| Lehigh Valley Physician Group - Pocono | |
|
206 E Brown St E Stroudsburg PA 18301-3006 | |
| (570) 476-3507 | |
| (570) 476-3754 |
| Full Name | Lehigh Valley Physician Group - Pocono |
|---|---|
| Speciality | Internal Medicine |
| Location | 206 E Brown St, E Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | James Demopoulos (SR VP/COO) |
| Authorized Official Contact | 4848623333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lehigh Valley Physician Group - Pocono 2100 Mack Blvd Fl 2 Allentown PA 18103-5622 Ph: (570) 426-2733 | Lehigh Valley Physician Group - Pocono 206 E Brown St E Stroudsburg PA 18301-3006 Ph: (570) 476-3507 |
| NPI Number | 1669563037 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 10/16/2024 |
| Medicare PECOS PAC ID | 5395649347 |
|---|---|
| Medicare Enrollment ID | O20031121000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669563037 | NPI | - | NPPES |
| 0018630810003 | Medicaid | PA |
| Provider Name | Jeffrey T Brodsky |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1518940402 PECOS PAC ID: 3072406701 Enrollment ID: I20040205000665 |
| Provider Name | Alicia Terraciano Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245291434 PECOS PAC ID: 3274526793 Enrollment ID: I20040408000365 |
| Provider Name | Guillermo L Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689666836 PECOS PAC ID: 8729072970 Enrollment ID: I20040412001063 |
| Provider Name | Susan M Elser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851477087 PECOS PAC ID: 9032103643 Enrollment ID: I20040414001014 |
| Provider Name | Kirth Steele |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639275548 PECOS PAC ID: 6901893536 Enrollment ID: I20040427000695 |
| Provider Name | Mayuri Khemra Sedani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396759387 PECOS PAC ID: 9032108030 Enrollment ID: I20040506000786 |
| Provider Name | Amanda Beth Flicker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245344076 PECOS PAC ID: 5193716231 Enrollment ID: I20040519000361 |
| Provider Name | Henry C Novroski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154395887 PECOS PAC ID: 9234126673 Enrollment ID: I20040521000821 |
| Provider Name | Peter Theodore Yaswinski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780681601 PECOS PAC ID: 1254312689 Enrollment ID: I20040601000243 |
| Provider Name | Khemraj H Sedani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447264445 PECOS PAC ID: 9335121169 Enrollment ID: I20040604000069 |
| Provider Name | Jonathan B Bingham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063449809 PECOS PAC ID: 8123000866 Enrollment ID: I20040604000930 |
| Provider Name | Garry Affef Hamilton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396705596 PECOS PAC ID: 4880676337 Enrollment ID: I20040607001110 |
| Provider Name | Sushil S Mody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164481891 PECOS PAC ID: 4486638822 Enrollment ID: I20040615000342 |
| Provider Name | Frederic A Stelzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962405175 PECOS PAC ID: 3476539933 Enrollment ID: I20040625000309 |
| Provider Name | Mark D Cipolle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609883289 PECOS PAC ID: 8628060688 Enrollment ID: I20040701000996 |
| Provider Name | Wendy Jo Kowalski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659303295 PECOS PAC ID: 2365429560 Enrollment ID: I20040706001027 |
| Provider Name | Todd R Garber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558467357 PECOS PAC ID: 6103803275 Enrollment ID: I20040707000112 |
| Provider Name | David William Scaff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922015551 PECOS PAC ID: 6507831716 Enrollment ID: I20040831001248 |
| Provider Name | Suresh G Nair |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669423711 PECOS PAC ID: 4688649783 Enrollment ID: I20040901000355 |
| Provider Name | Patricia A Rylko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508882234 PECOS PAC ID: 2466429261 Enrollment ID: I20040913000111 |
| Provider Name | Dan Popescu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932102696 PECOS PAC ID: 6204803463 Enrollment ID: I20040916000076 |
| Provider Name | Frances V Fasching |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598852022 PECOS PAC ID: 5496723389 Enrollment ID: I20040920000062 |
| Provider Name | Maryann Devine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508885153 PECOS PAC ID: 4486616901 Enrollment ID: I20041027001118 |
| Provider Name | James K Wu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1427009356 PECOS PAC ID: 1850353624 Enrollment ID: I20041103000486 |
| Provider Name | Andrea S Mclaren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093858516 PECOS PAC ID: 5698737609 Enrollment ID: I20041105000060 |
| Provider Name | Jennifer R Axelband |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881660140 PECOS PAC ID: 5597715177 Enrollment ID: I20050201000174 |
| Provider Name | Albert Peter Sarno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295786820 PECOS PAC ID: 6406807916 Enrollment ID: I20050202000278 |
| Provider Name | Alvin J Berlot |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609853977 PECOS PAC ID: 8224083316 Enrollment ID: I20050322000643 |
| Provider Name | Robert C Wallen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790828663 PECOS PAC ID: 3577506484 Enrollment ID: I20050602000143 |
| Provider Name | Susan Johnson Angelisanti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891790572 PECOS PAC ID: 0446295224 Enrollment ID: I20050622000696 |
| Provider Name | Mark F Indzonka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912911405 PECOS PAC ID: 9335184175 Enrollment ID: I20050623000176 |
| Provider Name | Richard Mark Boulay |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1013926922 PECOS PAC ID: 4082659446 Enrollment ID: I20050627000116 |
| Provider Name | Jameel Farrukh Durrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689760274 PECOS PAC ID: 5193760585 Enrollment ID: I20050627000346 |
| Provider Name | Joanne N Quinones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639275027 PECOS PAC ID: 1153367248 Enrollment ID: I20050629000597 |
| Provider Name | Isis S Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699733816 PECOS PAC ID: 9739125519 Enrollment ID: I20050701000223 |
| Provider Name | Yevgeniy Isayev |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518975077 PECOS PAC ID: 4981631918 Enrollment ID: I20050721000555 |
| Provider Name | Karthik Prabhashankar Sheka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295729440 PECOS PAC ID: 2668403742 Enrollment ID: I20050829000481 |
| Provider Name | Charles K Herman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730149626 PECOS PAC ID: 5890727614 Enrollment ID: I20050901000143 |
| Provider Name | Eleanor Banzon Antolin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285846071 PECOS PAC ID: 1850325135 Enrollment ID: I20050926000853 |
| Provider Name | John Paul Gomez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811958366 PECOS PAC ID: 4284604190 Enrollment ID: I20050929001245 |
| Provider Name | Martin Martino |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1629087549 PECOS PAC ID: 5991720427 Enrollment ID: I20051013000175 |
| Provider Name | Meredith L Rochon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366555377 PECOS PAC ID: 1658397567 Enrollment ID: I20051020000318 |
| Provider Name | Marijo Ann Zelinka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255363818 PECOS PAC ID: 7810914702 Enrollment ID: I20051031000249 |
| Provider Name | Kathleen Patricia Finlayson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629050331 PECOS PAC ID: 1355355017 Enrollment ID: I20060202000459 |
| Provider Name | David Scoblionko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457426421 PECOS PAC ID: 4284656117 Enrollment ID: I20060328000666 |
| Provider Name | Jennifer Christine Rovella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679525166 PECOS PAC ID: 6901817436 Enrollment ID: I20060519000007 |
| Provider Name | Roman W Matlaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881688315 PECOS PAC ID: 9638181167 Enrollment ID: I20060626000233 |
| Provider Name | Radhika K Ailawadi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669419198 PECOS PAC ID: 0345236030 Enrollment ID: I20060727000231 |
| Provider Name | Michael J Yeager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396795829 PECOS PAC ID: 5991718066 Enrollment ID: I20060728000098 |
| Provider Name | Vladimir Nikiforouk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811923030 PECOS PAC ID: 6103839667 Enrollment ID: I20060731000128 |
| Provider Name | Marc Michael Keuler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942247028 PECOS PAC ID: 7315940657 Enrollment ID: I20060807000272 |
| Provider Name | Richard S Chang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942240619 PECOS PAC ID: 5193729226 Enrollment ID: I20060905000068 |
| Provider Name | Victoria Ruth Schieppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790791523 PECOS PAC ID: 5991709842 Enrollment ID: I20060907000010 |
| Provider Name | M Bijoy Thomas |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1528031820 PECOS PAC ID: 6507860459 Enrollment ID: I20060907000029 |
| Provider Name | Kara Coassolo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861423055 PECOS PAC ID: 9739184649 Enrollment ID: I20060928000181 |
