| Children's Specialty Group, Inc. | |
|
9000 W Wisconsin Ave Milwaukee WI 53226-4874 | |
| (414) 266-2000 | |
| (414) 266-6338 |
| Full Name | Children's Specialty Group, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Marc Cadieux (CORPORATE VP & CFO) |
| Authorized Official Contact | 4142666226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Specialty Group, Inc. P.o. Box 1997 Ms 900 - Rosalie O'meara Milwaukee WI 53201-1997 Ph: (414) 266-6223 | Children's Specialty Group, Inc. 9000 W Wisconsin Ave Milwaukee WI 53226-4874 Ph: (414) 266-2000 |
| NPI Number | 1942970405 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 11/17/2023 |
| Medicare PECOS PAC ID | 2567813447 |
|---|---|
| Medicare Enrollment ID | O20240104002075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942970405 | NPI | - | NPPES |
| Provider Name | John V Kryger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992760508 PECOS PAC ID: 0840195400 Enrollment ID: I20031205000359 |
| Provider Name | Christopher D Spahr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346291010 PECOS PAC ID: 3375445729 Enrollment ID: I20040126000040 |
| Provider Name | Kristin M Bingen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104877547 PECOS PAC ID: 8426950627 Enrollment ID: I20040127000021 |
| Provider Name | Jeanne E Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841242443 PECOS PAC ID: 6103729579 Enrollment ID: I20040202000177 |
| Provider Name | David S Marks |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164460010 PECOS PAC ID: 3274421854 Enrollment ID: I20040305000650 |
| Provider Name | James J Nocton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508818287 PECOS PAC ID: 9638155963 Enrollment ID: I20040628001078 |
| Provider Name | J Channing Tassone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629022546 PECOS PAC ID: 0244219707 Enrollment ID: I20040717000272 |
| Provider Name | Colleen T Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043261894 PECOS PAC ID: 5698742765 Enrollment ID: I20040916000954 |
| Provider Name | Rodney E Willoughby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720030216 PECOS PAC ID: 3870561814 Enrollment ID: I20040917001061 |
| 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 | 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 | 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 | Scott E Van Valin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891784633 PECOS PAC ID: 9638118599 Enrollment ID: I20050429000225 |
| Provider Name | Viday A Heffner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538110374 PECOS PAC ID: 3779525514 Enrollment ID: I20050523000873 |
| 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 | Raymond T Fedderly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790736619 PECOS PAC ID: 7113960956 Enrollment ID: I20050602001119 |
| Provider Name | Grzegorz W Telega |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356392005 PECOS PAC ID: 2466480900 Enrollment ID: I20050727000324 |
| 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 | Paula Elizabeth North |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710930466 PECOS PAC ID: 4688607344 Enrollment ID: I20050913001126 |
| Provider Name | Robert Aaron Niebler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336253822 PECOS PAC ID: 7012995681 Enrollment ID: I20050922000621 |
| Provider Name | Robert P Chayer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962444711 PECOS PAC ID: 5294760849 Enrollment ID: I20051003000203 |
| Provider Name | Lisa A Crandall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295787729 PECOS PAC ID: 6305864836 Enrollment ID: I20051103000456 |
| Provider Name | Rowena C Punzalan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376646695 PECOS PAC ID: 9830112341 Enrollment ID: I20060111000370 |
| Provider Name | Debra J Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558314849 PECOS PAC ID: 9133136906 Enrollment ID: I20060320000478 |
| Provider Name | James W Verbsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528010113 PECOS PAC ID: 5496764607 Enrollment ID: I20060417000761 |
| Provider Name | Peter J Mason |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144282120 PECOS PAC ID: 7810900081 Enrollment ID: I20060711000466 |
| 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 | Rajasree Sreedharan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922031079 PECOS PAC ID: 5294730743 Enrollment ID: I20060915000534 |
| Provider Name | David C Gregg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134178601 PECOS PAC ID: 5395708036 Enrollment ID: I20070202000075 |
| Provider Name | Jason Jarzembowski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558563783 PECOS PAC ID: 2860592425 Enrollment ID: I20070711000600 |
| 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 | Dave Raj Lal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467532366 PECOS PAC ID: 3274523725 Enrollment ID: I20070816000895 |
