826000501 |
| Provider Name | Abbey R Kruper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750540258 PECOS PAC ID: 6305010067 Enrollment ID: I20130827000438 |
| Provider Name | Kara E Young |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922232933 PECOS PAC ID: 9436393345 Enrollment ID: I20130916000411 |
| Provider Name | Michael J Malinowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316100860 PECOS PAC ID: 2860636719 Enrollment ID: I20130917000066 |
| Provider Name | Michael P Oconnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588997464 PECOS PAC ID: 1355507971 Enrollment ID: I20130918000655 |
| Provider Name | Paul D Harker-murray |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235103920 PECOS PAC ID: 6406930296 Enrollment ID: I20130918000659 |
| Provider Name | Prakadeshwari Rajapreyar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447565437 PECOS PAC ID: 8426292186 Enrollment ID: I20130918000797 |
| Provider Name | Peter J Eichenseer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821289141 PECOS PAC ID: 3274777982 Enrollment ID: I20130919000529 |
| Provider Name | Julia M Kasprzak |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023247442 PECOS PAC ID: 6507009248 Enrollment ID: I20130919000574 |
| Provider Name | Krishna K Acharya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194969303 PECOS PAC ID: 6103081658 Enrollment ID: I20130923000673 |
| Provider Name | Nunzio A Gaglianello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609811421 PECOS PAC ID: 2567696750 Enrollment ID: I20131001000180 |
| Provider Name | Sachin C Pawar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457479297 PECOS PAC ID: 0042476780 Enrollment ID: I20131001000334 |
| Provider Name | Ivor J Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851481485 PECOS PAC ID: 1557262896 Enrollment ID: I20131001000462 |
| Provider Name | Demetrios J Douros |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447451265 PECOS PAC ID: 3072747864 Enrollment ID: I20131010000561 |
| Provider Name | Sheila R Eichenseer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831345057 PECOS PAC ID: 2668637034 Enrollment ID: I20131010001249 |
| Provider Name | Ravi Dhingra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477507242 PECOS PAC ID: 9739186040 Enrollment ID: I20131016001386 |
| Provider Name | Sarah A Endrizzi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1235392341 PECOS PAC ID: 1456585868 Enrollment ID: I20131017000816 |
| Provider Name | Keri S Chaney |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154467827 PECOS PAC ID: 4183782352 Enrollment ID: I20131017001372 |
| Provider Name | Anna B Corey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154649150 PECOS PAC ID: 3971737305 Enrollment ID: I20131017001610 |
| Provider Name | April Desiree Benoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508098856 PECOS PAC ID: 0143454587 Enrollment ID: I20131017001929 |
| Provider Name | Elizabeth A Flasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407298375 PECOS PAC ID: 4688808033 Enrollment ID: I20131018000194 |
| Provider Name | Robert J Havlik |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629023221 PECOS PAC ID: 3971690546 Enrollment ID: I20131024001206 |
| Provider Name | Jason R Burns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033409982 PECOS PAC ID: 2769617901 Enrollment ID: I20131024001285 |
| Provider Name | Cydney T Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831161025 PECOS PAC ID: 2264400894 Enrollment ID: I20131024001460 |
| Provider Name | Lauren J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487099206 PECOS PAC ID: 2567697717 Enrollment ID: I20131024001721 |
| Provider Name | Diana G Lerner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851547996 PECOS PAC ID: 0648405522 Enrollment ID: I20131030001797 |
| Provider Name | Susan A Evans |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003131061 PECOS PAC ID: 9133354970 Enrollment ID: I20131101000383 |
| Provider Name | Jessica L Brumm Larson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699089490 PECOS PAC ID: 2860627650 Enrollment ID: I20131104000021 |
| Provider Name | Jennifer R Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740616937 PECOS PAC ID: 8426283110 Enrollment ID: I20131105001997 |
| Provider Name | Jennifer K Pfister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194168492 PECOS PAC ID: 6406081017 Enrollment ID: I20131106000731 |
| Provider Name | Amanda M Clark Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194167809 PECOS PAC ID: 6406081934 Enrollment ID: I20131108000786 |
| Provider Name | Libby A Woodard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033558267 PECOS PAC ID: 9537395090 Enrollment ID: I20131112000997 |
| Provider Name | Nancy L Lassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487808598 PECOS PAC ID: 4981830346 Enrollment ID: I20131114000187 |
| Provider Name | Geoffrey O Wilkes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780849331 PECOS PAC ID: 7113153479 Enrollment ID: I20131115001288 |
| Provider Name | Denis F Castillo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114944147 PECOS PAC ID: 9133355290 Enrollment ID: I20131119001081 |
| Provider Name | Anita Dsouza |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700086410 PECOS PAC ID: 4688868375 Enrollment ID: I20131119001285 |
| Provider Name | Erin A Bishop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851612659 PECOS PAC ID: 0042446114 Enrollment ID: I20131119001521 |
| Provider Name | Rahmouna Leila Farez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851590194 PECOS PAC ID: 3072785195 Enrollment ID: I20131119001639 |
| Provider Name | Michelle L Trampe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225335680 PECOS PAC ID: 5597991620 Enrollment ID: I20131120001252 |
| Provider Name | Leeanna K Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134553241 PECOS PAC ID: 6204062136 Enrollment ID: I20131122001041 |
| Provider Name | Nathan E Thompson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538332598 PECOS PAC ID: 1052547924 Enrollment ID: I20131125000166 |
| Provider Name | Carlos E Figueroa Castro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619181591 PECOS PAC ID: 2668540600 Enrollment ID: I20131125000428 |
| Provider Name | Payal K Sanghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831415215 PECOS PAC ID: 6901032804 Enrollment ID: I20131125001066 |
| Provider Name | Jonathan R Thompson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093030215 PECOS PAC ID: 2365678133 Enrollment ID: I20131127000089 |
| Provider Name | Pamela S Papenfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194152199 PECOS PAC ID: 9638306137 Enrollment ID: I20131206001624 |
| Provider Name | John R Raymond |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043328099 PECOS PAC ID: 9830297779 Enrollment ID: I20131213000676 |
| Provider Name | Edward Sarmiento |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366768111 PECOS PAC ID: 8426285651 Enrollment ID: I20131216000463 |
| Provider Name | Sarah E Rysdyk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558639203 PECOS PAC ID: 1850528092 Enrollment ID: I20131216000905 |
| Provider Name | Chris K Rokkas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508295841 PECOS PAC ID: 0042447195 Enrollment ID: I20131216001662 |
| Provider Name | Elizabeth R Orloski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598007163 PECOS PAC ID: 9234366295 Enrollment ID: I20131218001586 |
| Provider Name | Mehraboon S Irani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689677148 PECOS PAC ID: 9335135052 Enrollment ID: I20131223000531 |
| Provider Name | Sayed Mehdi H Hamadani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114142064 PECOS PAC ID: 8325192974 Enrollment ID: I20131226000016 |
| Provider Name | Heather A Bibis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790118149 PECOS PAC ID: 9537396288 Enrollment ID: I20131230000840 |
| Provider Name | Laura C Michaelis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902971385 PECOS PAC ID: 5890794994 Enrollment ID: I20131230001942 |
| Provider Name | Melissa C Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851721823 PECOS PAC ID: 0244468965 Enrollment ID: I20131231002073 |
| Provider Name | Christopher B Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609944693 PECOS PAC ID: 5092903401 Enrollment ID: I20140102000510 |
| Provider Name | Kenneth A Iczkowski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699702373 PECOS PAC ID: 1254430473 Enrollment ID: I20140107001020 |
| Provider Name | Lisa M Baumann Kreuziger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831316678 PECOS PAC ID: 4688766934 Enrollment ID: I20140110000223 |
| Provider Name | Michelle Lynn Alfred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154608719 PECOS PAC ID: 0648417907 Enrollment ID: I20140116001168 |
| Provider Name | Peter M Wolfgram |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598968208 PECOS PAC ID: 9133358658 Enrollment ID: I20140204000069 |
| Provider Name | Angela M Jolivette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164864997 PECOS PAC ID: 9739318254 Enrollment ID: I20140204000199 |
| Provider Name | Zouyan Lu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669796140 PECOS PAC ID: 8123257656 Enrollment ID: I20140204000460 |
| Provider Name | Rachel E Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659701001 PECOS PAC ID: 0244469781 Enrollment ID: I20140204000757 |
| Provider Name | William J Hueston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346347127 PECOS PAC ID: 8628005568 Enrollment ID: I20140219001101 |
| Provider Name | Abraham J Liebeskind |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093849127 PECOS PAC ID: 5294965182 Enrollment ID: I20140219001865 |
| Provider Name | Maria Kilari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790081313 PECOS PAC ID: 1456526706 Enrollment ID: I20140228000947 |
| Provider Name | Muhammad Sarki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730436817 PECOS PAC ID: 3971733452 Enrollment ID: I20140228001455 |
| Provider Name | Sarah K Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902967714 PECOS PAC ID: 9133359557 Enrollment ID: I20140305000487 |
| Provider Name | Deborah M Hermes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174655195 PECOS PAC ID: 5799915930 Enrollment ID: I20140307001068 |
| Provider Name | Areyl Dream Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932539186 PECOS PAC ID: 4688805393 Enrollment ID: I20140322000101 |
| Provider Name | Alyssa S Pollow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609298587 PECOS PAC ID: 8426289513 Enrollment ID: I20140403000581 |
| Provider Name | Victoria R Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073955472 PECOS PAC ID: 4880826973 Enrollment ID: I20140403000938 |
| Provider Name | Catherine M H Van Schyndle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053734723 PECOS PAC ID: 4082846910 Enrollment ID: I20140408001807 |
| Provider Name | Vincent P Mathews |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033190624 PECOS PAC ID: 3375593759 Enrollment ID: I20140408002123 |
| Provider Name | Nicole M Brenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801220116 PECOS PAC ID: 3072745850 Enrollment ID: I20140409001279 |
| Provider Name | Tara L Petersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427255785 PECOS PAC ID: 9638222938 Enrollment ID: I20140417000864 |
| Provider Name | Rachel A Eberle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598180374 PECOS PAC ID: 9537391909 Enrollment ID: I20140417001010 |
| Provider Name | Shawn Martin Jobe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801005855 PECOS PAC ID: 8325111768 Enrollment ID: I20140430001004 |
| Provider Name | Laura B Needler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184041733 PECOS PAC ID: 3375776164 Enrollment ID: I20140501000951 |
| Provider Name | Evelyen Cy Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932127180 PECOS PAC ID: 1951304815 Enrollment ID: I20140501001265 |
| Provider Name | Nicholas J Antos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568787794 PECOS PAC ID: 2860625506 Enrollment ID: I20140502000611 |
| Provider Name | Brett J Bordini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730244583 PECOS PAC ID: 7214080779 Enrollment ID: I20140502000842 |
| Provider Name | Mary R Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093766487 PECOS PAC ID: 1456366061 Enrollment ID: I20140502001110 |
| Provider Name | Jonathon Dean Truwit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518002450 PECOS PAC ID: 8022054667 Enrollment ID: I20140506002010 |
| Provider Name | Lisa A Felknor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235563578 PECOS PAC ID: 9537392055 Enrollment ID: I20140507000350 |
| Provider Name | Linda M Bremberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073939039 PECOS PAC ID: 8224251046 Enrollment ID: I20140523001970 |
| Provider Name | Patrick P Sanvanson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043472731 PECOS PAC ID: 9133342645 Enrollment ID: I20140529002441 |
| Provider Name | Leah Marie Phillippi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285933473 PECOS PAC ID: 0840413357 Enrollment ID: I20140529002481 |
| Provider Name | Craig E Cummings |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902120561 PECOS PAC ID: 7618190059 Enrollment ID: I20140603001740 |
| Provider Name | Theresa C Maatman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043509540 PECOS PAC ID: 1456574805 Enrollment ID: I20140603002044 |
| Provider Name | Juan L Vega |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396061859 PECOS PAC ID: 8325262769 Enrollment ID: I20140605000410 |
| Provider Name | Fallon C Schloemer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548585649 PECOS PAC ID: 1557585841 Enrollment ID: I20140606000016 |
| Provider Name | Christen Chamberland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194984716 PECOS PAC ID: 7416171624 Enrollment ID: I20140610000049 |
| Provider Name | Paul A Bergl |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306152129 PECOS PAC ID: 2466694567 Enrollment ID: I20140610000196 |
| Provider Name | David Edward Vyles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861784720 PECOS PAC ID: 6507080280 Enrollment ID: I20140619001999 |
| Provider Name | Ramapriya Sinnakirouchenan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306077300 PECOS PAC ID: 6002030798 Enrollment ID: I20140619002231 |
| Provider Name | Martin A Samborski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851617583 PECOS PAC ID: 9032333646 Enrollment ID: I20140620000720 |
| Provider Name | Carla J Meister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790001121 PECOS PAC ID: 0840414454 Enrollment ID: I20140620000748 |
| Provider Name | Emily A Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437448131 PECOS PAC ID: 9032333687 Enrollment ID: I20140623000099 |
| Provider Name | Karin S Goodfriend |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982929931 PECOS PAC ID: 6002030665 Enrollment ID: I20140623000276 |
| Provider Name | Luke A Falesch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689998148 PECOS PAC ID: 9537383039 Enrollment ID: I20140623001899 |
| Provider Name | Matthew J Koeberl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396975165 PECOS PAC ID: 1254555774 Enrollment ID: I20140624000090 |
| Provider Name | Kathleen S Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881993053 PECOS PAC ID: 2062636582 Enrollment ID: I20140624000133 |
| Provider Name | William A Hall |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104069251 PECOS PAC ID: 9133343650 Enrollment ID: I20140624000186 |
| Provider Name | Anna R Huppler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558307744 PECOS PAC ID: 2062565740 Enrollment ID: I20140701000444 |
| Provider Name | Kiran N Chandrashekarappa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689907867 PECOS PAC ID: 8527283886 Enrollment ID: I20140701000678 |
| Provider Name | Dilpesh S Agrawal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407134422 PECOS PAC ID: 9830314194 Enrollment ID: I20140701000884 |
| Provider Name | Chinar Omprakash Lath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366716250 PECOS PAC ID: 2668631284 Enrollment ID: I20140701001114 |
| Provider Name | Benjamin W Weston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225320807 PECOS PAC ID: 4981829165 Enrollment ID: I20140701001885 |
| Provider Name | Jessica A Francis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902010358 PECOS PAC ID: 6406024892 Enrollment ID: I20140702000119 |
| Provider Name | Julie M Kolinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184948689 PECOS PAC ID: 0941425151 Enrollment ID: I20140702000196 |
| Provider Name | Mohit Agarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265864169 PECOS PAC ID: 5193940302 Enrollment ID: I20140702000307 |
| Provider Name | Lonnie Dye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366762924 PECOS PAC ID: 1658596879 Enrollment ID: I20140702000656 |
| Provider Name | Manav Bhalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326394537 PECOS PAC ID: 7214152370 Enrollment ID: I20140702002622 |
| Provider Name | Philip N Redlich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548211014 PECOS PAC ID: 7810128592 Enrollment ID: I20140708001485 |
| Provider Name | Steven M Schuckit |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629395348 PECOS PAC ID: 3173748035 Enrollment ID: I20140709000388 |
| Provider Name | Jessica M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063839918 PECOS PAC ID: 0244455954 Enrollment ID: I20140711001627 |
| Provider Name | Jennifer K Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568880557 PECOS PAC ID: 9436374352 Enrollment ID: I20140714000002 |
| Provider Name | Tracy L Schwegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518386036 PECOS PAC ID: 3779708391 Enrollment ID: I20140715001207 |
| Provider Name | Sean M Lehner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366671125 PECOS PAC ID: 3375768906 Enrollment ID: I20140715001370 |
| Provider Name | Julie R Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629203930 PECOS PAC ID: 1254556889 Enrollment ID: I20140715001461 |
| Provider Name | Sujan Fernando |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023272200 PECOS PAC ID: 6103066709 Enrollment ID: I20140717002543 |
| Provider Name | Nicholas A Kuehnel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871882993 PECOS PAC ID: 2062638554 Enrollment ID: I20140717002565 |
| Provider Name | Catherine Elizabeth Hagen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447494430 PECOS PAC ID: 2961642731 Enrollment ID: I20140718001419 |
| Provider Name | Abdel Hai Alqwasmi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003055302 PECOS PAC ID: 3678799129 Enrollment ID: I20140718001866 |
| Provider Name | Michael Tracy Zundel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447493937 PECOS PAC ID: 5799901245 Enrollment ID: I20140718002040 |
| Provider Name | David B Pugh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508015587 PECOS PAC ID: 3072739341 Enrollment ID: I20140722001433 |
| Provider Name | Erin M Mcgonigle |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740575828 PECOS PAC ID: 2567688872 Enrollment ID: I20140723000178 |
| Provider Name | Michaela M Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598051740 PECOS PAC ID: 3577789361 Enrollment ID: I20140731001565 |
| Provider Name | Cameron Michael Best |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1912160748 PECOS PAC ID: 4587880281 Enrollment ID: I20140731002194 |
| Provider Name | Laura G Umfleet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669887725 PECOS PAC ID: 6800012535 Enrollment ID: I20140801000219 |
| Provider Name | Angela D Hass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780969543 PECOS PAC ID: 5698992238 Enrollment ID: I20140806000132 |
| Provider Name | Jacquelyn P Kulinski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073769915 PECOS PAC ID: 1355568411 Enrollment ID: I20140813001401 |
| Provider Name | Elizabeth A Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548353915 PECOS PAC ID: 3072731652 Enrollment ID: I20140822001227 |
| Provider Name | Patricia K Marik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013176288 PECOS PAC ID: 2860610474 Enrollment ID: I20140822002512 |
| Provider Name | Judith A Lark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902239940 PECOS PAC ID: 0941428387 Enrollment ID: I20140827001790 |
| Provider Name | Jacquelyn J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346509510 PECOS PAC ID: 7113145434 Enrollment ID: I20140828001828 |
| Provider Name | Jennifer L Trimboli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720415482 PECOS PAC ID: 3678791605 Enrollment ID: I20140904000566 |
| Provider Name | Michelle Loman Moudry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962819706 PECOS PAC ID: 6800015629 Enrollment ID: I20140910000056 |
| Provider Name | Carrie Y Peterson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1376707729 PECOS PAC ID: 9234358953 Enrollment ID: I20140911001379 |
| Provider Name | Geetanjali K Dang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760770291 PECOS PAC ID: 9830318575 Enrollment ID: I20140911001907 |
| Provider Name | Patrick C Hettinger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932288370 PECOS PAC ID: 0244459709 Enrollment ID: I20140915001977 |
| Provider Name | Karen L Zorek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154438067 PECOS PAC ID: 6507085842 Enrollment ID: I20140918000174 |
| Provider Name | Abby J Baneck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225339344 PECOS PAC ID: 3971722042 Enrollment ID: I20140923000687 |
| Provider Name | Seth A Bodden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619264447 PECOS PAC ID: 6305085523 Enrollment ID: I20140923002432 |
| Provider Name | Richard H Beddingfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609191089 PECOS PAC ID: 3678791043 Enrollment ID: I20141002002420 |
| Provider Name | Monica E Shukla |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790928950 PECOS PAC ID: 5890915425 Enrollment ID: I20141003000063 |
| Provider Name | Sajjad Nasir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518196807 PECOS PAC ID: 6305077686 Enrollment ID: I20141003001081 |
| Provider Name | Nicole L Kellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073914602 PECOS PAC ID: 2466672969 Enrollment ID: I20141006000626 |
| Provider Name | Lyndsey J Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174922066 PECOS PAC ID: 3173744844 Enrollment ID: I20141021002746 |
| Provider Name | Lisa M Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710387972 PECOS PAC ID: 7416179650 Enrollment ID: I20141104000847 |
| Provider Name | Michael Zimmerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477579902 PECOS PAC ID: 2163498940 Enrollment ID: I20141106001817 |
| Provider Name | Jason S Duelge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326032509 PECOS PAC ID: 2769676667 Enrollment ID: I20141108000172 |
| Provider Name | Nikola Cuzovic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750678371 PECOS PAC ID: 3072735968 Enrollment ID: I20141108000325 |
| Provider Name | Jennifer D Simonson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457754905 PECOS PAC ID: 5890917470 Enrollment ID: I20141114001816 |
| Provider Name | Motaz Selim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962645176 PECOS PAC ID: 6507997525 Enrollment ID: I20141119002470 |
| Provider Name | Mary Gallagher Rhodes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518246727 PECOS PAC ID: 4789807033 Enrollment ID: I20141120000680 |
| Provider Name | Kaylan Rae Stoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275933517 PECOS PAC ID: 4183946445 Enrollment ID: I20141124001295 |
| Provider Name | Lindsay D Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760890784 PECOS PAC ID: 0244552156 Enrollment ID: I20141204000438 |
| Provider Name | Erin T Grueneberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134535735 PECOS PAC ID: 8527380377 Enrollment ID: I20141204001982 |
| Provider Name | Meredith Claire Brandt Adams |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1467593590 PECOS PAC ID: 7719179092 Enrollment ID: I20141208001981 |
| Provider Name | Maura A. Brophey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679974117 PECOS PAC ID: 7719209360 Enrollment ID: I20141209002519 |
| Provider Name | Amanda Haack Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790193993 PECOS PAC ID: 1658693262 Enrollment ID: I20141210002143 |
| Provider Name | Michael R Holt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700871266 PECOS PAC ID: 1456244912 Enrollment ID: I20141211001826 |
| Provider Name | Tadeo A Diaz Balderrama |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437458817 PECOS PAC ID: 3476875964 Enrollment ID: I20141212000504 |
| Provider Name | John J Laur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649480757 PECOS PAC ID: 1153412341 Enrollment ID: I20141216001812 |
| Provider Name | Leslie Cockerham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326272162 PECOS PAC ID: 2163617515 Enrollment ID: I20150106002057 |
| Provider Name | Maisee Sayaovang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881003861 PECOS PAC ID: 6406178151 Enrollment ID: I20150121002389 |
| Provider Name | Jane Mcsweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235173030 PECOS PAC ID: 4385673375 Enrollment ID: I20150129000102 |
| Provider Name | Meghan D Roller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801297767 PECOS PAC ID: 9335464734 Enrollment ID: I20150205001861 |
| Provider Name | Renju V Vechurettu Raj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083961528 PECOS PAC ID: 5294977278 Enrollment ID: I20150211000618 |
| Provider Name | Luisa S Munoz-price |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932181583 PECOS PAC ID: 0648269118 Enrollment ID: I20150211001456 |
| Provider Name | Beth A Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245634088 PECOS PAC ID: 1456676352 Enrollment ID: I20150218000800 |
| Provider Name | Andrea L Ebben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891192639 PECOS PAC ID: 7315262144 Enrollment ID: I20150218002393 |
| Provider Name | Alyssa R Matuszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093114050 PECOS PAC ID: 9234455445 Enrollment ID: I20150306000224 |
| Provider Name | Douglas Chyatte |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962478560 PECOS PAC ID: 4486552171 Enrollment ID: I20150310001602 |
| Provider Name | Alexander J Khammar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649256512 PECOS PAC ID: 8325021801 Enrollment ID: I20150310002247 |
| Provider Name | Stefanie S Ruffolo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548572696 PECOS PAC ID: 4981920899 Enrollment ID: I20150311000847 |
| Provider Name | Matthew Bielecki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144537721 PECOS PAC ID: 0547586463 Enrollment ID: I20150311001096 |
| Provider Name | Jennifer M Hadjiev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689830606 PECOS PAC ID: 6608909510 Enrollment ID: I20150311001261 |
| Provider Name | Todd Hirschtritt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154597078 PECOS PAC ID: 7810181427 Enrollment ID: I20150311001430 |
| Provider Name | Julie R Owen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821431800 PECOS PAC ID: 0446577910 Enrollment ID: I20150320000890 |
| Provider Name | Marc Ao Gunderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194067561 PECOS PAC ID: 2769709252 Enrollment ID: I20150320002019 |
| Provider Name | Elizabeth M P Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083005953 PECOS PAC ID: 9638496995 Enrollment ID: I20150325001016 |
| Provider Name | Hannah E Belknap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780081471 PECOS PAC ID: 3779800982 Enrollment ID: I20150327001512 |
| Provider Name | Meghan A Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831468461 PECOS PAC ID: 0648597856 Enrollment ID: I20150327001666 |
| Provider Name | Kristin M Shtulberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285966101 PECOS PAC ID: 0840416608 Enrollment ID: I20150331001597 |
| Provider Name | Ricardo Cortez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154340958 PECOS PAC ID: 4385713544 Enrollment ID: I20150404000034 |
| Provider Name | Jill R Lotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679963706 PECOS PAC ID: 5395063879 Enrollment ID: I20150413002094 |
| Provider Name | Jennifer L Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275926099 PECOS PAC ID: 1850619347 Enrollment ID: I20150413002525 |
| Provider Name | Yogita S Sharma-segon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851605794 PECOS PAC ID: 0244558690 Enrollment ID: I20150414002235 |
| Provider Name | Brady G Mcintosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841495074 PECOS PAC ID: 9830227586 Enrollment ID: I20150415002419 |
| Provider Name | Tarif Bakdash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104141712 PECOS PAC ID: 1456483767 Enrollment ID: I20150415002446 |
| Provider Name | Jenna R Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861883498 PECOS PAC ID: 7214255645 Enrollment ID: I20150415002467 |
| Provider Name | Charan Mungara |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1649423872 PECOS PAC ID: 9537339411 Enrollment ID: I20150420002267 |
| Provider Name | Jennifer Mcintosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578732897 PECOS PAC ID: 4486729662 Enrollment ID: I20150421001866 |
| Provider Name | Jesse A Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144514571 PECOS PAC ID: 3375862980 Enrollment ID: I20150504000998 |
| Provider Name | Ana Vidic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821481433 PECOS PAC ID: 8527388628 Enrollment ID: I20150513000246 |
| Provider Name | Marcia R Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760875793 PECOS PAC ID: 6406176577 Enrollment ID: I20150513002679 |
| Provider Name | Whitney A Potharla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336534056 PECOS PAC ID: 6103146105 Enrollment ID: I20150514001510 |
| Provider Name | Stephanie M Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164828414 PECOS PAC ID: 8224358148 Enrollment ID: I20150518000294 |
| Provider Name | Laura L Kohl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871720771 PECOS PAC ID: 4688994502 Enrollment ID: I20150518000318 |
| Provider Name | Elizabeth A Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780076547 PECOS PAC ID: 7113247917 Enrollment ID: I20150519000944 |
| Provider Name | Douglas J Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093980377 PECOS PAC ID: 0547482200 Enrollment ID: I20150519001426 |
| Provider Name | Jennifer Lynn Good |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720039951 PECOS PAC ID: 4587696315 Enrollment ID: I20150521001573 |
| Provider Name | Edward M Barnett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891712337 PECOS PAC ID: 8527102714 Enrollment ID: I20150521002350 |
| Provider Name | Andrew Rosenblum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700877123 PECOS PAC ID: 0749192474 Enrollment ID: I20150527000219 |
| Provider Name | Jennifer L Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073901690 PECOS PAC ID: 6507186855 Enrollment ID: I20150528000134 |
| Provider Name | Bethany K Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710376082 PECOS PAC ID: 8325369549 Enrollment ID: I20150530000108 |
| Provider Name | Lee D Klemens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568867232 PECOS PAC ID: 7214258730 Enrollment ID: I20150609000475 |
| Provider Name | Simon B Griesbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578839387 PECOS PAC ID: 4183859762 Enrollment ID: I20150609000636 |
| Provider Name | George Younan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1275794497 PECOS PAC ID: 8820319304 Enrollment ID: I20150609002230 |
| Provider Name | Matthew Chinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124318282 PECOS PAC ID: 2365681855 Enrollment ID: I20150609002330 |
| Provider Name | William Lea |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790947760 PECOS PAC ID: 8325285448 Enrollment ID: I20150609002877 |
| Provider Name | Sarah G Deitch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235391236 PECOS PAC ID: 3274854773 Enrollment ID: I20150609002951 |
| Provider Name | Mubbasheer Ahmed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568666154 PECOS PAC ID: 8224353099 Enrollment ID: I20150609003040 |
| Provider Name | Kathleen A Senebouttarath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295053775 PECOS PAC ID: 2466421599 Enrollment ID: I20150609003064 |
| Provider Name | Stephen R Humphrey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417246257 PECOS PAC ID: 0143541656 Enrollment ID: I20150609003074 |
| Provider Name | Michael O Griffin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811127558 PECOS PAC ID: 2466678859 Enrollment ID: I20150609003103 |
| Provider Name | Benjamin G Escott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467884866 PECOS PAC ID: 8123349636 Enrollment ID: I20150609003110 |
| Provider Name | Jayme S Bosler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356517122 PECOS PAC ID: 7810121035 Enrollment ID: I20150610002611 |
| Provider Name | Peter K Connelly |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861789794 PECOS PAC ID: 6204157696 Enrollment ID: I20150610002692 |
| Provider Name | Alice Y Ching |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770725988 PECOS PAC ID: 4183945488 Enrollment ID: I20150611000558 |
| Provider Name | Ahmad Marashly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063677383 PECOS PAC ID: 2668793993 Enrollment ID: I20150611001469 |
| Provider Name | Douglas J Levine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932334059 PECOS PAC ID: 4183888480 Enrollment ID: I20150611002471 |
| Provider Name | Paul E Youssef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871725705 PECOS PAC ID: 8628260668 Enrollment ID: I20150612000405 |
| Provider Name | Pooja D Thakrar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093073306 PECOS PAC ID: 9335392489 Enrollment ID: I20150612000577 |
| Provider Name | John C Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790079119 PECOS PAC ID: 3072762749 Enrollment ID: I20150612000824 |
| Provider Name | Karla M Zilinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043690399 PECOS PAC ID: 2860703121 Enrollment ID: I20150612002136 |
| Provider Name | Abigail M Schuh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922236256 PECOS PAC ID: 7012228299 Enrollment ID: I20150615000614 |
| Provider Name | Kartikey B Acharya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023242864 PECOS PAC ID: 6204091838 Enrollment ID: I20150616002188 |
| Provider Name | Angela K Beckert |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831485333 PECOS PAC ID: 0648494278 Enrollment ID: I20150616002261 |
| Provider Name | Steven L Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942401146 PECOS PAC ID: 9739204421 Enrollment ID: I20150616002673 |
| Provider Name | Jennifer N Yacub Martin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932408283 PECOS PAC ID: 8325359888 Enrollment ID: I20150624002516 |
| Provider Name | Stephanie J Graf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639505019 PECOS PAC ID: 5890925358 Enrollment ID: I20150626000510 |
| Provider Name | Rana M Higgins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598076309 PECOS PAC ID: 3779895883 Enrollment ID: I20150702000646 |
| Provider Name | Mohammed Abdulaziz Mohammed Hamzah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861711632 PECOS PAC ID: 1355574971 Enrollment ID: I20150702000865 |
| Provider Name | Nnamdi C Otuwa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568751600 PECOS PAC ID: 7214249341 Enrollment ID: I20150702001097 |
| Provider Name | Nathan M Blair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164711511 PECOS PAC ID: 4880906932 Enrollment ID: I20150702001713 |
| Provider Name | Lubna T Sorathia |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1073702627 PECOS PAC ID: 4587747373 Enrollment ID: I20150707001867 |
| Provider Name | Iris S Kassem |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427206572 PECOS PAC ID: 7416139993 Enrollment ID: I20150707002496 |
| Provider Name | Eliot M Wickliff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225261324 PECOS PAC ID: 9133430101 Enrollment ID: I20150707003355 |
| Provider Name | Ricardo Antonio Franco Sadud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982621777 PECOS PAC ID: 7719946029 Enrollment ID: I20150708000504 |
| Provider Name | Mamta Pant |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669763983 PECOS PAC ID: 9133431927 Enrollment ID: I20150708000802 |
| Provider Name | Christopher Mueller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295977718 PECOS PAC ID: 8820300627 Enrollment ID: I20150708001218 |
| Provider Name | Christopher M Dodgion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235333048 PECOS PAC ID: 9537392717 Enrollment ID: I20150708002467 |
| Provider Name | Brittany L Willer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922319490 PECOS PAC ID: 3072739499 Enrollment ID: I20150709000084 |
| Provider Name | Ahmed A Bolkhir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053568667 PECOS PAC ID: 2264587872 Enrollment ID: I20150709000202 |
| Provider Name | Michael Hill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568789188 PECOS PAC ID: 2163679721 Enrollment ID: I20150714002192 |
| Provider Name | Michael Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780945857 PECOS PAC ID: 7113143553 Enrollment ID: I20150715000650 |
| Provider Name | Amir C Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265685200 PECOS PAC ID: 0345553608 Enrollment ID: I20150716001025 |
| Provider Name | Dominic B Fee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841395902 PECOS PAC ID: 7416916325 Enrollment ID: I20150720000374 |
| Provider Name | Karin R Swartz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164471876 PECOS PAC ID: 8426022294 Enrollment ID: I20150720000681 |
| Provider Name | Naveen M Kulkarni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366709842 PECOS PAC ID: 8628221793 Enrollment ID: I20150720001434 |
| Provider Name | Katherine G Levine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386879021 PECOS PAC ID: 4183937154 Enrollment ID: I20150720002392 |
| Provider Name | Steven J Kindel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649477365 PECOS PAC ID: 0345406856 Enrollment ID: I20150720002819 |
| Provider Name | Kate E Spoltman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1457614463 PECOS PAC ID: 9234388034 Enrollment ID: I20150721001798 |
| Provider Name | Jamie M Aranda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215203203 PECOS PAC ID: 5597078345 Enrollment ID: I20150722004994 |
| Provider Name | Ammar Haq |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1053662023 PECOS PAC ID: 6507016284 Enrollment ID: I20150724011024 |
| Provider Name | Christina M Spofford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639380314 PECOS PAC ID: 5193810539 Enrollment ID: I20150724011575 |
| Provider Name | Derrick A Shumate |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992095921 PECOS PAC ID: 5294049706 Enrollment ID: I20150728005352 |
| Provider Name | Jill Hammersley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134358096 PECOS PAC ID: 2466676937 Enrollment ID: I20150728005869 |
| Provider Name | Elinor J Bruders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619362308 PECOS PAC ID: 5597079848 Enrollment ID: I20150731014509 |
| Provider Name | Mohammad A Rana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083902241 PECOS PAC ID: 0042524118 Enrollment ID: I20150803001524 |
| Provider Name | Vijaya Sivalingam Ramalingam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871724872 PECOS PAC ID: 4880908896 Enrollment ID: I20150805006398 |
| Provider Name | Stephen Quinet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013147719 PECOS PAC ID: 6901118934 Enrollment ID: I20150805008446 |
| Provider Name | Hesham Soliman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760667109 PECOS PAC ID: 1254659717 Enrollment ID: I20150805008599 |
| Provider Name | Daniel Winter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770809477 PECOS PAC ID: 4789998543 Enrollment ID: I20150806012402 |
| Provider Name | Ling Mei |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285902684 PECOS PAC ID: 5193039816 Enrollment ID: I20150807014555 |
| Provider Name | Jill Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164819033 PECOS PAC ID: 8729392410 Enrollment ID: I20150810001282 |
| Provider Name | Justin N Tawil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235367590 PECOS PAC ID: 2961725346 Enrollment ID: I20150810002817 |
| Provider Name | Carlos E Mendez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407031883 PECOS PAC ID: 9436338894 Enrollment ID: I20150813011082 |
| Provider Name | Jorge L Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992063226 PECOS PAC ID: 3476868886 Enrollment ID: I20150813011881 |
| Provider Name | Stacy Dorothy Oconnor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588854616 PECOS PAC ID: 7214105659 Enrollment ID: I20150814012699 |
| Provider Name | Joanne Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427314624 PECOS PAC ID: 3779898119 Enrollment ID: I20150814012798 |
| Provider Name | Andres Jose Yarur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558519256 PECOS PAC ID: 7911212097 Enrollment ID: I20150819006294 |
| Provider Name | Juliane H Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285660175 PECOS PAC ID: 1254350531 Enrollment ID: I20150819006704 |
| Provider Name | Tammy Lyn Kindel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427226745 PECOS PAC ID: 9931272416 Enrollment ID: I20150819008965 |
| Provider Name | Preksha M Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588047799 PECOS PAC ID: 3678889433 Enrollment ID: I20150825004320 |
| Provider Name | Susan E Arnsdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083784656 PECOS PAC ID: 8820304603 Enrollment ID: I20150825005191 |
| Provider Name | Kelly M Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366827594 PECOS PAC ID: 5092021774 Enrollment ID: I20150825005645 |
| Provider Name | Keith W Dallenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104202506 PECOS PAC ID: 2769798461 Enrollment ID: I20150826000250 |
| Provider Name | Elizabeth L Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477713022 PECOS PAC ID: 8426364134 Enrollment ID: I20150826000451 |