| Provider Name | Jose N Fuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285654319 PECOS PAC ID: 3678569357 Enrollment ID: I20061025000578 |
| Provider Name | Stephen Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083641260 PECOS PAC ID: 9537073705 Enrollment ID: I20061109000470 |
| Provider Name | Lori A Demko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154420834 PECOS PAC ID: 5294733895 Enrollment ID: I20061114000564 |
| Provider Name | Mashiul Chowdhury |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083664460 PECOS PAC ID: 3577563212 Enrollment ID: I20070103000451 |
| Provider Name | Guillermo Antonio De La Vega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083780761 PECOS PAC ID: 5294737037 Enrollment ID: I20070208000134 |
| Provider Name | John E Anderson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578520359 PECOS PAC ID: 9133192040 Enrollment ID: I20070417000514 |
| Provider Name | Sanjay Marc Mehta |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760449128 PECOS PAC ID: 5991801482 Enrollment ID: I20070430000248 |
| Provider Name | Lori Chapleskie Alfonse |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1558432898 PECOS PAC ID: 9234239971 Enrollment ID: I20070711000302 |
| Provider Name | Timothy Michael Pellini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033217302 PECOS PAC ID: 5294826095 Enrollment ID: I20070808000621 |
| Provider Name | Cheryl L Hamilton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689787632 PECOS PAC ID: 0143284869 Enrollment ID: I20070813000178 |
| Provider Name | Linda M Salas-mamary |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164404752 PECOS PAC ID: 3779675004 Enrollment ID: I20070816000494 |
| Provider Name | Kevin Allen Vrablik |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1366404766 PECOS PAC ID: 6901998061 Enrollment ID: I20070821000045 |
| Provider Name | Ophira Silbert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962599415 PECOS PAC ID: 9436241049 Enrollment ID: I20070827000479 |
| Provider Name | Ryan T Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114120961 PECOS PAC ID: 2860585619 Enrollment ID: I20070910000755 |
| Provider Name | Amit Sohagia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447456306 PECOS PAC ID: 5395832216 Enrollment ID: I20071024000534 |
| Provider Name | Gordon W Fried |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134126840 PECOS PAC ID: 4183711385 Enrollment ID: I20071106000017 |
| Provider Name | Philip J Cinelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073509212 PECOS PAC ID: 5991893794 Enrollment ID: I20071112000598 |
| Provider Name | Shahzad A Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689632036 PECOS PAC ID: 8729184825 Enrollment ID: I20071116000020 |
| Provider Name | John J Hong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578624201 PECOS PAC ID: 0941226948 Enrollment ID: I20071126000007 |
| Provider Name | Mary Ellen Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952520876 PECOS PAC ID: 1658469838 Enrollment ID: I20071126000073 |
| Provider Name | Traci Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669651717 PECOS PAC ID: 7618065814 Enrollment ID: I20071126000238 |
| Provider Name | Richard Rothfleisch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316967318 PECOS PAC ID: 8729177423 Enrollment ID: I20071204000068 |
| Provider Name | Karen Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336101971 PECOS PAC ID: 6608956834 Enrollment ID: I20071231000175 |
| Provider Name | Eliot Friedman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962453092 PECOS PAC ID: 7113019126 Enrollment ID: I20080108000537 |
| Provider Name | Shanker Mukherjee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558340265 PECOS PAC ID: 1951296276 Enrollment ID: I20080228000491 |
| Provider Name | William E Scorza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255401741 PECOS PAC ID: 6507943610 Enrollment ID: I20080414000137 |
| Provider Name | Hussain G Malik |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720286800 PECOS PAC ID: 8022030303 Enrollment ID: I20080417000519 |
| Provider Name | Sheikh A Ali |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285830265 PECOS PAC ID: 6103918511 Enrollment ID: I20080422000189 |
| Provider Name | Samer Alkhuja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346299922 PECOS PAC ID: 8527158617 Enrollment ID: I20080514000567 |
| Provider Name | Anil Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053334649 PECOS PAC ID: 6002850609 Enrollment ID: I20080618000262 |
| Provider Name | Karen E Tiedeken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184730723 PECOS PAC ID: 4587735550 Enrollment ID: I20080618000651 |
| Provider Name | Daniel M Roesler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548431059 PECOS PAC ID: 5092887497 Enrollment ID: I20080630000391 |
| Provider Name | Matthew A Nussbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356548978 PECOS PAC ID: 5193898880 Enrollment ID: I20080714000238 |
| Provider Name | Drew Keister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407849862 PECOS PAC ID: 3779657523 Enrollment ID: I20080729000044 |
| Provider Name | Glenn M Short |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881693521 PECOS PAC ID: 9739107368 Enrollment ID: I20080812000018 |
| Provider Name | Tanveer M Imam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942209697 PECOS PAC ID: 7315977709 Enrollment ID: I20080813000635 |
| Provider Name | Shashin Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396944096 PECOS PAC ID: 1153417670 Enrollment ID: I20080821000482 |
| Provider Name | Robert P Garner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316100753 PECOS PAC ID: 0143395160 Enrollment ID: I20080826000314 |
| Provider Name | Susheer D Gandotra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083663694 PECOS PAC ID: 9234147380 Enrollment ID: I20080909000279 |
| Provider Name | Nirupama Kakumanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194873356 PECOS PAC ID: 6901907476 Enrollment ID: I20081024000205 |
| Provider Name | Kia Denise West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467621953 PECOS PAC ID: 8224197652 Enrollment ID: I20081030000257 |
| Provider Name | Wendy J Prutsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477669018 PECOS PAC ID: 4981763356 Enrollment ID: I20081030000663 |
| Provider Name | Sowmya Lakshminarayanan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447276522 PECOS PAC ID: 2668552746 Enrollment ID: I20081230000016 |
| Provider Name | Joseph Arcuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710921911 PECOS PAC ID: 1254387236 Enrollment ID: I20090302000345 |
| Provider Name | Nachammai Chinnakaruppan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811055338 PECOS PAC ID: 1557411493 Enrollment ID: I20090615000342 |
| Provider Name | Edward James Frick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972575637 PECOS PAC ID: 8820140536 Enrollment ID: I20090710000021 |
| Provider Name | Shannon Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699755496 PECOS PAC ID: 9931150570 Enrollment ID: I20090714000058 |
| Provider Name | Nicole Purcell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689891954 PECOS PAC ID: 1850443920 Enrollment ID: I20090721000329 |
| Provider Name | Karine Thevenin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548405913 PECOS PAC ID: 0941353361 Enrollment ID: I20090803000585 |
| Provider Name | Leann Zuby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386874188 PECOS PAC ID: 4981757002 Enrollment ID: I20090806000237 |
| Provider Name | Nicolas Teleo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730352709 PECOS PAC ID: 3274688676 Enrollment ID: I20090909000318 |
| Provider Name | Orion A Rust |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144333154 PECOS PAC ID: 4789721846 Enrollment ID: I20091021000594 |
| Provider Name | Paola G Blanco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194759852 PECOS PAC ID: 9739227034 Enrollment ID: I20091106000095 |
| Provider Name | Sonyo Shin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1124217971 PECOS PAC ID: 2668510603 Enrollment ID: I20091111000312 |
| Provider Name | Jens Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467687798 PECOS PAC ID: 7810036407 Enrollment ID: I20091119000578 |
| Provider Name | Timothy B Coyle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316144413 PECOS PAC ID: 2567502651 Enrollment ID: I20091222000114 |
| Provider Name | Praveer Jain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104812502 PECOS PAC ID: 7618992421 Enrollment ID: I20091230000394 |
| Provider Name | Salliann Schippers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073748752 PECOS PAC ID: 0648312207 Enrollment ID: I20100120000082 |
| Provider Name | Nalan Reibschied |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952369209 PECOS PAC ID: 4385648526 Enrollment ID: I20100122000562 |
| Provider Name | Joseph B Schellenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417929399 PECOS PAC ID: 6901895580 Enrollment ID: I20100128000567 |
| Provider Name | Richard Strobel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184696072 PECOS PAC ID: 1557350139 Enrollment ID: I20100203000189 |
| Provider Name | Jonathan Andrew Goldner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760472930 PECOS PAC ID: 7719985068 Enrollment ID: I20100407000102 |