| Provider Name | Sara A Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659579514 PECOS PAC ID: 7214020494 Enrollment ID: I20070904000455 |
| 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 | Steven R Leuthner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104877950 PECOS PAC ID: 0840385761 Enrollment ID: I20071005000748 |
| 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 | John P Scott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174659601 PECOS PAC ID: 8426139049 Enrollment ID: I20080121000204 |
| Provider Name | Stephanie J Offord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477736163 PECOS PAC ID: 8729160650 Enrollment ID: I20080130000556 |
| Provider Name | Richard J Berens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831140284 PECOS PAC ID: 4880777507 Enrollment ID: I20080218000642 |
| Provider Name | Kenneth L Grizzle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912958737 PECOS PAC ID: 7618051087 Enrollment ID: I20080222000579 |
| Provider Name | Andrea J Hilgenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255501987 PECOS PAC ID: 7416033568 Enrollment ID: I20080328000724 |
| 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 | David Margolis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760435499 PECOS PAC ID: 5395811848 Enrollment ID: I20080905000666 |
| Provider Name | Kathryn A Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861658502 PECOS PAC ID: 1355419961 Enrollment ID: I20081009000567 |
| Provider Name | Christina D Diaz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013004779 PECOS PAC ID: 0143388264 Enrollment ID: I20081018000124 |
| Provider Name | Gina M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982611570 PECOS PAC ID: 2466455829 Enrollment ID: I20081210000282 |
| 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 | Scott K Vanwhy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437103348 PECOS PAC ID: 4486718111 Enrollment ID: I20090126000154 |
| Provider Name | Lindsey M Katzmark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831340785 PECOS PAC ID: 5092879122 Enrollment ID: I20090204000047 |
| Provider Name | David C Moe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952411779 PECOS PAC ID: 1254332141 Enrollment ID: I20090406000345 |
| Provider Name | Miranda G Gries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609017425 PECOS PAC ID: 9335297100 Enrollment ID: I20090505000240 |
| Provider Name | Mohit Maheshwari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831279512 PECOS PAC ID: 6002966892 Enrollment ID: I20090617000332 |
| Provider Name | Teresa Kelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275580672 PECOS PAC ID: 7012939341 Enrollment ID: I20090625000439 |
| 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 | Joseph R Cava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528019015 PECOS PAC ID: 9638061104 Enrollment ID: I20090804000464 |
| 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 | Sara K Quates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750513537 PECOS PAC ID: 3173660529 Enrollment ID: I20091016000574 |
| 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 | Molly M Brickler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922245166 PECOS PAC ID: 6901940097 Enrollment ID: I20100212000151 |
| Provider Name | Asriani M Chiu |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548211949 PECOS PAC ID: 8224168901 Enrollment ID: I20100607000135 |
| Provider Name | Steven J Weisman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891746301 PECOS PAC ID: 4183754229 Enrollment ID: I20100616000110 |
| 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 | Leslie M Gimenez |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1194776971 PECOS PAC ID: 4587796651 Enrollment ID: I20100726000303 |
| Provider Name | Franklin J Ruiz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972555647 PECOS PAC ID: 1557494663 Enrollment ID: I20100726000812 |
| Provider Name | Lynnette J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841244969 PECOS PAC ID: 1850424516 Enrollment ID: I20100802000227 |
| Provider Name | Fahim Ud Din Kazi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245284512 PECOS PAC ID: 9931232659 Enrollment ID: I20100802000847 |
| Provider Name | Michelle L Czarnecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811155302 PECOS PAC ID: 1658495478 Enrollment ID: I20100901000030 |
| Provider Name | Selim Y Firat |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447201363 PECOS PAC ID: 7911022967 Enrollment ID: I20100914000577 |
| Provider Name | Louella B Amos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871540518 PECOS PAC ID: 7315139367 Enrollment ID: I20101008000173 |
| Provider Name | Latha N Kampalath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639120470 PECOS PAC ID: 9739372236 Enrollment ID: I20101015001004 |