| Provider Name | Sarah B Shortts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871979898 PECOS PAC ID: 4486960101 Enrollment ID: I20150826000662 |
| Provider Name | Lindsey A Query |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548528466 PECOS PAC ID: 0042526766 Enrollment ID: I20150826000924 |
| Provider Name | Nirav N Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245491257 PECOS PAC ID: 0143408328 Enrollment ID: I20150826001526 |
| Provider Name | Anna C Mccormick Krajewski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164717278 PECOS PAC ID: 4385950757 Enrollment ID: I20150831001599 |
| Provider Name | Candice L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306225008 PECOS PAC ID: 9830405224 Enrollment ID: I20150831001944 |
| Provider Name | Benjamin H Goot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376716712 PECOS PAC ID: 4789827411 Enrollment ID: I20150831002373 |
| Provider Name | Ashley Childs Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205274651 PECOS PAC ID: 5294976080 Enrollment ID: I20150831002652 |
| Provider Name | Shannon H Baumer-mouradian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881960359 PECOS PAC ID: 9638485048 Enrollment ID: I20150831002656 |
| Provider Name | Kate J Howarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164806949 PECOS PAC ID: 3375859796 Enrollment ID: I20150831003037 |
| Provider Name | Tracy L Kersten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003290552 PECOS PAC ID: 7810203239 Enrollment ID: I20150831003060 |
| Provider Name | Jennifer L Hauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215319520 PECOS PAC ID: 0446566863 Enrollment ID: I20150831003111 |
| Provider Name | Dana M Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750766788 PECOS PAC ID: 3375859630 Enrollment ID: I20150901001205 |
| Provider Name | Lucia Y Chou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669798021 PECOS PAC ID: 7315184942 Enrollment ID: I20150902003140 |
| Provider Name | Ashley K Wanless |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902105216 PECOS PAC ID: 3173839115 Enrollment ID: I20150904001587 |
| Provider Name | Wolfgang Riedl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841666344 PECOS PAC ID: 4284940164 Enrollment ID: I20150909000943 |
| Provider Name | Mercy P Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417105750 PECOS PAC ID: 1951618875 Enrollment ID: I20150909002790 |
| Provider Name | Tracy M Puttre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100339 PECOS PAC ID: 2264749936 Enrollment ID: I20150911001645 |
| Provider Name | Jillian L Theobald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750606968 PECOS PAC ID: 7618114877 Enrollment ID: I20150911001834 |
| Provider Name | Sarah V Weden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790168946 PECOS PAC ID: 2466769146 Enrollment ID: I20150911002392 |
| Provider Name | Katherine L Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538545728 PECOS PAC ID: 5890002596 Enrollment ID: I20150914000049 |
| Provider Name | Cayla A Jannsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447645163 PECOS PAC ID: 2769799469 Enrollment ID: I20150914000191 |
| Provider Name | Pakhadi H Buddhadev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003164443 PECOS PAC ID: 2466769179 Enrollment ID: I20150914000343 |
| Provider Name | Emy Mary Kuriakose |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467734442 PECOS PAC ID: 7618284324 Enrollment ID: I20150914000459 |
| Provider Name | Kayla Danae Goodwin Bryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407023294 PECOS PAC ID: 2062729783 Enrollment ID: I20150914001011 |
| Provider Name | Ali Sultan-qurraie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114156940 PECOS PAC ID: 4880811710 Enrollment ID: I20150914001069 |
| Provider Name | Deanna Jo Friedman-klabanoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528202140 PECOS PAC ID: 6103072376 Enrollment ID: I20150914001115 |
| Provider Name | Sarah A Snoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538543863 PECOS PAC ID: 7810204567 Enrollment ID: I20150914002083 |
| Provider Name | James A Bockeloh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194787341 PECOS PAC ID: 6901045996 Enrollment ID: I20150915000092 |
| Provider Name | Megan L Schultz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043572480 PECOS PAC ID: 0749433878 Enrollment ID: I20150915000265 |
| Provider Name | Jeffrey A Knipstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205951639 PECOS PAC ID: 0042334252 Enrollment ID: I20150923002198 |
| Provider Name | Amanda M Flegner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720464282 PECOS PAC ID: 7416264460 Enrollment ID: I20150923002438 |
| Provider Name | Siva K Mannem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073822235 PECOS PAC ID: 2769795152 Enrollment ID: I20150930001859 |
| Provider Name | Cecilia Scholcoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528322526 PECOS PAC ID: 8426366055 Enrollment ID: I20151001001348 |
| Provider Name | Kristin M Wuest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467829937 PECOS PAC ID: 2365750643 Enrollment ID: I20151006002982 |
| Provider Name | Mita B Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609032986 PECOS PAC ID: 1557512282 Enrollment ID: I20151006003059 |
| Provider Name | Kathryn J Butkovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740665389 PECOS PAC ID: 0042528358 Enrollment ID: I20151007000928 |
| Provider Name | Megan B Teed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598141004 PECOS PAC ID: 7012225279 Enrollment ID: I20151007003137 |
| Provider Name | Hina Nazar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619289527 PECOS PAC ID: 2264741263 Enrollment ID: I20151013002308 |
| Provider Name | Jennifer L Fryda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548636749 PECOS PAC ID: 4284943291 Enrollment ID: I20151014000379 |
| Provider Name | Bronwen E Shaw |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972913614 PECOS PAC ID: 4284943945 Enrollment ID: I20151020000816 |
| Provider Name | Lauren N Parsons |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437474020 PECOS PAC ID: 1658680053 Enrollment ID: I20151027000190 |
| Provider Name | Sapan Jayendra Amin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053522755 PECOS PAC ID: 0547316655 Enrollment ID: I20151027001672 |
| Provider Name | Raphael H Sacho |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093183543 PECOS PAC ID: 8527377894 Enrollment ID: I20151028000327 |
| Provider Name | Karen N Dorsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760865471 PECOS PAC ID: 5890005789 Enrollment ID: I20151104002954 |
| Provider Name | Heather S Herrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588034615 PECOS PAC ID: 2769792654 Enrollment ID: I20151104003133 |
| Provider Name | Gregory A Burek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730507773 PECOS PAC ID: 6204146889 Enrollment ID: I20151111000803 |
| Provider Name | Lubna N Chaudhary |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912136763 PECOS PAC ID: 8527368232 Enrollment ID: I20151202002468 |
| Provider Name | Michael James Montie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629411913 PECOS PAC ID: 6507185964 Enrollment ID: I20151203002063 |
| Provider Name | Laura B Lerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801264023 PECOS PAC ID: 6406157817 Enrollment ID: I20151208003346 |
| Provider Name | Erin Lynn Sirovina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083086375 PECOS PAC ID: 7113228578 Enrollment ID: I20151209001838 |
| Provider Name | Hilary A Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026456 PECOS PAC ID: 0648571000 Enrollment ID: I20151209001926 |
| Provider Name | Meghan L Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659743318 PECOS PAC ID: 9032410923 Enrollment ID: I20151218000059 |
| Provider Name | James M Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104260579 PECOS PAC ID: 6002135290 Enrollment ID: I20151231001849 |
| Provider Name | Hari Prasad Rao Bandla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639120157 PECOS PAC ID: 1759579725 Enrollment ID: I20160104002184 |
| Provider Name | Cathy Fakler Azzarello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427166313 PECOS PAC ID: 8729380050 Enrollment ID: I20160104002255 |
| Provider Name | Kanisha L Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649643776 PECOS PAC ID: 1254633514 Enrollment ID: I20160105000457 |
| Provider Name | Hema Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053335513 PECOS PAC ID: 6204825102 Enrollment ID: I20160105000838 |
| Provider Name | Wayne Garrett |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528111598 PECOS PAC ID: 0345472809 Enrollment ID: I20160108000230 |
| Provider Name | Kimberly M Hornbeck |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871723601 PECOS PAC ID: 2062654668 Enrollment ID: I20160108000285 |
| Provider Name | Kimberly J Seeger Langlais |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003020173 PECOS PAC ID: 6305148339 Enrollment ID: I20160108000315 |
| Provider Name | Elisabeth S Pordes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730400128 PECOS PAC ID: 9133360845 Enrollment ID: I20160111000306 |
| Provider Name | Matthew J Scheidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467615559 PECOS PAC ID: 9931356920 Enrollment ID: I20160115000204 |
| Provider Name | Jeffrey D Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073716072 PECOS PAC ID: 2163725102 Enrollment ID: I20160125001957 |
| Provider Name | Angelia Felton-wilks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669720041 PECOS PAC ID: 5395048268 Enrollment ID: I20160127000641 |
| Provider Name | Alyssa Marie Stephany |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033376405 PECOS PAC ID: 8820151277 Enrollment ID: I20160127000659 |
| Provider Name | Juliana M Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407211287 PECOS PAC ID: 1153625777 Enrollment ID: I20160203000259 |
| Provider Name | Stylianos Voulgarelis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407006927 PECOS PAC ID: 5597060301 Enrollment ID: I20160216001524 |
| Provider Name | Carolyn Pinkerton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710150420 PECOS PAC ID: 2466771514 Enrollment ID: I20160216001624 |
| Provider Name | Pamela J Schulz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174625206 PECOS PAC ID: 1254431778 Enrollment ID: I20160216001820 |
| Provider Name | Kaylan M Fenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629210208 PECOS PAC ID: 2668694647 Enrollment ID: I20160217001899 |
| Provider Name | Michael P Owen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124042437 PECOS PAC ID: 8426077520 Enrollment ID: I20160229000001 |
| Provider Name | Adrienne M Markiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669839569 PECOS PAC ID: 6800193889 Enrollment ID: I20160318002161 |
| Provider Name | Samantha M Walch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538521372 PECOS PAC ID: 2668779026 Enrollment ID: I20160330000550 |
| Provider Name | Andrea Lee Stahulak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639356843 PECOS PAC ID: 0840479853 Enrollment ID: I20160401000144 |
| Provider Name | Casey M Ippen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053554642 PECOS PAC ID: 7012163694 Enrollment ID: I20160407001825 |
| Provider Name | Stephanie M Romeis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023473857 PECOS PAC ID: 0840598637 Enrollment ID: I20160412000452 |
| Provider Name | Sheran S Mahatme |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396711297 PECOS PAC ID: 3577582659 Enrollment ID: I20160412000637 |
| Provider Name | Matthew L Hunsaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578526224 PECOS PAC ID: 7810986205 Enrollment ID: I20160412001191 |
| Provider Name | Staley A Brod |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740217322 PECOS PAC ID: 9234279092 Enrollment ID: I20160412001360 |
| Provider Name | David Chang Ishizawar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326235607 PECOS PAC ID: 4688748510 Enrollment ID: I20160412001750 |
| Provider Name | Achuthan Sourianarayanane |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992915342 PECOS PAC ID: 6002995305 Enrollment ID: I20160413000115 |
| Provider Name | Elizabeth Butler |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1255403416 PECOS PAC ID: 8426126731 Enrollment ID: I20160415000709 |
| Provider Name | Saja C Puthiyottil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285093351 PECOS PAC ID: 9537467071 Enrollment ID: I20160415001293 |
| Provider Name | Sasha Lechner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962863522 PECOS PAC ID: 5496054249 Enrollment ID: I20160428000928 |
| Provider Name | Alicia Y Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144625815 PECOS PAC ID: 8527367382 Enrollment ID: I20160428001131 |
| Provider Name | Micah T Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750518213 PECOS PAC ID: 0143540906 Enrollment ID: I20160504000950 |
| Provider Name | Krystal L Weierstahl |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1316213804 PECOS PAC ID: 8628200433 Enrollment ID: I20160504002065 |
| Provider Name | Christopher O Fadumiye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609139971 PECOS PAC ID: 5698074177 Enrollment ID: I20160504002821 |
| Provider Name | Nathaniel S Laden |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356316889 PECOS PAC ID: 2264442961 Enrollment ID: I20160505000910 |
| Provider Name | Abdul Aziz K Elkadri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720445505 PECOS PAC ID: 9830498203 Enrollment ID: I20160506000476 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20160511001220 |
| Provider Name | Tamara A Giorgadze |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750575148 PECOS PAC ID: 7719074020 Enrollment ID: I20160511001339 |
| Provider Name | Janna L Baylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578925798 PECOS PAC ID: 1850680083 Enrollment ID: I20160511001801 |
| Provider Name | Zachary R Laste |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417243866 PECOS PAC ID: 3678862596 Enrollment ID: I20160517000989 |
| Provider Name | Matthew R Plunk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366674426 PECOS PAC ID: 0648569582 Enrollment ID: I20160517001871 |
| Provider Name | Adrianne L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578919791 PECOS PAC ID: 2466741848 Enrollment ID: I20160525002179 |
| Provider Name | Deepa S Pawar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528200615 PECOS PAC ID: 1557680170 Enrollment ID: I20160602000168 |
| Provider Name | Martin M Mckinney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144583089 PECOS PAC ID: 8527280080 Enrollment ID: I20160622001143 |
| Provider Name | Asher Y Neren |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427373075 PECOS PAC ID: 3274845995 Enrollment ID: I20160630000204 |
| Provider Name | Morgan D Wilbanks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912341132 PECOS PAC ID: 6406071240 Enrollment ID: I20160701000036 |
| Provider Name | Kristi Maso |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841588936 PECOS PAC ID: 5597081331 Enrollment ID: I20160701000064 |
| Provider Name | William J Scheels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174886303 PECOS PAC ID: 3779808837 Enrollment ID: I20160701000179 |
| Provider Name | Bradley H Crotty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144487521 PECOS PAC ID: 8921132382 Enrollment ID: I20160701000198 |
| Provider Name | Sheila J Swartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427324623 PECOS PAC ID: 1052630506 Enrollment ID: I20160701000252 |
| Provider Name | Erin K Klein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548688179 PECOS PAC ID: 7113219619 Enrollment ID: I20160701000433 |
| Provider Name | Brent T Boettcher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760781900 PECOS PAC ID: 2668791856 Enrollment ID: I20160701000439 |
| Provider Name | Kumar R Sannagowdara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779601 PECOS PAC ID: 7618296732 Enrollment ID: I20160701000471 |
| Provider Name | Maria Y Muravyeva |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972892271 PECOS PAC ID: 4587983093 Enrollment ID: I20160701000666 |
| Provider Name | Sarah E Thill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124361704 PECOS PAC ID: 1557680055 Enrollment ID: I20160701001096 |
| Provider Name | Timothy Joseph Baures |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104111376 PECOS PAC ID: 8820315542 Enrollment ID: I20160705000022 |
| Provider Name | James J Mccarthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366718173 PECOS PAC ID: 1759600208 Enrollment ID: I20160705000119 |
| Provider Name | David Keaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578856449 PECOS PAC ID: 1254623671 Enrollment ID: I20160706000159 |
| Provider Name | Matthew C Laudon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023351616 PECOS PAC ID: 8224320684 Enrollment ID: I20160706001260 |
| Provider Name | Joshua C Timpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386083335 PECOS PAC ID: 7012238868 Enrollment ID: I20160706001385 |
| Provider Name | Kathleen L Lak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578852620 PECOS PAC ID: 7012236516 Enrollment ID: I20160707000877 |
| Provider Name | Brian Ginnebaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841533874 PECOS PAC ID: 7416276878 Enrollment ID: I20160707001188 |
| Provider Name | Ilya M. Karagodin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609119932 PECOS PAC ID: 0446579502 Enrollment ID: I20160708000340 |
| Provider Name | Jacob R Peschman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396060679 PECOS PAC ID: 7517279615 Enrollment ID: I20160708000987 |
| Provider Name | Sarah C Bauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124360219 PECOS PAC ID: 5496074999 Enrollment ID: I20160708001414 |
| Provider Name | Cailyn Rood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003159336 PECOS PAC ID: 6204128374 Enrollment ID: I20160711000939 |
| Provider Name | Barry J Pelz |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700103272 PECOS PAC ID: 5294027371 Enrollment ID: I20160711000983 |
| Provider Name | Pramod Acharya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932439254 PECOS PAC ID: 4284886326 Enrollment ID: I20160711001175 |
| Provider Name | Clinton C Warren |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902162076 PECOS PAC ID: 4688993074 Enrollment ID: I20160711001305 |
| Provider Name | Shilpa Narayan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609187616 PECOS PAC ID: 0749572832 Enrollment ID: I20160711001306 |
| Provider Name | Elizabeth B Roth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982925327 PECOS PAC ID: 3375772759 Enrollment ID: I20160711001366 |
| Provider Name | Brittney E Thyssen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205290442 PECOS PAC ID: 0345532438 Enrollment ID: I20160711001464 |
| Provider Name | Christopher Cassara |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508093501 PECOS PAC ID: 4789812835 Enrollment ID: I20160711001747 |
| Provider Name | Taylor J Sonnenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538401971 PECOS PAC ID: 9234459124 Enrollment ID: I20160711001857 |
| Provider Name | Christopher Alan Sumski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639412778 PECOS PAC ID: 7810215720 Enrollment ID: I20160711002445 |
| Provider Name | Shahriar Alizadegan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063647857 PECOS PAC ID: 6800116757 Enrollment ID: I20160712000026 |
| Provider Name | Danielle Claypool |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831455054 PECOS PAC ID: 8426377912 Enrollment ID: I20160712000305 |
| Provider Name | Lacey Jean Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396142253 PECOS PAC ID: 6103135827 Enrollment ID: I20160713001724 |
| Provider Name | David R Howard |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1184924037 PECOS PAC ID: 6305032269 Enrollment ID: I20160714000490 |
| Provider Name | Kyle J Goham |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1942638325 PECOS PAC ID: 4981830197 Enrollment ID: I20160714000596 |
| Provider Name | Timothy J Glendenning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730455908 PECOS PAC ID: 0941529002 Enrollment ID: I20160715001361 |
| Provider Name | Aurora M Lybeck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346505682 PECOS PAC ID: 4284863754 Enrollment ID: I20160718000251 |
| Provider Name | Lisa R Caravella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013364918 PECOS PAC ID: 1951693639 Enrollment ID: I20160718000910 |
| Provider Name | Caitlin E Kaeppler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144588963 PECOS PAC ID: 0244450922 Enrollment ID: I20160718001063 |
| Provider Name | Alexandra H Fairchild |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255658464 PECOS PAC ID: 0345488250 Enrollment ID: I20160718001131 |
| Provider Name | Smith Ann M Chisholm |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205122074 PECOS PAC ID: 6608005285 Enrollment ID: I20160718001198 |
| Provider Name | Lara Voigt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730422486 PECOS PAC ID: 9638462328 Enrollment ID: I20160718001663 |
| Provider Name | Charles P Bergstrom |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225059421 PECOS PAC ID: 1850323858 Enrollment ID: I20160718001879 |
| Provider Name | Jenessa S Price |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154783967 PECOS PAC ID: 6002109758 Enrollment ID: I20160719000769 |
| Provider Name | Kenneth R Bertka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609865823 PECOS PAC ID: 6002892460 Enrollment ID: I20160719001513 |
| Provider Name | Carmen Elena Cobb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447526454 PECOS PAC ID: 2860711033 Enrollment ID: I20160720000129 |
| Provider Name | Hope T Orvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902277973 PECOS PAC ID: 4789977257 Enrollment ID: I20160720002160 |
| Provider Name | Nicholas A Meier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184990947 PECOS PAC ID: 5193018661 Enrollment ID: I20160720002320 |
| Provider Name | Larisa A Broglie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063737013 PECOS PAC ID: 6709179286 Enrollment ID: I20160720002460 |
| Provider Name | Jason E Domagalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972647170 PECOS PAC ID: 1355566613 Enrollment ID: I20160721000174 |
| Provider Name | John M Longo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356631139 PECOS PAC ID: 1456670314 Enrollment ID: I20160721000518 |
| Provider Name | Matthew M Harmelink |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497052021 PECOS PAC ID: 7911290457 Enrollment ID: I20160721001436 |
| Provider Name | Caitlin R Patten |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1124342761 PECOS PAC ID: 1951616325 Enrollment ID: I20160722000885 |
| Provider Name | Robert A Hoogstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629171244 PECOS PAC ID: 6406749118 Enrollment ID: I20160726000788 |
| Provider Name | Ryan H Holzhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508272139 PECOS PAC ID: 9234422353 Enrollment ID: I20160727001944 |
| Provider Name | Sarah S Wendling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619102944 PECOS PAC ID: 2062651854 Enrollment ID: I20160728001730 |
| Provider Name | Allison J Pollock |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073831970 PECOS PAC ID: 4981913621 Enrollment ID: I20160803003147 |
| Provider Name | Kristen A Klement Tassone |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912149170 PECOS PAC ID: 4385963800 Enrollment ID: I20160808001855 |
| Provider Name | Amanda Jean Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013233105 PECOS PAC ID: 4789806928 Enrollment ID: I20160811001509 |
| Provider Name | Sudhi Tyagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326380585 PECOS PAC ID: 3274852785 Enrollment ID: I20160811001718 |
| Provider Name | Katherine M Troy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992978050 PECOS PAC ID: 0840584918 Enrollment ID: I20160811002621 |
| Provider Name | Nausheen Zia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457616286 PECOS PAC ID: 5698069706 Enrollment ID: I20160812000992 |
| Provider Name | Hoon Choi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639499882 PECOS PAC ID: 5092009100 Enrollment ID: I20160812001193 |
| Provider Name | Pramod Gupta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942525811 PECOS PAC ID: 2365736386 Enrollment ID: I20160812001515 |
| Provider Name | Harveshp D Mogal |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1043476328 PECOS PAC ID: 0749501674 Enrollment ID: I20160816000659 |
| Provider Name | Bhavna Bhasin-chhabra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295993715 PECOS PAC ID: 4981890142 Enrollment ID: I20160816000832 |
| Provider Name | Terra R Pearson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730320912 PECOS PAC ID: 7113140724 Enrollment ID: I20160816001090 |
| Provider Name | Ritu Madan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326357641 PECOS PAC ID: 8325355340 Enrollment ID: I20160816001172 |
| Provider Name | Rita V Alvarez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427304120 PECOS PAC ID: 6608170279 Enrollment ID: I20160816001248 |
| Provider Name | Christopher S Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386800985 PECOS PAC ID: 3173817046 Enrollment ID: I20160816001358 |
| Provider Name | Muhammad A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427481472 PECOS PAC ID: 7810292802 Enrollment ID: I20160816001531 |
| Provider Name | Cynthia Y Abban |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841556735 PECOS PAC ID: 6608160593 Enrollment ID: I20160816001863 |
| Provider Name | Ahmed A Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780017749 PECOS PAC ID: 9133424096 Enrollment ID: I20160816002391 |
| Provider Name | Max V Wohlauer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962692194 PECOS PAC ID: 5496057697 Enrollment ID: I20160817000488 |
| Provider Name | Andrew Scott Resnick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952458614 PECOS PAC ID: 5294835757 Enrollment ID: I20160817001385 |
| Provider Name | Christopher R Takala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013203652 PECOS PAC ID: 9032366638 Enrollment ID: I20160817001929 |
| Provider Name | Anika M Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861734147 PECOS PAC ID: 8224323076 Enrollment ID: I20160818001585 |
| Provider Name | Chad Jonathan Beck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902120520 PECOS PAC ID: 5991011207 Enrollment ID: I20160822001982 |
| Provider Name | Jessica L Stappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912350539 PECOS PAC ID: 8325333958 Enrollment ID: I20160822002280 |
| Provider Name | Melanie A Delaney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891061883 PECOS PAC ID: 6507186608 Enrollment ID: I20160822002497 |
| Provider Name | Kristina E Overlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316390495 PECOS PAC ID: 2668767112 Enrollment ID: I20160823000498 |
| Provider Name | Laura J. Kopplin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003106378 PECOS PAC ID: 4284889767 Enrollment ID: I20160825001292 |
| Provider Name | Ravi Kishore Narra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891009387 PECOS PAC ID: 8426288705 Enrollment ID: I20160829001911 |
| Provider Name | Stephanie S Handler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962660290 PECOS PAC ID: 4587788419 Enrollment ID: I20160829002073 |
| Provider Name | Kathryn A Dielentheis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710248422 PECOS PAC ID: 5991090995 Enrollment ID: I20160829002472 |
| Provider Name | Brooke E Passolt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669715108 PECOS PAC ID: 4082857024 Enrollment ID: I20160902001052 |
| Provider Name | Amy K Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609220789 PECOS PAC ID: 8022304864 Enrollment ID: I20160906000275 |
| Provider Name | Alex Kor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922169374 PECOS PAC ID: 6002894748 Enrollment ID: I20160908000252 |
| Provider Name | Jeffrey S Karst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861808412 PECOS PAC ID: 4789970385 Enrollment ID: I20160908000576 |
| Provider Name | David W Ashby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619219854 PECOS PAC ID: 8224324785 Enrollment ID: I20160908002620 |
| Provider Name | Amy E Domeyer-klenske |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982964698 PECOS PAC ID: 7517191497 Enrollment ID: I20160908002737 |
| Provider Name | Laura Tudor Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366997785 PECOS PAC ID: 2466748934 Enrollment ID: I20160908002781 |
| Provider Name | Mohit Agarwal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407061781 PECOS PAC ID: 0941359806 Enrollment ID: I20160908002804 |
| Provider Name | James Hamilton Jerkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144414798 PECOS PAC ID: 5890810295 Enrollment ID: I20160908002936 |
| Provider Name | Kristina Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578019782 PECOS PAC ID: 6709172174 Enrollment ID: I20160912000400 |
| Provider Name | Alicia C Zolkoske |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437592094 PECOS PAC ID: 1456647684 Enrollment ID: I20160914000524 |
| Provider Name | Ann R Punnoose |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477786085 PECOS PAC ID: 7012203243 Enrollment ID: I20160914000801 |
| Provider Name | Eric J Dobbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144773607 PECOS PAC ID: 0840586095 Enrollment ID: I20160914001228 |
| Provider Name | Sol Del Mar Aldrete Audiffred |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396059838 PECOS PAC ID: 6901192004 Enrollment ID: I20160915000587 |
| Provider Name | Jenifer Jewell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598023541 PECOS PAC ID: 5890014690 Enrollment ID: I20160919000798 |
| Provider Name | Maria R Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588119093 PECOS PAC ID: 0042507956 Enrollment ID: I20160921000238 |
| Provider Name | Robert S Lemon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609121623 PECOS PAC ID: 0244472322 Enrollment ID: I20160921000324 |
| Provider Name | Erin L Doren |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477780237 PECOS PAC ID: 5294047858 Enrollment ID: I20160921000516 |
| Provider Name | Shreema M Sawlani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043519291 PECOS PAC ID: 1456661834 Enrollment ID: I20160921000638 |
| Provider Name | Waseem Anani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013302926 PECOS PAC ID: 5193012029 Enrollment ID: I20160921000753 |
| Provider Name | Samantha M Wojnowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780139022 PECOS PAC ID: 4880981711 Enrollment ID: I20160921000867 |
| Provider Name | Calvin M Eriksen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194967000 PECOS PAC ID: 2062630585 Enrollment ID: I20160921001015 |
| Provider Name | Crystal L Byington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841535812 PECOS PAC ID: 7214224179 Enrollment ID: I20160921001781 |
| Provider Name | Anna Palatnik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790913820 PECOS PAC ID: 1557658325 Enrollment ID: I20160921002482 |
| Provider Name | Karen E Kersting |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518310150 PECOS PAC ID: 7214224013 Enrollment ID: I20160922000345 |
| Provider Name | Tina G Damarjian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184935918 PECOS PAC ID: 8022232412 Enrollment ID: I20160922001161 |
| Provider Name | Jamie Sue Olaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831643477 PECOS PAC ID: 3072800812 Enrollment ID: I20160922001651 |
| Provider Name | Stephanie L Bruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780034876 PECOS PAC ID: 9830485085 Enrollment ID: I20160923000542 |
| Provider Name | Saurabh Chhabra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689837379 PECOS PAC ID: 3476700758 Enrollment ID: I20160927001010 |
| Provider Name | Sabina Siddiqui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275798712 PECOS PAC ID: 6507013604 Enrollment ID: I20160929002290 |
| Provider Name | Emmeline M Oleary |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619150661 PECOS PAC ID: 0446334452 Enrollment ID: I20160929002565 |
| Provider Name | Paul F Stellmacher |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1811250731 PECOS PAC ID: 0446547707 Enrollment ID: I20160929002617 |
| Provider Name | Callisia N Clarke |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1275752578 PECOS PAC ID: 4789823212 Enrollment ID: I20160929002710 |
| Provider Name | Ashley A Andreoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881022218 PECOS PAC ID: 3870880131 Enrollment ID: I20160929002714 |
| Provider Name | Amy L May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891248340 PECOS PAC ID: 4688961949 Enrollment ID: I20160929002755 |
| Provider Name | Leanne B Nebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487100848 PECOS PAC ID: 8123315355 Enrollment ID: I20161003000231 |
| Provider Name | Rachel Ann Phelan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871817734 PECOS PAC ID: 2860715125 Enrollment ID: I20161003002698 |
| Provider Name | Milena I Ivanova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174724264 PECOS PAC ID: 5395993620 Enrollment ID: I20161005002048 |
| Provider Name | Sarah E Thordsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942529615 PECOS PAC ID: 5092003889 Enrollment ID: I20161011001574 |
| Provider Name | Jennifer A Zaspel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306264288 PECOS PAC ID: 7517255359 Enrollment ID: I20161012000003 |
| Provider Name | Mitchell T Saltzberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962454470 PECOS PAC ID: 7315836665 Enrollment ID: I20161013000754 |
| Provider Name | Rosellen S Choi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376537142 PECOS PAC ID: 9032019773 Enrollment ID: I20161013001315 |
| Provider Name | Elias D Granadillo Deluque |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477865574 PECOS PAC ID: 4082833041 Enrollment ID: I20161013002109 |
| Provider Name | Annie E Schuette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013464833 PECOS PAC ID: 0941598536 Enrollment ID: I20161014000314 |
| Provider Name | Erika E Klitzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912454687 PECOS PAC ID: 7416245006 Enrollment ID: I20161014000543 |
| Provider Name | Kerry L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679028989 PECOS PAC ID: 0345538831 Enrollment ID: I20161017001676 |
| Provider Name | Javeria Haque |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447508577 PECOS PAC ID: 6204155773 Enrollment ID: I20161018000904 |
| Provider Name | Sarvpreet P Ahluwalia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336379775 PECOS PAC ID: 4183880750 Enrollment ID: I20161018001424 |
| Provider Name | Stephanie Schroter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073951828 PECOS PAC ID: 2264710177 Enrollment ID: I20161027002206 |
| Provider Name | Amanda Sadowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073060679 PECOS PAC ID: 2062790975 Enrollment ID: I20161027002269 |
| Provider Name | Tirsa M Ferrer-marrero |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093909210 PECOS PAC ID: 9234443904 Enrollment ID: I20161027002354 |
| Provider Name | Rachel K Conlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851849277 PECOS PAC ID: 9335427269 Enrollment ID: I20161028000037 |
| Provider Name | Maureen K Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093168635 PECOS PAC ID: 1850679531 Enrollment ID: I20161101000063 |
| Provider Name | Angela M Halbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760934277 PECOS PAC ID: 6204114689 Enrollment ID: I20161107000928 |
| Provider Name | Kaitie W Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932656055 PECOS PAC ID: 2163701574 Enrollment ID: I20161107002395 |
| Provider Name | Haidar Kabbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144203753 PECOS PAC ID: 0749201994 Enrollment ID: I20161108001423 |
| Provider Name | Tracy C Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982951612 PECOS PAC ID: 8224280789 Enrollment ID: I20161108001892 |
| Provider Name | Tanya M Radke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407301385 PECOS PAC ID: 1658650445 Enrollment ID: I20161118000860 |
| Provider Name | Michael David Stout |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1255403812 PECOS PAC ID: 6103903430 Enrollment ID: I20161121000501 |
| Provider Name | Rebecca R Russ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609328277 PECOS PAC ID: 5698054195 Enrollment ID: I20161123001496 |
| Provider Name | Lynn M Malec |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629222450 PECOS PAC ID: 6800089798 Enrollment ID: I20161128001541 |
| Provider Name | Jesse D Vitch |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114328226 PECOS PAC ID: 4688997547 Enrollment ID: I20161129000754 |
| Provider Name | Darren P Oneill |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982781373 PECOS PAC ID: 0446356315 Enrollment ID: I20161214001944 |
| Provider Name | Shadie S Majidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265472633 PECOS PAC ID: 5799784906 Enrollment ID: I20161216000459 |
| Provider Name | Allison N Fladten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821530684 PECOS PAC ID: 0446531958 Enrollment ID: I20161221000588 |
| Provider Name | Anne Elizabeth Argenta |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417103979 PECOS PAC ID: 8820382195 Enrollment ID: I20161222000293 |
| Provider Name | Jeanne M James |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700943693 PECOS PAC ID: 1759535263 Enrollment ID: I20161222001652 |
| Provider Name | Cynthia A Lien |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629165709 PECOS PAC ID: 7416133525 Enrollment ID: I20170106001595 |
| Provider Name | Julie K Janecek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811334139 PECOS PAC ID: 1850535105 Enrollment ID: I20170109002390 |
| Provider Name | Susan M Molenaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265986731 PECOS PAC ID: 4688955446 Enrollment ID: I20170110002003 |
| Provider Name | Shawn A Belverud |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073817268 PECOS PAC ID: 4183906456 Enrollment ID: I20170120001774 |
| Provider Name | Kavita Gadhok |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932339793 PECOS PAC ID: 4385926427 Enrollment ID: I20170125000062 |
| Provider Name | Abedrazik H Eisa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306112842 PECOS PAC ID: 6901125418 Enrollment ID: I20170125000140 |
| Provider Name | Meredith A Albrecht |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750363099 PECOS PAC ID: 5597735795 Enrollment ID: I20170125000203 |
| Provider Name | Ahmed Ky Ali |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558647677 PECOS PAC ID: 8224357751 Enrollment ID: I20170125000834 |
| Provider Name | Leonard E Egede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740398601 PECOS PAC ID: 2466559778 Enrollment ID: I20170125001296 |
| Provider Name | Kenneth B Gordon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790865806 PECOS PAC ID: 8527098946 Enrollment ID: I20170125001490 |
| Provider Name | Stacy M Stibb |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932348059 PECOS PAC ID: 1355575713 Enrollment ID: I20170125001674 |
| Provider Name | Kimberly N Schroeder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245775667 PECOS PAC ID: 8022390111 Enrollment ID: I20170125001901 |
| Provider Name | Tera A Carman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932657699 PECOS PAC ID: 5991087967 Enrollment ID: I20170127000020 |
| Provider Name | William Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255775797 PECOS PAC ID: 0244559730 Enrollment ID: I20170209000783 |
| Provider Name | Deena L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053860544 PECOS PAC ID: 1052694486 Enrollment ID: I20170209001970 |
| Provider Name | Laura A Bochenczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407394786 PECOS PAC ID: 7113200072 Enrollment ID: I20170220001774 |
| Provider Name | Gina M Lawall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053856112 PECOS PAC ID: 5395029235 Enrollment ID: I20170221001963 |
| Provider Name | Lindsey D Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447794318 PECOS PAC ID: 1557645389 Enrollment ID: I20170223000086 |
| Provider Name | Lori Ella Wysong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881046324 PECOS PAC ID: 1254615891 Enrollment ID: I20170228000901 |
| Provider Name | Judy A Geissler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083064083 PECOS PAC ID: 6901180363 Enrollment ID: I20170302000658 |
| Provider Name | Devn A Frandsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730316043 PECOS PAC ID: 9032344064 Enrollment ID: I20170309001488 |
| Provider Name | Cynthia D Dusel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457899759 PECOS PAC ID: 7214212208 Enrollment ID: I20170313001800 |
| Provider Name | Adam P Zorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073795761 PECOS PAC ID: 1759516651 Enrollment ID: I20170313001820 |
| Provider Name | Julie L Rickert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215035944 PECOS PAC ID: 5597958587 Enrollment ID: I20170315000479 |
| Provider Name | Francis Kim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346437175 PECOS PAC ID: 6800012337 Enrollment ID: I20170315002548 |
| Provider Name | Amanda E Esposito |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1922416882 PECOS PAC ID: 9234451212 Enrollment ID: I20170316001812 |
| Provider Name | Nicole L Hunker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033653597 PECOS PAC ID: 6608151477 Enrollment ID: I20170316002144 |
| Provider Name | Mary E Alvarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669424230 PECOS PAC ID: 0446354930 Enrollment ID: I20170329000730 |
| Provider Name | Jennifer J Baughman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912446188 PECOS PAC ID: 9931485034 Enrollment ID: I20170403002599 |
| Provider Name | Jennifer C Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972042315 PECOS PAC ID: 9830475946 Enrollment ID: I20170404000382 |
| Provider Name | Mai Xiong Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669911178 PECOS PAC ID: 6901182740 Enrollment ID: I20170411001143 |