| Provider Name | Vincent Francescangeli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861482119 PECOS PAC ID: 1355349606 Enrollment ID: I20100407000315 |
| Provider Name | Carol L Henwood-dahdah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720068588 PECOS PAC ID: 1557498532 Enrollment ID: I20100422000863 |
| Provider Name | Lisa M Rusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922324318 PECOS PAC ID: 9830227347 Enrollment ID: I20100504000336 |
| Provider Name | William T Kesselring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487644662 PECOS PAC ID: 8628076973 Enrollment ID: I20100505000705 |
| Provider Name | Hiral N Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093862666 PECOS PAC ID: 0840366381 Enrollment ID: I20100602000419 |
| Provider Name | John F Welkie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588664221 PECOS PAC ID: 7517909898 Enrollment ID: I20100607000773 |
| Provider Name | Eric P Wilson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114927597 PECOS PAC ID: 0244272524 Enrollment ID: I20100608000361 |
| Provider Name | David Meir-levi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053311795 PECOS PAC ID: 5799727079 Enrollment ID: I20100609000771 |
| Provider Name | Manoj K Mittal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720172737 PECOS PAC ID: 0749382307 Enrollment ID: I20100715000359 |
| Provider Name | Liany C Diven |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992912091 PECOS PAC ID: 7517099161 Enrollment ID: I20100716000248 |
| Provider Name | Neil Lesitsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508898867 PECOS PAC ID: 1052435641 Enrollment ID: I20100903000153 |
| Provider Name | Mackenzie A Mady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760641328 PECOS PAC ID: 9931223336 Enrollment ID: I20100907000649 |
| Provider Name | Angelo A Baccala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811019797 PECOS PAC ID: 7810065612 Enrollment ID: I20100914000347 |
| Provider Name | John W Caruno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043281520 PECOS PAC ID: 8628051737 Enrollment ID: I20100924000466 |
| Provider Name | Rovinder S Sandhu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003885955 PECOS PAC ID: 7012952633 Enrollment ID: I20101004000503 |
| Provider Name | Fred Michael Nichols |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982677233 PECOS PAC ID: 9830294156 Enrollment ID: I20101004001093 |
| Provider Name | James F. Cornell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285637488 PECOS PAC ID: 4688649668 Enrollment ID: I20101018000187 |
| Provider Name | Anthony G Auteri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689678500 PECOS PAC ID: 1153212469 Enrollment ID: I20101018000779 |
| Provider Name | Ronald Bross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386648202 PECOS PAC ID: 5597865626 Enrollment ID: I20101019000785 |
| Provider Name | Ernesto Rodriguez Granados |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306950035 PECOS PAC ID: 5193919835 Enrollment ID: I20101027000383 |
| Provider Name | Mark A Wendling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699708420 PECOS PAC ID: 6709835119 Enrollment ID: I20101112000714 |
| Provider Name | Ian S Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750356010 PECOS PAC ID: 4789870262 Enrollment ID: I20101123000486 |
| Provider Name | Beth A Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902901135 PECOS PAC ID: 0244427060 Enrollment ID: I20101206001202 |
| Provider Name | Christine E Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801106448 PECOS PAC ID: 7810186541 Enrollment ID: I20110112000446 |
| Provider Name | Wafa S Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851387831 PECOS PAC ID: 4789873241 Enrollment ID: I20110113001188 |
| Provider Name | Laszlo Fuzesi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1053305581 PECOS PAC ID: 0840265724 Enrollment ID: I20110209000391 |
| Provider Name | Michael Anthony Eufemio |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235131186 PECOS PAC ID: 5193906311 Enrollment ID: I20110222000375 |
| Provider Name | Nishith J Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568789139 PECOS PAC ID: 7214118371 Enrollment ID: I20110222000943 |
| Provider Name | Kenneth D Truscott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134115082 PECOS PAC ID: 3274714126 Enrollment ID: I20110224000679 |
| Provider Name | James Edward Moyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477555084 PECOS PAC ID: 7113901158 Enrollment ID: I20110228000001 |
| Provider Name | Heather Gosch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770588469 PECOS PAC ID: 7810179843 Enrollment ID: I20110311000118 |
| Provider Name | John J Sirotnak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790757722 PECOS PAC ID: 0547442501 Enrollment ID: I20110311000409 |
| Provider Name | Angela Grether |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437469814 PECOS PAC ID: 7911180229 Enrollment ID: I20110324000202 |
| Provider Name | Neil C Blumenthal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265489215 PECOS PAC ID: 3274698618 Enrollment ID: I20110328000097 |
| Provider Name | Agnes Wane-slory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184931180 PECOS PAC ID: 8921281908 Enrollment ID: I20110329000599 |
| Provider Name | Georgine Helene Sibbering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083791180 PECOS PAC ID: 1052223765 Enrollment ID: I20110331000470 |
| Provider Name | Theresa Mary Baseski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245260850 PECOS PAC ID: 4284818444 Enrollment ID: I20110412000925 |
| Provider Name | Denny John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568422848 PECOS PAC ID: 2668657693 Enrollment ID: I20110506000141 |
| Provider Name | Bonnie E Osterwald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053377119 PECOS PAC ID: 1355352436 Enrollment ID: I20110516000090 |
| Provider Name | Katerina C Valavanis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073804126 PECOS PAC ID: 2668658998 Enrollment ID: I20110520000231 |
| Provider Name | Antoinette Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518269026 PECOS PAC ID: 8820274129 Enrollment ID: I20110523000349 |
| Provider Name | Andrea W Costanzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740587500 PECOS PAC ID: 8820275696 Enrollment ID: I20110602000722 |
| Provider Name | David Paul Krewson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134124811 PECOS PAC ID: 0547447021 Enrollment ID: I20110609000509 |
| Provider Name | Timothy J Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154648376 PECOS PAC ID: 6901084862 Enrollment ID: I20110623000195 |
| Provider Name | Joanne L Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588764831 PECOS PAC ID: 0042263535 Enrollment ID: I20110711000249 |
| Provider Name | Michael S. Grenis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669546834 PECOS PAC ID: 8628122041 Enrollment ID: I20110804000237 |
| Provider Name | Joseph Feliciano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902003338 PECOS PAC ID: 8022299742 Enrollment ID: I20110823000395 |
| Provider Name | Danielle E Durie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104952134 PECOS PAC ID: 0244325314 Enrollment ID: I20110824000281 |
| Provider Name | Jonathan Scherl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376510248 PECOS PAC ID: 9335112671 Enrollment ID: I20110825000030 |
| Provider Name | David T Ogurek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326206483 PECOS PAC ID: 3971773870 Enrollment ID: I20110901000578 |
| Provider Name | James R Johannes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235313164 PECOS PAC ID: 4082885165 Enrollment ID: I20110921000466 |
| Provider Name | Timothy Misselbeck |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134399801 PECOS PAC ID: 7719179498 Enrollment ID: I20110929000036 |
| Provider Name | Yelena I Kipervas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821127721 PECOS PAC ID: 1557533205 Enrollment ID: I20111003000155 |
| Provider Name | Sheryle D Wellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548224918 PECOS PAC ID: 1456391424 Enrollment ID: I20111004000231 |
| Provider Name | Jayme D Lieberman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144311234 PECOS PAC ID: 8729089206 Enrollment ID: I20111010000096 |
| Provider Name | Patrick E Mcintyre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841304516 PECOS PAC ID: 9032384706 Enrollment ID: I20111207000569 |
| Provider Name | Michael Mandarano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184957102 PECOS PAC ID: 7618143793 Enrollment ID: I20111221000147 |
| Provider Name | Christian Noble |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407137094 PECOS PAC ID: 3577730662 Enrollment ID: I20120112000335 |
| Provider Name | Parvez Memon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225181811 PECOS PAC ID: 1355440256 Enrollment ID: I20120222000383 |
| Provider Name | Sulagna De |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568515161 PECOS PAC ID: 0345349247 Enrollment ID: I20120222000426 |
| Provider Name | Barry Herman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700865607 PECOS PAC ID: 7517132616 Enrollment ID: I20120302000256 |
| Provider Name | Jennifer Prandi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871730853 PECOS PAC ID: 8921260928 Enrollment ID: I20120509000436 |