| Provider Name | Yvonne E Chiu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043393408 PECOS PAC ID: 5799978763 Enrollment ID: I20101022000262 |
| Provider Name | Kenneth D Friedman |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1124079082 PECOS PAC ID: 9234323056 Enrollment ID: I20101104001516 |
| 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 | Jessica A Scott Schwoerer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275590572 PECOS PAC ID: 0143416875 Enrollment ID: I20101120000165 |
| 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 | Bernadette Elaine Vitola |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962677310 PECOS PAC ID: 5092904466 Enrollment ID: I20110117000143 |
| Provider Name | Michael J Malan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669515045 PECOS PAC ID: 6103005111 Enrollment ID: I20110124000401 |
| 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 | Ann E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679886378 PECOS PAC ID: 3678753209 Enrollment ID: I20110214000674 |
| Provider Name | Kathleen A Koth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366572000 PECOS PAC ID: 1951581503 Enrollment ID: I20110214000912 |
| Provider Name | Jill M Grevenow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124337043 PECOS PAC ID: 0941481485 Enrollment ID: I20110216001014 |
| Provider Name | Sara Kg. Petre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285942235 PECOS PAC ID: 3678754520 Enrollment ID: I20110224000744 |
| Provider Name | Tia C Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609182161 PECOS PAC ID: 5395927552 Enrollment ID: I20110309000172 |
| Provider Name | Rhonda R Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366772345 PECOS PAC ID: 6901089739 Enrollment ID: I20110331000489 |
| 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 | Jennifer L Barker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1790784650 PECOS PAC ID: 4587560313 Enrollment ID: I20110419000918 |
| Provider Name | Salil Ginde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174779664 PECOS PAC ID: 8022295898 Enrollment ID: I20110602000695 |
| Provider Name | Erika L Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841238060 PECOS PAC ID: 7416951157 Enrollment ID: I20110608000637 |
| 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 | Nathan J Schloemer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689830465 PECOS PAC ID: 2264600188 Enrollment ID: I20110720000690 |
| Provider Name | Breanne Kp Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174789283 PECOS PAC ID: 4284803206 Enrollment ID: I20110809000436 |
| Provider Name | Hillary M Giorgi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376823385 PECOS PAC ID: 3870760408 Enrollment ID: I20120121000062 |
| Provider Name | Kathryn R Seidl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619247129 PECOS PAC ID: 5092974378 Enrollment ID: I20120306000283 |
| Provider Name | Binod Balakrishnan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619956042 PECOS PAC ID: 1850313073 Enrollment ID: I20120614000394 |
| Provider Name | Patrick C Drayna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225184120 PECOS PAC ID: 9032259932 Enrollment ID: I20120615000087 |
| Provider Name | Joshua R Kovach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437375649 PECOS PAC ID: 8123119898 Enrollment ID: I20120627000497 |
| Provider Name | Susanne M Cabrera |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346441540 PECOS PAC ID: 1658537717 Enrollment ID: I20120718000571 |
| Provider Name | Tejaswini K Deshmukh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891025722 PECOS PAC ID: 6103095823 Enrollment ID: I20120807000897 |
| Provider Name | Becky J. Buelow |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235454331 PECOS PAC ID: 3577719327 Enrollment ID: I20120809000521 |
| Provider Name | Brittany A Player |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023245107 PECOS PAC ID: 0648426346 Enrollment ID: I20120813000510 |
| Provider Name | Kristen L Labovsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245490838 PECOS PAC ID: 1759537269 Enrollment ID: I20120815000412 |
| Provider Name | Kevin P Boyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114172004 PECOS PAC ID: 3072769579 Enrollment ID: I20120816000573 |
| Provider Name | Joshua A Steinberg |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326153917 PECOS PAC ID: 6002008851 Enrollment ID: I20121008000004 |
| Provider Name | Stacy J.b. Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356515704 PECOS PAC ID: 8729238324 Enrollment ID: I20121016000699 |
| Provider Name | Brooks M Hawley |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447486386 PECOS PAC ID: 5890945802 Enrollment ID: I20121029000738 |
| Provider Name | Jennifer E Rauscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700133873 PECOS PAC ID: 1557512381 Enrollment ID: I20121103000038 |