| Provider Name | Anne Elizabeth Newbold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255566428 PECOS PAC ID: 1456591122 Enrollment ID: I20170413002217 |
| Provider Name | Joshua C Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811371446 PECOS PAC ID: 9436435864 Enrollment ID: I20170419000171 |
| Provider Name | Luis A Sosa Lozano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225269285 PECOS PAC ID: 0446536809 Enrollment ID: I20170419001458 |
| Provider Name | Heather L Lisko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942752506 PECOS PAC ID: 1951683069 Enrollment ID: I20170419001843 |
| Provider Name | Michael Thomas Churchwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306075270 PECOS PAC ID: 9032341276 Enrollment ID: I20170419002345 |
| Provider Name | Jodi L Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568902088 PECOS PAC ID: 8628354024 Enrollment ID: I20170420000377 |
| Provider Name | Jennifer Orth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669913034 PECOS PAC ID: 5092091330 Enrollment ID: I20170420002160 |
| Provider Name | Inez Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255877544 PECOS PAC ID: 8224315296 Enrollment ID: I20170428000675 |
| Provider Name | Sara C Tromp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578003141 PECOS PAC ID: 3375820103 Enrollment ID: I20170504001753 |
| Provider Name | Bridget K Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285993725 PECOS PAC ID: 3476836024 Enrollment ID: I20170505001209 |
| Provider Name | Matthew S Abell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568726826 PECOS PAC ID: 4587968235 Enrollment ID: I20170505001476 |
| Provider Name | Michele K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972608420 PECOS PAC ID: 0749579258 Enrollment ID: I20170511000953 |
| Provider Name | Solomon Cherian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528367778 PECOS PAC ID: 8628376597 Enrollment ID: I20170511002894 |
| Provider Name | Christopher Macdonald |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043567530 PECOS PAC ID: 8022395482 Enrollment ID: I20170512000177 |
| Provider Name | Petar Duvnjak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922394436 PECOS PAC ID: 9436441821 Enrollment ID: I20170512000664 |
| Provider Name | Stephen W Goth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285999334 PECOS PAC ID: 5890072268 Enrollment ID: I20170512000833 |
| Provider Name | Briget P Matecki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417163023 PECOS PAC ID: 7911054077 Enrollment ID: I20170512001277 |
| Provider Name | Jing Qi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073953204 PECOS PAC ID: 6002045028 Enrollment ID: I20170515000002 |
| Provider Name | John Stephen Symanski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073812236 PECOS PAC ID: 3870722408 Enrollment ID: I20170517001579 |
| Provider Name | Kevin P Cohoon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568637486 PECOS PAC ID: 5698944585 Enrollment ID: I20170518002317 |
| Provider Name | Amanda Frances Derylo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760758064 PECOS PAC ID: 7416182274 Enrollment ID: I20170602001811 |
| Provider Name | Daniel James Rowan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558604108 PECOS PAC ID: 3274800883 Enrollment ID: I20170602001923 |
| Provider Name | Jennifer C Kreuzpaintner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962951152 PECOS PAC ID: 8022385533 Enrollment ID: I20170602002202 |
| Provider Name | Marc A De Moya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588655781 PECOS PAC ID: 3375589682 Enrollment ID: I20170608000825 |
| Provider Name | Frederick G Joachim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669738043 PECOS PAC ID: 3971871906 Enrollment ID: I20170616000178 |
| Provider Name | Kristopher Mulraj Katira |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326337064 PECOS PAC ID: 3678841608 Enrollment ID: I20170616000312 |
| Provider Name | Michael A Hokenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710178496 PECOS PAC ID: 1052476645 Enrollment ID: I20170616000659 |
| Provider Name | Thomas E Grawey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376962142 PECOS PAC ID: 6507156411 Enrollment ID: I20170620002599 |
| Provider Name | Ryan T Brennan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649561978 PECOS PAC ID: 0042527764 Enrollment ID: I20170620003266 |
| Provider Name | Nathan T Zwagerman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689970543 PECOS PAC ID: 1759659576 Enrollment ID: I20170620003366 |
| Provider Name | Luriel I Smith-harrison |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316208739 PECOS PAC ID: 3971730847 Enrollment ID: I20170622000390 |
| Provider Name | Noura M. Dabbouseh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770882029 PECOS PAC ID: 7719101781 Enrollment ID: I20170622002214 |
| Provider Name | Matthew H Pecherski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114354677 PECOS PAC ID: 8325277940 Enrollment ID: I20170622002562 |
| Provider Name | Scott C Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912223553 PECOS PAC ID: 0143522011 Enrollment ID: I20170623000782 |
| Provider Name | Eric Norman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467730986 PECOS PAC ID: 6204156557 Enrollment ID: I20170623000953 |
| Provider Name | Beth Vanderwielen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447593462 PECOS PAC ID: 3678842770 Enrollment ID: I20170705002596 |
| Provider Name | Alma J Natural |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750659355 PECOS PAC ID: 5193094852 Enrollment ID: I20170712000909 |
| Provider Name | Christopher Tl Bender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043637903 PECOS PAC ID: 9830319359 Enrollment ID: I20170718003459 |
| Provider Name | Jessica Tsai Goetz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235457540 PECOS PAC ID: 2860780434 Enrollment ID: I20170719001131 |
| Provider Name | Edith A. Burns |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760406573 PECOS PAC ID: 0345472411 Enrollment ID: I20170719001937 |
| Provider Name | Michael Stephen Harris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740441021 PECOS PAC ID: 0345487252 Enrollment ID: I20170719004071 |
| Provider Name | Mary E Kim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730523309 PECOS PAC ID: 9436429685 Enrollment ID: I20170720000214 |
| Provider Name | Aiman Ghufran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023320637 PECOS PAC ID: 9830321223 Enrollment ID: I20170720000347 |
| Provider Name | Jenna L Sarvaideo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699020602 PECOS PAC ID: 0749570570 Enrollment ID: I20170720000550 |
| Provider Name | Raquel Farias-moeller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144532052 PECOS PAC ID: 3971882226 Enrollment ID: I20170720000900 |
| Provider Name | Juan C Felix |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649286519 PECOS PAC ID: 9436140357 Enrollment ID: I20170720001220 |
| Provider Name | Daniel J Bucklan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417249426 PECOS PAC ID: 8022388297 Enrollment ID: I20170720001319 |
| Provider Name | Lia Marie Borja Sabalo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427345396 PECOS PAC ID: 9234378126 Enrollment ID: I20170724001750 |
| Provider Name | Vanessa C Mcfadden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992123830 PECOS PAC ID: 5597046425 Enrollment ID: I20170725000197 |
| Provider Name | Alexandria J Bear |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285976860 PECOS PAC ID: 4981923430 Enrollment ID: I20170725000579 |
| Provider Name | Rachel S Morris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205061579 PECOS PAC ID: 1254650450 Enrollment ID: I20170725001373 |
| Provider Name | Ashley M Cunningham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902163272 PECOS PAC ID: 5890065809 Enrollment ID: I20170725001583 |
| Provider Name | Christopher J Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386987147 PECOS PAC ID: 3971822131 Enrollment ID: I20170725002030 |
| Provider Name | Julie M Jorns |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790902278 PECOS PAC ID: 0143373944 Enrollment ID: I20170725003238 |
| Provider Name | Badi A Rawashden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154793487 PECOS PAC ID: 9931479870 Enrollment ID: I20170725003491 |
| Provider Name | Benjamin D Beran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346549680 PECOS PAC ID: 4587970751 Enrollment ID: I20170725004226 |
| Provider Name | Alina G Burek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134547995 PECOS PAC ID: 4486933066 Enrollment ID: I20170725004347 |
| Provider Name | Julie K Freed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497054670 PECOS PAC ID: 6800166612 Enrollment ID: I20170726002093 |
| Provider Name | Chad Harman Jackson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184067498 PECOS PAC ID: 2567754872 Enrollment ID: I20170726002166 |
| Provider Name | Matan Ronen Rothschild |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235546540 PECOS PAC ID: 2365712171 Enrollment ID: I20170726002413 |
| Provider Name | Thomas Garvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689093247 PECOS PAC ID: 7618247479 Enrollment ID: I20170727000154 |
| Provider Name | Thomas W Engel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700290863 PECOS PAC ID: 7012212186 Enrollment ID: I20170727000171 |
| Provider Name | Frederik Korbinian Rebling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366785008 PECOS PAC ID: 5092005983 Enrollment ID: I20170727000353 |
| Provider Name | Divya Sharma Chawla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427318468 PECOS PAC ID: 6709176688 Enrollment ID: I20170727000753 |
| Provider Name | Cindy L Schwartz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578502688 PECOS PAC ID: 5193741718 Enrollment ID: I20170801003370 |
| Provider Name | Aaron D Massie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104189349 PECOS PAC ID: 9335378033 Enrollment ID: I20170802003323 |
| Provider Name | Jonathan E Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790074888 PECOS PAC ID: 3971822453 Enrollment ID: I20170802003431 |
| Provider Name | Kristin H Kroll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518129089 PECOS PAC ID: 8527339357 Enrollment ID: I20170811002266 |
| Provider Name | Julie A Christenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548783343 PECOS PAC ID: 3375815905 Enrollment ID: I20170817000109 |
| Provider Name | Richard J Deklotz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104169556 PECOS PAC ID: 2163741687 Enrollment ID: I20170817002145 |
| Provider Name | Nathan D Gundacker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952690133 PECOS PAC ID: 9537476072 Enrollment ID: I20170817003476 |
| Provider Name | Constance Lu Gundacker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891081543 PECOS PAC ID: 1850663378 Enrollment ID: I20170817004077 |
| Provider Name | Chad G Wenzel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801216478 PECOS PAC ID: 9335427715 Enrollment ID: I20170817004176 |
| Provider Name | Joseph R Puetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275947079 PECOS PAC ID: 6800012212 Enrollment ID: I20170817004250 |
| Provider Name | Anthony J Logiudice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750670980 PECOS PAC ID: 0749500536 Enrollment ID: I20170819000054 |
| Provider Name | Pankaj Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033538590 PECOS PAC ID: 5799908067 Enrollment ID: I20170824000325 |
| Provider Name | Adam C T Saugen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891038279 PECOS PAC ID: 3274805247 Enrollment ID: I20170825001713 |
| Provider Name | Michael F Girolami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326380726 PECOS PAC ID: 5597084616 Enrollment ID: I20170831000468 |
| Provider Name | Courtney O Barry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487183240 PECOS PAC ID: 5799058491 Enrollment ID: I20170831000787 |
| Provider Name | Patrick Michael Aquilina |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023220985 PECOS PAC ID: 5092813014 Enrollment ID: I20170831001607 |
| Provider Name | Joyce L Sanchez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952503781 PECOS PAC ID: 2264663483 Enrollment ID: I20170901000469 |
| Provider Name | Jessica L Pecherski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396174975 PECOS PAC ID: 7517195431 Enrollment ID: I20170901000763 |
| Provider Name | Viktoriya Sabchyshyn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922374529 PECOS PAC ID: 6204109762 Enrollment ID: I20170905001320 |
| Provider Name | Douglas Randal Zabrowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194012179 PECOS PAC ID: 4688816150 Enrollment ID: I20170905001881 |
| Provider Name | Daniel S Dykstra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821301946 PECOS PAC ID: 7012146517 Enrollment ID: I20170906000341 |
| Provider Name | Carrie A Hecox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194245886 PECOS PAC ID: 6800160763 Enrollment ID: I20170916000635 |
| Provider Name | Sachin Shivaji Kumbhar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033558143 PECOS PAC ID: 7113246752 Enrollment ID: I20170920000249 |
| Provider Name | Cynthia Weber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174750889 PECOS PAC ID: 4688975956 Enrollment ID: I20170920002229 |
| Provider Name | Jamie L Weiser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134571649 PECOS PAC ID: 0648544288 Enrollment ID: I20170921000705 |
| Provider Name | Kaitlin Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003364811 PECOS PAC ID: 1456625953 Enrollment ID: I20170921003718 |
| Provider Name | Ankur A Chugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568757136 PECOS PAC ID: 7315244597 Enrollment ID: I20170922000071 |
| Provider Name | Gwynne D Kirchen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972879989 PECOS PAC ID: 2668791161 Enrollment ID: I20170922000801 |
| Provider Name | Allison Erica Linton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912293713 PECOS PAC ID: 5193029056 Enrollment ID: I20170922001711 |
| Provider Name | Nancy L Jacobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093133126 PECOS PAC ID: 3173801545 Enrollment ID: I20170926002331 |
| Provider Name | Melissa Wong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316268477 PECOS PAC ID: 4284948761 Enrollment ID: I20170927004270 |
| Provider Name | Sara M Dunbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942628706 PECOS PAC ID: 4385934264 Enrollment ID: I20170929000635 |
| Provider Name | Brian William Quinn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376961870 PECOS PAC ID: 7214202399 Enrollment ID: I20170929002248 |
| Provider Name | Michael W Straza |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104182989 PECOS PAC ID: 0648599506 Enrollment ID: I20171002000695 |
| Provider Name | Shaheena M Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932512084 PECOS PAC ID: 1355616129 Enrollment ID: I20171004000704 |
| Provider Name | Jasmine C Dowell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972899557 PECOS PAC ID: 5193090942 Enrollment ID: I20171005000022 |
| Provider Name | Melanie A Clark |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033464185 PECOS PAC ID: 4880980093 Enrollment ID: I20171005002219 |
| Provider Name | Adam B Levin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912317983 PECOS PAC ID: 8426336819 Enrollment ID: I20171006000244 |
| Provider Name | Jake E Decker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639516230 PECOS PAC ID: 9032426325 Enrollment ID: I20171006000408 |
| Provider Name | Garrett D Fitzgerald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447575386 PECOS PAC ID: 7012216955 Enrollment ID: I20171006000805 |
| Provider Name | Amanda M Henke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336664754 PECOS PAC ID: 8628343100 Enrollment ID: I20171010000365 |
| Provider Name | Jeremy P Waldhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427476605 PECOS PAC ID: 3072801687 Enrollment ID: I20171011000213 |
| Provider Name | Lileth Joy H Mondok |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942597356 PECOS PAC ID: 4688949035 Enrollment ID: I20171011000395 |
| Provider Name | Phani Bodavula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700204690 PECOS PAC ID: 7113292566 Enrollment ID: I20171011000489 |
| Provider Name | Matthew E Stohs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730442492 PECOS PAC ID: 4789820226 Enrollment ID: I20171011000557 |
| Provider Name | Megan M Hyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407375462 PECOS PAC ID: 1759656143 Enrollment ID: I20171011001913 |
| Provider Name | Katie Jo Merideth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437389954 PECOS PAC ID: 3375707391 Enrollment ID: I20171011002092 |
| Provider Name | Ioanna Greorgopoulos Mazotas |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1558624247 PECOS PAC ID: 2668777442 Enrollment ID: I20171011002362 |
| Provider Name | Michelle L Mitchell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013117456 PECOS PAC ID: 9537208491 Enrollment ID: I20171012000060 |
| Provider Name | Katrina Marie Shay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932637444 PECOS PAC ID: 2466727797 Enrollment ID: I20171012000105 |
| Provider Name | Juliana Perez Botero |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396023321 PECOS PAC ID: 4789820549 Enrollment ID: I20171012000341 |
| Provider Name | Brittany A Fasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588180582 PECOS PAC ID: 5193090462 Enrollment ID: I20171012001806 |
| Provider Name | Erika L Konkel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447593587 PECOS PAC ID: 2264751387 Enrollment ID: I20171013002016 |
| Provider Name | Judith A Evenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770008492 PECOS PAC ID: 5496021537 Enrollment ID: I20171018000268 |
| Provider Name | Erin R Zepezauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952826919 PECOS PAC ID: 0648546788 Enrollment ID: I20171018000366 |
| Provider Name | Sarah E Tybring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518486174 PECOS PAC ID: 1052687191 Enrollment ID: I20171018000565 |
| Provider Name | Fernando Santos Pinheiro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285932343 PECOS PAC ID: 4688971823 Enrollment ID: I20171018001541 |
| Provider Name | Irene Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952545014 PECOS PAC ID: 9133411291 Enrollment ID: I20171018002545 |
| Provider Name | Mukozo M Ozieh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205168408 PECOS PAC ID: 4789834946 Enrollment ID: I20171018003475 |
| Provider Name | Karina Shah Gobin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962798801 PECOS PAC ID: 3971829110 Enrollment ID: I20171026000198 |
| Provider Name | Christina L Megal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821457839 PECOS PAC ID: 0840582250 Enrollment ID: I20171026000275 |
| Provider Name | Carissa Aboubakare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497206916 PECOS PAC ID: 2466728043 Enrollment ID: I20171026000904 |
| Provider Name | Alyssa A Profita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740709708 PECOS PAC ID: 0749556165 Enrollment ID: I20171030001416 |
| Provider Name | Katie B Eisele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528435369 PECOS PAC ID: 3274899497 Enrollment ID: I20171103001733 |
| Provider Name | Kathlyn E Fletcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306897236 PECOS PAC ID: 3274435664 Enrollment ID: I20171106000144 |
| Provider Name | Jill Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871883926 PECOS PAC ID: 8224357736 Enrollment ID: I20171106000252 |
| Provider Name | Charles Brandsmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891214763 PECOS PAC ID: 1557627718 Enrollment ID: I20171106000308 |
| Provider Name | Angela B Treml |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598095903 PECOS PAC ID: 7911156450 Enrollment ID: I20171106000766 |
| Provider Name | Gabriella R Pyptiuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174032742 PECOS PAC ID: 8729344809 Enrollment ID: I20171106001145 |
| Provider Name | Suzzan Tarno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376571778 PECOS PAC ID: 3476582123 Enrollment ID: I20171106001883 |
| Provider Name | Kimberly J Roeloffs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568986537 PECOS PAC ID: 6709142821 Enrollment ID: I20171106002967 |
| Provider Name | Amy V Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043445331 PECOS PAC ID: 5799973731 Enrollment ID: I20171107000233 |
| Provider Name | Angela L Maginn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316462781 PECOS PAC ID: 2567728603 Enrollment ID: I20171107000465 |
| Provider Name | Susan E Cronn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942719166 PECOS PAC ID: 8820354756 Enrollment ID: I20171109002269 |
| Provider Name | Ajaya Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295153336 PECOS PAC ID: 3274837919 Enrollment ID: I20171109002950 |
| Provider Name | Supatra Ariel Agarwal |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1033589635 PECOS PAC ID: 4981913571 Enrollment ID: I20171110000081 |
| Provider Name | Marika I Wrzosek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871751362 PECOS PAC ID: 5597910216 Enrollment ID: I20171110000382 |
| Provider Name | Alicia N Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518482983 PECOS PAC ID: 3870859630 Enrollment ID: I20171110000390 |
| Provider Name | Alison A Volz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831614726 PECOS PAC ID: 5597021360 Enrollment ID: I20171110000909 |
| Provider Name | Desh Bandhu B Nepal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477871648 PECOS PAC ID: 8729221569 Enrollment ID: I20171110001425 |
| Provider Name | Alicia M Chacon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831541887 PECOS PAC ID: 3678866589 Enrollment ID: I20171110001867 |
| Provider Name | Mina I Elnemr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760702302 PECOS PAC ID: 2062654460 Enrollment ID: I20171110002965 |
| Provider Name | Karmen Lenore Wielunski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750700738 PECOS PAC ID: 2961768528 Enrollment ID: I20171114003694 |
| Provider Name | Maaman Bashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225432917 PECOS PAC ID: 2668738188 Enrollment ID: I20171115002925 |
| Provider Name | Jacqueline M Kroner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528586807 PECOS PAC ID: 2365708815 Enrollment ID: I20171115004040 |
| Provider Name | Sameem M Abedin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063641157 PECOS PAC ID: 0547416323 Enrollment ID: I20171116002678 |
| Provider Name | Sarah E Slocum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225423205 PECOS PAC ID: 5597062737 Enrollment ID: I20171117000579 |
| Provider Name | Barbara C Sieck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144699364 PECOS PAC ID: 2466731914 Enrollment ID: I20171120003553 |
| Provider Name | Jordan A Gliedt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174894281 PECOS PAC ID: 0143488262 Enrollment ID: I20171121001856 |
| Provider Name | Caroline M Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992215867 PECOS PAC ID: 8628335924 Enrollment ID: I20171121002312 |
| Provider Name | Alexandria L Lutley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699036129 PECOS PAC ID: 7012274830 Enrollment ID: I20171204002798 |
| Provider Name | Amit Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235392127 PECOS PAC ID: 1355599903 Enrollment ID: I20171205000239 |
| Provider Name | Brian J Robertson-dick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033452453 PECOS PAC ID: 9133419021 Enrollment ID: I20171205001966 |
| Provider Name | Jason Burrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659538197 PECOS PAC ID: 3577882190 Enrollment ID: I20171205002184 |
| Provider Name | Molly B Kortsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912418468 PECOS PAC ID: 6305103821 Enrollment ID: I20171207002644 |
| Provider Name | Rachel K Harrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164764874 PECOS PAC ID: 9133439490 Enrollment ID: I20171213002389 |
| Provider Name | Lee M Clintsman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538468756 PECOS PAC ID: 1759565005 Enrollment ID: I20171214000469 |
| Provider Name | Eve M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669984589 PECOS PAC ID: 4981962057 Enrollment ID: I20171219000150 |
| Provider Name | Talat N Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912250424 PECOS PAC ID: 5294045290 Enrollment ID: I20171221001664 |
| Provider Name | Rebecca S Esser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770096919 PECOS PAC ID: 4183982077 Enrollment ID: I20171226000676 |
| Provider Name | Dayna C Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437662574 PECOS PAC ID: 2860750783 Enrollment ID: I20171227000035 |
| Provider Name | Amanda M Manders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003156613 PECOS PAC ID: 2769612225 Enrollment ID: I20171227000925 |
| Provider Name | Perry T Shuman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063495133 PECOS PAC ID: 4486789435 Enrollment ID: I20180102002575 |
| Provider Name | Mary Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669995411 PECOS PAC ID: 2062771272 Enrollment ID: I20180116002216 |
| Provider Name | Amber H Winchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548786536 PECOS PAC ID: 1153680111 Enrollment ID: I20180119000858 |
| Provider Name | Abhimanyu Kaura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740577766 PECOS PAC ID: 6800015710 Enrollment ID: I20180122002670 |
| Provider Name | Lucian A Durham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427036540 PECOS PAC ID: 7012809460 Enrollment ID: I20180123003010 |
| Provider Name | Pamela D West |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184814204 PECOS PAC ID: 5991929309 Enrollment ID: I20180125001343 |
| Provider Name | Bradley A Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1427452580 PECOS PAC ID: 4880916741 Enrollment ID: I20180125003247 |
| Provider Name | Omar Hussain |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023406139 PECOS PAC ID: 4183984693 Enrollment ID: I20180201000465 |
| Provider Name | Matthew D Coleman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1881946689 PECOS PAC ID: 5193976694 Enrollment ID: I20180208001930 |
| Provider Name | Kristi M Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851807697 PECOS PAC ID: 5799045696 Enrollment ID: I20180215000206 |
| Provider Name | Eki O Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063910016 PECOS PAC ID: 8325309305 Enrollment ID: I20180308001028 |
| Provider Name | Brett Hapeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811316334 PECOS PAC ID: 9931497435 Enrollment ID: I20180320003295 |
| Provider Name | Steven Ropers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043522600 PECOS PAC ID: 9830333954 Enrollment ID: I20180323000094 |
| Provider Name | Claudia S Zavala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588644249 PECOS PAC ID: 3678750445 Enrollment ID: I20180323000597 |
| Provider Name | David A Songco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881025864 PECOS PAC ID: 7719249846 Enrollment ID: I20180329000674 |
| Provider Name | Sara A Arndt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568814085 PECOS PAC ID: 7012279094 Enrollment ID: I20180403001910 |
| Provider Name | Catherine M Shield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437665791 PECOS PAC ID: 6901168988 Enrollment ID: I20180403002089 |
| Provider Name | Nagendram Paidisetty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770696338 PECOS PAC ID: 0749294965 Enrollment ID: I20180404000006 |
| Provider Name | Mark M Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760982763 PECOS PAC ID: 0941563936 Enrollment ID: I20180404000073 |
| Provider Name | Grace L Van Valin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396248084 PECOS PAC ID: 6204199151 Enrollment ID: I20180406001209 |
| Provider Name | Maureen T Luetje |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982903225 PECOS PAC ID: 1759503444 Enrollment ID: I20180410001510 |
| Provider Name | Sara E Creighton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629398169 PECOS PAC ID: 8628205390 Enrollment ID: I20180410001606 |
| Provider Name | Daniel Eggeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568450 PECOS PAC ID: 5799085544 Enrollment ID: I20180411000255 |
| Provider Name | Tracey H Liljestrom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962768036 PECOS PAC ID: 1153618087 Enrollment ID: I20180411000321 |
| Provider Name | Jami E Hellmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023510377 PECOS PAC ID: 4284997883 Enrollment ID: I20180412002178 |
| Provider Name | Kristina Bolling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831691831 PECOS PAC ID: 7113280231 Enrollment ID: I20180424000582 |
| Provider Name | David Victor Smullen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912969510 PECOS PAC ID: 7315945839 Enrollment ID: I20180424001130 |
| Provider Name | Tochi Umunakwe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609119577 PECOS PAC ID: 4688993223 Enrollment ID: I20180424001172 |
| Provider Name | Jessica A Zenga |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740490697 PECOS PAC ID: 0749462604 Enrollment ID: I20180430002603 |
| Provider Name | Kimberly Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982109534 PECOS PAC ID: 6901160803 Enrollment ID: I20180430002831 |
| Provider Name | Elizabeth M Devries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710408497 PECOS PAC ID: 9335403294 Enrollment ID: I20180501002820 |
| Provider Name | David Thomas Rockwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326067117 PECOS PAC ID: 9638167398 Enrollment ID: I20180502000417 |
| Provider Name | Vidya Kollu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710346671 PECOS PAC ID: 5395036503 Enrollment ID: I20180508002041 |
| Provider Name | Shagun Sachdeva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053608513 PECOS PAC ID: 3971867417 Enrollment ID: I20180508002564 |
| Provider Name | Jennifer L Menako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982101887 PECOS PAC ID: 8628332194 Enrollment ID: I20180509000943 |
| Provider Name | Christopher A. Yopp |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588907430 PECOS PAC ID: 4486918968 Enrollment ID: I20180509001247 |
| Provider Name | Scott Alan Kunkel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609187004 PECOS PAC ID: 7315223971 Enrollment ID: I20180517001557 |
| Provider Name | Maria Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497251011 PECOS PAC ID: 1254696438 Enrollment ID: I20180518000534 |
| Provider Name | Patrick R Kennedy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598150344 PECOS PAC ID: 6800163882 Enrollment ID: I20180521000184 |
| Provider Name | Ensi Voshtina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386021459 PECOS PAC ID: 8123383239 Enrollment ID: I20180521000253 |
| Provider Name | Mary L Theisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396248407 PECOS PAC ID: 0547525685 Enrollment ID: I20180521001423 |
| Provider Name | Sarah M Mess |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174920797 PECOS PAC ID: 3375816069 Enrollment ID: I20180521002854 |
| Provider Name | Ariel M Bodker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053798884 PECOS PAC ID: 1153686142 Enrollment ID: I20180522001066 |
| Provider Name | Tyler M Flessner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275979825 PECOS PAC ID: 1355606385 Enrollment ID: I20180523000004 |
| Provider Name | Pavan R Parasu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750624847 PECOS PAC ID: 0840590097 Enrollment ID: I20180523000019 |
| Provider Name | Kurt Techawatanaset |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760725493 PECOS PAC ID: 7517222540 Enrollment ID: I20180523000067 |
| Provider Name | Matthew R Vickery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801139837 PECOS PAC ID: 2860757762 Enrollment ID: I20180524000657 |
| Provider Name | Leah Rossett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518301787 PECOS PAC ID: 9638434327 Enrollment ID: I20180530001434 |
| Provider Name | Gabriel Bonnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407261373 PECOS PAC ID: 4587988506 Enrollment ID: I20180530001442 |
| Provider Name | Lyudmila V Demko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881063352 PECOS PAC ID: 2668737362 Enrollment ID: I20180530001807 |
| Provider Name | Marcus W Bickford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285070722 PECOS PAC ID: 7810125945 Enrollment ID: I20180531001920 |
| Provider Name | Ann M Rusk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649664582 PECOS PAC ID: 1658636147 Enrollment ID: I20180605000019 |
| Provider Name | Christopher Pierce Hartley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194084343 PECOS PAC ID: 6103181698 Enrollment ID: I20180605000030 |
| Provider Name | Thomas Je Clark |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144632183 PECOS PAC ID: 8426275231 Enrollment ID: I20180605000403 |
| Provider Name | Paige Ganske |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588007330 PECOS PAC ID: 0345505855 Enrollment ID: I20180605000787 |
| Provider Name | Andrew D Spearman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689936486 PECOS PAC ID: 3274823166 Enrollment ID: I20180612002017 |
| Provider Name | Stephane L Desouches |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083970602 PECOS PAC ID: 1850692013 Enrollment ID: I20180612002059 |
| Provider Name | Christopher Southwood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215270616 PECOS PAC ID: 9931427820 Enrollment ID: I20180612002512 |
| Provider Name | Guru Subramanian Guru Murthy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104172329 PECOS PAC ID: 2860747011 Enrollment ID: I20180612002526 |
| Provider Name | Matthew S Subramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215323324 PECOS PAC ID: 1153676317 Enrollment ID: I20180612002911 |
| Provider Name | Xiangxin Hu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225386444 PECOS PAC ID: 8426357716 Enrollment ID: I20180613001596 |
| Provider Name | Angela M Ragozin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760989412 PECOS PAC ID: 4486909538 Enrollment ID: I20180614000517 |
| Provider Name | Natalya Libo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154740041 PECOS PAC ID: 8123338886 Enrollment ID: I20180618000781 |
| Provider Name | Michael Babbitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447697396 PECOS PAC ID: 9830408012 Enrollment ID: I20180618002398 |
| Provider Name | Timothy A Sanborn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073600987 PECOS PAC ID: 2961458872 Enrollment ID: I20180618002972 |
| Provider Name | Kaitlin M Mckenna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043605512 PECOS PAC ID: 1759658800 Enrollment ID: I20180619000574 |
| Provider Name | Mark W Semrad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104245430 PECOS PAC ID: 8123305257 Enrollment ID: I20180619001033 |
| Provider Name | Gregory E Rozansky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972919256 PECOS PAC ID: 6406144070 Enrollment ID: I20180620000486 |
| Provider Name | Mark Lebehn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437444643 PECOS PAC ID: 1850662370 Enrollment ID: I20180620000655 |
| Provider Name | John T Roddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598150120 PECOS PAC ID: 1951687268 Enrollment ID: I20180620000961 |
| Provider Name | Anjali R Menon |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1013384585 PECOS PAC ID: 6305140047 Enrollment ID: I20180621000060 |
| Provider Name | Jessica Ellen Southwood |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518223494 PECOS PAC ID: 8123347952 Enrollment ID: I20180621000125 |
| Provider Name | John Andrew Cox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699183160 PECOS PAC ID: 9739451345 Enrollment ID: I20180621000136 |
| Provider Name | Brigid C Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689192775 PECOS PAC ID: 8729333430 Enrollment ID: I20180621000957 |
| Provider Name | Sophie G Shay |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235497181 PECOS PAC ID: 9335494954 Enrollment ID: I20180621001533 |
| Provider Name | Jeremy M Groth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205254067 PECOS PAC ID: 0446540520 Enrollment ID: I20180622001416 |
| Provider Name | Zachary A Colvin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730506015 PECOS PAC ID: 7113221912 Enrollment ID: I20180626000855 |
| Provider Name | Hatim S Attar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437598208 PECOS PAC ID: 6305192741 Enrollment ID: I20180627002406 |
| Provider Name | Phillip R Chisholm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356636278 PECOS PAC ID: 8224267935 Enrollment ID: I20180627002594 |
| Provider Name | Jason Christopher Vitek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194144634 PECOS PAC ID: 3072886084 Enrollment ID: I20180628000032 |
| Provider Name | Cara C O'brien |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720407893 PECOS PAC ID: 8921398819 Enrollment ID: I20180629000475 |
| Provider Name | Stephanie A Vincent-sheldon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770849408 PECOS PAC ID: 1456585371 Enrollment ID: I20180629002212 |
| Provider Name | Alexander M Tassopoulos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477829760 PECOS PAC ID: 3072881499 Enrollment ID: I20180630000080 |
| Provider Name | Matthew T Jeranek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417299843 PECOS PAC ID: 1456640804 Enrollment ID: I20180710000260 |
| Provider Name | Gregory M Halenda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154697175 PECOS PAC ID: 1355610601 Enrollment ID: I20180710000447 |
| Provider Name | Kathryn E Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083094759 PECOS PAC ID: 9830480987 Enrollment ID: I20180710000614 |
| Provider Name | Luis Felipe Carrillo Polanco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952741621 PECOS PAC ID: 8628324431 Enrollment ID: I20180710001601 |
| Provider Name | Ashley Margret Pavlic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215291448 PECOS PAC ID: 4688823495 Enrollment ID: I20180710002259 |
| Provider Name | Jonathan S Kurman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184913568 PECOS PAC ID: 6800115346 Enrollment ID: I20180710002527 |
| Provider Name | Joseph Zenga |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790049799 PECOS PAC ID: 8820226624 Enrollment ID: I20180711000018 |
| Provider Name | William L Gross |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548552342 PECOS PAC ID: 6608015458 Enrollment ID: I20180711000746 |
| Provider Name | Rebecca Lynn Bauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629311196 PECOS PAC ID: 0547486219 Enrollment ID: I20180716000218 |
| Provider Name | Joseph S Brantman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982090676 PECOS PAC ID: 0749594018 Enrollment ID: I20180716001299 |
| Provider Name | Kevin P Quirke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417306911 PECOS PAC ID: 3870888738 Enrollment ID: I20180717003218 |
| Provider Name | Arica L Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992158406 PECOS PAC ID: 4284981994 Enrollment ID: I20180725003077 |
| Provider Name | Svetlana R Melamed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942614896 PECOS PAC ID: 0446542815 Enrollment ID: I20180726000004 |
| Provider Name | Kimberly M Keniry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346668183 PECOS PAC ID: 2163708579 Enrollment ID: I20180726000762 |
| Provider Name | Andrew N Farkas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528363546 PECOS PAC ID: 0345490025 Enrollment ID: I20180726000886 |
| Provider Name | Jorge F Saucedo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598734337 PECOS PAC ID: 6002830254 Enrollment ID: I20180726001613 |
| Provider Name | Adam I Edelstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013279082 PECOS PAC ID: 2163726910 Enrollment ID: I20180726001934 |
| Provider Name | Emily R Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336431287 PECOS PAC ID: 7315251980 Enrollment ID: I20180726002691 |
| Provider Name | Samuel J Adams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972947224 PECOS PAC ID: 8224385869 Enrollment ID: I20180727001094 |
| Provider Name | Megan E Maticek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104231190 PECOS PAC ID: 9739481250 Enrollment ID: I20180727001811 |
| Provider Name | Lindsay Ann Bliss |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1144512740 PECOS PAC ID: 3678886694 Enrollment ID: I20180730002323 |
| Provider Name | Tara M Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992191662 PECOS PAC ID: 7113207705 Enrollment ID: I20180731000691 |
| Provider Name | Lily Bai Hsieh |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1508156803 PECOS PAC ID: 8426306945 Enrollment ID: I20180731002363 |
| Provider Name | Jason J Jakobsons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972921872 PECOS PAC ID: 5395026231 Enrollment ID: I20180731003250 |
| Provider Name | Patrick J Mccarthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699031260 PECOS PAC ID: 2961635412 Enrollment ID: I20180731003421 |
| Provider Name | Benjamin W Dille |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821353533 PECOS PAC ID: 4486954864 Enrollment ID: I20180807001605 |
| Provider Name | Ruth Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861803405 PECOS PAC ID: 6305194390 Enrollment ID: I20180808000494 |
| Provider Name | Nichole L Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114419892 PECOS PAC ID: 3375891369 Enrollment ID: I20180808000599 |
| Provider Name | Eden A Biltibo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104244458 PECOS PAC ID: 4789941378 Enrollment ID: I20180808003330 |
| Provider Name | Gretchen M Roth |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912311614 PECOS PAC ID: 8729206461 Enrollment ID: I20180808003853 |
| Provider Name | Samuel P Engle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326314170 PECOS PAC ID: 2264780071 Enrollment ID: I20180809004423 |
| Provider Name | Keisha N Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164771531 PECOS PAC ID: 2466751748 Enrollment ID: I20180809005481 |