| Provider Name | Shannon L Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629344981 PECOS PAC ID: 8820251028 Enrollment ID: I20120529000069 |
| Provider Name | Stefan M Sinco |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083600225 PECOS PAC ID: 5597739474 Enrollment ID: I20120601000102 |
| Provider Name | Lindsay G Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003143280 PECOS PAC ID: 9739343898 Enrollment ID: I20120621000274 |
| Provider Name | Joseph J Stirparo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497961270 PECOS PAC ID: 9335311786 Enrollment ID: I20120803000074 |
| Provider Name | Faton Bilali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023338019 PECOS PAC ID: 1658527692 Enrollment ID: I20120808000110 |
| Provider Name | Clifford E Georges |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477730695 PECOS PAC ID: 6406002369 Enrollment ID: I20120808000433 |
| Provider Name | Daniel M Kraus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649445388 PECOS PAC ID: 4082861331 Enrollment ID: I20120822000196 |
| Provider Name | Daying Zhang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487882338 PECOS PAC ID: 8628226081 Enrollment ID: I20120911000136 |
| Provider Name | Karina M Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134393713 PECOS PAC ID: 3274781554 Enrollment ID: I20120911000345 |
| Provider Name | Mihaela F Hangan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013237627 PECOS PAC ID: 8426243676 Enrollment ID: I20120917000330 |
| Provider Name | Kathryn Wheel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346456118 PECOS PAC ID: 9133391428 Enrollment ID: I20120924000159 |
| Provider Name | Drew A Farber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174562847 PECOS PAC ID: 6507899507 Enrollment ID: I20120924000314 |
| Provider Name | Abidemi Adegbola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669544169 PECOS PAC ID: 1153427281 Enrollment ID: I20130104000212 |
| Provider Name | Wendy J Jacobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639414220 PECOS PAC ID: 3779753868 Enrollment ID: I20130227000494 |
| Provider Name | Khyatiben B Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093058166 PECOS PAC ID: 8628215084 Enrollment ID: I20130503000080 |
| Provider Name | Margaret Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831438654 PECOS PAC ID: 4183862626 Enrollment ID: I20130523000118 |
| Provider Name | Lisa Dapuzzo Argiriou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306071386 PECOS PAC ID: 7012154651 Enrollment ID: I20130702000662 |
| Provider Name | Anastasia Shnitser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346443231 PECOS PAC ID: 3375783558 Enrollment ID: I20130711000468 |
| Provider Name | Joseph A Laureti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396059317 PECOS PAC ID: 0042451601 Enrollment ID: I20130724000080 |
| Provider Name | Brian K Civic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780844555 PECOS PAC ID: 1052554540 Enrollment ID: I20130903000209 |
| Provider Name | Elizabeth A Flodin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134354111 PECOS PAC ID: 2860639705 Enrollment ID: I20130909000134 |
| Provider Name | Christine H. Kim |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1811155922 PECOS PAC ID: 0840434965 Enrollment ID: I20130911000420 |
| Provider Name | Denise Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730513748 PECOS PAC ID: 4486888211 Enrollment ID: I20131010001617 |
| Provider Name | Hai-yen T Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376770370 PECOS PAC ID: 3779720636 Enrollment ID: I20131021001297 |
| Provider Name | Ronen Dudaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861782237 PECOS PAC ID: 1759559792 Enrollment ID: I20131127000053 |
| Provider Name | R. Melody Reynolds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063647899 PECOS PAC ID: 7911144571 Enrollment ID: I20131216001351 |
| Provider Name | Faraz A Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326354374 PECOS PAC ID: 2668600172 Enrollment ID: I20140108000454 |
| Provider Name | Rachael M Seese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134556301 PECOS PAC ID: 1951539808 Enrollment ID: I20140122001720 |
| Provider Name | Christine Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790114445 PECOS PAC ID: 3779712278 Enrollment ID: I20140203001439 |
| Provider Name | Jennifer R Brinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760811053 PECOS PAC ID: 7012146541 Enrollment ID: I20140204000526 |
| Provider Name | John Zaic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477982742 PECOS PAC ID: 9335378793 Enrollment ID: I20140205000004 |
| Provider Name | Anthony A Flaim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851687966 PECOS PAC ID: 8426287749 Enrollment ID: I20140208000131 |
| Provider Name | April L Gheller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659794642 PECOS PAC ID: 5890925333 Enrollment ID: I20140303001489 |
| Provider Name | Sonia E Sandhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902227960 PECOS PAC ID: 0941431027 Enrollment ID: I20140403000372 |
| Provider Name | Allyson N Snik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073936621 PECOS PAC ID: 9537382940 Enrollment ID: I20140603000486 |
| Provider Name | Carlos Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518118199 PECOS PAC ID: 5496813974 Enrollment ID: I20140619000961 |
| Provider Name | John Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790706430 PECOS PAC ID: 1254320591 Enrollment ID: I20140721002094 |
| Provider Name | Steven Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548436884 PECOS PAC ID: 2668633348 Enrollment ID: I20140724000452 |
| Provider Name | Stephen K Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235247180 PECOS PAC ID: 8325064629 Enrollment ID: I20140812001424 |
| Provider Name | Travis Dayon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093135386 PECOS PAC ID: 1658598727 Enrollment ID: I20140813001662 |
| Provider Name | Kaveh Kousari |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407083199 PECOS PAC ID: 0547499923 Enrollment ID: I20140819000247 |
| Provider Name | Krista M Bott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104051200 PECOS PAC ID: 3779720677 Enrollment ID: I20140828000073 |
| Provider Name | Migdalia Resto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982655585 PECOS PAC ID: 8628296944 Enrollment ID: I20140828001925 |
| Provider Name | Jacqueline C Oxenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669629689 PECOS PAC ID: 6204091242 Enrollment ID: I20140905001631 |
| Provider Name | Susan Lee |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669695623 PECOS PAC ID: 3577656560 Enrollment ID: I20141020002276 |
| Provider Name | Michael Baba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356570428 PECOS PAC ID: 7810153061 Enrollment ID: I20141031000776 |
| Provider Name | Divakar Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689978777 PECOS PAC ID: 8527289297 Enrollment ID: I20141119002356 |
| Provider Name | Traceyan R Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144260126 PECOS PAC ID: 5597778894 Enrollment ID: I20141209000373 |
| Provider Name | Madhavi Capoccia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063423374 PECOS PAC ID: 5395982771 Enrollment ID: I20150120002051 |
| Provider Name | Tricia Kay A Ellersick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376946970 PECOS PAC ID: 6406171040 Enrollment ID: I20150203000233 |
| Provider Name | Christine M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083011019 PECOS PAC ID: 4880910496 Enrollment ID: I20150225002019 |
| Provider Name | Keisha A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194115667 PECOS PAC ID: 2769708791 Enrollment ID: I20150310000357 |
| Provider Name | Molly Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790899557 PECOS PAC ID: 6507182482 Enrollment ID: I20150312000713 |
| Provider Name | Timothy J Donaghy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558768721 PECOS PAC ID: 7315264843 Enrollment ID: I20150323000626 |
| Provider Name | Vivian Annan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679817118 PECOS PAC ID: 8628295565 Enrollment ID: I20150407000875 |
| Provider Name | Tammy Heskeyahu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902195209 PECOS PAC ID: 4587982764 Enrollment ID: I20150420001196 |
| Provider Name | Danielle M Cantor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730505231 PECOS PAC ID: 9133448590 Enrollment ID: I20150506001369 |
| Provider Name | Rachel A Brobst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255727194 PECOS PAC ID: 2961721089 Enrollment ID: I20150512000455 |
| Provider Name | Patrick Hickey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891052569 PECOS PAC ID: 7416194527 Enrollment ID: I20150515000424 |
| Provider Name | Sheila Judge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851491344 PECOS PAC ID: 7214257757 Enrollment ID: I20150522001326 |
| Provider Name | Adam L Peyton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558565598 PECOS PAC ID: 8921194549 Enrollment ID: I20150610000989 |
| Provider Name | Diana Warstler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225348519 PECOS PAC ID: 6002127115 Enrollment ID: I20150616001833 |
| Provider Name | Allison A Froehlich |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962619189 PECOS PAC ID: 0042389355 Enrollment ID: I20150624000118 |