| Provider Name | Rosanna V Fiallo-scharer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700890027 PECOS PAC ID: 9638205628 Enrollment ID: I20121119000059 |
| Provider Name | Matthew T. Tallar |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376785691 PECOS PAC ID: 8820240740 Enrollment ID: I20121128000451 |
| Provider Name | Jennifer A Hoag |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033342183 PECOS PAC ID: 0042462640 Enrollment ID: I20121205000532 |
| Provider Name | Virginia A Kaperick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457345258 PECOS PAC ID: 9537311592 Enrollment ID: I20121220000443 |
| Provider Name | Gail L Stendahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134380025 PECOS PAC ID: 9032362298 Enrollment ID: I20130122000041 |
| Provider Name | Nghia N Vo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871528224 PECOS PAC ID: 5395792055 Enrollment ID: I20130131000088 |
| Provider Name | Jacqueline K Dake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487904785 PECOS PAC ID: 9436394764 Enrollment ID: I20130314000311 |
| Provider Name | Jean I Pearce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154558864 PECOS PAC ID: 5991961930 Enrollment ID: I20130729000334 |
| 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 | Libby A Woodard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033558267 PECOS PAC ID: 9537395090 Enrollment ID: I20131112000997 |
| Provider Name | Nicholas J Antos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568787794 PECOS PAC ID: 2860625506 Enrollment ID: I20140502000611 |
| Provider Name | David Edward Vyles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861784720 PECOS PAC ID: 6507080280 Enrollment ID: I20140619001999 |
| 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 | 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 | Kaylan Rae Stoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275933517 PECOS PAC ID: 4183946445 Enrollment ID: I20141124001295 |
| Provider Name | Jane Mcsweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235173030 PECOS PAC ID: 4385673375 Enrollment ID: I20150129000102 |
| 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 | Stephen R Humphrey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417246257 PECOS PAC ID: 0143541656 Enrollment ID: I20150609003074 |
| Provider Name | Pooja D Thakrar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093073306 PECOS PAC ID: 9335392489 Enrollment ID: I20150612000577 |
| 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 | Ammar Haq |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1053662023 PECOS PAC ID: 6507016284 Enrollment ID: I20150724011024 |
| 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 | Shannon H Baumer-mouradian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881960359 PECOS PAC ID: 9638485048 Enrollment ID: I20150831002656 |
| Provider Name | Jennifer L Hauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215319520 PECOS PAC ID: 0446566863 Enrollment ID: I20150831003111 |
| Provider Name | Megan L Schultz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043572480 PECOS PAC ID: 0749433878 Enrollment ID: I20150915000265 |
| Provider Name | Erin Lynn Sirovina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083086375 PECOS PAC ID: 7113228578 Enrollment ID: I20151209001838 |
| Provider Name | Hema Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053335513 PECOS PAC ID: 6204825102 Enrollment ID: I20160105000838 |
| Provider Name | Alicia Y Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144625815 PECOS PAC ID: 8527367382 Enrollment ID: I20160428001131 |
| Provider Name | Abdul Aziz K Elkadri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720445505 PECOS PAC ID: 9830498203 Enrollment ID: I20160506000476 |
| Provider Name | Matthew R Plunk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366674426 PECOS PAC ID: 0648569582 Enrollment ID: I20160517001871 |
| Provider Name | Kumar R Sannagowdara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779601 PECOS PAC ID: 7618296732 Enrollment ID: I20160701000471 |
| Provider Name | Sarah E Thill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124361704 PECOS PAC ID: 1557680055 Enrollment ID: I20160701001096 |
| Provider Name | Barry J Pelz |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700103272 PECOS PAC ID: 5294027371 Enrollment ID: I20160711000983 |
| 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 | Larisa A Broglie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063737013 PECOS PAC ID: 6709179286 Enrollment ID: I20160720002460 |
| 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 | Maureen K Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093168635 PECOS PAC ID: 1850679531 Enrollment ID: I20161101000063 |
| Provider Name | Stacy Marie Stibb |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932348059 PECOS PAC ID: 1355575713 Enrollment ID: I20170125001674 |