| Provider Name | Raafay Sophie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285044107 PECOS PAC ID: 8426366238 Enrollment ID: I20180809005804 |
| Provider Name | Sri Sankar Chinta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760643811 PECOS PAC ID: 6507096401 Enrollment ID: I20180810000198 |
| Provider Name | Madhuri Dave |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497140040 PECOS PAC ID: 9830448430 Enrollment ID: I20180815000909 |
| Provider Name | Andrew N Ceelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912498791 PECOS PAC ID: 7618226184 Enrollment ID: I20180815003944 |
| Provider Name | Andrew J Kamien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285980441 PECOS PAC ID: 7416188164 Enrollment ID: I20180816000577 |
| Provider Name | Michael J Muriello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740577634 PECOS PAC ID: 5193074672 Enrollment ID: I20180816000627 |
| Provider Name | Jennifer L Pham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245527043 PECOS PAC ID: 7810112869 Enrollment ID: I20180816001943 |
| Provider Name | Nisha H Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447699079 PECOS PAC ID: 7911256433 Enrollment ID: I20180816002070 |
| Provider Name | Kyle P Pronko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992191860 PECOS PAC ID: 2264740638 Enrollment ID: I20180817001035 |
| Provider Name | Anthony C Tam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831614684 PECOS PAC ID: 5496004806 Enrollment ID: I20180817002455 |
| Provider Name | Elise M Jondall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154816692 PECOS PAC ID: 4385993708 Enrollment ID: I20180817002998 |
| Provider Name | Adebukola Owolabi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215340203 PECOS PAC ID: 4981953247 Enrollment ID: I20180820001501 |
| Provider Name | Serena Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649546813 PECOS PAC ID: 0547589657 Enrollment ID: I20180820002914 |
| Provider Name | Ravit Boger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508822297 PECOS PAC ID: 5890765366 Enrollment ID: I20180828001768 |
| Provider Name | Ahmed Z Obeidat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184069627 PECOS PAC ID: 6608018288 Enrollment ID: I20180828002717 |
| Provider Name | Kourtney Christine Dropps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740609445 PECOS PAC ID: 2163794777 Enrollment ID: I20180828003845 |
| Provider Name | Sakthi K Sundararajan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811305402 PECOS PAC ID: 7517248297 Enrollment ID: I20180829001712 |
| Provider Name | Abby E Rothstein |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275822439 PECOS PAC ID: 9335468867 Enrollment ID: I20180829002241 |
| Provider Name | Musaddiq Javvad Awan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205279957 PECOS PAC ID: 6901104082 Enrollment ID: I20180829003821 |
| Provider Name | Karri A Adamson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1164711172 PECOS PAC ID: 4486973906 Enrollment ID: I20180829004329 |
| Provider Name | Charles Baron Rothschild |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952620809 PECOS PAC ID: 8628348950 Enrollment ID: I20180829004649 |
| Provider Name | Ebba T Hjertstedt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467728527 PECOS PAC ID: 3971822438 Enrollment ID: I20180830000274 |
| Provider Name | Lindsay M Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427536911 PECOS PAC ID: 5395095913 Enrollment ID: I20180831001541 |
| Provider Name | Mackenzee M Kuczmarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821576406 PECOS PAC ID: 6204186844 Enrollment ID: I20180901000054 |
| Provider Name | Kassandra Holzem |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568882793 PECOS PAC ID: 5193024925 Enrollment ID: I20180904000019 |
| Provider Name | Danny Lim |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1780051094 PECOS PAC ID: 5799085205 Enrollment ID: I20180904000702 |
| Provider Name | Andrew A Mazulis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699031583 PECOS PAC ID: 0042515595 Enrollment ID: I20180904002651 |
| Provider Name | Keli D Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053739433 PECOS PAC ID: 6507145174 Enrollment ID: I20180904003443 |
| Provider Name | Tyler M Rehlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538649090 PECOS PAC ID: 9234489683 Enrollment ID: I20180905001476 |
| Provider Name | Naveen Kumar R Addagatla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366718231 PECOS PAC ID: 7315265204 Enrollment ID: I20180905003475 |
| Provider Name | Ian Bk Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508940487 PECOS PAC ID: 2163449554 Enrollment ID: I20180906000689 |
| Provider Name | Shelly K Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518474592 PECOS PAC ID: 9739439001 Enrollment ID: I20180906002840 |
| Provider Name | Samuel K Corbo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881002129 PECOS PAC ID: 9830402130 Enrollment ID: I20180906003084 |
| Provider Name | Jill R Streams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194051987 PECOS PAC ID: 1759651532 Enrollment ID: I20180907001345 |
| Provider Name | Erica M Arrington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720183759 PECOS PAC ID: 6204816077 Enrollment ID: I20180910000088 |
| Provider Name | Omar F Dyara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285077404 PECOS PAC ID: 0244580413 Enrollment ID: I20180910001018 |
| Provider Name | Fadi Aljabi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790890556 PECOS PAC ID: 0648279919 Enrollment ID: I20180910002506 |
| Provider Name | Paul L Linsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871818930 PECOS PAC ID: 4385959600 Enrollment ID: I20180911000978 |
| Provider Name | Kirsten E Osen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528550332 PECOS PAC ID: 9830449982 Enrollment ID: I20180911001415 |
| Provider Name | Anuoluwapo Funmilola Elegbede |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447548631 PECOS PAC ID: 3072737386 Enrollment ID: I20180919000174 |
| Provider Name | Jonathan S Ellison |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861655581 PECOS PAC ID: 0244555795 Enrollment ID: I20180925000529 |
| Provider Name | Chelsea A Willie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952518516 PECOS PAC ID: 9931450335 Enrollment ID: I20180925000676 |
| Provider Name | Valerie M Carlberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396181525 PECOS PAC ID: 0840418315 Enrollment ID: I20180925001143 |
| Provider Name | Keowa Vasquez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205255320 PECOS PAC ID: 3678851052 Enrollment ID: I20180926002330 |
| Provider Name | Jamie D Kedinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1366493108 PECOS PAC ID: 4385538958 Enrollment ID: I20180927001258 |
| Provider Name | Kyle J Vanarendonk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659544211 PECOS PAC ID: 6800083775 Enrollment ID: I20180927002074 |
| Provider Name | Leah Eb Lalor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538451554 PECOS PAC ID: 1052618469 Enrollment ID: I20180927002343 |
| Provider Name | Octavio A Falcucci |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760575302 PECOS PAC ID: 1052470549 Enrollment ID: I20181003000424 |
| Provider Name | Adam O Szadkowski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366734501 PECOS PAC ID: 1951541119 Enrollment ID: I20181008000422 |
| Provider Name | Jessica L Schnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174904767 PECOS PAC ID: 9436453107 Enrollment ID: I20181008001151 |
| Provider Name | Apryl D Weed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699255166 PECOS PAC ID: 7416209119 Enrollment ID: I20181008002433 |
| Provider Name | Yan Zhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285070169 PECOS PAC ID: 7315233749 Enrollment ID: I20181009001213 |
| Provider Name | Elise N Rippelmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407332406 PECOS PAC ID: 3072865625 Enrollment ID: I20181009001401 |
| Provider Name | Gwendolyn M Hoben |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780812925 PECOS PAC ID: 5395973341 Enrollment ID: I20181010002144 |
| Provider Name | Lindsay L Puckett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699038588 PECOS PAC ID: 8921350307 Enrollment ID: I20181012001043 |
| Provider Name | Yuri M Sheinin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528403961 PECOS PAC ID: 1951522754 Enrollment ID: I20181012001257 |
| Provider Name | Kara E Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851872188 PECOS PAC ID: 6800148297 Enrollment ID: I20181012001783 |
| Provider Name | Mary O Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588144315 PECOS PAC ID: 8123370426 Enrollment ID: I20181016000170 |
| Provider Name | Angela Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952894578 PECOS PAC ID: 2163774373 Enrollment ID: I20181016001042 |
| Provider Name | Karolyn A Wanat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396908216 PECOS PAC ID: 3678716271 Enrollment ID: I20181016001062 |
| Provider Name | Gonzalo J Sader Verde |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811409832 PECOS PAC ID: 5698027829 Enrollment ID: I20181016002233 |
| Provider Name | Shannon Scalish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376035782 PECOS PAC ID: 5496007536 Enrollment ID: I20181017003437 |
| Provider Name | Christine E Boxhorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558598482 PECOS PAC ID: 0143463786 Enrollment ID: I20181018000635 |
| Provider Name | Renee L Kursel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770872210 PECOS PAC ID: 8527204056 Enrollment ID: I20181022002171 |
| Provider Name | Khadieja M Khalid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285977330 PECOS PAC ID: 5294092508 Enrollment ID: I20181022003025 |
| Provider Name | Frank H Zhu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326394776 PECOS PAC ID: 5698062941 Enrollment ID: I20181024000601 |
| Provider Name | Adam N Wooldridge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811255524 PECOS PAC ID: 2365741311 Enrollment ID: I20181024002920 |
| Provider Name | Catherine T Thuruthumaly |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225395403 PECOS PAC ID: 7012204860 Enrollment ID: I20181025000153 |
| Provider Name | Crystal C Lochhead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770982332 PECOS PAC ID: 9436402286 Enrollment ID: I20181025000941 |
| Provider Name | Sara B Pillay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972090462 PECOS PAC ID: 5294088910 Enrollment ID: I20181026001282 |
| Provider Name | Bushra Z Osmani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760746127 PECOS PAC ID: 6406079151 Enrollment ID: I20181030000768 |
| Provider Name | Majidah Murrar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295218998 PECOS PAC ID: 9234482753 Enrollment ID: I20181031001583 |
| Provider Name | Kelsey S Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164816187 PECOS PAC ID: 2466705686 Enrollment ID: I20181105001526 |
| Provider Name | Sarah J Pyzyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245719376 PECOS PAC ID: 7315291523 Enrollment ID: I20181106002740 |
| Provider Name | Michael A Fierro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578880175 PECOS PAC ID: 9133436108 Enrollment ID: I20181109000107 |
| Provider Name | Chandni Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760740617 PECOS PAC ID: 4688956931 Enrollment ID: I20181109000277 |
| Provider Name | Staci N Foy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972085868 PECOS PAC ID: 9931453925 Enrollment ID: I20181109001371 |
| Provider Name | Marianne C Crabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760965180 PECOS PAC ID: 3476807462 Enrollment ID: I20181109001422 |
| Provider Name | Heidi Eleanor Hagerott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285996322 PECOS PAC ID: 3072884238 Enrollment ID: I20181110000144 |
| Provider Name | Maria E Hintzke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437448180 PECOS PAC ID: 2668760695 Enrollment ID: I20181113000069 |
| Provider Name | Julius A Silvidi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730121385 PECOS PAC ID: 9638152606 Enrollment ID: I20181114000025 |
| Provider Name | Evan Kendal Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679967962 PECOS PAC ID: 8022318278 Enrollment ID: I20181114002182 |
| Provider Name | Krista Diiorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858330 PECOS PAC ID: 9133473770 Enrollment ID: I20181116001360 |
| Provider Name | Christy A Idichandy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275876898 PECOS PAC ID: 0749534212 Enrollment ID: I20181120000504 |
| Provider Name | Timothy J Geier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154897668 PECOS PAC ID: 8426302928 Enrollment ID: I20181120001587 |
| Provider Name | Ryuma Tanaka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184912230 PECOS PAC ID: 9032453998 Enrollment ID: I20181204000055 |
| Provider Name | John R Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497097141 PECOS PAC ID: 3476857111 Enrollment ID: I20181204000932 |
| Provider Name | Norma J Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912473943 PECOS PAC ID: 2567706484 Enrollment ID: I20181204002418 |
| Provider Name | Michael J Oleyar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386969848 PECOS PAC ID: 0547499113 Enrollment ID: I20181204002462 |
| Provider Name | Emily Pokorny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881177269 PECOS PAC ID: 3173867835 Enrollment ID: I20181206001223 |
| Provider Name | Myranda Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336615129 PECOS PAC ID: 9436493053 Enrollment ID: I20181207000496 |
| Provider Name | Iyad K Azzam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811216229 PECOS PAC ID: 6103004106 Enrollment ID: I20181211001267 |
| Provider Name | Christine E Bengtson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922575349 PECOS PAC ID: 9537403027 Enrollment ID: I20181211001502 |
| Provider Name | Betsy Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447727128 PECOS PAC ID: 2466797832 Enrollment ID: I20181213001842 |
| Provider Name | Hakki Bolukoglu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356341176 PECOS PAC ID: 9537058656 Enrollment ID: I20181214000017 |
| Provider Name | Yuka Kobayashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588059885 PECOS PAC ID: 9537459581 Enrollment ID: I20181214000851 |
| Provider Name | Kriti Behl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366814501 PECOS PAC ID: 8325383300 Enrollment ID: I20181219001795 |
| Provider Name | Erich A Roush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407236300 PECOS PAC ID: 8527303338 Enrollment ID: I20181226001798 |
| Provider Name | Dena L Behl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992287924 PECOS PAC ID: 3678818325 Enrollment ID: I20181227001315 |
| Provider Name | Srivats Madhavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265721021 PECOS PAC ID: 0446488274 Enrollment ID: I20181227001694 |
| Provider Name | Meredith L Drvaric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417425349 PECOS PAC ID: 7719222405 Enrollment ID: I20181228000549 |
| Provider Name | Vasiliki Leventaki |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154576684 PECOS PAC ID: 5496982845 Enrollment ID: I20181228001587 |
| Provider Name | Kristina A Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336619634 PECOS PAC ID: 6507101185 Enrollment ID: I20181231001521 |
| Provider Name | Kelly Ayala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093282634 PECOS PAC ID: 4385989961 Enrollment ID: I20181231001737 |
| Provider Name | Laura M Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497236921 PECOS PAC ID: 6901141589 Enrollment ID: I20181231001809 |
| Provider Name | Sarah C Yale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437561032 PECOS PAC ID: 5193947315 Enrollment ID: I20190102000763 |
| Provider Name | Kirby H Curby-warner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649740614 PECOS PAC ID: 6406191956 Enrollment ID: I20190102003088 |
| Provider Name | Linsey D Demaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376916007 PECOS PAC ID: 8022353507 Enrollment ID: I20190103000868 |
| Provider Name | Tina M Porchia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083149454 PECOS PAC ID: 5395080881 Enrollment ID: I20190103001240 |
| Provider Name | Lindsay M Witkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730659343 PECOS PAC ID: 9931445210 Enrollment ID: I20190108000273 |
| Provider Name | Dhaval Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770753071 PECOS PAC ID: 8426359787 Enrollment ID: I20190108002062 |
| Provider Name | Emily A Lemke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083083026 PECOS PAC ID: 8426358433 Enrollment ID: I20190109001206 |
| Provider Name | Lauren M Reilly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639583586 PECOS PAC ID: 3870888480 Enrollment ID: I20190123000071 |
| Provider Name | Nicole Bauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902375470 PECOS PAC ID: 8921346628 Enrollment ID: I20190205000483 |
| Provider Name | Anthony J Sawall |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1649749417 PECOS PAC ID: 2769720416 Enrollment ID: I20190205002306 |
| Provider Name | Brittany M Mcpherson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1154890994 PECOS PAC ID: 5294073789 Enrollment ID: I20190207001770 |
| Provider Name | Matthew P Weyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1992274476 PECOS PAC ID: 7113265471 Enrollment ID: I20190212000438 |
| Provider Name | Ethan R Schaefer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093284861 PECOS PAC ID: 4789922055 Enrollment ID: I20190212000771 |
| Provider Name | Hope Lundberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1083183560 PECOS PAC ID: 5294073565 Enrollment ID: I20190212000971 |
| Provider Name | Robert C Orth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962615971 PECOS PAC ID: 5496800955 Enrollment ID: I20190215001064 |
| Provider Name | Jerri D Solik-fifarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003362336 PECOS PAC ID: 1951640432 Enrollment ID: I20190227002124 |
| Provider Name | Juliana Alvarez Argote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386907699 PECOS PAC ID: 2466771571 Enrollment ID: I20190305000272 |
| Provider Name | Aditya Shreenivas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215282264 PECOS PAC ID: 4688913809 Enrollment ID: I20190306002059 |
| Provider Name | Jeffrey L Segar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982699609 PECOS PAC ID: 7214021005 Enrollment ID: I20190319000789 |
| Provider Name | Joy Ikeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003387143 PECOS PAC ID: 5991045379 Enrollment ID: I20190321001202 |
| Provider Name | Amanda R Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154887453 PECOS PAC ID: 0345580734 Enrollment ID: I20190321001685 |
| Provider Name | Muhammad Bilal Md Abid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639480437 PECOS PAC ID: 3274873500 Enrollment ID: I20190322000762 |
| Provider Name | Nicole Trochil |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568986024 PECOS PAC ID: 3375883317 Enrollment ID: I20190328002920 |
| Provider Name | Alissa M Butts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013342211 PECOS PAC ID: 0840505624 Enrollment ID: I20190329001388 |
| Provider Name | Madalyn C Pelky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740707850 PECOS PAC ID: 9133460181 Enrollment ID: I20190401001758 |
| Provider Name | Nicola Carlisle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093109381 PECOS PAC ID: 3870834450 Enrollment ID: I20190409000251 |
| Provider Name | Christopher J Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508209321 PECOS PAC ID: 5890013700 Enrollment ID: I20190409001576 |
| Provider Name | Alison N Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326503772 PECOS PAC ID: 1759622376 Enrollment ID: I20190409001771 |
| Provider Name | Nygil D Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215448501 PECOS PAC ID: 8628319241 Enrollment ID: I20190409001904 |
| Provider Name | Jacquelyn E Paradise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669712535 PECOS PAC ID: 3971844598 Enrollment ID: I20190409002019 |
| Provider Name | Stephen J Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255759189 PECOS PAC ID: 5698016228 Enrollment ID: I20190409002105 |
| Provider Name | Nicole D Liberio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568826840 PECOS PAC ID: 6800150277 Enrollment ID: I20190409002230 |
| Provider Name | Amro Ae Abdelghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437502879 PECOS PAC ID: 9830430479 Enrollment ID: I20190409002767 |
| Provider Name | James Philip G Esteban |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619223708 PECOS PAC ID: 1254678352 Enrollment ID: I20190409002920 |
| Provider Name | Lindsay Jo Hoogenboom Hang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770977605 PECOS PAC ID: 7719228253 Enrollment ID: I20190409002947 |
| Provider Name | Daphne Wang Branham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295116374 PECOS PAC ID: 5193060101 Enrollment ID: I20190409003403 |
| Provider Name | Zahida Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366616500 PECOS PAC ID: 6204005846 Enrollment ID: I20190410000267 |
| Provider Name | Elyse M Hartleben |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407218175 PECOS PAC ID: 8527321868 Enrollment ID: I20190410001125 |
| Provider Name | Kathleen E Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043796196 PECOS PAC ID: 8527305804 Enrollment ID: I20190410001195 |
| Provider Name | Katherine A Carlton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386006559 PECOS PAC ID: 4183988553 Enrollment ID: I20190411000015 |
| Provider Name | Asif A Surani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437602380 PECOS PAC ID: 6709171689 Enrollment ID: I20190411000038 |
| Provider Name | Benjamin C Hofeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972966620 PECOS PAC ID: 8729335039 Enrollment ID: I20190411000068 |
| Provider Name | Joshua R Pohlman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215373634 PECOS PAC ID: 8729216072 Enrollment ID: I20190411002020 |
| Provider Name | Sarbagya Pandit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457703878 PECOS PAC ID: 8527309996 Enrollment ID: I20190411002338 |
| Provider Name | Jagan Kansal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942611694 PECOS PAC ID: 9335366517 Enrollment ID: I20190416003275 |
| Provider Name | Krystyna Marie Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912240086 PECOS PAC ID: 0446475750 Enrollment ID: I20190423000119 |
| Provider Name | Blake Charles Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518209766 PECOS PAC ID: 1254556640 Enrollment ID: I20190423000147 |
| Provider Name | Ryan M Davidovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033503412 PECOS PAC ID: 6406198480 Enrollment ID: I20190423000193 |
| Provider Name | Elizabeth E Hopp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609132646 PECOS PAC ID: 0749500726 Enrollment ID: I20190423000419 |
| Provider Name | Laura S Gonzalez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487072492 PECOS PAC ID: 8921311150 Enrollment ID: I20190423001103 |
| Provider Name | Igor Shusterman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457709776 PECOS PAC ID: 0840532867 Enrollment ID: I20190423001601 |
| Provider Name | Salik Nazeer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831517770 PECOS PAC ID: 3779825799 Enrollment ID: I20190423001986 |
| Provider Name | Sowmya Palam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093179483 PECOS PAC ID: 2668714619 Enrollment ID: I20190424000006 |
| Provider Name | Christopher J Kleefisch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598106528 PECOS PAC ID: 4486996436 Enrollment ID: I20190424000015 |
| Provider Name | Eric S Fair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154736171 PECOS PAC ID: 2567704513 Enrollment ID: I20190424000033 |
| Provider Name | Adam P Wadzinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669899530 PECOS PAC ID: 2668714551 Enrollment ID: I20190424002274 |
| Provider Name | Noelle C Garster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730422643 PECOS PAC ID: 0648410654 Enrollment ID: I20190424002492 |
| Provider Name | Sonia Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639532294 PECOS PAC ID: 6002179512 Enrollment ID: I20190424002706 |
| Provider Name | April J Zhang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063802742 PECOS PAC ID: 2961764246 Enrollment ID: I20190424002856 |
| Provider Name | Mandana Kamgar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376982264 PECOS PAC ID: 3779889910 Enrollment ID: I20190424003234 |
| Provider Name | Nicholas S Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548520695 PECOS PAC ID: 0941459747 Enrollment ID: I20190425000007 |
| Provider Name | Ariel A Nelson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083956148 PECOS PAC ID: 2961721444 Enrollment ID: I20190425000230 |
| Provider Name | Kelly G Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629311477 PECOS PAC ID: 3577856103 Enrollment ID: I20190425001654 |
| Provider Name | Baseer U Ahmad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114160918 PECOS PAC ID: 0446415285 Enrollment ID: I20190425001932 |
| Provider Name | Elizabeth Segar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467800516 PECOS PAC ID: 1153611744 Enrollment ID: I20190425002714 |
| Provider Name | Subhashish Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134173875 PECOS PAC ID: 6507808227 Enrollment ID: I20190502000668 |
| Provider Name | Emily Rose Wenrich Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750644415 PECOS PAC ID: 7214153709 Enrollment ID: I20190502002925 |
| Provider Name | John J Evans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093079709 PECOS PAC ID: 4880956283 Enrollment ID: I20190504000001 |
| Provider Name | Benjamin P Earle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437503554 PECOS PAC ID: 7012259385 Enrollment ID: I20190507001750 |
| Provider Name | Mary T Tomaino |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1780131938 PECOS PAC ID: 7719253335 Enrollment ID: I20190508000160 |
| Provider Name | Amanda L Wolfgram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750841474 PECOS PAC ID: 0042553216 Enrollment ID: I20190510001608 |
| Provider Name | Norberto Mancera |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750776696 PECOS PAC ID: 7315280286 Enrollment ID: I20190516000004 |
| Provider Name | Matthew R Mohorek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851755953 PECOS PAC ID: 8022369040 Enrollment ID: I20190516000037 |
| Provider Name | Amy L Ratkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972065530 PECOS PAC ID: 9436492337 Enrollment ID: I20190516001301 |
| Provider Name | Deanne A Walker Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104387042 PECOS PAC ID: 4789927690 Enrollment ID: I20190516001820 |
| Provider Name | Alexander James Gallan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780023101 PECOS PAC ID: 4183927700 Enrollment ID: I20190516001832 |
| Provider Name | Hemanckur Makker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013259423 PECOS PAC ID: 2567752462 Enrollment ID: I20190516002105 |
| Provider Name | Rebecca Elizabeth Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972065050 PECOS PAC ID: 4880937739 Enrollment ID: I20190517000000 |
| Provider Name | Mary C Livergood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093196842 PECOS PAC ID: 9537475421 Enrollment ID: I20190517000307 |
| Provider Name | Chad M Glisch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134514078 PECOS PAC ID: 7012293442 Enrollment ID: I20190523002843 |
| Provider Name | Kathryn Ek Berlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932593084 PECOS PAC ID: 9032452586 Enrollment ID: I20190524000006 |
| Provider Name | Elizabeth A Bukowy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063839397 PECOS PAC ID: 9931442480 Enrollment ID: I20190524000080 |
| Provider Name | Patrick R Sinclair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952788796 PECOS PAC ID: 8426346974 Enrollment ID: I20190524000494 |
| Provider Name | Ashley M Boehrig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730744533 PECOS PAC ID: 4688917156 Enrollment ID: I20190524001040 |
| Provider Name | Justinn M Tanem |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780950964 PECOS PAC ID: 3779802228 Enrollment ID: I20190530000038 |
| Provider Name | Shikha Singla |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497916696 PECOS PAC ID: 2062682693 Enrollment ID: I20190530000085 |
| Provider Name | Devin M Madenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841653862 PECOS PAC ID: 6608119979 Enrollment ID: I20190530001535 |
| Provider Name | Robert T Rydze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750634036 PECOS PAC ID: 1951697937 Enrollment ID: I20190530002139 |
| Provider Name | Lauren Pommert |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346583713 PECOS PAC ID: 0244532794 Enrollment ID: I20190530002370 |
| Provider Name | Nicholas Paul Lukens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538523493 PECOS PAC ID: 5890087670 Enrollment ID: I20190530002434 |
| Provider Name | Colleen K Manak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386062180 PECOS PAC ID: 9133441470 Enrollment ID: I20190531001183 |
| Provider Name | Jeffrey S Cheng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447646005 PECOS PAC ID: 0446555031 Enrollment ID: I20190531001940 |
| Provider Name | Maria E Linnaus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609210558 PECOS PAC ID: 1759504475 Enrollment ID: I20190531002027 |
| Provider Name | Wasakorn T Kittipongdaja |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457746380 PECOS PAC ID: 8628301991 Enrollment ID: I20190603000026 |
| Provider Name | Yasir Hussein Kabashi Abdelgadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255786216 PECOS PAC ID: 4688968662 Enrollment ID: I20190603000721 |
| Provider Name | Karli A Durski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730641358 PECOS PAC ID: 7113250390 Enrollment ID: I20190603000767 |
| Provider Name | Olushola L Akinshemoyin Vaughn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518352848 PECOS PAC ID: 6709148083 Enrollment ID: I20190603001583 |
| Provider Name | Alex Thomas Burton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780002493 PECOS PAC ID: 8022241942 Enrollment ID: I20190603001883 |
| Provider Name | Rebecca Y Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760643126 PECOS PAC ID: 5395025654 Enrollment ID: I20190603002344 |
| Provider Name | Pedro M Lozano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881663722 PECOS PAC ID: 7315997236 Enrollment ID: I20190603002603 |
| Provider Name | Adam E Thiessen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477896132 PECOS PAC ID: 6406175801 Enrollment ID: I20190604000026 |
| Provider Name | Keith T Ferguson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861758526 PECOS PAC ID: 4183857154 Enrollment ID: I20190604000119 |
| Provider Name | Lara R India |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821484361 PECOS PAC ID: 3173856838 Enrollment ID: I20190612000031 |
| Provider Name | David Mendoza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114364528 PECOS PAC ID: 1355674037 Enrollment ID: I20190612000958 |
| Provider Name | Adam Henry Romeiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558527044 PECOS PAC ID: 2365576055 Enrollment ID: I20190617000823 |
| Provider Name | Juan Pablo Trivella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407122443 PECOS PAC ID: 8729304985 Enrollment ID: I20190617000975 |
| Provider Name | Kelsey M Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457839615 PECOS PAC ID: 9830422336 Enrollment ID: I20190617001231 |
| Provider Name | Kyle J Ryan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447645742 PECOS PAC ID: 8224346614 Enrollment ID: I20190619002820 |
| Provider Name | Graham S Adsit |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033343892 PECOS PAC ID: 0345412326 Enrollment ID: I20190620001001 |
| Provider Name | Joseph J Doherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457746448 PECOS PAC ID: 5193088300 Enrollment ID: I20190624000887 |
| Provider Name | Eric C Statz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790262426 PECOS PAC ID: 9931433752 Enrollment ID: I20190628000403 |
| Provider Name | Bicky Thapa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033662432 PECOS PAC ID: 8022306794 Enrollment ID: I20190628002102 |
| Provider Name | Mohamed H Babiker Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891140992 PECOS PAC ID: 6901130681 Enrollment ID: I20190701000157 |
| Provider Name | Jeffrey R Kirsch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346278777 PECOS PAC ID: 1759387731 Enrollment ID: I20190701000969 |
| Provider Name | Muhammad Hammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740632918 PECOS PAC ID: 4688908296 Enrollment ID: I20190701001548 |
| Provider Name | Jonathan P Greenberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992189500 PECOS PAC ID: 8628302247 Enrollment ID: I20190701001758 |
| Provider Name | Ahmad Bakdalieh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861874646 PECOS PAC ID: 8527360098 Enrollment ID: I20190702000585 |
| Provider Name | Gulrayz Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033561808 PECOS PAC ID: 8820386774 Enrollment ID: I20190703000281 |
| Provider Name | Jaime Green |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790990976 PECOS PAC ID: 0244373827 Enrollment ID: I20190711002100 |
| Provider Name | Francesca A Moral |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720441611 PECOS PAC ID: 2567755754 Enrollment ID: I20190711002246 |
| Provider Name | Amanda L Willcox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407241250 PECOS PAC ID: 5698042745 Enrollment ID: I20190711002732 |
| Provider Name | Maryah Truss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851951958 PECOS PAC ID: 8426383548 Enrollment ID: I20190711002854 |
| Provider Name | Crystal C Lalonde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548610579 PECOS PAC ID: 9931492097 Enrollment ID: I20190712002607 |
| Provider Name | Neel Anand Mansukhani |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821352683 PECOS PAC ID: 0042592867 Enrollment ID: I20190715001117 |
| Provider Name | Bridget B Walker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750768156 PECOS PAC ID: 5890093132 Enrollment ID: I20190718000688 |
| Provider Name | Lioubov Soulii |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972846236 PECOS PAC ID: 0941500201 Enrollment ID: I20190719001177 |
| Provider Name | Ali Haider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538435060 PECOS PAC ID: 5597070193 Enrollment ID: I20190719001696 |
| Provider Name | Nida Faheem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952744732 PECOS PAC ID: 2062710775 Enrollment ID: I20190723003034 |
| Provider Name | Syed A Rizvi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477968584 PECOS PAC ID: 0547581811 Enrollment ID: I20190724000903 |
| Provider Name | Abhinav Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518298280 PECOS PAC ID: 4981873478 Enrollment ID: I20190724001471 |
| Provider Name | Kerri Becktell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942542626 PECOS PAC ID: 1456649839 Enrollment ID: I20190724002784 |
| Provider Name | Corianna Anderson Hirsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205217056 PECOS PAC ID: 8820303589 Enrollment ID: I20190724003460 |
| Provider Name | Donna Christine Ertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801297973 PECOS PAC ID: 7911229216 Enrollment ID: I20190726002663 |
| Provider Name | Leana R Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831750488 PECOS PAC ID: 7810223880 Enrollment ID: I20190729002676 |
| Provider Name | Jalaj Garg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558631663 PECOS PAC ID: 8527343433 Enrollment ID: I20190729003087 |
| Provider Name | Kerri Houser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265896211 PECOS PAC ID: 5193051886 Enrollment ID: I20190802000851 |
| Provider Name | Christopher J Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770511495 PECOS PAC ID: 4183795933 Enrollment ID: I20190802000899 |
| Provider Name | Patrick M Bauer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447593918 PECOS PAC ID: 1951638642 Enrollment ID: I20190802001198 |
| Provider Name | Cory B Robers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366822884 PECOS PAC ID: 6204175508 Enrollment ID: I20190802001369 |
| Provider Name | Sara J Brady |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801162979 PECOS PAC ID: 6002056033 Enrollment ID: I20190812000550 |
| Provider Name | Samantha Jo Bergesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588216345 PECOS PAC ID: 3476880683 Enrollment ID: I20190812000968 |
| Provider Name | Joseph D Chabot |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033421623 PECOS PAC ID: 7618196221 Enrollment ID: I20190812001181 |
| Provider Name | Lauren B Maher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154776037 PECOS PAC ID: 5991098311 Enrollment ID: I20190812001347 |
| Provider Name | John B Erickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225379456 PECOS PAC ID: 1951677939 Enrollment ID: I20190812001578 |
| Provider Name | Mobin A Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154361715 PECOS PAC ID: 0941224711 Enrollment ID: I20190812002306 |
| Provider Name | Rozalin R Thapa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811382047 PECOS PAC ID: 6002109188 Enrollment ID: I20190812002923 |
| Provider Name | Stanislaw K Miaskowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962897314 PECOS PAC ID: 3971875527 Enrollment ID: I20190816002404 |
| Provider Name | Rachel Betthauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295389914 PECOS PAC ID: 1153659974 Enrollment ID: I20190819000076 |
| Provider Name | Bryan E Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053773374 PECOS PAC ID: 0143582106 Enrollment ID: I20190819000081 |
| Provider Name | Miranda L Waraxa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902464233 PECOS PAC ID: 4082942818 Enrollment ID: I20190819000442 |
| Provider Name | Stephen P Spencer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336438282 PECOS PAC ID: 3678792827 Enrollment ID: I20190819002782 |
| Provider Name | Kathryn J Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891356804 PECOS PAC ID: 4688902372 Enrollment ID: I20190819003372 |
| Provider Name | Nabeel A Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932568680 PECOS PAC ID: 8729378195 Enrollment ID: I20190821004144 |
| Provider Name | Meghan B Schaefer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689917650 PECOS PAC ID: 8123347606 Enrollment ID: I20190822001702 |
| Provider Name | Preetika Sinh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497047369 PECOS PAC ID: 4183938806 Enrollment ID: I20190822002667 |
| Provider Name | Keely M Marshall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184019010 PECOS PAC ID: 6103128582 Enrollment ID: I20190826000023 |
| Provider Name | Veronica Ashlene Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811552623 PECOS PAC ID: 3072841212 Enrollment ID: I20190826001578 |
| Provider Name | Marissa L Decker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912388638 PECOS PAC ID: 9739495714 Enrollment ID: I20190826001803 |
| Provider Name | Jessica R Gaddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710531397 PECOS PAC ID: 0840528980 Enrollment ID: I20190827002760 |
| Provider Name | James Adam Miller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548674328 PECOS PAC ID: 4082831524 Enrollment ID: I20190827003171 |
| Provider Name | Priya Agrawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184088080 PECOS PAC ID: 3274897640 Enrollment ID: I20190827003706 |
| Provider Name | Joseph P Hart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629006887 PECOS PAC ID: 6305851874 Enrollment ID: I20190828000102 |
| Provider Name | Sarah Elizabeth Sasor |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1548536857 PECOS PAC ID: 4880831627 Enrollment ID: I20190828001773 |
| Provider Name | Kurt Hu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699114157 PECOS PAC ID: 3971840307 Enrollment ID: I20190828002121 |
| Provider Name | Laith Shaman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003360561 PECOS PAC ID: 5698003630 Enrollment ID: I20190828003398 |
| Provider Name | Sara S Lindeke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275064594 PECOS PAC ID: 4981944576 Enrollment ID: I20190829001341 |
| Provider Name | Mona S Li |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437349925 PECOS PAC ID: 7012002090 Enrollment ID: I20190829001485 |
| Provider Name | Janice Anne Bitong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184062044 PECOS PAC ID: 9234435462 Enrollment ID: I20190829001574 |
| Provider Name | Alisa K Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578656138 PECOS PAC ID: 6507942125 Enrollment ID: I20190829001667 |
| Provider Name | Megan E Argall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962901207 PECOS PAC ID: 5597093492 Enrollment ID: I20190829002078 |
| Provider Name | Ali E Kusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134789746 PECOS PAC ID: 2961730874 Enrollment ID: I20190829002422 |
| Provider Name | Huy Q Truong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073005971 PECOS PAC ID: 9739417692 Enrollment ID: I20190830000085 |
| Provider Name | Lisa M Bullis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558922492 PECOS PAC ID: 5698004521 Enrollment ID: I20190903000416 |
| Provider Name | Umair A Bajwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003268624 PECOS PAC ID: 4082943725 Enrollment ID: I20190905003385 |
| Provider Name | Shahab Babakoohi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356606032 PECOS PAC ID: 6608105358 Enrollment ID: I20190905003536 |
| Provider Name | Jessica Ann Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063730661 PECOS PAC ID: 4587957451 Enrollment ID: I20190909003185 |
| Provider Name | Glen T Hansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679754675 PECOS PAC ID: 2769557420 Enrollment ID: I20190913002486 |
| Provider Name | Margaret Ann Knezevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801184288 PECOS PAC ID: 7810226909 Enrollment ID: I20190916002076 |