| Provider Name | Jeffrey M Costanzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689802746 PECOS PAC ID: 5193036663 Enrollment ID: I20150624002701 |
| Provider Name | Krupa G Daniel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467740035 PECOS PAC ID: 0244542413 Enrollment ID: I20150630001902 |
| Provider Name | Marjorie Patricia Maine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952704215 PECOS PAC ID: 0547573966 Enrollment ID: I20150714002292 |
| Provider Name | Kamran Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982631776 PECOS PAC ID: 3375516677 Enrollment ID: I20150723008324 |
| Provider Name | Victor Catania |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457602328 PECOS PAC ID: 6608181805 Enrollment ID: I20150818003635 |
| Provider Name | Frank J Balloqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346503315 PECOS PAC ID: 3072828060 Enrollment ID: I20150820010050 |
| Provider Name | Scott Blumhof |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568724946 PECOS PAC ID: 0749596385 Enrollment ID: I20150827002571 |
| Provider Name | Oliana Ros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942553995 PECOS PAC ID: 3476869611 Enrollment ID: I20150902000978 |
| Provider Name | Jennifer M Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699150441 PECOS PAC ID: 4183930332 Enrollment ID: I20150902001093 |
| Provider Name | Lauren Kershes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649654500 PECOS PAC ID: 0042526162 Enrollment ID: I20150903000482 |
| Provider Name | Chin-chan Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841514866 PECOS PAC ID: 2163666348 Enrollment ID: I20150924002489 |
| Provider Name | She-yan Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679806863 PECOS PAC ID: 9436379229 Enrollment ID: I20151016000453 |
| Provider Name | Mary E Summa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950149 PECOS PAC ID: 0749599389 Enrollment ID: I20151021001277 |
| Provider Name | Emily Brophy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922475417 PECOS PAC ID: 3173833258 Enrollment ID: I20151102000251 |
| Provider Name | Lucile Thelusmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881910354 PECOS PAC ID: 8921300757 Enrollment ID: I20160111001027 |
| Provider Name | Manet Lemuel-clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194190579 PECOS PAC ID: 7810291267 Enrollment ID: I20160205001197 |
| Provider Name | Anita Sargent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053586966 PECOS PAC ID: 5193981637 Enrollment ID: I20160224000141 |
| Provider Name | Brian R Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134487200 PECOS PAC ID: 6406093525 Enrollment ID: I20160301000437 |
| Provider Name | Amy E Snedigar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447498704 PECOS PAC ID: 5193853398 Enrollment ID: I20160331000210 |
| Provider Name | Jeanette Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104289560 PECOS PAC ID: 4183914294 Enrollment ID: I20160602000061 |
| Provider Name | David A Testa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326198490 PECOS PAC ID: 3173519295 Enrollment ID: I20160607000930 |
| Provider Name | Matthew J Sullivan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306282793 PECOS PAC ID: 3870733728 Enrollment ID: I20160628001296 |
| Provider Name | Allison J Baragona |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003259086 PECOS PAC ID: 2567605033 Enrollment ID: I20160718001543 |
| Provider Name | Stella Ferker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952650285 PECOS PAC ID: 8628361615 Enrollment ID: I20160728001460 |
| Provider Name | Nihal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922341676 PECOS PAC ID: 0143528471 Enrollment ID: I20160729001289 |
| Provider Name | Mila Ju |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629207352 PECOS PAC ID: 3779888722 Enrollment ID: I20160901001184 |
| Provider Name | Kate M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477903565 PECOS PAC ID: 2860788254 Enrollment ID: I20160912000817 |
| Provider Name | Bogdan Protyniak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154632388 PECOS PAC ID: 1850607714 Enrollment ID: I20160913002282 |
| Provider Name | Aaron Blackham |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1790965358 PECOS PAC ID: 4385774595 Enrollment ID: I20160921000034 |
| Provider Name | Jonaid Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861653156 PECOS PAC ID: 0244406718 Enrollment ID: I20160929000453 |
| Provider Name | Nicole Stombaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487021283 PECOS PAC ID: 1254619232 Enrollment ID: I20161026000255 |
| Provider Name | Stephen L Willis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629139076 PECOS PAC ID: 2062491038 Enrollment ID: I20161027000164 |
| Provider Name | Cynthia Christmann |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780967489 PECOS PAC ID: 2961782347 Enrollment ID: I20161130001075 |
| Provider Name | Brett Carestia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407119944 PECOS PAC ID: 7012297294 Enrollment ID: I20161205001447 |
| Provider Name | Shirl Hortzog Hargrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740739796 PECOS PAC ID: 5395025407 Enrollment ID: I20161207001258 |
| Provider Name | Cara Focazio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508203381 PECOS PAC ID: 5890015713 Enrollment ID: I20161230000295 |
| Provider Name | Mohammad Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326484783 PECOS PAC ID: 8325272891 Enrollment ID: I20170111003114 |
| Provider Name | Samantha C Cunningham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790232676 PECOS PAC ID: 7315229002 Enrollment ID: I20170112000962 |
| Provider Name | Rachel M Paul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699099275 PECOS PAC ID: 8921239187 Enrollment ID: I20170131000145 |
| Provider Name | Sarah E Helwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003350745 PECOS PAC ID: 0143504514 Enrollment ID: I20170302001236 |
| Provider Name | Alexis Stephanie Zavitsanos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396000733 PECOS PAC ID: 6507157138 Enrollment ID: I20170420001087 |
| Provider Name | Nicholas Hinds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346689551 PECOS PAC ID: 2668758970 Enrollment ID: I20170420001108 |
| Provider Name | John A Dicasimirro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881812527 PECOS PAC ID: 1052698586 Enrollment ID: I20170510000321 |
| Provider Name | Kevin C Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306210752 PECOS PAC ID: 0840595096 Enrollment ID: I20170515001774 |
| Provider Name | Eric Bontempo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689673659 PECOS PAC ID: 8123003324 Enrollment ID: I20170601001662 |
| Provider Name | Alanna M Gerhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992236012 PECOS PAC ID: 8426325978 Enrollment ID: I20170605000900 |
| Provider Name | Lauren Margaret Bruneio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689112054 PECOS PAC ID: 1759658123 Enrollment ID: I20170606003039 |
| Provider Name | Lee Ann Klocko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558712018 PECOS PAC ID: 4981972502 Enrollment ID: I20170622000741 |
| Provider Name | Jessica Rothchild |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700278405 PECOS PAC ID: 7618245291 Enrollment ID: I20170623000234 |
| Provider Name | Santosh Kumar Nepal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740584879 PECOS PAC ID: 0446429419 Enrollment ID: I20170623001944 |
| Provider Name | Kimberly Fuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134670227 PECOS PAC ID: 3173892668 Enrollment ID: I20170626002238 |
| Provider Name | Michael Cummings Engels |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598085334 PECOS PAC ID: 2264672310 Enrollment ID: I20170711003286 |
| Provider Name | Leanne Cramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073582839 PECOS PAC ID: 8921378407 Enrollment ID: I20170717000179 |
| Provider Name | Ahmed Nassar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922329622 PECOS PAC ID: 8628215522 Enrollment ID: I20170719000005 |
| Provider Name | Carole Sattur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841416112 PECOS PAC ID: 5799056396 Enrollment ID: I20170731003164 |
| Provider Name | Rachel E Kinney |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376953174 PECOS PAC ID: 3779709217 Enrollment ID: I20170802000510 |
| Provider Name | Ravikumari Gollapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780080416 PECOS PAC ID: 7517238678 Enrollment ID: I20170808001147 |
| Provider Name | Ashlee Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174946974 PECOS PAC ID: 5395016307 Enrollment ID: I20170810000095 |
| Provider Name | Daniel Edwin Benyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023438777 PECOS PAC ID: 7911120498 Enrollment ID: I20170814000280 |
| Provider Name | Patricia Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356892673 PECOS PAC ID: 9830461003 Enrollment ID: I20170823000750 |
| Provider Name | Kelly Wanamaker |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578713939 PECOS PAC ID: 4981874302 Enrollment ID: I20170905001703 |
| Provider Name | Jatin P Gupta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477834547 PECOS PAC ID: 5395036230 Enrollment ID: I20170905002460 |