| Provider Name | Nicole L Hunker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033653597 PECOS PAC ID: 6608151477 Enrollment ID: I20170316002144 |
| Provider Name | Jing Qi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073953204 PECOS PAC ID: 6002045028 Enrollment ID: I20170515000002 |
| Provider Name | Ashley M Cunningham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902163272 PECOS PAC ID: 5890065809 Enrollment ID: I20170725001583 |
| Provider Name | Badi A Rawashden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154793487 PECOS PAC ID: 9931479870 Enrollment ID: I20170725003491 |
| Provider Name | Carrie A Hecox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194245886 PECOS PAC ID: 6800160763 Enrollment ID: I20170916000635 |
| Provider Name | Irene Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952545014 PECOS PAC ID: 9133411291 Enrollment ID: I20171018002545 |
| Provider Name | Amber H Winchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548786536 PECOS PAC ID: 1153680111 Enrollment ID: I20180119000858 |
| 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 | Kristina Bolling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831691831 PECOS PAC ID: 7113280231 Enrollment ID: I20180424000582 |
| 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 | Gregory M Halenda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154697175 PECOS PAC ID: 1355610601 Enrollment ID: I20180710000447 |
| Provider Name | Emily R Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336431287 PECOS PAC ID: 7315251980 Enrollment ID: I20180726002691 |
| Provider Name | Michael J Muriello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740577634 PECOS PAC ID: 5193074672 Enrollment ID: I20180816000627 |
| Provider Name | Ravit Boger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508822297 PECOS PAC ID: 5890765366 Enrollment ID: I20180828001768 |
| Provider Name | Keli D Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053739433 PECOS PAC ID: 6507145174 Enrollment ID: I20180904003443 |
| Provider Name | Shelly K Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518474592 PECOS PAC ID: 9739439001 Enrollment ID: I20180906002840 |
| Provider Name | Erica M Arrington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720183759 PECOS PAC ID: 6204816077 Enrollment ID: I20180910000088 |
| Provider Name | Paul L Linsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871818930 PECOS PAC ID: 4385959600 Enrollment ID: I20180911000978 |
| Provider Name | Jonathan S Ellison |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861655581 PECOS PAC ID: 0244555795 Enrollment ID: I20180925000529 |
| Provider Name | Leah Eb Lalor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538451554 PECOS PAC ID: 1052618469 Enrollment ID: I20180927002343 |
| 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 | Frank H Zhu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326394776 PECOS PAC ID: 5698062941 Enrollment ID: I20181024000601 |
| Provider Name | Christine E Bengtson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922575349 PECOS PAC ID: 9537403027 Enrollment ID: I20181211001502 |
| Provider Name | Laura M Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497236921 PECOS PAC ID: 6901141589 Enrollment ID: I20181231001809 |
| Provider Name | Ethan R Schaefer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093284861 PECOS PAC ID: 4789922055 Enrollment ID: I20190212000771 |
| Provider Name | Amanda R Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154887453 PECOS PAC ID: 0345580734 Enrollment ID: I20190321001685 |
| Provider Name | Madalyn C Pelky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740707850 PECOS PAC ID: 9133460181 Enrollment ID: I20190401001758 |
| Provider Name | Joshua R Pohlman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215373634 PECOS PAC ID: 8729216072 Enrollment ID: I20190411002020 |
| Provider Name | Alexander J Gallan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780023101 PECOS PAC ID: 4183927700 Enrollment ID: I20190516001832 |
| Provider Name | Justinn M Tanem |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780950964 PECOS PAC ID: 3779802228 Enrollment ID: I20190530000038 |
| Provider Name | Colleen K Manak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386062180 PECOS PAC ID: 9133441470 Enrollment ID: I20190531001183 |
| Provider Name | Janice Anne Bitong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184062044 PECOS PAC ID: 9234435462 Enrollment ID: I20190829001574 |
| Provider Name | Jessica Ann Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063730661 PECOS PAC ID: 4587957451 Enrollment ID: I20190909003185 |
| Provider Name | Kellyn Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669920112 PECOS PAC ID: 6507294204 Enrollment ID: I20200311001884 |
| Provider Name | Melanie M Parent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588295992 PECOS PAC ID: 0042649055 Enrollment ID: I20200326001165 |
