| Massachusetts Eye And Ear Associates, Inc. | |
|
243 Charles St Boston MA 02114-3002 | |
| (617) 523-7900 | |
| Not Available |
| Full Name | Massachusetts Eye And Ear Associates, Inc. |
|---|---|
| Speciality | Ophthalmology |
| Location | 243 Charles St, Boston, Massachusetts |
| Authorized Official Name and Position | Sharyn Ghiloni (DIRECTOR FINANCIAL SERVICES) |
| Authorized Official Contact | 6175733941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Massachusetts Eye And Ear Associates, Inc. 300 Crown Colony Dr Suite 201 Quincy MA 02169-0904 Ph: (617) 804-4789 | Massachusetts Eye And Ear Associates, Inc. 243 Charles St Boston MA 02114-3002 Ph: (617) 523-7900 |
| NPI Number | 1932574332 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 11/28/2022 |
| Medicare PECOS PAC ID | 4486540275 |
|---|---|
| Medicare Enrollment ID | O20040227000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932574332 | NPI | - | NPPES |
| Provider Name | Joseph F Rizzo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235109414 PECOS PAC ID: 5092602409 Enrollment ID: I20040301001156 |
| Provider Name | Evangelos Gragoudas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598756405 PECOS PAC ID: 1254228422 Enrollment ID: I20040302000919 |
| Provider Name | Joan Whittier Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689658544 PECOS PAC ID: 3274420047 Enrollment ID: I20040304000610 |
| Provider Name | Matthew F Gardiner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366432833 PECOS PAC ID: 0244128908 Enrollment ID: I20040305000459 |
| Provider Name | Shizuo Mukai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164412250 PECOS PAC ID: 4981592409 Enrollment ID: I20040308000266 |
| Provider Name | Thaddeus P Dryja |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619961968 PECOS PAC ID: 5799673232 Enrollment ID: I20040308000351 |
| Provider Name | Teresa C Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144211194 PECOS PAC ID: 1759279201 Enrollment ID: I20040308000458 |
| Provider Name | Scott D Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164561346 PECOS PAC ID: 0143112664 Enrollment ID: I20040329000359 |
| Provider Name | Audrey Lebourdais |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720184203 PECOS PAC ID: 7911999370 Enrollment ID: I20040402001126 |
| Provider Name | Charles D Leahy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700953783 PECOS PAC ID: 0345233177 Enrollment ID: I20040406001667 |
| Provider Name | Naila Moghul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811959737 PECOS PAC ID: 5890789754 Enrollment ID: I20040413000927 |
| Provider Name | Jo- Ann E Haney-tilton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285610394 PECOS PAC ID: 5092797407 Enrollment ID: I20040601000891 |
| Provider Name | Diane R Bauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215010608 PECOS PAC ID: 6800871369 Enrollment ID: I20040621000553 |
| Provider Name | Annie Waifong Chan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306874169 PECOS PAC ID: 5294710349 Enrollment ID: I20040622001253 |
| Provider Name | Craig A Jones |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457340853 PECOS PAC ID: 9739164708 Enrollment ID: I20040623000362 |
| Provider Name | Roger K Russell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598746406 PECOS PAC ID: 4385615798 Enrollment ID: I20040802000160 |
| Provider Name | Lori J Wirth |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750344008 PECOS PAC ID: 5395718605 Enrollment ID: I20040816000620 |
| Provider Name | Derrick Lin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104817170 PECOS PAC ID: 7012980337 Enrollment ID: I20040816000728 |
| Provider Name | Dukhee Rhee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265467310 PECOS PAC ID: 7517930639 Enrollment ID: I20040817000849 |
| Provider Name | Teresa Bean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770550683 PECOS PAC ID: 0446223101 Enrollment ID: I20040819000715 |
| Provider Name | Mary E Cunnane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831189901 PECOS PAC ID: 7113991860 Enrollment ID: I20040819001408 |
| Provider Name | Suzanne K Freitag |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710974464 PECOS PAC ID: 6406820679 Enrollment ID: I20040824000042 |
| Provider Name | Ula Jurkunas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386634699 PECOS PAC ID: 9638146665 Enrollment ID: I20040910000450 |
| Provider Name | Hugh D Curtin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861482929 PECOS PAC ID: 0042278079 Enrollment ID: I20041222000381 |
| Provider Name | Jessica L Fewkes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295726396 PECOS PAC ID: 4082660162 Enrollment ID: I20050323000186 |
| Provider Name | Steven D Rauch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003807124 PECOS PAC ID: 5193771061 Enrollment ID: I20050323001067 |
| Provider Name | Ralph B Metson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104807551 PECOS PAC ID: 7012963622 Enrollment ID: I20050328000296 |
| Provider Name | Harold Gregory Ota |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598839821 PECOS PAC ID: 8527014984 Enrollment ID: I20050329000599 |
| Provider Name | Peter N Friedensohn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497746507 PECOS PAC ID: 5193771491 Enrollment ID: I20050330000379 |