| Provider Name | Seanna P Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073554614 PECOS PAC ID: 8426142480 Enrollment ID: I20171020000108 |
| Provider Name | Thai O Wong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427318955 PECOS PAC ID: 7517246507 Enrollment ID: I20171023001043 |
| Provider Name | Sherilyn Gibbs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184729147 PECOS PAC ID: 8921061193 Enrollment ID: I20171201000496 |
| Provider Name | Michelle Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033622816 PECOS PAC ID: 5799042362 Enrollment ID: I20171207000124 |
| Provider Name | Luis A Cervantes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215933353 PECOS PAC ID: 0345277034 Enrollment ID: I20171214000488 |
| Provider Name | Jorge L Mayoral |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992798813 PECOS PAC ID: 0446449342 Enrollment ID: I20171227000045 |
| Provider Name | Kelly Tripp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025466 PECOS PAC ID: 4385905033 Enrollment ID: I20180221001317 |
| Provider Name | Robert Aranson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407894728 PECOS PAC ID: 4486613551 Enrollment ID: I20180221001758 |
| Provider Name | Tasha Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851803811 PECOS PAC ID: 9931460599 Enrollment ID: I20180223000941 |
| Provider Name | Kelly A Bartels |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407285331 PECOS PAC ID: 4082975024 Enrollment ID: I20180307002308 |
| Provider Name | Timothy Jerum Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518492008 PECOS PAC ID: 3577824440 Enrollment ID: I20180312000326 |
| Provider Name | Heather Michelle Kowalishen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871007526 PECOS PAC ID: 1052673761 Enrollment ID: I20180316001168 |
| Provider Name | Joshua Brennan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669971719 PECOS PAC ID: 3274895305 Enrollment ID: I20180329000578 |
| Provider Name | Daniel Koh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306946033 PECOS PAC ID: 6406807965 Enrollment ID: I20180405000604 |
| Provider Name | Cindy Marie Fuhrman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164926812 PECOS PAC ID: 3375806359 Enrollment ID: I20180405000891 |
| Provider Name | Beth A Turoscy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144723669 PECOS PAC ID: 6507120375 Enrollment ID: I20180502000811 |
| Provider Name | Aaron H Mendelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235499898 PECOS PAC ID: 4486918976 Enrollment ID: I20180509001711 |
| Provider Name | Travis F Magdaleno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649657701 PECOS PAC ID: 7810204740 Enrollment ID: I20180522003034 |
| Provider Name | Zachary A Zator |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669793816 PECOS PAC ID: 8527229962 Enrollment ID: I20180614002022 |
| Provider Name | Andrew Dean Shoemaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215355755 PECOS PAC ID: 9739302993 Enrollment ID: I20180625001221 |
| Provider Name | Susan Rachel Medalie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710365473 PECOS PAC ID: 6901151307 Enrollment ID: I20180626000268 |
| Provider Name | Kiranpreet Kaur Khurana |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033351887 PECOS PAC ID: 3476869967 Enrollment ID: I20180727001396 |
| Provider Name | Sima Hodavance |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1982921375 PECOS PAC ID: 4789933995 Enrollment ID: I20180822000092 |
| Provider Name | Michael Joseph Kavanaugh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487786869 PECOS PAC ID: 3577715432 Enrollment ID: I20180921000325 |
| Provider Name | Dipen Chandrakant Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043571326 PECOS PAC ID: 9638485253 Enrollment ID: I20180928000062 |
| Provider Name | Khalil Mehdi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376958306 PECOS PAC ID: 9032467188 Enrollment ID: I20181009002085 |
| Provider Name | Megan Weimer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609382217 PECOS PAC ID: 8224380407 Enrollment ID: I20181017000166 |
| Provider Name | Monica Brandau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598923393 PECOS PAC ID: 1759634967 Enrollment ID: I20181105001344 |
| Provider Name | Anirudh Kapoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033400056 PECOS PAC ID: 5597059063 Enrollment ID: I20181121000204 |
| Provider Name | Shannon Ives |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063919611 PECOS PAC ID: 7214272517 Enrollment ID: I20181214000145 |
| Provider Name | Viviana Rivera Aguila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407322340 PECOS PAC ID: 2365787298 Enrollment ID: I20181221001491 |
| Provider Name | Ardeana Y Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790253946 PECOS PAC ID: 8426394859 Enrollment ID: I20190107001319 |
| Provider Name | Sarahjean Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174007959 PECOS PAC ID: 1658617949 Enrollment ID: I20190108000679 |
| Provider Name | Kashif Nadeem Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760682025 PECOS PAC ID: 0941486500 Enrollment ID: I20190123003922 |
| Provider Name | Amber N Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881178424 PECOS PAC ID: 1557608692 Enrollment ID: I20190128000722 |
| Provider Name | Beth A Vanselous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346711157 PECOS PAC ID: 4486993409 Enrollment ID: I20190308000350 |
| Provider Name | Noah Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609348614 PECOS PAC ID: 1153661798 Enrollment ID: I20190319001363 |
| Provider Name | Melanie Deluise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831671650 PECOS PAC ID: 4880933662 Enrollment ID: I20190320001929 |
| Provider Name | James Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810309 PECOS PAC ID: 0648559070 Enrollment ID: I20190411000166 |
| Provider Name | Anastasia Bortz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740751155 PECOS PAC ID: 8426391822 Enrollment ID: I20190529001137 |
| Provider Name | Eric Nellis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699112359 PECOS PAC ID: 0345531752 Enrollment ID: I20190531001604 |
| Provider Name | Rachel Elise Shiver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386209609 PECOS PAC ID: 0941533129 Enrollment ID: I20190603000743 |
| Provider Name | Payal Trivedi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497015226 PECOS PAC ID: 0446488894 Enrollment ID: I20190611000402 |
| Provider Name | Mandi L Krach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881259638 PECOS PAC ID: 8426382185 Enrollment ID: I20190628002534 |
| Provider Name | Connie Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649652504 PECOS PAC ID: 7719211390 Enrollment ID: I20190702001392 |
| Provider Name | Natalie Kay Caruso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437690914 PECOS PAC ID: 3173890738 Enrollment ID: I20190718001054 |
| Provider Name | Sarah Trygar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528527629 PECOS PAC ID: 0345576880 Enrollment ID: I20190722003476 |
| Provider Name | Victoria J Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962063735 PECOS PAC ID: 3072849413 Enrollment ID: I20190724000055 |
| Provider Name | Maria L. Shiptoski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497116826 PECOS PAC ID: 1254616626 Enrollment ID: I20190725000028 |
| Provider Name | Clark Edward Keefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396301388 PECOS PAC ID: 0143558346 Enrollment ID: I20190827000192 |
| Provider Name | Melissa A Colarossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528610334 PECOS PAC ID: 1951630763 Enrollment ID: I20190904000870 |
| Provider Name | Cory Balko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891341673 PECOS PAC ID: 2264761691 Enrollment ID: I20190911000912 |
| Provider Name | Cori Shollenberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225416118 PECOS PAC ID: 5698004893 Enrollment ID: I20190913000994 |
| Provider Name | Omer Choudry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922396647 PECOS PAC ID: 2769712280 Enrollment ID: I20190926001486 |
| Provider Name | Alison Williams-blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518420082 PECOS PAC ID: 2365773165 Enrollment ID: I20191009001045 |
| Provider Name | Alicia Waldrab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205399482 PECOS PAC ID: 0345571196 Enrollment ID: I20191009002986 |
| Provider Name | Deanne Babio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124681697 PECOS PAC ID: 5496086886 Enrollment ID: I20191016002198 |
| Provider Name | Brianne Marie Allerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649651340 PECOS PAC ID: 5890078133 Enrollment ID: I20191023001194 |
| Provider Name | Mahim Shuja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396192787 PECOS PAC ID: 1557793874 Enrollment ID: I20191107000324 |
| Provider Name | Angel Ramon Lopez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366855702 PECOS PAC ID: 9931326238 Enrollment ID: I20191107001710 |
| Provider Name | Maria Dillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780044453 PECOS PAC ID: 3173816709 Enrollment ID: I20191118000065 |
| Provider Name | Shubha Bhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922366954 PECOS PAC ID: 5698031409 Enrollment ID: I20191203002556 |
| Provider Name | Suzanne Carroll-kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720632524 PECOS PAC ID: 4385077171 Enrollment ID: I20191210000034 |