| Provider Name | Sarah C Zuk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477916617 PECOS PAC ID: 0749530731 Enrollment ID: I20190917000105 |
| Provider Name | Craig Schutta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235782475 PECOS PAC ID: 1759610744 Enrollment ID: I20190917003006 |
| Provider Name | Matthew M Hiskey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649699539 PECOS PAC ID: 7315277308 Enrollment ID: I20190917003358 |
| Provider Name | Valerie Carter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255780383 PECOS PAC ID: 0345535522 Enrollment ID: I20190917003595 |
| Provider Name | Amer Al Homssi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215483391 PECOS PAC ID: 2961781786 Enrollment ID: I20190918000444 |
| Provider Name | Lauren E Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780231910 PECOS PAC ID: 5890025431 Enrollment ID: I20190925001691 |
| Provider Name | Sophie Y Dream |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1588906804 PECOS PAC ID: 9335371319 Enrollment ID: I20190926000635 |
| Provider Name | Elizabeth A Brinkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871157594 PECOS PAC ID: 2163752676 Enrollment ID: I20190926001298 |
| Provider Name | Alejandro Arango |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700267408 PECOS PAC ID: 9133433246 Enrollment ID: I20190926001474 |
| Provider Name | Ana M Navarro Montoya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679004394 PECOS PAC ID: 7214260983 Enrollment ID: I20190926002627 |
| Provider Name | Chandler S Cortina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639515661 PECOS PAC ID: 5991001216 Enrollment ID: I20190927000112 |
| Provider Name | Yousuf Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609286590 PECOS PAC ID: 1254633605 Enrollment ID: I20191002003210 |
| Provider Name | Jesse M Ehrenfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427184803 PECOS PAC ID: 9739256652 Enrollment ID: I20191003003307 |
| Provider Name | Rachel M Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437701547 PECOS PAC ID: 7719218791 Enrollment ID: I20191004001290 |
| Provider Name | Ian M Kraus |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386292027 PECOS PAC ID: 4486985462 Enrollment ID: I20191004001605 |
| Provider Name | Ian H Steele |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588083570 PECOS PAC ID: 3779888276 Enrollment ID: I20191004002213 |
| Provider Name | Samir Sultan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649541947 PECOS PAC ID: 4981959327 Enrollment ID: I20191004002219 |
| Provider Name | Jessica Marie Hanley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710323381 PECOS PAC ID: 0547402950 Enrollment ID: I20191007000036 |
| Provider Name | Annette L Giangiacomo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912929019 PECOS PAC ID: 5395780613 Enrollment ID: I20191007000237 |
| Provider Name | Kunal Dhiren Thakrar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255626438 PECOS PAC ID: 7911133863 Enrollment ID: I20191007001426 |
| Provider Name | Keighla L Slattery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174182885 PECOS PAC ID: 6002147972 Enrollment ID: I20191007002679 |
| Provider Name | Reena Singh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811287550 PECOS PAC ID: 9335449859 Enrollment ID: I20191007002839 |
| Provider Name | Michelle Moh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790027092 PECOS PAC ID: 7911262829 Enrollment ID: I20191007003368 |
| Provider Name | Juna A Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922529304 PECOS PAC ID: 6103170782 Enrollment ID: I20191008001407 |
| Provider Name | Anglea D Fick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841849338 PECOS PAC ID: 8527399450 Enrollment ID: I20191008001730 |
| Provider Name | Carmen Alcala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583560 PECOS PAC ID: 8325343460 Enrollment ID: I20191011001212 |
| Provider Name | Melanie L Dundon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598310930 PECOS PAC ID: 7315278934 Enrollment ID: I20191014001073 |
| Provider Name | Nathan A Carlson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639389653 PECOS PAC ID: 7113258641 Enrollment ID: I20191014002205 |
| Provider Name | Megan E Wegter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659855385 PECOS PAC ID: 4587918305 Enrollment ID: I20191016001608 |
| Provider Name | Tomas K Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023660974 PECOS PAC ID: 5193057362 Enrollment ID: I20191022000977 |
| Provider Name | April M Zehm |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1568740553 PECOS PAC ID: 0446483432 Enrollment ID: I20191022002686 |
| Provider Name | Rebecca L Lessard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861863813 PECOS PAC ID: 5799094652 Enrollment ID: I20191023001068 |
| Provider Name | Donna M Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609816453 PECOS PAC ID: 6901702034 Enrollment ID: I20191028000152 |
| Provider Name | Roya E Gandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023665924 PECOS PAC ID: 1658703830 Enrollment ID: I20191108000314 |
| Provider Name | Melissa M Kaske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306488499 PECOS PAC ID: 2961834130 Enrollment ID: I20191111000681 |
| Provider Name | Kathryn A Lochmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427609148 PECOS PAC ID: 7517399579 Enrollment ID: I20191112002405 |
| Provider Name | Jordyn Werderitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497398309 PECOS PAC ID: 6709218720 Enrollment ID: I20191113001963 |
| Provider Name | Justin R Bryant |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427363449 PECOS PAC ID: 0840429676 Enrollment ID: I20191114000210 |
| Provider Name | Gina L Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730722166 PECOS PAC ID: 5092148023 Enrollment ID: I20191205002430 |
| Provider Name | Kristine R Graettinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003873399 PECOS PAC ID: 5890825368 Enrollment ID: I20191220000515 |
| Provider Name | Katherine J Gralinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144866765 PECOS PAC ID: 1759715915 Enrollment ID: I20191220000775 |
| Provider Name | Ehab Innab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679110365 PECOS PAC ID: 3274967443 Enrollment ID: I20191220000930 |
| Provider Name | Lisa Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437796091 PECOS PAC ID: 8426482274 Enrollment ID: I20200102001877 |
| Provider Name | Joseph W Gravel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205824786 PECOS PAC ID: 6305871831 Enrollment ID: I20200103002009 |
| Provider Name | Meagan A Sluka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114565942 PECOS PAC ID: 7911331681 Enrollment ID: I20200106001601 |
| Provider Name | Olivia J Park |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669761748 PECOS PAC ID: 7810287786 Enrollment ID: I20200110000146 |
| Provider Name | Natalie A Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518506435 PECOS PAC ID: 7618302308 Enrollment ID: I20200128000680 |
| Provider Name | Abhilash Koratala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912288002 PECOS PAC ID: 5799902938 Enrollment ID: I20200130000791 |
| Provider Name | John P Budi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891050217 PECOS PAC ID: 4789981390 Enrollment ID: I20200130001201 |
| Provider Name | Jessica V Reyes-roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972142263 PECOS PAC ID: 5698101228 Enrollment ID: I20200130001236 |
| Provider Name | Briana N Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750532065 PECOS PAC ID: 6800924101 Enrollment ID: I20200204002208 |
| Provider Name | Ruturaj V Vala |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1841830569 PECOS PAC ID: 7214363480 Enrollment ID: I20200206001370 |
| Provider Name | Addie M Berens |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1558992453 PECOS PAC ID: 7315373339 Enrollment ID: I20200210002461 |
| Provider Name | Louie Zhou |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720467533 PECOS PAC ID: 7012227614 Enrollment ID: I20200211001192 |
| Provider Name | Francisco A Durazo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427070010 PECOS PAC ID: 3577525120 Enrollment ID: I20200212002769 |
| Provider Name | Mandeep K Babbra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013449248 PECOS PAC ID: 0143656934 Enrollment ID: I20200215000064 |
| Provider Name | Alicia J Sprecher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689091092 PECOS PAC ID: 6002243631 Enrollment ID: I20200220002347 |
| Provider Name | Jonathan London |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1568002848 PECOS PAC ID: 2365879905 Enrollment ID: I20200220002942 |
| Provider Name | Steven E Pollack |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1205467354 PECOS PAC ID: 3072940378 Enrollment ID: I20200226002308 |
| Provider Name | Sara K Dawson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275944118 PECOS PAC ID: 2668796434 Enrollment ID: I20200228000787 |
| Provider Name | Airron Richardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881869451 PECOS PAC ID: 0446321293 Enrollment ID: I20200310002742 |
| Provider Name | Kellyn Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669920112 PECOS PAC ID: 6507294204 Enrollment ID: I20200311001884 |
| Provider Name | Amanda M Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154895043 PECOS PAC ID: 0244668465 Enrollment ID: I20200320001668 |
| Provider Name | Morgan M Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558995522 PECOS PAC ID: 5890123970 Enrollment ID: I20200324002103 |
| Provider Name | Melanie M Parent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588295992 PECOS PAC ID: 0042649055 Enrollment ID: I20200326001165 |
| Provider Name | Amanda R Smolock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255699682 PECOS PAC ID: 3577786201 Enrollment ID: I20200326002601 |
| Provider Name | Sherry-ann Nickaye Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871856922 PECOS PAC ID: 1456597491 Enrollment ID: I20200327001387 |
| Provider Name | Meagan M Ladell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275984940 PECOS PAC ID: 2365877255 Enrollment ID: I20200327001706 |
| Provider Name | Mary E Schroeder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578714549 PECOS PAC ID: 1052539988 Enrollment ID: I20200330001078 |
| Provider Name | John R Holzhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548623747 PECOS PAC ID: 2769775006 Enrollment ID: I20200401000786 |
| Provider Name | Renee Helen Barany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700417805 PECOS PAC ID: 1456780808 Enrollment ID: I20200406001396 |
| Provider Name | Valerian M Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245760198 PECOS PAC ID: 9537432828 Enrollment ID: I20200408001351 |
| Provider Name | Jason P Todd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255793832 PECOS PAC ID: 5890124184 Enrollment ID: I20200408001378 |
| Provider Name | Lauren M Castner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508209941 PECOS PAC ID: 9739518036 Enrollment ID: I20200408001771 |
| Provider Name | Stephanie J Gunderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366785065 PECOS PAC ID: 3971822099 Enrollment ID: I20200408002054 |
| Provider Name | Eric Jackowiak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972922706 PECOS PAC ID: 7517213069 Enrollment ID: I20200408002816 |
| Provider Name | Danielle C Fair |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497173215 PECOS PAC ID: 2163715707 Enrollment ID: I20200408003242 |
| Provider Name | Cary E Squires |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932594546 PECOS PAC ID: 2769799543 Enrollment ID: I20200408003442 |
| Provider Name | Brandon M Key |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932527710 PECOS PAC ID: 7517296189 Enrollment ID: I20200408003831 |
| Provider Name | Emily Louise Joachim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427491604 PECOS PAC ID: 6507089448 Enrollment ID: I20200408004145 |
| Provider Name | Ryan Thomas Beck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295154524 PECOS PAC ID: 9830425743 Enrollment ID: I20200409002191 |
| Provider Name | Stephanie M Ulmen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447882246 PECOS PAC ID: 3375972409 Enrollment ID: I20200410000755 |
| Provider Name | Veronica Juan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306370846 PECOS PAC ID: 1759650914 Enrollment ID: I20200410000862 |
| Provider Name | Lauren L Titus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376076737 PECOS PAC ID: 5294161535 Enrollment ID: I20200414000612 |
| Provider Name | Nicholas E Tadeo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992192256 PECOS PAC ID: 2769812841 Enrollment ID: I20200414002564 |
| Provider Name | Lucas T Grover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790212819 PECOS PAC ID: 1658641428 Enrollment ID: I20200414003383 |
| Provider Name | Kelsey J Pohlmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164052940 PECOS PAC ID: 1951731603 Enrollment ID: I20200420002274 |
| Provider Name | Austin R Chriske |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1790315570 PECOS PAC ID: 0941630651 Enrollment ID: I20200421001337 |
| Provider Name | Sarah C Kessenich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649703083 PECOS PAC ID: 2163767534 Enrollment ID: I20200422003245 |
| Provider Name | Amanda K Liewen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275997645 PECOS PAC ID: 2860822327 Enrollment ID: I20200423002447 |
| Provider Name | Amber K Zdanovec |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013334473 PECOS PAC ID: 9931499795 Enrollment ID: I20200423002649 |
| Provider Name | John N Jesse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639564115 PECOS PAC ID: 6103127899 Enrollment ID: I20200424000020 |
| Provider Name | Francis Ogbonna Edeani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306188925 PECOS PAC ID: 0840501417 Enrollment ID: I20200424000548 |
| Provider Name | Nisha H Budi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598028706 PECOS PAC ID: 1759670078 Enrollment ID: I20200427000045 |
| Provider Name | Mohammed A Alshehri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841687597 PECOS PAC ID: 1456659846 Enrollment ID: I20200430000019 |
| Provider Name | Andrew S Maike |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326433954 PECOS PAC ID: 2668744335 Enrollment ID: I20200430000396 |
| Provider Name | Sabina C Mullin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275890584 PECOS PAC ID: 0840620068 Enrollment ID: I20200430000801 |
| Provider Name | Erin Beddows |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528420668 PECOS PAC ID: 9638418874 Enrollment ID: I20200506002619 |
| Provider Name | Emma L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447732110 PECOS PAC ID: 0345671822 Enrollment ID: I20200518001105 |
| Provider Name | Daniel Robert Beacher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942628466 PECOS PAC ID: 3678866191 Enrollment ID: I20200518003126 |
| Provider Name | Rachel A Fee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285054981 PECOS PAC ID: 1759667264 Enrollment ID: I20200522002076 |
| Provider Name | Shannon Pollock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376963694 PECOS PAC ID: 3678994894 Enrollment ID: I20200526002211 |
| Provider Name | Ram Kevin Rohatgi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528400785 PECOS PAC ID: 5991948531 Enrollment ID: I20200526003015 |
| Provider Name | Elizabeth Fehler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568666865 PECOS PAC ID: 6406277656 Enrollment ID: I20200527000139 |
| Provider Name | Sean A Mackman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780115634 PECOS PAC ID: 9335560580 Enrollment ID: I20200527000397 |
| Provider Name | Youngchan Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720406341 PECOS PAC ID: 4284944992 Enrollment ID: I20200527001169 |
| Provider Name | Justin N. Corcoran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174903645 PECOS PAC ID: 2860705795 Enrollment ID: I20200527002243 |
| Provider Name | Mckenna Jean Knych |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013259613 PECOS PAC ID: 8628201480 Enrollment ID: I20200528001131 |
| Provider Name | Melissa G Chiu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144753831 PECOS PAC ID: 9931531902 Enrollment ID: I20200529001145 |
| Provider Name | Marium Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922539493 PECOS PAC ID: 3971843285 Enrollment ID: I20200529002521 |
| Provider Name | Zachary L Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003048976 PECOS PAC ID: 4587812185 Enrollment ID: I20200530000007 |
| Provider Name | Ahmed S Soliman Abdalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164912952 PECOS PAC ID: 0345590022 Enrollment ID: I20200530000016 |
| Provider Name | Ian J Borsecnik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205282027 PECOS PAC ID: 0749575041 Enrollment ID: I20200530000033 |
| Provider Name | Bethany J Lopresti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952618217 PECOS PAC ID: 0143402529 Enrollment ID: I20200601002577 |
| Provider Name | Kant Y Lin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598834129 PECOS PAC ID: 5092723916 Enrollment ID: I20200601002940 |
| Provider Name | Katie Rayette Baughman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356791081 PECOS PAC ID: 3678865789 Enrollment ID: I20200602000417 |
| Provider Name | Christopher Schuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588292700 PECOS PAC ID: 0749601656 Enrollment ID: I20200602000500 |
| Provider Name | David A Shirilla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932441243 PECOS PAC ID: 6709104003 Enrollment ID: I20200603002413 |
| Provider Name | Stephanie J Klees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629697941 PECOS PAC ID: 6608297320 Enrollment ID: I20200605000442 |
| Provider Name | Joon-bom Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932527413 PECOS PAC ID: 8224392576 Enrollment ID: I20200605000651 |
| Provider Name | Lisa Linda Morselli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588075063 PECOS PAC ID: 2668699638 Enrollment ID: I20200605002172 |
| Provider Name | Tracy M Jaglinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821627886 PECOS PAC ID: 0941621361 Enrollment ID: I20200610001752 |
| Provider Name | Kathleen Marie Monahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740712975 PECOS PAC ID: 3375979529 Enrollment ID: I20200610002609 |
| Provider Name | Laila Nomani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205245800 PECOS PAC ID: 9032530407 Enrollment ID: I20200611000373 |
| Provider Name | Ayesha Farooq |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588117170 PECOS PAC ID: 4981026341 Enrollment ID: I20200612001893 |
| Provider Name | Karlo Kovacic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134548555 PECOS PAC ID: 3678852241 Enrollment ID: I20200615000749 |
| Provider Name | Sandor K Kovacs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356795553 PECOS PAC ID: 5395000962 Enrollment ID: I20200616002128 |
| Provider Name | Nicole M Held |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477085652 PECOS PAC ID: 7214362185 Enrollment ID: I20200622001306 |
| Provider Name | Matthew Smetko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639564479 PECOS PAC ID: 7911217971 Enrollment ID: I20200622002198 |
| Provider Name | Emily R Coogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932729225 PECOS PAC ID: 8820410764 Enrollment ID: I20200622002395 |
| Provider Name | Mary R.c. Seidl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295056828 PECOS PAC ID: 2365739794 Enrollment ID: I20200625000027 |
| Provider Name | Michael J Pierro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336671130 PECOS PAC ID: 1456787795 Enrollment ID: I20200625000086 |
| Provider Name | Lolia M Abibo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912359795 PECOS PAC ID: 7810319571 Enrollment ID: I20200625001259 |
| Provider Name | Tyler P Griebel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558715680 PECOS PAC ID: 5193089563 Enrollment ID: I20200625001655 |
| Provider Name | Sam I Hooshmand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417310665 PECOS PAC ID: 8426309113 Enrollment ID: I20200626000249 |
| Provider Name | Sara E Sabbagh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548503972 PECOS PAC ID: 4284964115 Enrollment ID: I20200626000436 |
| Provider Name | Erin Lee Rholl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194119073 PECOS PAC ID: 5294002341 Enrollment ID: I20200626000486 |
| Provider Name | Timothy J Lazicki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538554910 PECOS PAC ID: 1850713470 Enrollment ID: I20200626000925 |
| Provider Name | Farhan Abdul Quader |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215342993 PECOS PAC ID: 4385862200 Enrollment ID: I20200630002571 |
| Provider Name | Lauren M Towle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225478993 PECOS PAC ID: 8022312016 Enrollment ID: I20200706001739 |
| Provider Name | Sherin Daniel Ampanattu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487919825 PECOS PAC ID: 4082924857 Enrollment ID: I20200714001277 |
| Provider Name | Vineet Veitla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508271545 PECOS PAC ID: 9436469715 Enrollment ID: I20200714002063 |
| Provider Name | Rima Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346668100 PECOS PAC ID: 8921421561 Enrollment ID: I20200715000034 |
| Provider Name | Sanjay K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659896199 PECOS PAC ID: 4587088109 Enrollment ID: I20200715003098 |
| Provider Name | Avani N Richardson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588059893 PECOS PAC ID: 4082924394 Enrollment ID: I20200717002285 |
| Provider Name | Kimberly K Jacobsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851786248 PECOS PAC ID: 0042634479 Enrollment ID: I20200717003126 |
| Provider Name | David A Izquierdo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437543790 PECOS PAC ID: 7012331473 Enrollment ID: I20200720001076 |
| Provider Name | Erin N Meincke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932729118 PECOS PAC ID: 5193149482 Enrollment ID: I20200720002117 |
| Provider Name | Haisam Abid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578083184 PECOS PAC ID: 3971927294 Enrollment ID: I20200721000145 |
| Provider Name | Jessica S Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114552080 PECOS PAC ID: 3779907001 Enrollment ID: I20200721000259 |
| Provider Name | Yitong A Liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891226635 PECOS PAC ID: 5294075644 Enrollment ID: I20200727003293 |
| Provider Name | Saryn V Stramecki Doucette |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366653628 PECOS PAC ID: 6800997776 Enrollment ID: I20200730003184 |
| Provider Name | Prerna Pandya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063754125 PECOS PAC ID: 9234430059 Enrollment ID: I20200730003645 |
| Provider Name | Matthew D Amidon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164834735 PECOS PAC ID: 8729384771 Enrollment ID: I20200806000119 |
| Provider Name | Evgenia Raichlin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1700907540 PECOS PAC ID: 9739251323 Enrollment ID: I20200806000849 |
| Provider Name | Mark Barash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215355011 PECOS PAC ID: 5698054088 Enrollment ID: I20200806001166 |
| Provider Name | Patrick B Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467930867 PECOS PAC ID: 3173856788 Enrollment ID: I20200806002049 |
| Provider Name | Nicholas D Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659700508 PECOS PAC ID: 2769807882 Enrollment ID: I20200806002880 |
| Provider Name | Nicholas A Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497102651 PECOS PAC ID: 1658610985 Enrollment ID: I20200806003038 |
| Provider Name | Mitchell J Odom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831570662 PECOS PAC ID: 3971817446 Enrollment ID: I20200808000099 |
| Provider Name | Alexandra J Beachnau |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114544343 PECOS PAC ID: 2961828744 Enrollment ID: I20200812000181 |
| Provider Name | Ashley E Bolin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770024051 PECOS PAC ID: 2466878186 Enrollment ID: I20200812001662 |
| Provider Name | Alison T Coren |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003234782 PECOS PAC ID: 6901199421 Enrollment ID: I20200812001818 |
| Provider Name | Amy M Moskop |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619397692 PECOS PAC ID: 5193027639 Enrollment ID: I20200813000133 |
| Provider Name | Antoni Wojtkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629424692 PECOS PAC ID: 0042543431 Enrollment ID: I20200813002666 |
| Provider Name | Kevin M Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871023713 PECOS PAC ID: 1355611468 Enrollment ID: I20200818000978 |
| Provider Name | Nechemiah L Kushner |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1568090504 PECOS PAC ID: 4082030309 Enrollment ID: I20200818001521 |
| Provider Name | Ryan J Traudt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780038927 PECOS PAC ID: 4981932787 Enrollment ID: I20200818002478 |
| Provider Name | Daniel Ian Mclennan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215450903 PECOS PAC ID: 5294009726 Enrollment ID: I20200818002793 |
| Provider Name | Wendi Jo L Wendt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164836052 PECOS PAC ID: 0143536227 Enrollment ID: I20200818003231 |
| Provider Name | Kirti Thummala |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659996981 PECOS PAC ID: 3870919079 Enrollment ID: I20200819000356 |
| Provider Name | Meera Mohan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962718130 PECOS PAC ID: 9032335708 Enrollment ID: I20200819001968 |
| Provider Name | Maria Olex |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235752353 PECOS PAC ID: 9931525953 Enrollment ID: I20200820001377 |
| Provider Name | Arfaa Hardi Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295146421 PECOS PAC ID: 6406158864 Enrollment ID: I20200821001000 |
| Provider Name | Caitlin S Rublee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437500071 PECOS PAC ID: 6305132630 Enrollment ID: I20200821001017 |
| Provider Name | Amir Soheil Tolebeyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053762682 PECOS PAC ID: 1052688710 Enrollment ID: I20200821001703 |
| Provider Name | Chrystal J Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679194278 PECOS PAC ID: 6800213737 Enrollment ID: I20200824002585 |
| Provider Name | Pamela J Winkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154550275 PECOS PAC ID: 2365869963 Enrollment ID: I20200827002051 |
| Provider Name | Dominique D Diggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154716025 PECOS PAC ID: 9931438686 Enrollment ID: I20200827002331 |
| Provider Name | Kinzie C Frascello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730702341 PECOS PAC ID: 9436576048 Enrollment ID: I20200827002633 |
| Provider Name | Deepika R Sriram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902224678 PECOS PAC ID: 0446540348 Enrollment ID: I20200827002906 |
| Provider Name | Kelly Ashton Walker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063839512 PECOS PAC ID: 4880985936 Enrollment ID: I20200828001019 |
| Provider Name | Olivia Mallory Delozier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225418668 PECOS PAC ID: 2860703576 Enrollment ID: I20200828001215 |
| Provider Name | Travis J Kuemmet |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588027023 PECOS PAC ID: 6406195726 Enrollment ID: I20200828001905 |
| Provider Name | Benjamin L Erickson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1639715428 PECOS PAC ID: 7517380900 Enrollment ID: I20200831001622 |
| Provider Name | Aasim I Padela |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114035425 PECOS PAC ID: 0244305159 Enrollment ID: I20200901000107 |
| Provider Name | Yiwen Cui |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861856734 PECOS PAC ID: 2668718537 Enrollment ID: I20200901000527 |
| Provider Name | Alexander Raskin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871836999 PECOS PAC ID: 6901124809 Enrollment ID: I20200901000539 |
| Provider Name | Jessica M Alles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265052393 PECOS PAC ID: 6204253453 Enrollment ID: I20200902001222 |
| Provider Name | Carrie A Jones |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316332901 PECOS PAC ID: 7618205972 Enrollment ID: I20200902001764 |
| Provider Name | Elizabeth A Jaruseski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063023521 PECOS PAC ID: 0547687758 Enrollment ID: I20200902003180 |
| Provider Name | Laura S Beacher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245659051 PECOS PAC ID: 6800175290 Enrollment ID: I20200904000729 |
| Provider Name | Amanda Clark Widing |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942682331 PECOS PAC ID: 3274848742 Enrollment ID: I20200904001228 |
| Provider Name | Kathryn Trandem |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053674770 PECOS PAC ID: 1557618378 Enrollment ID: I20200910000668 |
| Provider Name | Joseph R Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801206248 PECOS PAC ID: 0143592642 Enrollment ID: I20200910001450 |
| Provider Name | Amy B Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891223368 PECOS PAC ID: 3476971268 Enrollment ID: I20200910001650 |
| Provider Name | Mohammed Alghamdi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194346585 PECOS PAC ID: 5092133587 Enrollment ID: I20200915003099 |
| Provider Name | Daniel D Kopatich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659802197 PECOS PAC ID: 4789012865 Enrollment ID: I20200916000161 |
| Provider Name | Jinny Oh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447419676 PECOS PAC ID: 9739338344 Enrollment ID: I20200921001040 |
| Provider Name | Anthony Joesph Davis-maxwell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205368487 PECOS PAC ID: 4284901612 Enrollment ID: I20200921002257 |
| Provider Name | Niyati Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053613125 PECOS PAC ID: 6608182936 Enrollment ID: I20200922001572 |
| Provider Name | Joshua Pearl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891038394 PECOS PAC ID: 3173867066 Enrollment ID: I20200922002527 |
| Provider Name | Ruby J Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477710473 PECOS PAC ID: 1759435704 Enrollment ID: I20200924000653 |
| Provider Name | Maureen E Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669900213 PECOS PAC ID: 4284053174 Enrollment ID: I20200925001336 |
| Provider Name | Brian T Craig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649563537 PECOS PAC ID: 5193027738 Enrollment ID: I20200928000614 |
| Provider Name | Whitney L Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093247041 PECOS PAC ID: 8628327962 Enrollment ID: I20200928002756 |
| Provider Name | Jennifer A Massaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962038463 PECOS PAC ID: 0648699314 Enrollment ID: I20200929002931 |
| Provider Name | Moneesha Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386252526 PECOS PAC ID: 7315366051 Enrollment ID: I20200930001714 |
| Provider Name | Marisa Stich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356968002 PECOS PAC ID: 5294154878 Enrollment ID: I20200930003511 |
| Provider Name | Megan M Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922623487 PECOS PAC ID: 8628497955 Enrollment ID: I20201006000534 |
| Provider Name | Michelle A Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114530987 PECOS PAC ID: 4789003013 Enrollment ID: I20201006000678 |
| Provider Name | Theresa L Kapke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912517277 PECOS PAC ID: 6901225200 Enrollment ID: I20201007000134 |
| Provider Name | Rachel Nordstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285163931 PECOS PAC ID: 2668712225 Enrollment ID: I20201007000273 |
| Provider Name | Thomas S Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427580950 PECOS PAC ID: 6709154206 Enrollment ID: I20201007000518 |
| Provider Name | Tyce J Kearl |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700205549 PECOS PAC ID: 5294951042 Enrollment ID: I20201007000764 |
| Provider Name | Janet M Retseck |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144546227 PECOS PAC ID: 7517199102 Enrollment ID: I20201008000091 |
| Provider Name | Hirad S Hedayat |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174843437 PECOS PAC ID: 8224328364 Enrollment ID: I20201008001195 |
| Provider Name | Matthew D Dube |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710125976 PECOS PAC ID: 4789861303 Enrollment ID: I20201008001201 |
| Provider Name | Kelley Vogl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447876750 PECOS PAC ID: 7012337207 Enrollment ID: I20201008001545 |
| Provider Name | Bianca Madrid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780099960 PECOS PAC ID: 5092135285 Enrollment ID: I20201008001662 |
| Provider Name | Michael Scott Putman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235577016 PECOS PAC ID: 1052614187 Enrollment ID: I20201008001735 |
| Provider Name | Kenneth P Wind |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306985544 PECOS PAC ID: 5395869069 Enrollment ID: I20201008001839 |
| Provider Name | Jessica R Molinaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396130761 PECOS PAC ID: 5395017057 Enrollment ID: I20201008002610 |
| Provider Name | Priyal Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578827820 PECOS PAC ID: 0648417543 Enrollment ID: I20201009000834 |
| Provider Name | Ross A Gliniecki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912136110 PECOS PAC ID: 9335192376 Enrollment ID: I20201009001278 |
| Provider Name | Rachel C Ashworth |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699030379 PECOS PAC ID: 0749584324 Enrollment ID: I20201009001577 |
| Provider Name | Stacy L Fairbanks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730389644 PECOS PAC ID: 6507014750 Enrollment ID: I20201012000537 |
| Provider Name | Divya Sivakumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528419587 PECOS PAC ID: 5092000851 Enrollment ID: I20201012001549 |
| Provider Name | Anne L Castro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942695747 PECOS PAC ID: 2769712710 Enrollment ID: I20201013000427 |
| Provider Name | Erin Patricia Odonnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346660917 PECOS PAC ID: 4385907633 Enrollment ID: I20201013001433 |
| Provider Name | Khira Lauren Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003425380 PECOS PAC ID: 2961822820 Enrollment ID: I20201014000991 |
| Provider Name | Miranda L Van De Loo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518575968 PECOS PAC ID: 9133549009 Enrollment ID: I20201014001586 |
| Provider Name | Max O Krucoff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417216201 PECOS PAC ID: 4284054164 Enrollment ID: I20201014001919 |
| Provider Name | Steven Abramowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871118802 PECOS PAC ID: 0042630873 Enrollment ID: I20201016002034 |
| Provider Name | Heather Marie Steppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972136281 PECOS PAC ID: 2062839400 Enrollment ID: I20201021001122 |
| Provider Name | Ann Marie C Uselmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245840388 PECOS PAC ID: 0547680993 Enrollment ID: I20201023001013 |
| Provider Name | Brian R Branchford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962598383 PECOS PAC ID: 9234387655 Enrollment ID: I20201023001081 |
| Provider Name | Kelsey Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114418159 PECOS PAC ID: 8123448586 Enrollment ID: I20201023001228 |
| Provider Name | Kathleen A Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205441128 PECOS PAC ID: 1557781911 Enrollment ID: I20201023001368 |
| Provider Name | Vaishali Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396003406 PECOS PAC ID: 4688814205 Enrollment ID: I20201023002243 |
| Provider Name | Jed F Calata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972828929 PECOS PAC ID: 3173821071 Enrollment ID: I20201028001875 |
| Provider Name | Waitz T Ngan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568662419 PECOS PAC ID: 6305032111 Enrollment ID: I20201112000791 |
| Provider Name | Rachel Ann Sawdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558976001 PECOS PAC ID: 3870903354 Enrollment ID: I20201112000993 |
| Provider Name | Uzair K Ghori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750721346 PECOS PAC ID: 6800020819 Enrollment ID: I20201112002383 |
| Provider Name | Luba Frank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780690586 PECOS PAC ID: 6507863107 Enrollment ID: I20201112002798 |
| Provider Name | Sandeep K Narang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356320006 PECOS PAC ID: 6204990559 Enrollment ID: I20201116000232 |
| Provider Name | Andrew T Schramm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407418684 PECOS PAC ID: 0648681098 Enrollment ID: I20201116002901 |
| Provider Name | Laura Christine Hawks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770964223 PECOS PAC ID: 8022310358 Enrollment ID: I20201118002914 |
| Provider Name | Katherine Theresa Flynn Obrien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225327398 PECOS PAC ID: 5395056121 Enrollment ID: I20201120001517 |
| Provider Name | Jamie Buth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437253473 PECOS PAC ID: 5496762973 Enrollment ID: I20201120002514 |
| Provider Name | Jacqueline J Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043817877 PECOS PAC ID: 6800207929 Enrollment ID: I20201122000019 |
| Provider Name | Jennifer Zack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578187217 PECOS PAC ID: 4486065430 Enrollment ID: I20201123001378 |
| Provider Name | Chelsea M Nettesheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700490521 PECOS PAC ID: 8921419904 Enrollment ID: I20201123002548 |
| Provider Name | James E Mace |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427256163 PECOS PAC ID: 0446471163 Enrollment ID: I20201204000605 |
| Provider Name | Sarah E Ziem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972101467 PECOS PAC ID: 3274944756 Enrollment ID: I20201206000043 |
| Provider Name | Janice M Gorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952927972 PECOS PAC ID: 8921410416 Enrollment ID: I20201207000847 |
| Provider Name | Ronald Stephen Hamrick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447542162 PECOS PAC ID: 8123323565 Enrollment ID: I20201207002773 |
| Provider Name | Jill A Sorby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174941983 PECOS PAC ID: 2769761170 Enrollment ID: I20201210002860 |
| Provider Name | Elisabeth M Vogt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871106575 PECOS PAC ID: 2466864426 Enrollment ID: I20201215002955 |
| Provider Name | Carolyn M. Scoptur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518567676 PECOS PAC ID: 0244642221 Enrollment ID: I20201216000452 |
| Provider Name | Matthew E Resop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912504242 PECOS PAC ID: 2769894625 Enrollment ID: I20201217000962 |
| Provider Name | Acacia L. Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306458013 PECOS PAC ID: 2567874381 Enrollment ID: I20201218000752 |
| Provider Name | Mariia Steffeny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992319065 PECOS PAC ID: 4183036890 Enrollment ID: I20201221002306 |
| Provider Name | Ellen Leitner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225644651 PECOS PAC ID: 1658785340 Enrollment ID: I20210120001382 |
| Provider Name | Emily J Brandl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285238188 PECOS PAC ID: 7113331885 Enrollment ID: I20210121001055 |
| Provider Name | Andrea J Rohach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760099162 PECOS PAC ID: 3375957905 Enrollment ID: I20210122000604 |
| Provider Name | Christina Casnar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063017895 PECOS PAC ID: 6608280235 Enrollment ID: I20210122000749 |
| Provider Name | Elizabeth H Helminiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710212717 PECOS PAC ID: 3577977115 Enrollment ID: I20210122000988 |
| Provider Name | Amanda R Nesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982258828 PECOS PAC ID: 8921412594 Enrollment ID: I20210122002382 |
| Provider Name | Radha B Dhakal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396340519 PECOS PAC ID: 6800200395 Enrollment ID: I20210125000521 |
| Provider Name | Kate Buretta Krucoff |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225334873 PECOS PAC ID: 6507165016 Enrollment ID: I20210129002350 |
| Provider Name | Jennifer Sikinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053916205 PECOS PAC ID: 4385058510 Enrollment ID: I20210130000203 |
| Provider Name | Jamie L Paiva-sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952916686 PECOS PAC ID: 8820402985 Enrollment ID: I20210201001099 |
| Provider Name | Andrea M Begotka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770675209 PECOS PAC ID: 9537573605 Enrollment ID: I20210201001842 |
| Provider Name | Harsimran Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922615533 PECOS PAC ID: 5597179663 Enrollment ID: I20210201001974 |
| Provider Name | Nicole M Kowalski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700474772 PECOS PAC ID: 5496169476 Enrollment ID: I20210203000374 |
| Provider Name | Monica L Gremillion |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376068379 PECOS PAC ID: 7719391796 Enrollment ID: I20210203000554 |
| Provider Name | Jessica D Fodrocy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215524731 PECOS PAC ID: 0345654265 Enrollment ID: I20210203002586 |
| Provider Name | Jennifer L Lenoble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477983773 PECOS PAC ID: 5698189447 Enrollment ID: I20210208000017 |
| Provider Name | Clifton A Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538279567 PECOS PAC ID: 6204879281 Enrollment ID: I20210210001061 |
| Provider Name | Susan J Klapper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417117805 PECOS PAC ID: 9234544941 Enrollment ID: I20210210001621 |
| Provider Name | Tommy H Quach |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871181065 PECOS PAC ID: 1850706458 Enrollment ID: I20210211003232 |
| Provider Name | Sara M Zemanovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1336737568 PECOS PAC ID: 0749695260 Enrollment ID: I20210216000932 |