| Provider Name | Meagan M Ladell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275984940 PECOS PAC ID: 2365877255 Enrollment ID: I20200327001706 |
| Provider Name | Danielle C Fair |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497173215 PECOS PAC ID: 2163715707 Enrollment ID: I20200408003242 |
| Provider Name | Lauren L Titus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376076737 PECOS PAC ID: 5294161535 Enrollment ID: I20200414000612 |
| 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 | Sara E Sabbagh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548503972 PECOS PAC ID: 4284964115 Enrollment ID: I20200626000436 |
| Provider Name | Avani N Richardson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588059893 PECOS PAC ID: 4082924394 Enrollment ID: I20200717002285 |
| 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 | Alexander Raskin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871836999 PECOS PAC ID: 6901124809 Enrollment ID: I20200901000539 |
| Provider Name | Amanda Clark Widing |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942682331 PECOS PAC ID: 3274848742 Enrollment ID: I20200904001228 |
| Provider Name | Niyati Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053613125 PECOS PAC ID: 6608182936 Enrollment ID: I20200922001572 |
| Provider Name | Brian R Branchford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962598383 PECOS PAC ID: 9234387655 Enrollment ID: I20201023001081 |
| 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 | Andrea J Rohach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760099162 PECOS PAC ID: 3375957905 Enrollment ID: I20210122000604 |
| Provider Name | Nicole M Kowalski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700474772 PECOS PAC ID: 5496169476 Enrollment ID: I20210203000374 |
| Provider Name | Amanda S Dupont |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760903934 PECOS PAC ID: 8921428491 Enrollment ID: I20210401000324 |
| 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 | Samba G Binagi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760879068 PECOS PAC ID: 2062821234 Enrollment ID: I20210429002572 |
| Provider Name | Amanda M Hopp |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730574484 PECOS PAC ID: 6800205287 Enrollment ID: I20210514002442 |
| 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 | 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 | 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 | Kelly E Graff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093101792 PECOS PAC ID: 6204232028 Enrollment ID: I20210902001326 |
| Provider Name | Allison S Remiker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912264896 PECOS PAC ID: 7214174226 Enrollment ID: I20210907000184 |
| Provider Name | Paul G Didomizio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326579491 PECOS PAC ID: 5597034728 Enrollment ID: I20210910000361 |
| Provider Name | Rebecca Lee Steuart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407240369 PECOS PAC ID: 8022348325 Enrollment ID: I20210915002969 |
| Provider Name | Stephen J Molitor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497325294 PECOS PAC ID: 7911304654 Enrollment ID: I20210923001546 |
| Provider Name | Jacqueline A Simon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427444348 PECOS PAC ID: 1254752165 Enrollment ID: I20211008000542 |
| 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 | Vanessa A Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487213096 PECOS PAC ID: 7911395678 Enrollment ID: I20211028002678 |
| Provider Name | Stacey M Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588334692 PECOS PAC ID: 8426447434 Enrollment ID: I20211112002036 |
| Provider Name | Cara L Mack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083799720 PECOS PAC ID: 7012090277 Enrollment ID: I20220324002708 |
| Provider Name | Avantika Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295198083 PECOS PAC ID: 4183987696 Enrollment ID: I20220531001655 |
| 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 | Chelsea Kilgas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740924554 PECOS PAC ID: 2163800822 Enrollment ID: I20220608001827 |
| Provider Name | Elsa V Arocho-quinones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548540883 PECOS PAC ID: 2163741604 Enrollment ID: I20220614001902 |
| Provider Name | Scott J Sandage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457407819 PECOS PAC ID: 4587885777 Enrollment ID: I20220622002596 |
| Provider Name | Karl W Doerfer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104245018 PECOS PAC ID: 3476841008 Enrollment ID: I20220711001112 |
| Provider Name | Elham E Abushanab |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306392634 PECOS PAC ID: 9234513318 Enrollment ID: I20220908003639 |
| Provider Name | Patrick S Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407245061 PECOS PAC ID: 7810322831 Enrollment ID: I20220930002878 |