| Provider Name | Whitney Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003204033 PECOS PAC ID: 2961835756 Enrollment ID: I20191210000245 |
| Provider Name | John Rafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386294684 PECOS PAC ID: 7810320355 Enrollment ID: I20191213001462 |
| Provider Name | Daily Hernandez-falcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477901528 PECOS PAC ID: 2264865724 Enrollment ID: I20191214000041 |
| Provider Name | Kelly Thalacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184263451 PECOS PAC ID: 5294162087 Enrollment ID: I20200217000397 |
| Provider Name | Kevan T Iffrig |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215347471 PECOS PAC ID: 9032546890 Enrollment ID: I20200218000326 |
| Provider Name | Leahna Cooney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669885281 PECOS PAC ID: 5193942159 Enrollment ID: I20200313000311 |
| Provider Name | Leah Michelle Arlequin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063868958 PECOS PAC ID: 2062707631 Enrollment ID: I20200401001890 |
| Provider Name | Mohammed R Jendi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528319639 PECOS PAC ID: 7517105273 Enrollment ID: I20200408003837 |
| Provider Name | Joseph Esposito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750642179 PECOS PAC ID: 3779814082 Enrollment ID: I20200427000634 |
| Provider Name | Mikhail Litinski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912179946 PECOS PAC ID: 6103992557 Enrollment ID: I20200512002916 |
| Provider Name | Bonnie L Patek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588074355 PECOS PAC ID: 9133345671 Enrollment ID: I20200611000236 |
| Provider Name | Kimberly Downes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174943294 PECOS PAC ID: 8426471723 Enrollment ID: I20200706000123 |
| Provider Name | Kelly N Strickler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831626175 PECOS PAC ID: 5193083707 Enrollment ID: I20200707000727 |
| Provider Name | Jason Weinberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942591201 PECOS PAC ID: 4082853361 Enrollment ID: I20200715000928 |
| Provider Name | Matthew Romagano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427494038 PECOS PAC ID: 3971747940 Enrollment ID: I20200715001401 |
| Provider Name | Karla Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972127272 PECOS PAC ID: 4082038229 Enrollment ID: I20200722000031 |
| Provider Name | Murali K Manne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497869655 PECOS PAC ID: 9133544620 Enrollment ID: I20200730002900 |
| Provider Name | Victoria Psomiadis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659803872 PECOS PAC ID: 9537431697 Enrollment ID: I20200806000766 |
| Provider Name | Bhavana Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619310240 PECOS PAC ID: 7214221134 Enrollment ID: I20200819001346 |
| Provider Name | Sunny Kar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356754907 PECOS PAC ID: 4688091523 Enrollment ID: I20200824003191 |
| Provider Name | Vincent Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831624097 PECOS PAC ID: 2466729637 Enrollment ID: I20200909000014 |
| Provider Name | Marko Dimiskovski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609368687 PECOS PAC ID: 8022437649 Enrollment ID: I20201001001059 |
| Provider Name | Danielle L Hashmi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972995389 PECOS PAC ID: 2567745862 Enrollment ID: I20201014000069 |
| Provider Name | Karli Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851729743 PECOS PAC ID: 4880823905 Enrollment ID: I20201029000150 |
| Provider Name | Judith Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134742570 PECOS PAC ID: 7315357381 Enrollment ID: I20201102002310 |
| Provider Name | Juli L Pyle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457950560 PECOS PAC ID: 3971914201 Enrollment ID: I20201118000272 |
| Provider Name | Diana Ioanna Tenpenny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265846539 PECOS PAC ID: 0345519914 Enrollment ID: I20210108000748 |
| Provider Name | Tamara V Toidze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942581616 PECOS PAC ID: 6901070986 Enrollment ID: I20210129002233 |
| Provider Name | Jose R Bordas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194875351 PECOS PAC ID: 6305250168 Enrollment ID: I20210208000126 |
| Provider Name | Jacqueline Mcatee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679164446 PECOS PAC ID: 7315352135 Enrollment ID: I20210209000345 |
| Provider Name | Mary Jane B. Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407899636 PECOS PAC ID: 6709983240 Enrollment ID: I20210225001139 |
| Provider Name | Darya Rybac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679163760 PECOS PAC ID: 9638586290 Enrollment ID: I20210325002440 |
| Provider Name | Chelsea Leigh Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437749785 PECOS PAC ID: 2567879042 Enrollment ID: I20210330000092 |
| Provider Name | Jason Ohlstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164871505 PECOS PAC ID: 2567871783 Enrollment ID: I20210429000451 |
| Provider Name | Yverose Dalembert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861077083 PECOS PAC ID: 6305255795 Enrollment ID: I20210517000056 |
| Provider Name | Biren K Juthani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245573302 PECOS PAC ID: 9032409990 Enrollment ID: I20210525001164 |
| Provider Name | Bhavesh Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962841155 PECOS PAC ID: 7416215447 Enrollment ID: I20210617001183 |
| Provider Name | Amy Javia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427443654 PECOS PAC ID: 7517285745 Enrollment ID: I20210722000169 |
| Provider Name | John Joseph Kerprich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003484445 PECOS PAC ID: 3072917285 Enrollment ID: I20210811000074 |
| Provider Name | Jennifer Aronchick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972863066 PECOS PAC ID: 4183994056 Enrollment ID: I20210812003021 |
| Provider Name | Joseph Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548764004 PECOS PAC ID: 1153758578 Enrollment ID: I20210814000061 |
| Provider Name | Mazen Roshdy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700129574 PECOS PAC ID: 9032357967 Enrollment ID: I20210816000769 |
| Provider Name | James Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467025510 PECOS PAC ID: 3971909763 Enrollment ID: I20210902000123 |
| Provider Name | Danielle Avenoso |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942873831 PECOS PAC ID: 5991101651 Enrollment ID: I20210902003242 |
| Provider Name | Zachary D Wolfe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164809547 PECOS PAC ID: 6901105972 Enrollment ID: I20210910002148 |
| Provider Name | Michael Farrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710307855 PECOS PAC ID: 8729205745 Enrollment ID: I20210924001974 |
| Provider Name | Natasha Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376035485 PECOS PAC ID: 9739425992 Enrollment ID: I20210924002804 |
| Provider Name | Chelsea Christine Giagni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548799398 PECOS PAC ID: 2365840451 Enrollment ID: I20211004001535 |
| Provider Name | Rina Patel Duke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992183644 PECOS PAC ID: 4183022577 Enrollment ID: I20211015001677 |
| Provider Name | Anubhav Kanwar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952665788 PECOS PAC ID: 6406079326 Enrollment ID: I20211021001600 |
| Provider Name | Jessica Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326719436 PECOS PAC ID: 5890185086 Enrollment ID: I20211202000121 |
| Provider Name | Vanessa Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184117111 PECOS PAC ID: 7810388014 Enrollment ID: I20211223000456 |
| Provider Name | Amy L Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104581867 PECOS PAC ID: 1052702099 Enrollment ID: I20211229001369 |
| Provider Name | Michael Socher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811056344 PECOS PAC ID: 3870801814 Enrollment ID: I20220111002462 |
| Provider Name | Juliet T Heimpel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235801622 PECOS PAC ID: 5294128716 Enrollment ID: I20220204002265 |
| Provider Name | Marcy A Haas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184771370 PECOS PAC ID: 4082715081 Enrollment ID: I20220221000551 |
| Provider Name | Jicenda B Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043967714 PECOS PAC ID: 8820483712 Enrollment ID: I20220310002430 |
| Provider Name | Ian M Liebold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265198030 PECOS PAC ID: 8022403492 Enrollment ID: I20220322000480 |
| Provider Name | Morgan Ferranti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992456859 PECOS PAC ID: 2466839139 Enrollment ID: I20220518001710 |
| Provider Name | Anam S Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225485188 PECOS PAC ID: 4082904800 Enrollment ID: I20220607000046 |
| Provider Name | Andres Jose Torres-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518556596 PECOS PAC ID: 1658759485 Enrollment ID: I20220607000190 |
| Provider Name | Michele Broskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699233304 PECOS PAC ID: 8022351006 Enrollment ID: I20220615000148 |