| Provider Name | David A Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801483557 PECOS PAC ID: 8729493101 Enrollment ID: I20210217000387 |
| Provider Name | Cynthia L Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912597253 PECOS PAC ID: 9032524426 Enrollment ID: I20210217001113 |
| Provider Name | Brooke L Yancey-ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700437886 PECOS PAC ID: 0840605176 Enrollment ID: I20210219000866 |
| Provider Name | Irene M Warner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891290227 PECOS PAC ID: 6002245214 Enrollment ID: I20210309002173 |
| Provider Name | Benjamin L Brett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598358681 PECOS PAC ID: 5890101281 Enrollment ID: I20210310000249 |
| Provider Name | Brandon L Palmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003279449 PECOS PAC ID: 9436413804 Enrollment ID: I20210310001682 |
| Provider Name | Mustafa M Haddad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104269943 PECOS PAC ID: 1456591858 Enrollment ID: I20210310002451 |
| Provider Name | Colleen F Mrotek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295334670 PECOS PAC ID: 2860808110 Enrollment ID: I20210310002728 |
| Provider Name | Meghan A Wall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912380338 PECOS PAC ID: 7416363718 Enrollment ID: I20210311001211 |
| Provider Name | Matthew D Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366442196 PECOS PAC ID: 5597768663 Enrollment ID: I20210311002277 |
| Provider Name | Lindsay M Acheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457940264 PECOS PAC ID: 0042626269 Enrollment ID: I20210311002685 |
| Provider Name | Anjum Sayyad |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164688776 PECOS PAC ID: 1759559651 Enrollment ID: I20210312001961 |
| Provider Name | Tony Lynell Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538772033 PECOS PAC ID: 6305252461 Enrollment ID: I20210316000028 |
| Provider Name | Craig P Swanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437511557 PECOS PAC ID: 9234546292 Enrollment ID: I20210318002532 |
| Provider Name | Robert Fain |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225461148 PECOS PAC ID: 1557600608 Enrollment ID: I20210319001739 |
| Provider Name | Chalani D Ellepola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932594124 PECOS PAC ID: 8022352517 Enrollment ID: I20210322002358 |
| Provider Name | Olivia Weigold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841882933 PECOS PAC ID: 1456768902 Enrollment ID: I20210329001469 |
| Provider Name | Hui-zi Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386082691 PECOS PAC ID: 0749419521 Enrollment ID: I20210331000049 |
| Provider Name | Rizwan S Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134613508 PECOS PAC ID: 6406263862 Enrollment ID: I20210331001370 |
| Provider Name | Jonathon M Gutzeit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154828812 PECOS PAC ID: 8224467113 Enrollment ID: I20210401000019 |
| Provider Name | Amanda S Dupont |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760903934 PECOS PAC ID: 8921428491 Enrollment ID: I20210401000324 |
| Provider Name | Divyanshu Mohananey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356782783 PECOS PAC ID: 1052617156 Enrollment ID: I20210401001229 |
| Provider Name | Sadie F Mason |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952807760 PECOS PAC ID: 5799110672 Enrollment ID: I20210402000231 |
| Provider Name | Jane A Rivas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487195822 PECOS PAC ID: 8022438522 Enrollment ID: I20210405000619 |
| Provider Name | Jessica R Badwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730405689 PECOS PAC ID: 2668619867 Enrollment ID: I20210414000158 |
| Provider Name | Kyle Greiber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114459187 PECOS PAC ID: 4284973496 Enrollment ID: I20210414001339 |
| Provider Name | Matthew D Jandrisevits |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740477751 PECOS PAC ID: 8729496369 Enrollment ID: I20210420000554 |
| Provider Name | Denise M Kohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972986511 PECOS PAC ID: 9032447347 Enrollment ID: I20210420000979 |
| Provider Name | Eric P Segal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679936173 PECOS PAC ID: 8224467808 Enrollment ID: I20210420002505 |
| Provider Name | Wen Hui Tan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750720736 PECOS PAC ID: 5799118618 Enrollment ID: I20210421000426 |
| Provider Name | Dylan J Coss |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467863423 PECOS PAC ID: 5193944007 Enrollment ID: I20210421001100 |
| Provider Name | Leah A Mydlach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780279109 PECOS PAC ID: 3072921519 Enrollment ID: I20210421001425 |
| Provider Name | Andrea Roth Maxwell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770844672 PECOS PAC ID: 9537466701 Enrollment ID: I20210421002971 |
| Provider Name | Abraham Bogachkov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992195697 PECOS PAC ID: 7517375934 Enrollment ID: I20210422002164 |
| Provider Name | Jame J Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972189132 PECOS PAC ID: 7719154806 Enrollment ID: I20210422002331 |
| Provider Name | John Ning |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700382272 PECOS PAC ID: 8820427255 Enrollment ID: I20210423002253 |
| Provider Name | Laura E Goeser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235634353 PECOS PAC ID: 8527492180 Enrollment ID: I20210423002293 |
| Provider Name | Alexandra K Scholz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760815005 PECOS PAC ID: 7315352374 Enrollment ID: I20210428000114 |
| Provider Name | Daniel Handler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992391668 PECOS PAC ID: 0244648426 Enrollment ID: I20210428001634 |
| Provider Name | Samba G Binagi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760879068 PECOS PAC ID: 2062821234 Enrollment ID: I20210429002572 |
| Provider Name | Tyronda T Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093320459 PECOS PAC ID: 4082023858 Enrollment ID: I20210506002265 |
| Provider Name | Danielle R Crass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932789252 PECOS PAC ID: 8426467291 Enrollment ID: I20210506002346 |
| Provider Name | Kelly L Jones |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1689800401 PECOS PAC ID: 7315265618 Enrollment ID: I20210507001503 |
| Provider Name | Kristin M Page-chartrand |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689857336 PECOS PAC ID: 3173686912 Enrollment ID: I20210511001324 |
| Provider Name | Caroline M Shults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114385994 PECOS PAC ID: 5597174151 Enrollment ID: I20210511002550 |
| Provider Name | Harrison M Mooers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154828119 PECOS PAC ID: 9830528272 Enrollment ID: I20210513000569 |
| Provider Name | Melissa J Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891228631 PECOS PAC ID: 4981036761 Enrollment ID: I20210514002302 |
| Provider Name | Peter N Dietrich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225484363 PECOS PAC ID: 0547699811 Enrollment ID: I20210514002341 |
| Provider Name | Amanda M Hopp |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730574484 PECOS PAC ID: 6800205287 Enrollment ID: I20210514002442 |
| Provider Name | Shelly Reimer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306200886 PECOS PAC ID: 2769881044 Enrollment ID: I20210519002056 |
| Provider Name | Matthew Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659756716 PECOS PAC ID: 3971899170 Enrollment ID: I20210520000312 |
| Provider Name | Victor G Redmon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639600216 PECOS PAC ID: 3577896851 Enrollment ID: I20210520001107 |
| Provider Name | Jing Xu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902384530 PECOS PAC ID: 4385996958 Enrollment ID: I20210525001249 |
| Provider Name | Evan Henricks |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578094835 PECOS PAC ID: 6608104138 Enrollment ID: I20210525003094 |
| Provider Name | Nikolai Arendovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871014654 PECOS PAC ID: 0840521100 Enrollment ID: I20210527002890 |
| Provider Name | Anna Gaddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619326980 PECOS PAC ID: 1951692755 Enrollment ID: I20210528001954 |
| Provider Name | Brandon C Drazich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487175170 PECOS PAC ID: 8123359486 Enrollment ID: I20210607000175 |
| Provider Name | Katherine Jean Savage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104211804 PECOS PAC ID: 6709186976 Enrollment ID: I20210607002497 |
| Provider Name | Francis X Florez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780630053 PECOS PAC ID: 7012821044 Enrollment ID: I20210608000400 |
| Provider Name | Gabriel D Ryan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093109233 PECOS PAC ID: 0042559247 Enrollment ID: I20210608000714 |
| Provider Name | Giancarlo A Garcia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265969984 PECOS PAC ID: 0749680056 Enrollment ID: I20210608001869 |
| Provider Name | Jenna A Wade |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306291638 PECOS PAC ID: 2163822404 Enrollment ID: I20210608003539 |
| Provider Name | Mathew C Francis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487142568 PECOS PAC ID: 3375808884 Enrollment ID: I20210609000476 |
| Provider Name | Luis Jose Galindez Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861912297 PECOS PAC ID: 4082035316 Enrollment ID: I20210609000618 |
| Provider Name | Marek Cierny |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184075491 PECOS PAC ID: 0042572125 Enrollment ID: I20210609000756 |
| Provider Name | Meghan E Nothem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159646 PECOS PAC ID: 5092125534 Enrollment ID: I20210609001150 |
| Provider Name | Matthew W Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104323567 PECOS PAC ID: 7517367709 Enrollment ID: I20210609001800 |
| Provider Name | Monica Paola Gonzalez-collazo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316494297 PECOS PAC ID: 8921408113 Enrollment ID: I20210609002032 |
| Provider Name | Omar Sadiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508250986 PECOS PAC ID: 6002123643 Enrollment ID: I20210609002269 |
| Provider Name | Laura M Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063878643 PECOS PAC ID: 9436559424 Enrollment ID: I20210614000439 |
| Provider Name | Matthew R Kudek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174943831 PECOS PAC ID: 7012213101 Enrollment ID: I20210615000113 |
| Provider Name | Rosinda M De La Pena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215464359 PECOS PAC ID: 2668872532 Enrollment ID: I20210615000410 |
| Provider Name | Shannon M Burke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437646387 PECOS PAC ID: 6103173166 Enrollment ID: I20210616000086 |
| Provider Name | Jack Jorgenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922503168 PECOS PAC ID: 2163857046 Enrollment ID: I20210616002176 |
| Provider Name | Christopher Boyd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003201856 PECOS PAC ID: 5193001527 Enrollment ID: I20210618001988 |
| Provider Name | Michael A Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831583772 PECOS PAC ID: 6406151299 Enrollment ID: I20210622003027 |
| Provider Name | Heather A Stiff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124476494 PECOS PAC ID: 7810289501 Enrollment ID: I20210630001134 |
| Provider Name | Jennifer A Hass |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477915080 PECOS PAC ID: 0840611760 Enrollment ID: I20210630001506 |
| Provider Name | Nathan W Kugler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154697621 PECOS PAC ID: 0042539538 Enrollment ID: I20210630001770 |
| Provider Name | Nisar A Asmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710408349 PECOS PAC ID: 5294000519 Enrollment ID: I20210630002483 |
| Provider Name | Marisa Angeline Bartz-kurycki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578901427 PECOS PAC ID: 1052734639 Enrollment ID: I20210630003915 |
| Provider Name | H Adam Ubert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053545806 PECOS PAC ID: 7911297619 Enrollment ID: I20210630004012 |
| Provider Name | Jacqueline Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831695006 PECOS PAC ID: 2769817634 Enrollment ID: I20210630004069 |
| Provider Name | Gary P Bhagat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508363151 PECOS PAC ID: 7810247657 Enrollment ID: I20210701000175 |
| Provider Name | Scott D Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528632353 PECOS PAC ID: 7618378340 Enrollment ID: I20210701000733 |
| Provider Name | Jacob S Martin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447781265 PECOS PAC ID: 6901225176 Enrollment ID: I20210701001372 |
| Provider Name | Jenna L Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952809006 PECOS PAC ID: 3870858020 Enrollment ID: I20210708000849 |
| Provider Name | Katarzyna M Wlodarczyk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285165506 PECOS PAC ID: 3274861711 Enrollment ID: I20210709000276 |
| Provider Name | Jennifer S Trenga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366974834 PECOS PAC ID: 2769884006 Enrollment ID: I20210709000806 |
| Provider Name | Vanessa G Tseng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336116128 PECOS PAC ID: 0941214142 Enrollment ID: I20210709002948 |
| Provider Name | Pedram Pourhosseini |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447871900 PECOS PAC ID: 2466873294 Enrollment ID: I20210714001801 |
| Provider Name | Claudia P Vicetti Miguel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962799155 PECOS PAC ID: 3779886536 Enrollment ID: I20210719001505 |
| Provider Name | Emily Ausloos |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1912572041 PECOS PAC ID: 2062815731 Enrollment ID: I20210720000418 |
| Provider Name | Michael Gorelik |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013303346 PECOS PAC ID: 7214247949 Enrollment ID: I20210721001776 |
| Provider Name | Hilary C Schreiber |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699193722 PECOS PAC ID: 1456609981 Enrollment ID: I20210721002016 |
| Provider Name | Alyssa R Mowrer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881045243 PECOS PAC ID: 3971898560 Enrollment ID: I20210721002377 |
| Provider Name | Kasey J Chaszczewski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215376868 PECOS PAC ID: 6406147396 Enrollment ID: I20210721002997 |
| Provider Name | Kellie C Snooks |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245619774 PECOS PAC ID: 6800192113 Enrollment ID: I20210721003444 |
| Provider Name | Angela S Jin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922502855 PECOS PAC ID: 9133548381 Enrollment ID: I20210722001390 |
| Provider Name | Nathan P Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538612445 PECOS PAC ID: 1557655701 Enrollment ID: I20210723001082 |
| Provider Name | Sara J Fairaq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417527862 PECOS PAC ID: 3173926136 Enrollment ID: I20210728001823 |
| Provider Name | Adedotun Olutoyin Adewale |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457742546 PECOS PAC ID: 5092062653 Enrollment ID: I20210730002815 |
| Provider Name | Heidi A Worth |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417453309 PECOS PAC ID: 2466703343 Enrollment ID: I20210802002405 |
| Provider Name | Bindiya A Shah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659809739 PECOS PAC ID: 1658640834 Enrollment ID: I20210802002919 |
| Provider Name | Megann Marcella Sheehy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982289070 PECOS PAC ID: 2567866346 Enrollment ID: I20210802003579 |
| Provider Name | Rachel Bruinsma |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326617945 PECOS PAC ID: 2466856240 Enrollment ID: I20210802003624 |
| Provider Name | Walter K Woznick |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023471778 PECOS PAC ID: 0941592836 Enrollment ID: I20210803000605 |
| Provider Name | Kaylyn Jeanette Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174198915 PECOS PAC ID: 8426452137 Enrollment ID: I20210803001294 |
| Provider Name | Neil Dipak Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1598007684 PECOS PAC ID: 2163659467 Enrollment ID: I20210803001651 |
| Provider Name | Daniel Robert Schulteis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619963634 PECOS PAC ID: 7810110384 Enrollment ID: I20210803001833 |
| Provider Name | James Kenneth Murtha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881128767 PECOS PAC ID: 3173894888 Enrollment ID: I20210803001965 |
| Provider Name | Lisa M Godhardt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710410048 PECOS PAC ID: 8224453568 Enrollment ID: I20210803002082 |
| Provider Name | Christopher G Torkilsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316442924 PECOS PAC ID: 3870923436 Enrollment ID: I20210803002415 |
| Provider Name | Judy Abdul Wahab Hindi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063860765 PECOS PAC ID: 9638463458 Enrollment ID: I20210803003349 |
| Provider Name | Bejoy Thomas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194102483 PECOS PAC ID: 7214249630 Enrollment ID: I20210804000867 |
| Provider Name | Anshu Aggarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528599693 PECOS PAC ID: 5597169425 Enrollment ID: I20210813001973 |
| Provider Name | Braeden D Oneill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164955209 PECOS PAC ID: 9133493877 Enrollment ID: I20210819000440 |
| Provider Name | Michael J Conrardy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356733182 PECOS PAC ID: 4284907569 Enrollment ID: I20210819001181 |
| Provider Name | Kimberly S Gecsi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609898857 PECOS PAC ID: 9739183369 Enrollment ID: I20210820002955 |
| Provider Name | Jennifer Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053983577 PECOS PAC ID: 5092110593 Enrollment ID: I20210821000237 |
| Provider Name | Kathleen Y Bhatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528284155 PECOS PAC ID: 1456451848 Enrollment ID: I20210823000799 |
| Provider Name | Kevin J Mcgurk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487187167 PECOS PAC ID: 4981009412 Enrollment ID: I20210823001004 |
| Provider Name | Michael Halyko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134501745 PECOS PAC ID: 6002121936 Enrollment ID: I20210823001652 |
| Provider Name | Bradley J Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730573650 PECOS PAC ID: 4486954997 Enrollment ID: I20210824002983 |
| Provider Name | Rachel K Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063037026 PECOS PAC ID: 4385049659 Enrollment ID: I20210825000287 |
| Provider Name | Sarah M Balgord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164955522 PECOS PAC ID: 6901175678 Enrollment ID: I20210825001758 |
| Provider Name | Ana A Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558954685 PECOS PAC ID: 4789089962 Enrollment ID: I20210826001046 |
| Provider Name | Clairissa Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376136309 PECOS PAC ID: 1557766672 Enrollment ID: I20210826002938 |
| Provider Name | Anna Bakeman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538521869 PECOS PAC ID: 2668877713 Enrollment ID: I20210827000088 |
| Provider Name | Rakesh Patyal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336711563 PECOS PAC ID: 4688070642 Enrollment ID: I20210831001911 |
| Provider Name | Leora Ruth Massey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700316569 PECOS PAC ID: 1153694435 Enrollment ID: I20210901000155 |
| Provider Name | Alexandra E Weil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164093027 PECOS PAC ID: 1052717923 Enrollment ID: I20210901002784 |
| Provider Name | Kelli M Kam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306343579 PECOS PAC ID: 0143626937 Enrollment ID: I20210902000148 |
| Provider Name | Kelly E Graff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093101792 PECOS PAC ID: 6204232028 Enrollment ID: I20210902001326 |
| Provider Name | Hank K Tang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699745489 PECOS PAC ID: 3577459239 Enrollment ID: I20210902002766 |
| Provider Name | Sarah M Rumler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003221896 PECOS PAC ID: 5496076879 Enrollment ID: I20210903001879 |
| Provider Name | Alan D Betensley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548329881 PECOS PAC ID: 7012047384 Enrollment ID: I20210903002259 |
| Provider Name | Sabarinath Venniyil Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457664005 PECOS PAC ID: 7911138342 Enrollment ID: I20210903002264 |
| Provider Name | Zachary T Graff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952798274 PECOS PAC ID: 1850797572 Enrollment ID: I20210903002349 |
| Provider Name | Trisha E Jethwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083109888 PECOS PAC ID: 4082963384 Enrollment ID: I20210903002376 |
| Provider Name | Allison S Remiker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912264896 PECOS PAC ID: 7214174226 Enrollment ID: I20210907000184 |
| Provider Name | Cory Ann Mcfall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336481662 PECOS PAC ID: 2163724311 Enrollment ID: I20210907000953 |
| Provider Name | Ira H Blau |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063862456 PECOS PAC ID: 3476959917 Enrollment ID: I20210908001860 |
| Provider Name | Aasifuddin S Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417481508 PECOS PAC ID: 1153699129 Enrollment ID: I20210909000019 |
| Provider Name | Olivia A Cassiday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457920407 PECOS PAC ID: 9335545847 Enrollment ID: I20210909000561 |
| Provider Name | Kathryn R Michalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992479331 PECOS PAC ID: 9032515556 Enrollment ID: I20210909000739 |
| Provider Name | Paul G Didomizio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326579491 PECOS PAC ID: 5597034728 Enrollment ID: I20210910000361 |
| Provider Name | Joshua B Floyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255794897 PECOS PAC ID: 5991096836 Enrollment ID: I20210913002199 |
| Provider Name | Elena Lages |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609445790 PECOS PAC ID: 2365848587 Enrollment ID: I20210913002654 |
| Provider Name | Aditya Vedantam |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851730261 PECOS PAC ID: 1759706971 Enrollment ID: I20210913003058 |
| Provider Name | Abhijai Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770862302 PECOS PAC ID: 6709166366 Enrollment ID: I20210914002746 |
| Provider Name | Jill M Saxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588337711 PECOS PAC ID: 0143474221 Enrollment ID: I20210915002759 |
| Provider Name | Rebecca Lee Steuart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407240369 PECOS PAC ID: 8022348325 Enrollment ID: I20210915002969 |
| Provider Name | Mathew D Engmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225535131 PECOS PAC ID: 2264853217 Enrollment ID: I20210916000460 |
| Provider Name | Ridhima Kapoor |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750624193 PECOS PAC ID: 4183933252 Enrollment ID: I20210917001134 |
| Provider Name | Jose Humberto Salazar Osuna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194049163 PECOS PAC ID: 4981831724 Enrollment ID: I20210921000200 |
| Provider Name | Brittany Siemiawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336718154 PECOS PAC ID: 0547667487 Enrollment ID: I20210921000458 |
| Provider Name | Shivani Shailesh Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437542099 PECOS PAC ID: 4789921354 Enrollment ID: I20210921000565 |
| Provider Name | Ugwuji N Maduekwe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184750853 PECOS PAC ID: 6305014036 Enrollment ID: I20210921001256 |
| Provider Name | Anai N Kothari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710243266 PECOS PAC ID: 1052642972 Enrollment ID: I20210923000392 |
| Provider Name | Jahanvi Patel Kothari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639518467 PECOS PAC ID: 8729379227 Enrollment ID: I20210923000988 |
| Provider Name | Stephen J Molitor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497325294 PECOS PAC ID: 7911304654 Enrollment ID: I20210923001546 |
| Provider Name | Lauren E Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245780774 PECOS PAC ID: 8022415660 Enrollment ID: I20210923001878 |
| Provider Name | Hannah J Bridgeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760015176 PECOS PAC ID: 9133526791 Enrollment ID: I20210923002738 |
| Provider Name | Muhammad Imtiaz Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255724670 PECOS PAC ID: 2466767124 Enrollment ID: I20210923003486 |
| Provider Name | Elizabeth A Nolte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205220282 PECOS PAC ID: 0244533032 Enrollment ID: I20210923003561 |
| Provider Name | Fatima Ahmed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477935575 PECOS PAC ID: 8729382759 Enrollment ID: I20210924002240 |
| Provider Name | Alicia M Ploeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760899306 PECOS PAC ID: 2668794710 Enrollment ID: I20210928001106 |
| Provider Name | Alison J Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497339188 PECOS PAC ID: 5890192264 Enrollment ID: I20210928001266 |
| Provider Name | Connor W Sullivan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629463872 PECOS PAC ID: 9133467442 Enrollment ID: I20210928002060 |
| Provider Name | Anna M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558939397 PECOS PAC ID: 6002213410 Enrollment ID: I20210928003062 |
| Provider Name | Rasika S Chepuri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003294521 PECOS PAC ID: 3870838873 Enrollment ID: I20210928003475 |
| Provider Name | Abby R Usselmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558036269 PECOS PAC ID: 9133526460 Enrollment ID: I20210929000316 |
| Provider Name | Kristin Gajewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053901710 PECOS PAC ID: 8426313891 Enrollment ID: I20210929002278 |
| Provider Name | Ceceleta Y Maitland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720184195 PECOS PAC ID: 4587643630 Enrollment ID: I20211007000816 |
| Provider Name | Katherine Teresa Ringler Iverson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407105968 PECOS PAC ID: 2163852682 Enrollment ID: I20211007001378 |
| Provider Name | Angela K Scipior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033651146 PECOS PAC ID: 1951709716 Enrollment ID: I20211007003254 |
| Provider Name | Jacqueline A Simon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427444348 PECOS PAC ID: 1254752165 Enrollment ID: I20211008000542 |
| Provider Name | Anna L Melville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821767088 PECOS PAC ID: 0547668360 Enrollment ID: I20211008001869 |
| Provider Name | Wendi G Ehrman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770534661 PECOS PAC ID: 7416852991 Enrollment ID: I20211008002242 |
| Provider Name | Latosha M Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528204153 PECOS PAC ID: 1456408764 Enrollment ID: I20211008002613 |
| Provider Name | Tracy L Gallenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982379822 PECOS PAC ID: 9032517875 Enrollment ID: I20211008002621 |
| Provider Name | Nikki M Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285995480 PECOS PAC ID: 1759671241 Enrollment ID: I20211011002782 |
| Provider Name | Amanda R Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538837166 PECOS PAC ID: 3274931837 Enrollment ID: I20211012001784 |
| Provider Name | Jennifer Danielle Bruening |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215375027 PECOS PAC ID: 7416282736 Enrollment ID: I20211013001372 |
| Provider Name | Amanda M Haddad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033887112 PECOS PAC ID: 3678971066 Enrollment ID: I20211015001481 |
| Provider Name | Thomas Jeong Won Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346699360 PECOS PAC ID: 5092049742 Enrollment ID: I20211018001216 |
| Provider Name | Alohani L Maya Cureno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184399040 PECOS PAC ID: 7618365925 Enrollment ID: I20211019001070 |
| Provider Name | Hania Maqbool |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578050340 PECOS PAC ID: 6204181787 Enrollment ID: I20211019001631 |
| Provider Name | Jennifer L Rabaglia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851412761 PECOS PAC ID: 5496819476 Enrollment ID: I20211026000497 |
| Provider Name | Angela Waara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215506209 PECOS PAC ID: 2961890827 Enrollment ID: I20211026000748 |
| Provider Name | Laura D Johns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750814802 PECOS PAC ID: 1759782865 Enrollment ID: I20211026002653 |
| Provider Name | Tracy L Heiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447820204 PECOS PAC ID: 1254729064 Enrollment ID: I20211028000507 |
| Provider Name | Jonathan Y Ji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477603504 PECOS PAC ID: 1456538172 Enrollment ID: I20211028000908 |
| Provider Name | Jutta Deininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356742233 PECOS PAC ID: 7113148222 Enrollment ID: I20211028001659 |
| Provider Name | Paritosh Kaul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316961964 PECOS PAC ID: 8022076702 Enrollment ID: I20211028001661 |
| Provider Name | Vanessa A Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487213096 PECOS PAC ID: 7911395678 Enrollment ID: I20211028002678 |
| Provider Name | Daniel N Holena |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598985590 PECOS PAC ID: 3678643061 Enrollment ID: I20211028003010 |
| Provider Name | Angela Steineck |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972946531 PECOS PAC ID: 7719211051 Enrollment ID: I20211029001976 |
| Provider Name | John D Nerva |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255652426 PECOS PAC ID: 3274825252 Enrollment ID: I20211101001359 |
| Provider Name | Amy E Rotzenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407523152 PECOS PAC ID: 0244628857 Enrollment ID: I20211102000259 |
| Provider Name | Amber Craig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902578602 PECOS PAC ID: 9436547981 Enrollment ID: I20211102002377 |
| Provider Name | Michael J Gilmartin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023789369 PECOS PAC ID: 7911395371 Enrollment ID: I20211104000551 |
| Provider Name | Charles Md Yoo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912360355 PECOS PAC ID: 3476887118 Enrollment ID: I20211104002270 |
| Provider Name | Anjna N Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932862018 PECOS PAC ID: 5890184295 Enrollment ID: I20211104002494 |
| Provider Name | Ronny M Otero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497829907 PECOS PAC ID: 2961499777 Enrollment ID: I20211104002669 |
| Provider Name | Rachel E Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508353178 PECOS PAC ID: 4789939372 Enrollment ID: I20211105002274 |
| Provider Name | Shannon Walsh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104495076 PECOS PAC ID: 1052700051 Enrollment ID: I20211112001579 |
| Provider Name | Stacey M Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588334692 PECOS PAC ID: 8426447434 Enrollment ID: I20211112002036 |
| Provider Name | Aditya Vuppala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932460938 PECOS PAC ID: 3072832575 Enrollment ID: I20211117002350 |
| Provider Name | Amrita-amanda D Vuppala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881937290 PECOS PAC ID: 3577856822 Enrollment ID: I20211117002863 |
| Provider Name | Nina E Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457862435 PECOS PAC ID: 3072870856 Enrollment ID: I20211206002724 |
| Provider Name | Andrea R Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316541956 PECOS PAC ID: 8527458538 Enrollment ID: I20211207000866 |
| Provider Name | Bridget R Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851711212 PECOS PAC ID: 5193084671 Enrollment ID: I20211208001984 |
| Provider Name | Allison Brochtrup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104405992 PECOS PAC ID: 7719377613 Enrollment ID: I20211208002890 |
| Provider Name | Tamara L Morris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922353986 PECOS PAC ID: 6507256328 Enrollment ID: I20211209000254 |
| Provider Name | Gabriel Marie Holtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023789583 PECOS PAC ID: 6103216874 Enrollment ID: I20211213000756 |
| Provider Name | Rebecca Herzfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548927130 PECOS PAC ID: 4789075078 Enrollment ID: I20211221001287 |
| Provider Name | Christine Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710599378 PECOS PAC ID: 4688094170 Enrollment ID: I20211221002474 |
| Provider Name | Adam J Holmbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578130662 PECOS PAC ID: 0345631511 Enrollment ID: I20211222001876 |
| Provider Name | Rex Yung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750327128 PECOS PAC ID: 0446380992 Enrollment ID: I20211223000631 |
| Provider Name | Roshena M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144878547 PECOS PAC ID: 2163752577 Enrollment ID: I20220113001072 |
| Provider Name | Katie E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780342584 PECOS PAC ID: 7911399456 Enrollment ID: I20220113001503 |
| Provider Name | Bethany D Corbin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063946473 PECOS PAC ID: 2264770338 Enrollment ID: I20220113001950 |
| Provider Name | Jill Behrend Alden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891231312 PECOS PAC ID: 6103218300 Enrollment ID: I20220120001816 |
| Provider Name | Jamey E Eklund |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669628988 PECOS PAC ID: 1557583432 Enrollment ID: I20220121000839 |
| Provider Name | David Polinger-hyman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083821300 PECOS PAC ID: 4587858014 Enrollment ID: I20220121001589 |
| Provider Name | Kristin Alinea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932865722 PECOS PAC ID: 6103218276 Enrollment ID: I20220121002053 |
| Provider Name | Staria R Brickner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801554712 PECOS PAC ID: 3870985690 Enrollment ID: I20220127002015 |
| Provider Name | Rene Andrade Machado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689219347 PECOS PAC ID: 7416389093 Enrollment ID: I20220127002936 |
| Provider Name | Ann Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215609888 PECOS PAC ID: 8022401843 Enrollment ID: I20220131001071 |
| Provider Name | Christina Mariyam Joy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639553605 PECOS PAC ID: 6002220753 Enrollment ID: I20220202000972 |
| Provider Name | Janelle Marie Thimm |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1568114858 PECOS PAC ID: 1153714803 Enrollment ID: I20220202001081 |
| Provider Name | Leann Madion |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174055628 PECOS PAC ID: 1355674839 Enrollment ID: I20220211001281 |
| Provider Name | Colleen C Ruetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114562709 PECOS PAC ID: 9739572868 Enrollment ID: I20220211001904 |
| Provider Name | Casey A Posda |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1568123065 PECOS PAC ID: 4880087923 Enrollment ID: I20220211002174 |
| Provider Name | Leah E Taugher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245608140 PECOS PAC ID: 6406249564 Enrollment ID: I20220214000515 |
| Provider Name | Rachel Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780335455 PECOS PAC ID: 7214320381 Enrollment ID: I20220214000535 |
| Provider Name | Katie M Barman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982361093 PECOS PAC ID: 3971996059 Enrollment ID: I20220214001342 |
| Provider Name | Michelle G Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750778809 PECOS PAC ID: 2860709631 Enrollment ID: I20220214001656 |
| Provider Name | Riley S Boland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710412606 PECOS PAC ID: 6507136355 Enrollment ID: I20220215000821 |
| Provider Name | Peter H Shaw |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821063900 PECOS PAC ID: 2961391081 Enrollment ID: I20220221002116 |
| Provider Name | Flower Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073265385 PECOS PAC ID: 0547654360 Enrollment ID: I20220221002203 |
| Provider Name | Larresha N Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154073880 PECOS PAC ID: 5395139984 Enrollment ID: I20220224001591 |
| Provider Name | Stamatoula Pilati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629249867 PECOS PAC ID: 8325114762 Enrollment ID: I20220302001686 |
| Provider Name | Ross R Grover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750035861 PECOS PAC ID: 0042604043 Enrollment ID: I20220308000120 |
| Provider Name | Alyssa M Aarestad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013669407 PECOS PAC ID: 7810381811 Enrollment ID: I20220308000232 |
| Provider Name | Stefano Schena |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447465356 PECOS PAC ID: 7416021498 Enrollment ID: I20220308000374 |
| Provider Name | Mohamed Osman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336674340 PECOS PAC ID: 9133513146 Enrollment ID: I20220308000491 |
| Provider Name | Julia Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194479154 PECOS PAC ID: 0446644496 Enrollment ID: I20220308002061 |
| Provider Name | Baqer A Haider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881009637 PECOS PAC ID: 5395016703 Enrollment ID: I20220309001270 |
| Provider Name | Keith F Woeltje |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073531760 PECOS PAC ID: 0749253706 Enrollment ID: I20220314000818 |
| Provider Name | Michael W Deininger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932115524 PECOS PAC ID: 6002704673 Enrollment ID: I20220315001056 |
| Provider Name | Cara L Mack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083799720 PECOS PAC ID: 7012090277 Enrollment ID: I20220324002708 |
| Provider Name | Jenny P Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699368688 PECOS PAC ID: 5395130553 Enrollment ID: I20220324002839 |
| Provider Name | Yekaterina Bezpalaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538825179 PECOS PAC ID: 3274928445 Enrollment ID: I20220325000402 |
| Provider Name | Jeffrey Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578229134 PECOS PAC ID: 8426443615 Enrollment ID: I20220325000984 |
| Provider Name | Katherine C Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013525096 PECOS PAC ID: 5193110385 Enrollment ID: I20220325001275 |
| Provider Name | Kelsey Micech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174287577 PECOS PAC ID: 9032505920 Enrollment ID: I20220331003112 |
| Provider Name | Catherine L Troncone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669029583 PECOS PAC ID: 5092148767 Enrollment ID: I20220412002334 |
| Provider Name | Monica L Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588968069 PECOS PAC ID: 4082000302 Enrollment ID: I20220413000336 |
| Provider Name | Hope M Kelling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710946926 PECOS PAC ID: 7517354780 Enrollment ID: I20220419000825 |
| Provider Name | Glenn Banegura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770744989 PECOS PAC ID: 7315111010 Enrollment ID: I20220419001339 |
| Provider Name | Kyle T Shuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902553324 PECOS PAC ID: 8426445511 Enrollment ID: I20220419002401 |
| Provider Name | Savannah R Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093461758 PECOS PAC ID: 4183011067 Enrollment ID: I20220422001516 |
| Provider Name | Mircea M Cristescu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851657571 PECOS PAC ID: 0143443945 Enrollment ID: I20220422001549 |
| Provider Name | Danielle M Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588311609 PECOS PAC ID: 7719374560 Enrollment ID: I20220425001831 |
| Provider Name | Kathleen A Kujawa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770510422 PECOS PAC ID: 9931194073 Enrollment ID: I20220425002023 |
| Provider Name | Jamie R Ledford |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932345162 PECOS PAC ID: 6709001035 Enrollment ID: I20220425002273 |
| Provider Name | John M Keegan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053842385 PECOS PAC ID: 9234569625 Enrollment ID: I20220511002147 |
| Provider Name | Logan Kathleen White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558002063 PECOS PAC ID: 9830576875 Enrollment ID: I20220513000837 |
| Provider Name | Razelle Kurzrock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477651651 PECOS PAC ID: 6002003522 Enrollment ID: I20220513001131 |
| Provider Name | Thaddeus W Schmitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346701307 PECOS PAC ID: 0941537849 Enrollment ID: I20220526000643 |
| Provider Name | Avantika Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295198083 PECOS PAC ID: 4183987696 Enrollment ID: I20220531001655 |
| Provider Name | Michael G Voss |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457881864 PECOS PAC ID: 5698044857 Enrollment ID: I20220531001779 |
| Provider Name | Morgan E Lamberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861953788 PECOS PAC ID: 3678909207 Enrollment ID: I20220531001786 |
| Provider Name | Haley Mertens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326545021 PECOS PAC ID: 8426487661 Enrollment ID: I20220531001833 |
| Provider Name | Anton Arkadiy Nikitin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780105031 PECOS PAC ID: 5294004958 Enrollment ID: I20220531001965 |
| Provider Name | Charlotte E Ball |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285167643 PECOS PAC ID: 4688087471 Enrollment ID: I20220531002179 |
| Provider Name | Kyle D Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316408297 PECOS PAC ID: 6002242393 Enrollment ID: I20220531002415 |
| Provider Name | David E Segar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770931826 PECOS PAC ID: 2163712761 Enrollment ID: I20220601001637 |
| Provider Name | Hasan Bader |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275989998 PECOS PAC ID: 2365792686 Enrollment ID: I20220602001378 |
| Provider Name | Daniel P Dwyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356802847 PECOS PAC ID: 7517397300 Enrollment ID: I20220603000601 |