| Provider Name | Jennifer Garcia Jetton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588985261 PECOS PAC ID: 0547391690 Enrollment ID: I20221006003444 |
| Provider Name | Danielle Mcclone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831829035 PECOS PAC ID: 7618343948 Enrollment ID: I20221012000178 |
| Provider Name | Tracy R Geoffrion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760748107 PECOS PAC ID: 0840531885 Enrollment ID: I20221022000202 |
| 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 | Nancy E Bass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821019555 PECOS PAC ID: 7214978618 Enrollment ID: I20221101001233 |
| 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 | Namrata D Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184075954 PECOS PAC ID: 8325330426 Enrollment ID: I20221107001671 |
| Provider Name | Pallavi Iyer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609886324 PECOS PAC ID: 3870525447 Enrollment ID: I20221108000301 |
| Provider Name | Jamie Puschnig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932817079 PECOS PAC ID: 4486024395 Enrollment ID: I20230110000586 |
| Provider Name | Elizabeth M Andekian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609455351 PECOS PAC ID: 3971994088 Enrollment ID: I20230110001497 |
| Provider Name | Gabriella Lallave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952010779 PECOS PAC ID: 3870965387 Enrollment ID: I20230209002730 |
| Provider Name | Rose Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568704690 PECOS PAC ID: 1153625066 Enrollment ID: I20230419001279 |
| Provider Name | Emma M Austenfeld |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750813184 PECOS PAC ID: 5294068615 Enrollment ID: I20230519000297 |
| 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 | Adam Striker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649280348 PECOS PAC ID: 6709816911 Enrollment ID: I20230612001936 |
| Provider Name | Juliana Jeffers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700587813 PECOS PAC ID: 8729446232 Enrollment ID: I20230615000485 |
| Provider Name | Rushi M Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487150025 PECOS PAC ID: 8224463062 Enrollment ID: I20230714001213 |
| Provider Name | Ellen Marie Cody |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336502319 PECOS PAC ID: 7618262478 Enrollment ID: I20230720001280 |
| 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 | Tiffany J Gessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750976288 PECOS PAC ID: 5597126334 Enrollment ID: I20230726003371 |
| Provider Name | Victoria H Besser |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790217016 PECOS PAC ID: 4880055144 Enrollment ID: I20230802003049 |
| 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 | Katie M Sullivan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730715830 PECOS PAC ID: 1153731617 Enrollment ID: I20230811002532 |
| 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 | Jillian A Nard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780047373 PECOS PAC ID: 2769733898 Enrollment ID: I20230908000328 |
| 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 | Annemarie E Hengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508546086 PECOS PAC ID: 1254786882 Enrollment ID: I20231017000950 |
| Provider Name | James R Yawn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841686839 PECOS PAC ID: 7315255320 Enrollment ID: I20231017002396 |
| Provider Name | Andrew James Macginnitie |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1518931609 PECOS PAC ID: 0941283014 Enrollment ID: I20231027002736 |
| 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 | Emre Arpali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841077021 PECOS PAC ID: 0446606123 Enrollment ID: I20231101001794 |
| Provider Name | Megan Jablonski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073054227 PECOS PAC ID: 0941657373 Enrollment ID: I20231107002158 |
| Provider Name | Carl S Dernell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962962258 PECOS PAC ID: 3779027545 Enrollment ID: I20240703002620 |
| Provider Name | Bradley Robert Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831584416 PECOS PAC ID: 5395289060 Enrollment ID: I20240705001010 |
| Provider Name | Osamah Aldoss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104043710 PECOS PAC ID: 2062655590 Enrollment ID: I20240821000650 |
| Provider Name | Kaitlyn Mayer Mcquistion |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568966869 PECOS PAC ID: 5193072346 Enrollment ID: I20240821003515 |
| Provider Name | Tyler Lennon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831695899 PECOS PAC ID: 5991053241 Enrollment ID: I20241121003557 |
| Provider Name | Carolynn Jean Sielaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013755784 PECOS PAC ID: 5496280653 Enrollment ID: I20241125001820 |
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