| Provider Name | Elisabeth Rampersad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306580410 PECOS PAC ID: 9739568007 Enrollment ID: I20220616000241 |
| Provider Name | Elizabeth Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588820120 PECOS PAC ID: 8628391745 Enrollment ID: I20220622003474 |
| Provider Name | Lindsay Mrozowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861148439 PECOS PAC ID: 3870972730 Enrollment ID: I20220623000702 |
| Provider Name | Vanessa T Heckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568117802 PECOS PAC ID: 9638550445 Enrollment ID: I20220725001831 |
| Provider Name | William J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790417871 PECOS PAC ID: 8325421712 Enrollment ID: I20220817003528 |
| Provider Name | Peter Reisz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083091227 PECOS PAC ID: 3072803618 Enrollment ID: I20220824003555 |
| Provider Name | Anthony Rainey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649702432 PECOS PAC ID: 8921370156 Enrollment ID: I20220826001666 |
| Provider Name | Emily Marmarou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740635226 PECOS PAC ID: 6305220864 Enrollment ID: I20220901000081 |
| Provider Name | Solomon Saul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023493111 PECOS PAC ID: 4082915434 Enrollment ID: I20220914002661 |
| Provider Name | Kourtney Rudzinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235664558 PECOS PAC ID: 4880971316 Enrollment ID: I20220915000651 |
| Provider Name | Kristi M Kardos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265166730 PECOS PAC ID: 7113302100 Enrollment ID: I20220920003072 |
| Provider Name | Brianna Depalma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902521487 PECOS PAC ID: 0547636193 Enrollment ID: I20221021002232 |
| Provider Name | Elliot Richard Lugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861126237 PECOS PAC ID: 1456727833 Enrollment ID: I20221027000050 |
| Provider Name | Cindy Mariela Inga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376102061 PECOS PAC ID: 8628306461 Enrollment ID: I20221028000056 |
| Provider Name | Cassie Lin Petruzzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992433775 PECOS PAC ID: 0143697987 Enrollment ID: I20221107003304 |
| Provider Name | Andrew Garofano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205566122 PECOS PAC ID: 9234507302 Enrollment ID: I20221121001782 |
| Provider Name | Omar Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679105 PECOS PAC ID: 2365810447 Enrollment ID: I20221121002070 |
| Provider Name | Sean Heintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245948454 PECOS PAC ID: 2860860962 Enrollment ID: I20221121003413 |
| Provider Name | Kelly Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467179648 PECOS PAC ID: 7214305234 Enrollment ID: I20221123001285 |
| Provider Name | Kevin Geffe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730383779 PECOS PAC ID: 8123264876 Enrollment ID: I20221208002538 |
| Provider Name | Michelle Jean Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760134811 PECOS PAC ID: 7113396300 Enrollment ID: I20221209001873 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20221210000360 |
| Provider Name | Geangina Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437779857 PECOS PAC ID: 9931520277 Enrollment ID: I20221220000866 |
| Provider Name | Joshua N Cassedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235663295 PECOS PAC ID: 4385995166 Enrollment ID: I20230111003262 |
| Provider Name | Laique Imtiaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942865407 PECOS PAC ID: 3173850138 Enrollment ID: I20230126000254 |
| Provider Name | Shandurai Takavarasha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114286069 PECOS PAC ID: 0749552974 Enrollment ID: I20230131002798 |
| Provider Name | Richard Frank Goy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285721290 PECOS PAC ID: 7012389158 Enrollment ID: I20230217001645 |
| Provider Name | Simon Gringut |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366769663 PECOS PAC ID: 2062637531 Enrollment ID: I20230225000183 |
| Provider Name | Izabela Dzimira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679235063 PECOS PAC ID: 4688047368 Enrollment ID: I20230228000631 |
| Provider Name | Lalitha Gumidyala |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1831160027 PECOS PAC ID: 8224006846 Enrollment ID: I20230307001061 |
| Provider Name | Michael L Szatkowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023051182 PECOS PAC ID: 3577853902 Enrollment ID: I20230310000711 |
| Provider Name | M Adeel Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316591258 PECOS PAC ID: 1153795182 Enrollment ID: I20230315000053 |
| Provider Name | Kevin Beltre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215389853 PECOS PAC ID: 1951727544 Enrollment ID: I20230316002987 |
| Provider Name | Shannon Dass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588362818 PECOS PAC ID: 0244604692 Enrollment ID: I20230327000044 |
| Provider Name | Kelly Ann Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912612854 PECOS PAC ID: 4385019892 Enrollment ID: I20230417000208 |
| Provider Name | Manuela Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871217778 PECOS PAC ID: 7416322813 Enrollment ID: I20230418000811 |
| Provider Name | Eric Rottenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598793713 PECOS PAC ID: 6103826037 Enrollment ID: I20230422000033 |
| Provider Name | Marissa Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356036842 PECOS PAC ID: 5991160087 Enrollment ID: I20230425000152 |
| Provider Name | Silvana Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215699228 PECOS PAC ID: 8325432032 Enrollment ID: I20230425000755 |
| Provider Name | Camille Lowe-davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164025268 PECOS PAC ID: 7517362114 Enrollment ID: I20230509001026 |
| Provider Name | Marthe Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992401475 PECOS PAC ID: 1355707118 Enrollment ID: I20230519002831 |
| Provider Name | Dat T Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073140125 PECOS PAC ID: 6103257068 Enrollment ID: I20230606001032 |
| Provider Name | Brent Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558685107 PECOS PAC ID: 4880819945 Enrollment ID: I20230606002700 |
| Provider Name | Bharati Kalgi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255869772 PECOS PAC ID: 5294079158 Enrollment ID: I20230613000416 |
| Provider Name | Katelyn Graham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174232383 PECOS PAC ID: 0345609798 Enrollment ID: I20230704000199 |
| Provider Name | Rajdeep Bajwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104516954 PECOS PAC ID: 3971962796 Enrollment ID: I20230711001986 |
| Provider Name | Tori Gollie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245929546 PECOS PAC ID: 5698135093 Enrollment ID: I20230717003615 |
| Provider Name | Mohammed Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932769569 PECOS PAC ID: 4789075151 Enrollment ID: I20230809003935 |
| Provider Name | Jasmine Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801673447 PECOS PAC ID: 6002264561 Enrollment ID: I20231122002219 |
| Provider Name | Allison Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760959449 PECOS PAC ID: 6103274386 Enrollment ID: I20231128003752 |
| Provider Name | Robert Ealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205619152 PECOS PAC ID: 3375992761 Enrollment ID: I20231211001886 |
| Provider Name | Maria R Wolfel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275181372 PECOS PAC ID: 1658722533 Enrollment ID: I20240104002055 |
| Provider Name | Alicia A Arostegui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215717210 PECOS PAC ID: 4284085366 Enrollment ID: I20240112003536 |
| Provider Name | Jennifer Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205608239 PECOS PAC ID: 5698127405 Enrollment ID: I20240117003093 |
| Provider Name | Marissa Famularo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871887117 PECOS PAC ID: 2567792328 Enrollment ID: I20240117004601 |
| Provider Name | Binod Sinha |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134293723 PECOS PAC ID: 7214072776 Enrollment ID: I20240118002156 |
| Provider Name | Jhenette Lauder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912392770 PECOS PAC ID: 1557673134 Enrollment ID: I20240129003734 |
| Provider Name | Tanya Marie Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659145480 PECOS PAC ID: 7618312430 Enrollment ID: I20240301002640 |
| Provider Name | Yoon-taek Chun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134120496 PECOS PAC ID: 3779929260 Enrollment ID: I20240306003509 |
| Provider Name | Janae Mikel O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780459743 PECOS PAC ID: 1658717020 Enrollment ID: I20240307001710 |
| Provider Name | Ashley Zigarelli |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124488028 PECOS PAC ID: 5991003006 Enrollment ID: I20240416000798 |
| Provider Name | Edinson Najera Aguilar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013538362 PECOS PAC ID: 9537590823 Enrollment ID: I20240416003483 |
| Provider Name | Vidya Ramachandraiah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982911970 PECOS PAC ID: 3476840281 Enrollment ID: I20240501002949 |
Pocono Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 E Brown St, E Stroudsburg, PA 18301 Phone: 570-424-1201 Fax: 570-476-8841 |