| Provider Name | Dominic James Catalano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639600224 PECOS PAC ID: 4688946726 Enrollment ID: I20220603001722 |
| Provider Name | Martin Locey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134221765 PECOS PAC ID: 5991772956 Enrollment ID: I20220608001391 |
| Provider Name | Johanna Dobard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184153769 PECOS PAC ID: 7315325065 Enrollment ID: I20220608001453 |
| Provider Name | Kaleen Puccetti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831545094 PECOS PAC ID: 1355634734 Enrollment ID: I20220608001553 |
| Provider Name | Kevin E Chow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700316122 PECOS PAC ID: 3971938788 Enrollment ID: I20220608001692 |
| Provider Name | Chelsea Kilgas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740924554 PECOS PAC ID: 2163800822 Enrollment ID: I20220608001827 |
| Provider Name | Thomas M Lindsay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770016693 PECOS PAC ID: 5890069579 Enrollment ID: I20220608002082 |
| Provider Name | Mansa Monga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881255479 PECOS PAC ID: 9133559644 Enrollment ID: I20220608002266 |
| Provider Name | Danish Pardhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255827085 PECOS PAC ID: 9133507809 Enrollment ID: I20220608002331 |
| Provider Name | Theodore M Jensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568995751 PECOS PAC ID: 7315275575 Enrollment ID: I20220608003073 |
| Provider Name | Rachel K Bernard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538587027 PECOS PAC ID: 7012217367 Enrollment ID: I20220608003097 |
| Provider Name | Madeline Rebecca Field |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811491590 PECOS PAC ID: 5799178414 Enrollment ID: I20220608003227 |
| Provider Name | Colin C Hansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740643949 PECOS PAC ID: 5597193805 Enrollment ID: I20220608003269 |
| Provider Name | Mohamed Elramah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124559505 PECOS PAC ID: 6103177613 Enrollment ID: I20220609000106 |
| Provider Name | Steven R Kapeles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902395593 PECOS PAC ID: 3173952769 Enrollment ID: I20220609001190 |
| Provider Name | Nicole Mae D Lao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790346138 PECOS PAC ID: 2769712900 Enrollment ID: I20220609001595 |
| Provider Name | Olwadamilola O Idowu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679060933 PECOS PAC ID: 8527305580 Enrollment ID: I20220610000896 |
| Provider Name | Rabin Banjade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275186686 PECOS PAC ID: 4789063231 Enrollment ID: I20220614001658 |
| Provider Name | Daniel A Crespo Artunduaga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679068530 PECOS PAC ID: 2163773540 Enrollment ID: I20220614001674 |
| Provider Name | Brian J Di Giacinto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275065997 PECOS PAC ID: 5799163606 Enrollment ID: I20220614001746 |
| Provider Name | Hyder Tamton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548762453 PECOS PAC ID: 7012396575 Enrollment ID: I20220614001871 |
| Provider Name | Elsa V Arocho-quinones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548540883 PECOS PAC ID: 2163741604 Enrollment ID: I20220614001902 |
| Provider Name | Fahad Zafar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659932036 PECOS PAC ID: 8921330473 Enrollment ID: I20220614002089 |
| Provider Name | Jordan Vorrie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487005336 PECOS PAC ID: 4789957895 Enrollment ID: I20220614002504 |
| Provider Name | Alex Clavijo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811348964 PECOS PAC ID: 6507285244 Enrollment ID: I20220614002693 |
| Provider Name | Aquila Fathima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972089175 PECOS PAC ID: 9335549799 Enrollment ID: I20220614002924 |
| Provider Name | Ramsha T Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942786462 PECOS PAC ID: 8224387642 Enrollment ID: I20220616001233 |
| Provider Name | Anisha A Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821559717 PECOS PAC ID: 3072943570 Enrollment ID: I20220620000290 |
| Provider Name | Kailey C Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760151484 PECOS PAC ID: 7315326329 Enrollment ID: I20220622001994 |
| Provider Name | Scott J Sandage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457407819 PECOS PAC ID: 4587885777 Enrollment ID: I20220622002596 |
| Provider Name | Erin R Kooima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013652130 PECOS PAC ID: 2860871639 Enrollment ID: I20220624001416 |
| Provider Name | Samreen Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467728667 PECOS PAC ID: 9739568361 Enrollment ID: I20220628000828 |
| Provider Name | Ramya Deepthi Billa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932540622 PECOS PAC ID: 1355638461 Enrollment ID: I20220630001349 |
| Provider Name | Rebecca A Tetzlaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407590243 PECOS PAC ID: 1658751128 Enrollment ID: I20220630002523 |
| Provider Name | Michael F Rentz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255996872 PECOS PAC ID: 4284961707 Enrollment ID: I20220706002420 |
| Provider Name | Swathi Prasad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922502145 PECOS PAC ID: 5395175954 Enrollment ID: I20220707000986 |
| Provider Name | Patrick T Hangge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316324965 PECOS PAC ID: 7618285669 Enrollment ID: I20220711000209 |
| Provider Name | Mohamed N Agab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831743277 PECOS PAC ID: 9234519067 Enrollment ID: I20220711000706 |
| Provider Name | Karl W Doerfer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104245018 PECOS PAC ID: 3476841008 Enrollment ID: I20220711001112 |
| Provider Name | Laurent Logan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689166530 PECOS PAC ID: 4385993716 Enrollment ID: I20220711001320 |
| Provider Name | Erin K Mcglynn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407411168 PECOS PAC ID: 9032442934 Enrollment ID: I20220711001345 |
| Provider Name | Shaina Sekhri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790247666 PECOS PAC ID: 2961838578 Enrollment ID: I20220711001535 |
| Provider Name | Nicholas Phillip Wleklinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487159398 PECOS PAC ID: 5193069342 Enrollment ID: I20220711001659 |
| Provider Name | Emma W Nitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881268167 PECOS PAC ID: 9830579622 Enrollment ID: I20220711002953 |
| Provider Name | Kendall Brooke Snellgrove |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215490032 PECOS PAC ID: 9638559438 Enrollment ID: I20220711003422 |
| Provider Name | Danielle M Nagel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982135711 PECOS PAC ID: 4486034105 Enrollment ID: I20220712000445 |
| Provider Name | Nelson A Rodriguez Unda |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346620010 PECOS PAC ID: 1951781699 Enrollment ID: I20220712001149 |
| Provider Name | Lauren R Willoughby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114485695 PECOS PAC ID: 3870836612 Enrollment ID: I20220712003056 |
| Provider Name | Thomas Keane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184879710 PECOS PAC ID: 1254472830 Enrollment ID: I20220714001149 |
| Provider Name | Andrew Ramey Pistner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205194636 PECOS PAC ID: 3476786500 Enrollment ID: I20220715002466 |
| Provider Name | John Kenneth Lippincott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871094110 PECOS PAC ID: 0244642924 Enrollment ID: I20220716000448 |
| Provider Name | Alexis J Gumm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316333859 PECOS PAC ID: 0143539320 Enrollment ID: I20220716000485 |
| Provider Name | Allison N Strauss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750841680 PECOS PAC ID: 8820402530 Enrollment ID: I20220716000496 |
| Provider Name | Anannya Patwari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427432095 PECOS PAC ID: 0244519981 Enrollment ID: I20220716000522 |
| Provider Name | Balpreet Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851880041 PECOS PAC ID: 0345632451 Enrollment ID: I20220716000531 |
| Provider Name | Edward L Randerson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932632684 PECOS PAC ID: 7810398542 Enrollment ID: I20220716000562 |
| Provider Name | Zaneta Dymon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265888754 PECOS PAC ID: 6002182227 Enrollment ID: I20220716000571 |
| Provider Name | Vishal N Ruparelia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275768111 PECOS PAC ID: 0143452821 Enrollment ID: I20220716000580 |
| Provider Name | Vineel Bhatlapenumarthi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689058984 PECOS PAC ID: 2163714619 Enrollment ID: I20220716000589 |
| Provider Name | Saryleine Ortiz De Choudens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912384280 PECOS PAC ID: 9335520733 Enrollment ID: I20220716000592 |
| Provider Name | Roshan Thapa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811541246 PECOS PAC ID: 1153702550 Enrollment ID: I20220716000598 |
| Provider Name | Kennedy M Wirtz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437680089 PECOS PAC ID: 8527498260 Enrollment ID: I20220716000603 |
| Provider Name | Hashaam Arshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144716093 PECOS PAC ID: 0042567919 Enrollment ID: I20220718000071 |
| Provider Name | Joshua R Morris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740741842 PECOS PAC ID: 1658707948 Enrollment ID: I20220718000328 |
| Provider Name | Vladimir Suric |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275053654 PECOS PAC ID: 4880941707 Enrollment ID: I20220718000407 |
| Provider Name | Kristine E Davison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073879912 PECOS PAC ID: 4688055007 Enrollment ID: I20220718000474 |
| Provider Name | Kathryn M Haberman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841686326 PECOS PAC ID: 2668802059 Enrollment ID: I20220718000665 |
| Provider Name | Elizabeth Maxwell Hovis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972035111 PECOS PAC ID: 1254600380 Enrollment ID: I20220718000799 |
| Provider Name | Annamarie Rosine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033853817 PECOS PAC ID: 0547641565 Enrollment ID: I20220721001412 |
| Provider Name | Michael A Hoks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003256686 PECOS PAC ID: 6103122866 Enrollment ID: I20220725002111 |
| Provider Name | Jens W Krombach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881762870 PECOS PAC ID: 8224021357 Enrollment ID: I20220725003373 |
| Provider Name | Nolan Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306372966 PECOS PAC ID: 7315211190 Enrollment ID: I20220802000555 |
| Provider Name | Grant T Comstock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235591439 PECOS PAC ID: 9133546534 Enrollment ID: I20220803000138 |
| Provider Name | Osama E Elkhider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215582382 PECOS PAC ID: 3678955978 Enrollment ID: I20220803001685 |
| Provider Name | Christopher L Klassen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336201102 PECOS PAC ID: 7719003813 Enrollment ID: I20220804002514 |
| Provider Name | Greta Meyer Josephson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659806016 PECOS PAC ID: 0446528913 Enrollment ID: I20220805002250 |
| Provider Name | Farrah S Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194219675 PECOS PAC ID: 2466834569 Enrollment ID: I20220805002899 |
| Provider Name | Maximilian Joseph Vincent Cruz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992237804 PECOS PAC ID: 9830468826 Enrollment ID: I20220808001112 |
| Provider Name | Aaron D Dora-laskey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093909921 PECOS PAC ID: 7113094707 Enrollment ID: I20220808001790 |
| Provider Name | Joyce Briscoe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891158648 PECOS PAC ID: 8224324405 Enrollment ID: I20220808003006 |
| Provider Name | Hallie Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063065274 PECOS PAC ID: 6002299971 Enrollment ID: I20220810003297 |
| Provider Name | Sarah E Wineman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174017750 PECOS PAC ID: 8628325008 Enrollment ID: I20220815002104 |
| Provider Name | Carley E Demchuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841780509 PECOS PAC ID: 2264815505 Enrollment ID: I20220818001515 |
| Provider Name | Matthew J Andreoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538621917 PECOS PAC ID: 2062895303 Enrollment ID: I20220818001616 |
| Provider Name | Vinayak Thakur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962834671 PECOS PAC ID: 2264787217 Enrollment ID: I20220819002454 |
| Provider Name | Kiran Manjee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356836274 PECOS PAC ID: 3779832357 Enrollment ID: I20220822000670 |
| Provider Name | Lacie J Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528551587 PECOS PAC ID: 9234485350 Enrollment ID: I20220830000877 |
| Provider Name | Melissa M Azul |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1730567074 PECOS PAC ID: 7810207420 Enrollment ID: I20220901000982 |
| Provider Name | Bryanne Margaret Sekeres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407580293 PECOS PAC ID: 6709260201 Enrollment ID: I20220901001711 |
| Provider Name | Katherine L Vaidy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447542527 PECOS PAC ID: 5597036970 Enrollment ID: I20220901002217 |
| Provider Name | Yaser Carcora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932558699 PECOS PAC ID: 5991090474 Enrollment ID: I20220902002002 |
| Provider Name | Oren Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841922879 PECOS PAC ID: 3870977234 Enrollment ID: I20220906000066 |
| Provider Name | Mario W Saab-chalhoub |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407207897 PECOS PAC ID: 3274957881 Enrollment ID: I20220906000449 |
| Provider Name | Camdin Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750813119 PECOS PAC ID: 2567733777 Enrollment ID: I20220906001062 |
| Provider Name | Morgan R Briggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700381035 PECOS PAC ID: 1759711377 Enrollment ID: I20220906002544 |
| Provider Name | Alisha Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740834308 PECOS PAC ID: 5698154177 Enrollment ID: I20220908000123 |
| Provider Name | David E Lewandowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316333198 PECOS PAC ID: 5193031607 Enrollment ID: I20220908001528 |
| Provider Name | Rahul Nath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750600508 PECOS PAC ID: 7517181969 Enrollment ID: I20220908001943 |
| Provider Name | Naomi N Bui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871098533 PECOS PAC ID: 7113277674 Enrollment ID: I20220908003622 |
| Provider Name | Elham E Abushanab |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306392634 PECOS PAC ID: 9234513318 Enrollment ID: I20220908003639 |
| Provider Name | Heather M Englund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730810136 PECOS PAC ID: 3173908209 Enrollment ID: I20220909002456 |
| Provider Name | Alexander R Graf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184042020 PECOS PAC ID: 2163712993 Enrollment ID: I20220912000414 |
| Provider Name | Thomas J Stancato |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1518692599 PECOS PAC ID: 3678958642 Enrollment ID: I20220913000771 |
| Provider Name | Oscar J.m. Coppes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821408725 PECOS PAC ID: 1355656679 Enrollment ID: I20220914000589 |
| Provider Name | Joseph S Pekala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366468951 PECOS PAC ID: 3274579073 Enrollment ID: I20220914002927 |
| Provider Name | Brent William Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255066767 PECOS PAC ID: 5395120182 Enrollment ID: I20220914003253 |
| Provider Name | Saman Shabani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124438809 PECOS PAC ID: 9537560560 Enrollment ID: I20220915000085 |
| Provider Name | William J. Schaeffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487174405 PECOS PAC ID: 3577832013 Enrollment ID: I20220915002292 |
| Provider Name | Leah K Cotter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639674831 PECOS PAC ID: 3072942218 Enrollment ID: I20220920001396 |
| Provider Name | Melissa Lancaster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003268061 PECOS PAC ID: 5395002976 Enrollment ID: I20220920001819 |
| Provider Name | Dustin Hang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144615139 PECOS PAC ID: 9133468432 Enrollment ID: I20220921001697 |
| Provider Name | Katherine L Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659099497 PECOS PAC ID: 0941685267 Enrollment ID: I20220922000270 |
| Provider Name | Rashda Norui |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780030643 PECOS PAC ID: 8527443852 Enrollment ID: I20220922000490 |
| Provider Name | Jessica Pommy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962959650 PECOS PAC ID: 8224413554 Enrollment ID: I20220922000599 |
| Provider Name | Thomas Qinglang Xu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124481502 PECOS PAC ID: 3476846130 Enrollment ID: I20220922000731 |
| Provider Name | Christopher T Wickman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831329267 PECOS PAC ID: 1355650664 Enrollment ID: I20220922003013 |
| Provider Name | Saif Anwaruddin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275658114 PECOS PAC ID: 4587788054 Enrollment ID: I20220923001258 |
| Provider Name | Evan Liang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346771409 PECOS PAC ID: 2567711278 Enrollment ID: I20220926002365 |
| Provider Name | Abigail M Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619438470 PECOS PAC ID: 7618396011 Enrollment ID: I20220927000458 |
| Provider Name | Emily A Mooers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477086049 PECOS PAC ID: 2062745565 Enrollment ID: I20220927001529 |
| Provider Name | Andrea J Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326783630 PECOS PAC ID: 7315323300 Enrollment ID: I20220928001896 |
| Provider Name | Anthony N Correro Ii |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356088405 PECOS PAC ID: 0749666733 Enrollment ID: I20220928001983 |
| Provider Name | Mina H Iskander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639584832 PECOS PAC ID: 4688970213 Enrollment ID: I20220928002663 |
| Provider Name | Amanda A Wenzel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316367451 PECOS PAC ID: 5294014866 Enrollment ID: I20220929000196 |
| Provider Name | Beth A Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174822399 PECOS PAC ID: 9739320870 Enrollment ID: I20220929001280 |
| Provider Name | Sydney C Timmer-murillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548833072 PECOS PAC ID: 0840676763 Enrollment ID: I20220929003625 |
| Provider Name | Patrick S Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407245061 PECOS PAC ID: 7810322831 Enrollment ID: I20220930002878 |
| Provider Name | Whayoung Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649791906 PECOS PAC ID: 5193134823 Enrollment ID: I20221003001166 |
| Provider Name | Rachel A Davis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518685700 PECOS PAC ID: 2062898885 Enrollment ID: I20221003001183 |
| Provider Name | Charles Ogdon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891142642 PECOS PAC ID: 3476845462 Enrollment ID: I20221005002948 |
| Provider Name | Leela Chaudhary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508376856 PECOS PAC ID: 3375957640 Enrollment ID: I20221006002669 |
| Provider Name | Jennifer Garcia Jetton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588985261 PECOS PAC ID: 0547391690 Enrollment ID: I20221006003444 |
| Provider Name | Tanyaporn Katherine Kaenkumchorn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568842300 PECOS PAC ID: 9133476302 Enrollment ID: I20221006003476 |
| Provider Name | Allison J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265177380 PECOS PAC ID: 2264818772 Enrollment ID: I20221007000160 |
| Provider Name | Emily J Organ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972248391 PECOS PAC ID: 3476939828 Enrollment ID: I20221010000211 |
| Provider Name | Elizabeth A Dabrowski |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053605873 PECOS PAC ID: 1052683745 Enrollment ID: I20221010000487 |
| Provider Name | Felix De Clercq |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1356883979 PECOS PAC ID: 7315203650 Enrollment ID: I20221010001664 |
| Provider Name | Danielle Mcclone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831829035 PECOS PAC ID: 7618343948 Enrollment ID: I20221012000178 |
| Provider Name | Daniel R Mcdonald |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073033981 PECOS PAC ID: 7517231079 Enrollment ID: I20221012000510 |
| Provider Name | Albina Zimany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932633245 PECOS PAC ID: 3274868096 Enrollment ID: I20221012001848 |
| Provider Name | Sarah E Carballo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891225207 PECOS PAC ID: 3274803002 Enrollment ID: I20221012003738 |
| Provider Name | Stacey J Schiebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598496853 PECOS PAC ID: 6901272129 Enrollment ID: I20221013000298 |
| Provider Name | Christin P Lissmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235857509 PECOS PAC ID: 5395111520 Enrollment ID: I20221013000598 |
| Provider Name | Heather M Wichman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316444722 PECOS PAC ID: 9739508995 Enrollment ID: I20221013003530 |
| Provider Name | Jacob F Pfeiffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609230044 PECOS PAC ID: 5294023123 Enrollment ID: I20221017001373 |
| Provider Name | Lydia Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447978283 PECOS PAC ID: 9133595150 Enrollment ID: I20221017001598 |
| Provider Name | Paula Winiarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457090656 PECOS PAC ID: 9133595168 Enrollment ID: I20221017002040 |
| Provider Name | Catherine D Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033573456 PECOS PAC ID: 1254624935 Enrollment ID: I20221018000652 |
| Provider Name | John Paul Wanner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891149290 PECOS PAC ID: 7315344264 Enrollment ID: I20221018002018 |
| Provider Name | Rebecca Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386106805 PECOS PAC ID: 9133595879 Enrollment ID: I20221020000728 |
| Provider Name | Tracy R Geoffrion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760748107 PECOS PAC ID: 0840531885 Enrollment ID: I20221022000202 |
| Provider Name | Daniel R Knabel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275920639 PECOS PAC ID: 1153750245 Enrollment ID: I20221025000376 |
| Provider Name | Victoria C Ronan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699154948 PECOS PAC ID: 4183920259 Enrollment ID: I20221026001085 |
| Provider Name | Pradeep Km Javarayee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033550298 PECOS PAC ID: 6305189200 Enrollment ID: I20221026001915 |
| Provider Name | Mary V Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437870243 PECOS PAC ID: 4385011659 Enrollment ID: I20221031001911 |
| Provider Name | Nancy E Bass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821019555 PECOS PAC ID: 7214978618 Enrollment ID: I20221101001233 |
| Provider Name | Jessica R Lyon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205333077 PECOS PAC ID: 9830444595 Enrollment ID: I20221101001415 |
| Provider Name | Erin K Holtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770201444 PECOS PAC ID: 6103293337 Enrollment ID: I20221101001850 |
| Provider Name | Megan Koller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073242533 PECOS PAC ID: 2567839707 Enrollment ID: I20221101002281 |
| Provider Name | Kristin E Riemersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073235123 PECOS PAC ID: 1850768920 Enrollment ID: I20221102000646 |
| Provider Name | Adrienne N Cobb |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1710229943 PECOS PAC ID: 1052614385 Enrollment ID: I20221102001003 |
| Provider Name | Sameer Shakir |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477930329 PECOS PAC ID: 6204127947 Enrollment ID: I20221103001959 |
| Provider Name | Kim M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073232674 PECOS PAC ID: 9739556671 Enrollment ID: I20221104001702 |
| Provider Name | Raji Venkitachalam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679973317 PECOS PAC ID: 3870899842 Enrollment ID: I20221107000752 |
| Provider Name | Amanda Kopydlowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457732620 PECOS PAC ID: 4082918743 Enrollment ID: I20221107000878 |
| Provider Name | Namrata D Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184075954 PECOS PAC ID: 8325330426 Enrollment ID: I20221107001671 |
| Provider Name | Timothy R Walsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407290588 PECOS PAC ID: 3971875436 Enrollment ID: I20221107001778 |
| Provider Name | Stephanie P Analytis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629573241 PECOS PAC ID: 9436406709 Enrollment ID: I20221107003265 |
| Provider Name | Pallavi Iyer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609886324 PECOS PAC ID: 3870525447 Enrollment ID: I20221108000301 |
| Provider Name | Brittany L Gresl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134594534 PECOS PAC ID: 0941677702 Enrollment ID: I20221108000641 |
| Provider Name | Rebecca A Mcnulty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770204968 PECOS PAC ID: 9335516111 Enrollment ID: I20221108001587 |
| Provider Name | Chee Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811617772 PECOS PAC ID: 7911374723 Enrollment ID: I20221108002777 |
| Provider Name | Mitchell R Dyer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477815967 PECOS PAC ID: 9133438922 Enrollment ID: I20221108002888 |
| Provider Name | Ryan Whitehouse |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1083367593 PECOS PAC ID: 3375921976 Enrollment ID: I20221110000199 |
| Provider Name | Alexandra C Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811625122 PECOS PAC ID: 9032586656 Enrollment ID: I20221111000338 |
| Provider Name | Jennifer R Renner-kevkhishvilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952035453 PECOS PAC ID: 7810364411 Enrollment ID: I20221111000861 |
| Provider Name | Kristin J Kruschel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669190070 PECOS PAC ID: 6103294699 Enrollment ID: I20221114002494 |
| Provider Name | Mackenzie L Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306578109 PECOS PAC ID: 7012385495 Enrollment ID: I20221115003041 |
| Provider Name | Samantha Czerniak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700484003 PECOS PAC ID: 3274945936 Enrollment ID: I20221116002326 |
| Provider Name | Alexandra C Istl |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1477168961 PECOS PAC ID: 3072981398 Enrollment ID: I20221117001934 |
| Provider Name | Ann-michael Holland |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114098290 PECOS PAC ID: 5193789782 Enrollment ID: I20221117002228 |
| Provider Name | Kathryn M Hyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720300999 PECOS PAC ID: 5193193449 Enrollment ID: I20221117003296 |
| Provider Name | Rakesh Marreddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386176659 PECOS PAC ID: 8921424227 Enrollment ID: I20221118001302 |
| Provider Name | Amanda B Novitski-juedes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356069744 PECOS PAC ID: 3577931757 Enrollment ID: I20221118001424 |
| Provider Name | Jennifer Makrides |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598110033 PECOS PAC ID: 4284921990 Enrollment ID: I20221121001825 |
| Provider Name | Jessica L Foley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780310052 PECOS PAC ID: 9436527470 Enrollment ID: I20221122001541 |
| Provider Name | Steven Pulitzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154515294 PECOS PAC ID: 0446348999 Enrollment ID: I20221202001933 |
| Provider Name | Krystyn C Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386363794 PECOS PAC ID: 3476921081 Enrollment ID: I20221202002329 |
| Provider Name | Kathryn N Landgraf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891419156 PECOS PAC ID: 5890164206 Enrollment ID: I20221207000650 |
| Provider Name | Anthony Nuval |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508251109 PECOS PAC ID: 9133404494 Enrollment ID: I20221208000769 |
| Provider Name | Michael R Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750008827 PECOS PAC ID: 0547639684 Enrollment ID: I20221212001283 |
| Provider Name | Samantha A Everhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285067306 PECOS PAC ID: 9830568898 Enrollment ID: I20221213003185 |
| Provider Name | Alexander H Buhk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477182970 PECOS PAC ID: 4082083902 Enrollment ID: I20221214003022 |
| Provider Name | Bethany Klett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679068381 PECOS PAC ID: 6305237561 Enrollment ID: I20221216000395 |
| Provider Name | Melissa A Weekes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750813309 PECOS PAC ID: 7517201577 Enrollment ID: I20221216002198 |
| Provider Name | Karl L Eschweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184292203 PECOS PAC ID: 9739582990 Enrollment ID: I20221219001293 |
| Provider Name | Amir A Ghaferi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790804078 PECOS PAC ID: 4183870835 Enrollment ID: I20221219001575 |
| Provider Name | Edward Kelly S Mrachek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376802025 PECOS PAC ID: 9931496213 Enrollment ID: I20221221001225 |
| Provider Name | Christopher J Jankowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447222807 PECOS PAC ID: 8426191271 Enrollment ID: I20221221001232 |
| Provider Name | Sarah A Shklyar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770292518 PECOS PAC ID: 3173993565 Enrollment ID: I20221229000747 |
| Provider Name | Bart Petrini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821292400 PECOS PAC ID: 5496835381 Enrollment ID: I20221229002443 |
| Provider Name | Cristin D Kaspar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942520341 PECOS PAC ID: 5890936660 Enrollment ID: I20221230000684 |
| Provider Name | Margaret R Altschaefl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285113779 PECOS PAC ID: 9830569102 Enrollment ID: I20221230002356 |
| Provider Name | Jason Ipsarides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245967967 PECOS PAC ID: 2668842998 Enrollment ID: I20230103001910 |
| Provider Name | Lynn Rose Vidakovic |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114933660 PECOS PAC ID: 0547288458 Enrollment ID: I20230104001296 |
| Provider Name | Joe Ed Parkey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699732925 PECOS PAC ID: 2567446735 Enrollment ID: I20230109000830 |
| Provider Name | Amy L Ridley Meyers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639315401 PECOS PAC ID: 5890849863 Enrollment ID: I20230109001018 |
| Provider Name | Jamie Puschnig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932817079 PECOS PAC ID: 4486024395 Enrollment ID: I20230110000586 |
| Provider Name | John F Nettrour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457355810 PECOS PAC ID: 2466350780 Enrollment ID: I20230110001131 |
| Provider Name | Charles W Andrews |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518936228 PECOS PAC ID: 1658262225 Enrollment ID: I20230110001329 |
| Provider Name | Elizabeth M Andekian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609455351 PECOS PAC ID: 3971994088 Enrollment ID: I20230110001497 |
| Provider Name | Elizabeth Deobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427765684 PECOS PAC ID: 5597135483 Enrollment ID: I20230111000590 |
| Provider Name | Amanda A Bleck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952656993 PECOS PAC ID: 9537539309 Enrollment ID: I20230112001670 |
| Provider Name | Kelsey Quirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366151110 PECOS PAC ID: 0648641365 Enrollment ID: I20230117001422 |
| Provider Name | Samantha Mazur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285343038 PECOS PAC ID: 1254702913 Enrollment ID: I20230118000182 |
| Provider Name | Maysoon Al-hihi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093741399 PECOS PAC ID: 8628053915 Enrollment ID: I20230119000377 |
| Provider Name | Brooke N Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639888795 PECOS PAC ID: 6901277458 Enrollment ID: I20230120002218 |
| Provider Name | Ryan Lee Lo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215249545 PECOS PAC ID: 3779804653 Enrollment ID: I20230122000007 |
| Provider Name | Kristy L Rahimi-alangi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376854521 PECOS PAC ID: 0941434575 Enrollment ID: I20230127001864 |
| Provider Name | Katie A Kettells |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124661285 PECOS PAC ID: 2860826864 Enrollment ID: I20230206001010 |
| Provider Name | Megan Hier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902449556 PECOS PAC ID: 8527430263 Enrollment ID: I20230207001474 |
| Provider Name | Kyle Farmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1831802636 PECOS PAC ID: 9436521184 Enrollment ID: I20230207002102 |
| Provider Name | Dhaval P Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811376254 PECOS PAC ID: 9032421458 Enrollment ID: I20230208000119 |
| Provider Name | Mackenzie Reid |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003529884 PECOS PAC ID: 0941672539 Enrollment ID: I20230208000465 |
| Provider Name | Michael P. Klodnicki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174844401 PECOS PAC ID: 3375837313 Enrollment ID: I20230208001803 |
| Provider Name | Matthew D Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407564149 PECOS PAC ID: 8022480581 Enrollment ID: I20230209000564 |
| Provider Name | Adiona Mustafara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285398362 PECOS PAC ID: 4082086566 Enrollment ID: I20230209001169 |
| Provider Name | Jennifer Ariana Stoyanov |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1740994490 PECOS PAC ID: 8527430008 Enrollment ID: I20230209001191 |
| Provider Name | Gabriella Lallave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952010779 PECOS PAC ID: 3870965387 Enrollment ID: I20230209002730 |
| Provider Name | Adriana Gabriela Ioachimescu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437183621 PECOS PAC ID: 7618970393 Enrollment ID: I20230215000585 |
| Provider Name | Molly M Banez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093442261 PECOS PAC ID: 0648642884 Enrollment ID: I20230215002841 |
| Provider Name | Christina M Mckinney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467915579 PECOS PAC ID: 8628445004 Enrollment ID: I20230215002858 |
| Provider Name | Victoria M Knutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285346759 PECOS PAC ID: 4789056946 Enrollment ID: I20230216000893 |
| Provider Name | Danielle M Owerko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558821942 PECOS PAC ID: 1557791050 Enrollment ID: I20230216001891 |
| Provider Name | Marianne Burton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265408173 PECOS PAC ID: 8123490315 Enrollment ID: I20230216002008 |
| Provider Name | Elizabeth N Berkholtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023729654 PECOS PAC ID: 8820460017 Enrollment ID: I20230216002240 |
| Provider Name | Rishi A Ramakrishna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306191432 PECOS PAC ID: 2264735976 Enrollment ID: I20230217000721 |
| Provider Name | Heidi A Storm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538252903 PECOS PAC ID: 5597137539 Enrollment ID: I20230221000698 |
| Provider Name | Rhiannon Gunther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477263358 PECOS PAC ID: 8022480094 Enrollment ID: I20230221001881 |
| Provider Name | Octavian Cosmin Ioachimescu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902965726 PECOS PAC ID: 6103213087 Enrollment ID: I20230223001958 |
| Provider Name | Katelyn M Donisch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619562683 PECOS PAC ID: 1759754401 Enrollment ID: I20230301000192 |
| Provider Name | Abdul Sattar Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427314111 PECOS PAC ID: 9133343577 Enrollment ID: I20230302002454 |
| Provider Name | Rajakrishnan Vijayakrishnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871742502 PECOS PAC ID: 1456574102 Enrollment ID: I20230307003252 |
| Provider Name | Jacqueline M Kawa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518390509 PECOS PAC ID: 8527431790 Enrollment ID: I20230309000604 |
| Provider Name | Kelsey Ann Gonring |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861903668 PECOS PAC ID: 2062769367 Enrollment ID: I20230309000929 |
| Provider Name | Jeffrey M Spangenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1801509534 PECOS PAC ID: 9133592322 Enrollment ID: I20230309001223 |
| Provider Name | Alexandria T Phan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821016148 PECOS PAC ID: 1951383165 Enrollment ID: I20230309002041 |
| Provider Name | Nina Boal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902302581 PECOS PAC ID: 6800147745 Enrollment ID: I20230313000330 |
| Provider Name | Bethany Forsythe Gulvezan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1619636891 PECOS PAC ID: 4082006077 Enrollment ID: I20230313000602 |
| Provider Name | Tanya Dragotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689371296 PECOS PAC ID: 3375917404 Enrollment ID: I20230313001485 |
| Provider Name | Stacy L Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871217745 PECOS PAC ID: 8123492253 Enrollment ID: I20230313001812 |
| Provider Name | Regina Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124746839 PECOS PAC ID: 4587038641 Enrollment ID: I20230313002879 |
| Provider Name | Rachel E Seltman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205179272 PECOS PAC ID: 1355573387 Enrollment ID: I20230316002855 |
| Provider Name | Eric E Beltz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568648889 PECOS PAC ID: 8426135310 Enrollment ID: I20230317001143 |
| Provider Name | Matthew Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740204965 PECOS PAC ID: 9335177484 Enrollment ID: I20230317001374 |
| Provider Name | Bradley Joseph Lagemann |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1194424275 PECOS PAC ID: 9335513134 Enrollment ID: I20230317001439 |
| Provider Name | Rachel West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952847493 PECOS PAC ID: 1153605472 Enrollment ID: I20230320001451 |
| Provider Name | John J Spencer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1740993435 PECOS PAC ID: 1052785722 Enrollment ID: I20230320001816 |
| Provider Name | Anthony Christopher Illing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124319215 PECOS PAC ID: 6608010962 Enrollment ID: I20230324001019 |
| Provider Name | Emily Woelfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891401287 PECOS PAC ID: 7719351238 Enrollment ID: I20230324001422 |
| Provider Name | Stephanie Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114623691 PECOS PAC ID: 1759755176 Enrollment ID: I20230324001811 |
| Provider Name | William Fischer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770882292 PECOS PAC ID: 7113165465 Enrollment ID: I20230324001815 |
| Provider Name | Julia R Huffaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831815257 PECOS PAC ID: 0345614780 Enrollment ID: I20230324002614 |
| Provider Name | Elizabeth S Malsin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720378557 PECOS PAC ID: 1355649831 Enrollment ID: I20230325000113 |
| Provider Name | Weedley Funeus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699208637 PECOS PAC ID: 9234404781 Enrollment ID: I20230327001215 |
| Provider Name | Valerie J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336854488 PECOS PAC ID: 5799159034 Enrollment ID: I20230328001018 |
| Provider Name | Benjamin B Kuzma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952382533 PECOS PAC ID: 4183694680 Enrollment ID: I20230329001071 |
| Provider Name | Simran K Brar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982263653 PECOS PAC ID: 9436579414 Enrollment ID: I20230331001226 |
| Provider Name | Kevin M Nieves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316652324 PECOS PAC ID: 3274908199 Enrollment ID: I20230406002379 |
| Provider Name | Brennan Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265882807 PECOS PAC ID: 9830469980 Enrollment ID: I20230407000757 |
| Provider Name | Thomas J. Gulvezan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437512985 PECOS PAC ID: 4082906862 Enrollment ID: I20230407001341 |
| Provider Name | Gregory Bradley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881135804 PECOS PAC ID: 6608207824 Enrollment ID: I20230413002554 |
| Provider Name | Rose Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568704690 PECOS PAC ID: 1153625066 Enrollment ID: I20230419001279 |
| Provider Name | Krystal K Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760915854 PECOS PAC ID: 9032454947 Enrollment ID: I20230419001534 |
| Provider Name | Shidrokh Shakeri-cerejo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215914619 PECOS PAC ID: 9234551979 Enrollment ID: I20230420000339 |
| Provider Name | Arielle Knafel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720792260 PECOS PAC ID: 4385009646 Enrollment ID: I20230420002752 |
| Provider Name | Crystal M Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043921802 PECOS PAC ID: 5395100382 Enrollment ID: I20230426001903 |
| Provider Name | Kendall M Follmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154022192 PECOS PAC ID: 1456716463 Enrollment ID: I20230426002579 |
| Provider Name | Tara R Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104535038 PECOS PAC ID: 2264897131 Enrollment ID: I20230427001999 |
| Provider Name | Steven M Koppel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811912306 PECOS PAC ID: 0042215774 Enrollment ID: I20230504002565 |
| Provider Name | Arjun Sivaraman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083067250 PECOS PAC ID: 2466706973 Enrollment ID: I20230504003139 |
| Provider Name | Rebekah R Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841997095 PECOS PAC ID: 6608231188 Enrollment ID: I20230505002113 |
| Provider Name | Emily R Patek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548960610 PECOS PAC ID: 0840656021 Enrollment ID: I20230512001328 |
| Provider Name | Chondraah G Holmes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144858093 PECOS PAC ID: 3274916028 Enrollment ID: I20230518003672 |
| Provider Name | Elise Annette Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487114237 PECOS PAC ID: 2860728532 Enrollment ID: I20230519000155 |
| Provider Name | Ryan M Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689136129 PECOS PAC ID: 2365877131 Enrollment ID: I20230519000204 |
| Provider Name | Emma M Austenfeld |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750813184 PECOS PAC ID: 5294068615 Enrollment ID: I20230519000297 |
| Provider Name | Mahmoud A Ali |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366089310 PECOS PAC ID: 5991161804 Enrollment ID: I20230519000377 |
| Provider Name | Olufisayo D Fagbemi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083111546 PECOS PAC ID: 2062878986 Enrollment ID: I20230519000436 |
| Provider Name | Timothy Mcelroy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477915387 PECOS PAC ID: 2567756455 Enrollment ID: I20230519000542 |
| Provider Name | Charlotte Formeller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487210076 PECOS PAC ID: 3678956364 Enrollment ID: I20230519000622 |
| Provider Name | Wadah Jason Ayoub |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578058418 PECOS PAC ID: 8123375375 Enrollment ID: I20230519000841 |
| Provider Name | Jeremiah F Haines |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598296832 PECOS PAC ID: 3476810458 Enrollment ID: I20230519000884 |
| Provider Name | Kondragunta R Prasad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033808498 PECOS PAC ID: 0042676975 Enrollment ID: I20230519000933 |
| Provider Name | Narmeen Irfan Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992266167 PECOS PAC ID: 8820322688 Enrollment ID: I20230519000964 |
| Provider Name | Paul E Hanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679005201 PECOS PAC ID: 1658792577 Enrollment ID: I20230519001011 |
| Provider Name | Katie E Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366975179 PECOS PAC ID: 0345679643 Enrollment ID: I20230519001046 |
| Provider Name | Jennifer N Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114480696 PECOS PAC ID: 5294160180 Enrollment ID: I20230519001403 |
| Provider Name | Muhammad F Ali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811505522 PECOS PAC ID: 8224455423 Enrollment ID: I20230519001577 |
| Provider Name | Michael M Decker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447525878 PECOS PAC ID: 9931338274 Enrollment ID: I20230519002439 |
| Provider Name | Jamie L Holland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356801427 PECOS PAC ID: 1153749619 Enrollment ID: I20230519002699 |
| Provider Name | Megan C Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780213231 PECOS PAC ID: 8325464175 Enrollment ID: I20230519002903 |
| Provider Name | Matthieu Mayer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528564861 PECOS PAC ID: 5991052078 Enrollment ID: I20230522001330 |
| Provider Name | Charles Messerly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376037143 PECOS PAC ID: 3072860204 Enrollment ID: I20230522002063 |
| Provider Name | Averee Zent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811609258 PECOS PAC ID: 0547627705 Enrollment ID: I20230601003102 |
| Provider Name | Andrew C Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760987077 PECOS PAC ID: 5092172254 Enrollment ID: I20230601003137 |
| Provider Name | Andrew K Murphy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386263275 PECOS PAC ID: 8022437177 Enrollment ID: I20230601003184 |
| Provider Name | Ashley N Phimister |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497109193 PECOS PAC ID: 1456686930 Enrollment ID: I20230601003195 |
| Provider Name | Douglas C Pierce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043715758 PECOS PAC ID: 6608233838 Enrollment ID: I20230605000267 |
| Provider Name | Heidi Messiha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023637956 PECOS PAC ID: 4284052721 Enrollment ID: I20230605000522 |
| Provider Name | Rebecca Karls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720755036 PECOS PAC ID: 6709272792 Enrollment ID: I20230605001171 |
| Provider Name | Nidhi Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689168668 PECOS PAC ID: 8022475177 Enrollment ID: I20230605001333 |
| Provider Name | Jordan Bauman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942861752 PECOS PAC ID: 7618201187 Enrollment ID: I20230605001384 |
| Provider Name | Bailey M Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063040723 PECOS PAC ID: 5193140291 Enrollment ID: I20230605001588 |
| Provider Name | Narendra B Veerapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477784379 PECOS PAC ID: 4981850310 Enrollment ID: I20230605001670 |
| Provider Name | Othman Salim Akhtar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619325404 PECOS PAC ID: 2062750805 Enrollment ID: I20230605002070 |
| Provider Name | Elizabeth M Collis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306532247 PECOS PAC ID: 9739546847 Enrollment ID: I20230606000393 |
| Provider Name | Sara M Ebsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740918754 PECOS PAC ID: 8820455959 Enrollment ID: I20230606001262 |
| Provider Name | Adam Striker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649280348 PECOS PAC ID: 6709816911 Enrollment ID: I20230612001936 |
| Provider Name | Divya S Bhagavatula |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497130371 PECOS PAC ID: 6002273612 Enrollment ID: I20230613000449 |
| Provider Name | Tate M Naylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144718701 PECOS PAC ID: 1759631872 Enrollment ID: I20230613000516 |
| Provider Name | Janessa L Snippen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124657051 PECOS PAC ID: 8921423930 Enrollment ID: I20230613003577 |
| Provider Name | Ellen E Schmitt |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1902367725 PECOS PAC ID: 3072943869 Enrollment ID: I20230614000477 |
| Provider Name | Shivam V Amin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033679493 PECOS PAC ID: 2769813914 Enrollment ID: I20230614000875 |
| Provider Name | Leroy J Seymour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962039081 PECOS PAC ID: 9234556739 Enrollment ID: I20230614001772 |
| Provider Name | Juliana Jeffers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700587813 PECOS PAC ID: 8729446232 Enrollment ID: I20230615000485 |
| Provider Name | Marisa E Roman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730717455 PECOS PAC ID: 1456734482 Enrollment ID: I20230615001158 |
| Provider Name | Aaron A H Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376907063 PECOS PAC ID: 9234422767 Enrollment ID: I20230615002873 |
| Provider Name | Alaina Gussert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780371351 PECOS PAC ID: 1254799620 Enrollment ID: I20230615003195 |
| Provider Name | Matthew T Peller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871956219 PECOS PAC ID: 9032492780 Enrollment ID: I20230620001942 |
| Provider Name | Anna L Culhane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598225831 PECOS PAC ID: 5890176499 Enrollment ID: I20230621000210 |
| Provider Name | Elizabeth M Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346700077 PECOS PAC ID: 1759717366 Enrollment ID: I20230621003402 |
| Provider Name | Salma A Dawoud |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336636554 PECOS PAC ID: 6406105964 Enrollment ID: I20230622000650 |
| Provider Name | Babajide O Adio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962934844 PECOS PAC ID: 5294007209 Enrollment ID: I20230622001146 |
| Provider Name | Kaylene Elizabeth Fiala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669908448 PECOS PAC ID: 7214206879 Enrollment ID: I20230622001306 |
| Provider Name | Riley J Westein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396205381 PECOS PAC ID: 1557782331 Enrollment ID: I20230622001816 |
| Provider Name | Ekokobe Fonkem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538359534 PECOS PAC ID: 2062678295 Enrollment ID: I20230622002087 |
| Provider Name | Nathaniel Ebbets White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821558669 PECOS PAC ID: 2466786835 Enrollment ID: I20230622002411 |
| Provider Name | Caitlin M Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710483656 PECOS PAC ID: 6204182330 Enrollment ID: I20230622002910 |
| Provider Name | Fitsum N Woldesellassie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194257279 PECOS PAC ID: 3274883939 Enrollment ID: I20230623001184 |
| Provider Name | Kevser Akyuz Yesilyaprak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396374062 PECOS PAC ID: 7214353077 Enrollment ID: I20230626000523 |
| Provider Name | Chen Cui |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609220664 PECOS PAC ID: 0143647891 Enrollment ID: I20230704000358 |
| Provider Name | Daniel Wesley Abbott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467894873 PECOS PAC ID: 9739412263 Enrollment ID: I20230705000527 |
| Provider Name | Omar Alkhatib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750813630 PECOS PAC ID: 9436518701 Enrollment ID: I20230705000791 |
| Provider Name | Erica Marie Lanser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588195689 PECOS PAC ID: 1355770595 Enrollment ID: I20230705001607 |
| Provider Name | Matthew Ficinski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629599261 PECOS PAC ID: 6608102520 Enrollment ID: I20230706000545 |
| Provider Name | Rebecca C Czaja |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104322015 PECOS PAC ID: 5395124424 Enrollment ID: I20230706002513 |
| Provider Name | Elijah B Dahlstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063038651 PECOS PAC ID: 2163845223 Enrollment ID: I20230706003134 |
| Provider Name | Seyed A Arshad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861856940 PECOS PAC ID: 2668765868 Enrollment ID: I20230712001928 |
| Provider Name | Aparna Ramasubramanian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841428083 PECOS PAC ID: 3678797107 Enrollment ID: I20230713002584 |
| Provider Name | Rushi M Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487150025 PECOS PAC ID: 8224463062 Enrollment ID: I20230714001213 |
| Provider Name | Pritesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194969857 PECOS PAC ID: 5991947657 Enrollment ID: I20230714002799 |
| Provider Name | Steven Mazzone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467982181 PECOS PAC ID: 8921377649 Enrollment ID: I20230714002858 |
| Provider Name | Gi Yoon Kim |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1568967222 PECOS PAC ID: 2466812987 Enrollment ID: I20230717000083 |
| Provider Name | Jeremy H Levin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013350040 PECOS PAC ID: 3072935998 Enrollment ID: I20230717000615 |
| Provider Name | Kyle D Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912389297 PECOS PAC ID: 1254636038 Enrollment ID: I20230717000672 |
| Provider Name | Jamie A Jasti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689202772 PECOS PAC ID: 5991122483 Enrollment ID: I20230717000721 |
| Provider Name | Bimatshu Pyakuryal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205440427 PECOS PAC ID: 0345600888 Enrollment ID: I20230717000976 |
| Provider Name | Daniel O Hassumani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437685500 PECOS PAC ID: 7113297441 Enrollment ID: I20230717003421 |
| Provider Name | Stephen Brandt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972038537 PECOS PAC ID: 5991048902 Enrollment ID: I20230718003470 |
| Provider Name | Sylwia Magdalena Kaeding |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225535354 PECOS PAC ID: 2264781509 Enrollment ID: I20230718003738 |
| Provider Name | Bailey M Hutchison |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336637487 PECOS PAC ID: 5890046098 Enrollment ID: I20230719000915 |
| Provider Name | Sara Elizabeth Harman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699303230 PECOS PAC ID: 3274905989 Enrollment ID: I20230719000953 |
| Provider Name | Lauren A Reiter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225410699 PECOS PAC ID: 3173829470 Enrollment ID: I20230719001824 |
| Provider Name | Mckenna R Scott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780379842 PECOS PAC ID: 7810357027 Enrollment ID: I20230720000175 |
| Provider Name | Emre C Ozcekirdek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750989653 PECOS PAC ID: 6002276227 Enrollment ID: I20230720000558 |
| Provider Name | Mayya S Safarova |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740713965 PECOS PAC ID: 7315361482 Enrollment ID: I20230720001129 |
| Provider Name | Ellen Marie Cody |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336502319 PECOS PAC ID: 7618262478 Enrollment ID: I20230720001280 |
| Provider Name | Stephen W Sawyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336679299 PECOS PAC ID: 9234400441 Enrollment ID: I20230720001803 |
| Provider Name | Shannon B Zalewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063906113 PECOS PAC ID: 6002248077 Enrollment ID: I20230720002476 |
| Provider Name | Paola Katherine Fernandez Soto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861986606 PECOS PAC ID: 7911255732 Enrollment ID: I20230720003831 |
| Provider Name | Steven Russell Verga |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376075929 PECOS PAC ID: 8123373883 Enrollment ID: I20230720004208 |
| Provider Name | Audrey M Jensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558822031 PECOS PAC ID: 2961832738 Enrollment ID: I20230721000851 |
| Provider Name | Samon Tavakoli-sabour |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285081646 PECOS PAC ID: 1355632308 Enrollment ID: I20230721002323 |
| Provider Name | Lauren M. Burgunder |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457883449 PECOS PAC ID: 6507117256 Enrollment ID: I20230721002841 |
| Provider Name | Julian Franko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164928362 PECOS PAC ID: 2769736842 Enrollment ID: I20230724000490 |
| Provider Name | Brianna L Mcsorley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932632809 PECOS PAC ID: 4789950700 Enrollment ID: I20230726000085 |
| Provider Name | Ifunanya A Agbim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952795288 PECOS PAC ID: 4486966744 Enrollment ID: I20230726001617 |
| Provider Name | Kunal Gupta |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316203805 PECOS PAC ID: 9032364864 Enrollment ID: I20230726001932 |
| Provider Name | Tiffany J Gessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750976288 PECOS PAC ID: 5597126334 Enrollment ID: I20230726003371 |
| Provider Name | Michael Wedoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982109971 PECOS PAC ID: 7315372182 Enrollment ID: I20230726003912 |
| Provider Name | Momodou L Jammeh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467947382 PECOS PAC ID: 1355702127 Enrollment ID: I20230727000867 |
| Provider Name | Kaila C Redifer-tremblay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730610411 PECOS PAC ID: 9931538410 Enrollment ID: I20230727001207 |
| Provider Name | Stephanie Kim Cheok |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386024974 PECOS PAC ID: 4587976790 Enrollment ID: I20230727002661 |
| Provider Name | Fan Md Zhu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083146294 PECOS PAC ID: 3779944400 Enrollment ID: I20230727003570 |
| Provider Name | Emily R Mattoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982199808 PECOS PAC ID: 8921436007 Enrollment ID: I20230728000983 |
| Provider Name | Demarco A Bowen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437653862 PECOS PAC ID: 5092176685 Enrollment ID: I20230728002630 |
| Provider Name | Rachel S Segal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093242869 PECOS PAC ID: 6305116591 Enrollment ID: I20230728003089 |
| Provider Name | Paul Truong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598380123 PECOS PAC ID: 0244654499 Enrollment ID: I20230731002678 |
| Provider Name | Kritika Yadav |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184238297 PECOS PAC ID: 0547621013 Enrollment ID: I20230731002754 |
| Provider Name | Jennifer Depagter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669012845 PECOS PAC ID: 5991131096 Enrollment ID: I20230801002428 |
| Provider Name | Brandon C Warren |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275196198 PECOS PAC ID: 3375956766 Enrollment ID: I20230801004206 |
| Provider Name | Chelsea R Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922534460 PECOS PAC ID: 3476957283 Enrollment ID: I20230802000120 |
| Provider Name | Victoria H Besser |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790217016 PECOS PAC ID: 4880055144 Enrollment ID: I20230802003049 |
| Provider Name | Anam Qureshi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679098974 PECOS PAC ID: 0749555167 Enrollment ID: I20230802003074 |
| Provider Name | Julia Rose Reshma Shariff |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295232262 PECOS PAC ID: 3375874027 Enrollment ID: I20230803000241 |
| Provider Name | Elizabeth J Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023548237 PECOS PAC ID: 6305207614 Enrollment ID: I20230803000423 |
| Provider Name | Vishal B Pandya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679006985 PECOS PAC ID: 1951762277 Enrollment ID: I20230803000776 |
| Provider Name | Ellen M Hallberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942838941 PECOS PAC ID: 8022484286 Enrollment ID: I20230803001345 |
| Provider Name | Peyton Andrew Keeling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639604150 PECOS PAC ID: 7214316942 Enrollment ID: I20230804000561 |
| Provider Name | Will D Lyon |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1245791607 PECOS PAC ID: 3779913611 Enrollment ID: I20230804002685 |
| Provider Name | Marina Affi Koprowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275065575 PECOS PAC ID: 3779855028 Enrollment ID: I20230807000586 |
| Provider Name | Vinicius Silbiger De Stefano |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164908869 PECOS PAC ID: 1355672627 Enrollment ID: I20230808000871 |
| Provider Name | Daniel J.scott Chilcote |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144682790 PECOS PAC ID: 4183955933 Enrollment ID: I20230808001228 |
| Provider Name | Kayla Duvall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982150702 PECOS PAC ID: 2668769902 Enrollment ID: I20230808001781 |
| Provider Name | David D Rivedal |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1740643030 PECOS PAC ID: 0941564819 Enrollment ID: I20230809003132 |
| Provider Name | Kayla M Baus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578241881 PECOS PAC ID: 5193187060 Enrollment ID: I20230810000388 |
| Provider Name | Lauren M North |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255864278 PECOS PAC ID: 2961742523 Enrollment ID: I20230810001412 |
| Provider Name | Katie M Strachan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639872039 PECOS PAC ID: 0547622359 Enrollment ID: I20230810002721 |
| Provider Name | Kayla T Sallinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548948979 PECOS PAC ID: 3678935400 Enrollment ID: I20230810003615 |
| Provider Name | Merritt G Tuttle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073044566 PECOS PAC ID: 7810237278 Enrollment ID: I20230810003871 |
| Provider Name | Elaine J Tanhehco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508228206 PECOS PAC ID: 8123315546 Enrollment ID: I20230810003901 |
| Provider Name | Adam J Cambray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639134786 PECOS PAC ID: 5597818492 Enrollment ID: I20230811000788 |
| Provider Name | Katie M Sullivan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730715830 PECOS PAC ID: 1153731617 Enrollment ID: I20230811002532 |
| Provider Name | Jeremy J Steinbruck |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528548468 PECOS PAC ID: 4880938547 Enrollment ID: I20230814000136 |
| Provider Name | Lauren H Mascari |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255854006 PECOS PAC ID: 4486013588 Enrollment ID: I20230814002020 |
| Provider Name | Daniel L Pelzman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598291668 PECOS PAC ID: 5294003927 Enrollment ID: I20230814003060 |
| Provider Name | Lisa M Wehr Maves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134610512 PECOS PAC ID: 6204185754 Enrollment ID: I20230815004289 |
| Provider Name | Bridget Ellsworth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063944312 PECOS PAC ID: 7517211428 Enrollment ID: I20230825003360 |
| Provider Name | Mohamad G Bakhaidar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497434716 PECOS PAC ID: 2163885971 Enrollment ID: I20230828000756 |
| Provider Name | Axel Shum |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730610692 PECOS PAC ID: 8325380033 Enrollment ID: I20230831000277 |
| Provider Name | Qishuo Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184238289 PECOS PAC ID: 0446613947 Enrollment ID: I20230831001316 |
| Provider Name | Ty B Dunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164423893 PECOS PAC ID: 8325094618 Enrollment ID: I20230831003150 |
| Provider Name | Paige Kokta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891437703 PECOS PAC ID: 6709249147 Enrollment ID: I20230831003498 |
| Provider Name | Caroline Maloney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063767937 PECOS PAC ID: 2365786092 Enrollment ID: I20230831003836 |
| Provider Name | Christopher A Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306289707 PECOS PAC ID: 9638453780 Enrollment ID: I20230901000930 |
| Provider Name | John C Birchak |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942610233 PECOS PAC ID: 5496055634 Enrollment ID: I20230901002657 |
| Provider Name | Sehr S Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205464369 PECOS PAC ID: 7810312824 Enrollment ID: I20230905000757 |
| Provider Name | Stefanie M Rubalcava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861185720 PECOS PAC ID: 7214390483 Enrollment ID: I20230906000889 |
| Provider Name | Jennifer A Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215615380 PECOS PAC ID: 0749643922 Enrollment ID: I20230906001591 |
| Provider Name | Jillian A Nard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780047373 PECOS PAC ID: 2769733898 Enrollment ID: I20230908000328 |
| Provider Name | Allison B Hultgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164104758 PECOS PAC ID: 7719341726 Enrollment ID: I20230908003339 |
| Provider Name | Layne Heling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710684907 PECOS PAC ID: 3072977032 Enrollment ID: I20230911001514 |
| Provider Name | Tyler Wittmann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124523766 PECOS PAC ID: 4284053406 Enrollment ID: I20230912000961 |
| Provider Name | John E Markwardt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518451723 PECOS PAC ID: 4486900859 Enrollment ID: I20230913001817 |
| Provider Name | Jacquelyn F Laplant |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033572375 PECOS PAC ID: 6204248099 Enrollment ID: I20230913002319 |
| Provider Name | Ashley Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700168697 PECOS PAC ID: 7618331240 Enrollment ID: I20230914001401 |
| Provider Name | Lori Lynn Kosmicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326441015 PECOS PAC ID: 6002138286 Enrollment ID: I20230914001856 |
| Provider Name | Ryan N. Sauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427243385 PECOS PAC ID: 1052491883 Enrollment ID: I20230918000148 |
| Provider Name | Ryan V Puccia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104357425 PECOS PAC ID: 0446590806 Enrollment ID: I20230925003608 |
| Provider Name | Anna Boyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760175087 PECOS PAC ID: 1557715588 Enrollment ID: I20230926000521 |
| Provider Name | Elizabeth A Laufenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144902081 PECOS PAC ID: 0648624684 Enrollment ID: I20230926001441 |
| Provider Name | Isaac Lee Hanson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598287039 PECOS PAC ID: 2860878667 Enrollment ID: I20230926001794 |
| Provider Name | Alyssa J Farnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437832607 PECOS PAC ID: 7911351887 Enrollment ID: I20230926002411 |
| Provider Name | Scott R Merriman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578959524 PECOS PAC ID: 1850603937 Enrollment ID: I20230926002811 |
| Provider Name | Sarah A Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417647827 PECOS PAC ID: 7911351895 Enrollment ID: I20230926002852 |
| Provider Name | Mackenzie Goertz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871273052 PECOS PAC ID: 7719331693 Enrollment ID: I20230926002913 |
| Provider Name | Mai-linh M Schuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407535727 PECOS PAC ID: 8123472040 Enrollment ID: I20230927000249 |
| Provider Name | Joann Marie Samalik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720515208 PECOS PAC ID: 6002185303 Enrollment ID: I20230927002055 |
| Provider Name | Rebekah A Miramontes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821783937 PECOS PAC ID: 3870947641 Enrollment ID: I20230927002681 |
| Provider Name | Shanthi Narla |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114318870 PECOS PAC ID: 1254688187 Enrollment ID: I20230927003279 |
| Provider Name | Nicole G Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891476511 PECOS PAC ID: 7911351663 Enrollment ID: I20230928001646 |
| Provider Name | Timothy Tran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134356025 PECOS PAC ID: 5294954830 Enrollment ID: I20230928002523 |
| Provider Name | Brittany A Eminger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548858046 PECOS PAC ID: 2668826322 Enrollment ID: I20230928002531 |
| Provider Name | Joshua C Dilday |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033591185 PECOS PAC ID: 6709230477 Enrollment ID: I20230928002810 |
| Provider Name | Valerie Lohse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962198275 PECOS PAC ID: 4587018254 Enrollment ID: I20230928003024 |
| Provider Name | Jacqueline J Blank |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760800312 PECOS PAC ID: 4981983558 Enrollment ID: I20231002002103 |
| Provider Name | Samuel C Gable |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811663420 PECOS PAC ID: 5092169680 Enrollment ID: I20231003000056 |
| Provider Name | Kristen M Corrao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801328430 PECOS PAC ID: 8224459169 Enrollment ID: I20231003000720 |
| Provider Name | Phaedra M Tachtatzis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801672282 PECOS PAC ID: 0042665465 Enrollment ID: I20231004003363 |
| Provider Name | Shervin Mirshahi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063832335 PECOS PAC ID: 8628298395 Enrollment ID: I20231005000355 |
| Provider Name | Caitlin A Orner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124481254 PECOS PAC ID: 0244580181 Enrollment ID: I20231005000847 |
| Provider Name | Diane Chungtine Peng |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932636644 PECOS PAC ID: 7719256098 Enrollment ID: I20231005001468 |
| Provider Name | Gokulakrishnan Balasubramanian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104079177 PECOS PAC ID: 8628225042 Enrollment ID: I20231008000138 |
| Provider Name | Stanley H Sprei |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508849506 PECOS PAC ID: 6103716717 Enrollment ID: I20231017000918 |
| Provider Name | Annemarie E Hengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508546086 PECOS PAC ID: 1254786882 Enrollment ID: I20231017000950 |
| Provider Name | Aisha Uraizee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891358701 PECOS PAC ID: 8820329121 Enrollment ID: I20231017001356 |
| Provider Name | James R Yawn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841686839 PECOS PAC ID: 7315255320 Enrollment ID: I20231017002396 |
| Provider Name | Emily F Kilmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255022844 PECOS PAC ID: 9335595867 Enrollment ID: I20231019002292 |
| Provider Name | Abigail A Ullman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467146498 PECOS PAC ID: 8224484795 Enrollment ID: I20231020000062 |
| Provider Name | Brooke Zelhofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972086023 PECOS PAC ID: 8224484225 Enrollment ID: I20231027000367 |
| Provider Name | Ali K Daha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558659490 PECOS PAC ID: 3173817368 Enrollment ID: I20231027000471 |
| Provider Name | Andrew James Macginnitie |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1518931609 PECOS PAC ID: 0941283014 Enrollment ID: I20231027002736 |
| Provider Name | Kathryn E Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912783838 PECOS PAC ID: 7517313497 Enrollment ID: I20231030000423 |
| Provider Name | Santosh V Yajnik |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083605067 PECOS PAC ID: 6103899505 Enrollment ID: I20231030001302 |
| Provider Name | Taylor Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548043250 PECOS PAC ID: 3072969971 Enrollment ID: I20231030001467 |
| Provider Name | Beje Thomas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225214471 PECOS PAC ID: 1254418528 Enrollment ID: I20231030001781 |
| Provider Name | Katherine Sage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962139071 PECOS PAC ID: 0446606354 Enrollment ID: I20231030001943 |
| Provider Name | Jessica S Chung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679033849 PECOS PAC ID: 6901139385 Enrollment ID: I20231030002963 |
| Provider Name | Mitchell P O'neill |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154785400 PECOS PAC ID: 2466733738 Enrollment ID: I20231031000180 |
| Provider Name | Alina Livshits Tvina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588150072 PECOS PAC ID: 5496176414 Enrollment ID: I20231031001636 |
| Provider Name | Tiffany L Mundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588346654 PECOS PAC ID: 0143676882 Enrollment ID: I20231101000094 |
| Provider Name | Erin E Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619758281 PECOS PAC ID: 3678929312 Enrollment ID: I20231101000166 |
| Provider Name | Meghan M Caballero |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861997595 PECOS PAC ID: 2466708631 Enrollment ID: I20231101000803 |
| Provider Name | Kun-tai Hsu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043504772 PECOS PAC ID: 4688073612 Enrollment ID: I20231101001333 |
| Provider Name | Emre Arpali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841077021 PECOS PAC ID: 0446606123 Enrollment ID: I20231101001794 |
| Provider Name | Madison M Lindauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457139669 PECOS PAC ID: 0941656540 Enrollment ID: I20231101003040 |
| Provider Name | Katherine Elizabeth Krause |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184187031 PECOS PAC ID: 4880927177 Enrollment ID: I20231101003578 |
| Provider Name | Shamshad Shahrukh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992280952 PECOS PAC ID: 2567891443 Enrollment ID: I20231102002024 |
| Provider Name | Rachel A Cambray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669437703 PECOS PAC ID: 3678625506 Enrollment ID: I20231102003177 |
| Provider Name | Rajiv Sunil Varandani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376164418 PECOS PAC ID: 9335560259 Enrollment ID: I20231103001110 |
| Provider Name | Cleo Yi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942781414 PECOS PAC ID: 6800243320 Enrollment ID: I20231106001135 |
| Provider Name | Megan Jablonski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073054227 PECOS PAC ID: 0941657373 Enrollment ID: I20231107002158 |
| Provider Name | Aysha T Muhammad |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003696964 PECOS PAC ID: 7012364201 Enrollment ID: I20231109001175 |
| Provider Name | Samantha J Roelse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689357394 PECOS PAC ID: 4880041607 Enrollment ID: I20231115002140 |
| Provider Name | Brittany N Hamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669244471 PECOS PAC ID: 2961850888 Enrollment ID: I20231201002502 |
| Provider Name | Samantha A Lautmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053012146 PECOS PAC ID: 7012365968 Enrollment ID: I20231202000588 |
| Provider Name | Iiro Honkanen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669993929 PECOS PAC ID: 5698044386 Enrollment ID: I20231204001447 |
| Provider Name | Amy C Barrette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588436463 PECOS PAC ID: 5698123594 Enrollment ID: I20231204001605 |
| Provider Name | Samantha M Jaglowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669674271 PECOS PAC ID: 0840486296 Enrollment ID: I20231205002639 |
| Provider Name | Montoya K Taylor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558523464 PECOS PAC ID: 8426297375 Enrollment ID: I20231205002655 |
| Provider Name | Benjamin Araya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811551013 PECOS PAC ID: 6204280449 Enrollment ID: I20231205002721 |
| Provider Name | Eric W Halpern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528402369 PECOS PAC ID: 4880827997 Enrollment ID: I20231205003012 |
| Provider Name | Timothy Joel Greenwell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003301318 PECOS PAC ID: 7012366503 Enrollment ID: I20231208002309 |
| Provider Name | Marlo J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568168714 PECOS PAC ID: 7719336098 Enrollment ID: I20231212002136 |
| Provider Name | Maureen C Mcelligott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154772820 PECOS PAC ID: 6608161971 Enrollment ID: I20231212002736 |
| Provider Name | Olivia I Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902679111 PECOS PAC ID: 9739538687 Enrollment ID: I20231218001753 |
| Provider Name | David Wong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023202280 PECOS PAC ID: 1052567021 Enrollment ID: I20231219002186 |
| Provider Name | Danielle D Sidjanin Maier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952184988 PECOS PAC ID: 2264882364 Enrollment ID: I20240102003735 |
| Provider Name | Sara J French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568895936 PECOS PAC ID: 4284860701 Enrollment ID: I20240109000858 |
| Provider Name | Reginald A Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699066019 PECOS PAC ID: 3375776966 Enrollment ID: I20240109003760 |
| Provider Name | Azore-dee Bradshaw |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154682250 PECOS PAC ID: 3173924503 Enrollment ID: I20240111002346 |
| Provider Name | Stuart M Feldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760434633 PECOS PAC ID: 3577543768 Enrollment ID: I20240111004425 |
| Provider Name | Ashley R Oestreich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548034259 PECOS PAC ID: 9234580465 Enrollment ID: I20240112000168 |
| Provider Name | Abubakar Heb Mohamed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821570664 PECOS PAC ID: 4981056959 Enrollment ID: I20240116002410 |
| Provider Name | Adam T Everson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730607797 PECOS PAC ID: 9537512975 Enrollment ID: I20240201001010 |
| Provider Name | Juan T Limjoco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902876071 PECOS PAC ID: 2769404979 Enrollment ID: I20240201003229 |
| Provider Name | Meaghan Donnellan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548530090 PECOS PAC ID: 6507209749 Enrollment ID: I20240205003697 |
| Provider Name | Raeva Shakun Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467863530 PECOS PAC ID: 6800185745 Enrollment ID: I20240220001337 |
| Provider Name | Mandi R Ventura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932978533 PECOS PAC ID: 3072957836 Enrollment ID: I20240220002627 |
| Provider Name | Alan Oroxom |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790770410 PECOS PAC ID: 7618161167 Enrollment ID: I20240220002696 |
| Provider Name | Camille Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710358403 PECOS PAC ID: 8224471404 Enrollment ID: I20240222003813 |
| Provider Name | Rebecca Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1689443137 PECOS PAC ID: 1153766258 Enrollment ID: I20240228003468 |
| Provider Name | Prakash V Chauhan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851160022 PECOS PAC ID: 6103261961 Enrollment ID: I20240301003842 |
| Provider Name | Carrie A Danhieux-pool |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922149731 PECOS PAC ID: 9234574971 Enrollment ID: I20240304002302 |
| Provider Name | Mikayla M Bruss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619747094 PECOS PAC ID: 1658716261 Enrollment ID: I20240305001104 |
| Provider Name | Emily R Valkenburgh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376860627 PECOS PAC ID: 8123383668 Enrollment ID: I20240306001785 |
| Provider Name | Leslie A Fischer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437302569 PECOS PAC ID: 1658717087 Enrollment ID: I20240307003825 |
| Provider Name | Lisa A Roehl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457501173 PECOS PAC ID: 6002268653 Enrollment ID: I20240315002178 |
| Provider Name | Laura N Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033869797 PECOS PAC ID: 3577945716 Enrollment ID: I20240318000390 |
| Provider Name | Darci Fenske |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588356992 PECOS PAC ID: 1557708245 Enrollment ID: I20240318000459 |
| Provider Name | Zaid Kadhim Mahdi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770826703 PECOS PAC ID: 2163792797 Enrollment ID: I20240318000709 |
| Provider Name | Nicole M Pryor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538525308 PECOS PAC ID: 7911344676 Enrollment ID: I20240318002716 |
| Provider Name | Holger M Baumann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780734616 PECOS PAC ID: 5092819896 Enrollment ID: I20240321000773 |
| Provider Name | Christopher Thomas Laird |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841533445 PECOS PAC ID: 9335448562 Enrollment ID: I20240325001618 |
| Provider Name | Vanessa Davies |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467118794 PECOS PAC ID: 8921491150 Enrollment ID: I20240326001011 |
| Provider Name | Megan Seidl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568811511 PECOS PAC ID: 1557655941 Enrollment ID: I20240326001337 |
| Provider Name | Thomas Meuser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740059542 PECOS PAC ID: 4688011646 Enrollment ID: I20240326002474 |
| Provider Name | Erickson Torio |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619549029 PECOS PAC ID: 2466890819 Enrollment ID: I20240403003685 |
| Provider Name | Toby C Cornish |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669522926 PECOS PAC ID: 8325230360 Enrollment ID: I20240408000252 |
| Provider Name | Uvie Whiteru |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114366044 PECOS PAC ID: 5193011021 Enrollment ID: I20240408001068 |
| Provider Name | Jan Fraessdorf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629836432 PECOS PAC ID: 3375981418 Enrollment ID: I20240409000907 |
| Provider Name | Thomas Edward Monachino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942292552 PECOS PAC ID: 0749328342 Enrollment ID: I20240410001400 |
| Provider Name | Karli Mcmanaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366182008 PECOS PAC ID: 1658710553 Enrollment ID: I20240411001908 |
| Provider Name | Tatjana Djukic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720843907 PECOS PAC ID: 3678912268 Enrollment ID: I20240416000858 |
| Provider Name | Cassandra M List |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922414499 PECOS PAC ID: 5698051001 Enrollment ID: I20240417001521 |
| Provider Name | Benjamin Thiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689982043 PECOS PAC ID: 6901245315 Enrollment ID: I20240418001602 |
| Provider Name | Melissa A Neilon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609641935 PECOS PAC ID: 2365881406 Enrollment ID: I20240422002418 |
| Provider Name | Nicholas Paul Semenkovich |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598295370 PECOS PAC ID: 4981974524 Enrollment ID: I20240424003654 |
| Provider Name | Erica N Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669819363 PECOS PAC ID: 9931549730 Enrollment ID: I20240426001877 |
| Provider Name | John Peckham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538206131 PECOS PAC ID: 5193894830 Enrollment ID: I20240429003012 |
| Provider Name | Damien D Lemieux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639938871 PECOS PAC ID: 1850731464 Enrollment ID: I20240430002243 |
| Provider Name | Faisal Shahjehan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861051203 PECOS PAC ID: 4082941620 Enrollment ID: I20240430003227 |
| Provider Name | Ashley A Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912638081 PECOS PAC ID: 8820439805 Enrollment ID: I20240508000870 |
| Provider Name | Steven Matthew Cherney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487947768 PECOS PAC ID: 4688803018 Enrollment ID: I20240515001764 |
| Provider Name | Cynthia A Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548011935 PECOS PAC ID: 2860834983 Enrollment ID: I20240521003005 |
| Provider Name | Charles Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497962914 PECOS PAC ID: 6507942034 Enrollment ID: I20240528001768 |
| Provider Name | Rawad Rayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528696531 PECOS PAC ID: 9436543642 Enrollment ID: I20240605003424 |
| Provider Name | Jessica Anna Tomsula |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386093185 PECOS PAC ID: 8022495746 Enrollment ID: I20240607003214 |
| Provider Name | Jorge G Mascaro Carvajal |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1932948635 PECOS PAC ID: 9739621467 Enrollment ID: I20240610000289 |
| Provider Name | James L Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225482169 PECOS PAC ID: 5991114779 Enrollment ID: I20240610000419 |
| Provider Name | Jennifer L Nitschke-thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346585635 PECOS PAC ID: 1951843697 Enrollment ID: I20240610000538 |
| Mailing Address | Practice Location Address |
|---|---|
| The Medical College Of Wisconsin, Inc. 10000 W Innovation Dr, Suite 300, Milwaukee, WI 53226-4837 Ph: (414) 955-5006 | The Medical College Of Wisconsin, Inc. 1155 N Mayfair Rd, Milwaukee, WI 53226-3421 Ph: (414) 955-5990 |