| Provider Name | Michael A Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366438624 PECOS PAC ID: 5597679977 Enrollment ID: I20050407000363 |
| Provider Name | Fred E Shapiro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821103896 PECOS PAC ID: 8921045832 Enrollment ID: I20050412001318 |
| Provider Name | Janey L Wiggs |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548251994 PECOS PAC ID: 0840237392 Enrollment ID: I20050415000223 |
| Provider Name | Gregory W Randolph |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588655690 PECOS PAC ID: 8628016821 Enrollment ID: I20050419000733 |
| Provider Name | Mark Varvares |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205853272 PECOS PAC ID: 1557300795 Enrollment ID: I20050427001163 |
| Provider Name | Deborah S Jacobs |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689625709 PECOS PAC ID: 6800835802 Enrollment ID: I20050428001023 |
| Provider Name | John W Gittinger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760479406 PECOS PAC ID: 0840230736 Enrollment ID: I20050510000952 |
| Provider Name | Paul M Konowitz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366433328 PECOS PAC ID: 2466494091 Enrollment ID: I20050524001163 |
| Provider Name | Maria M Bortkiewicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609857622 PECOS PAC ID: 9830131390 Enrollment ID: I20050525000066 |
| Provider Name | Paul Martin Busse |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073587291 PECOS PAC ID: 7315980422 Enrollment ID: I20050608001024 |
| Provider Name | Lotfi B Merabet |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861515934 PECOS PAC ID: 8426092479 Enrollment ID: I20050610000713 |
| Provider Name | Amy F Juliano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508848615 PECOS PAC ID: 9739123506 Enrollment ID: I20050613000900 |
| Provider Name | Stephen L Campo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134110414 PECOS PAC ID: 2769411719 Enrollment ID: I20050810000155 |
| Provider Name | Lucia Sobrin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376534362 PECOS PAC ID: 8729018213 Enrollment ID: I20050815000624 |
| Provider Name | Roberto Pineda |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508856055 PECOS PAC ID: 3971534835 Enrollment ID: I20050830000915 |
| Provider Name | Reza Dana |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053395723 PECOS PAC ID: 3274565049 Enrollment ID: I20050901000571 |
| Provider Name | David M Bowling |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194716308 PECOS PAC ID: 4981636651 Enrollment ID: I20050901000592 |
| Provider Name | Donald G Keamy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568453660 PECOS PAC ID: 9436181955 Enrollment ID: I20050906000933 |
| Provider Name | Karen L Zar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780786780 PECOS PAC ID: 3870510639 Enrollment ID: I20051031000916 |
| Provider Name | George N Papaliodis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437121522 PECOS PAC ID: 4082697503 Enrollment ID: I20051207000353 |
| Provider Name | Peng Xiao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073509782 PECOS PAC ID: 4880617448 Enrollment ID: I20060110000192 |
| Provider Name | Michael B Rho |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952380529 PECOS PAC ID: 9537183603 Enrollment ID: I20060117000813 |
| Provider Name | Stacey T Gray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407835929 PECOS PAC ID: 3678597358 Enrollment ID: I20060120000485 |
| Provider Name | Adrian J Priesol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053390625 PECOS PAC ID: 3375557127 Enrollment ID: I20060131000763 |
| Provider Name | Neil Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083664163 PECOS PAC ID: 2567477821 Enrollment ID: I20060208000537 |
| Provider Name | Magdalena G Krzystolik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629074752 PECOS PAC ID: 8921013095 Enrollment ID: I20060210000051 |
| Provider Name | Krista J Klopfenstein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689642423 PECOS PAC ID: 5193732816 Enrollment ID: I20060321000222 |
| Provider Name | Alex Grilli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174577928 PECOS PAC ID: 6103837570 Enrollment ID: I20060523000033 |
| Provider Name | Ronald K De Venecia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700865375 PECOS PAC ID: 4183637002 Enrollment ID: I20060719000170 |
| Provider Name | Stacey C Brauner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427034404 PECOS PAC ID: 7517970817 Enrollment ID: I20060802000322 |
| Provider Name | Dean M Cestari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447297643 PECOS PAC ID: 1456354877 Enrollment ID: I20060824000119 |
| Provider Name | Phillip Song |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043246127 PECOS PAC ID: 1355370230 Enrollment ID: I20060918000460 |
| Provider Name | Amy F Scally |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306923735 PECOS PAC ID: 9931108891 Enrollment ID: I20061204000500 |
| Provider Name | Kevin Scott Emerick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255344545 PECOS PAC ID: 5092710939 Enrollment ID: I20070803000137 |
| Provider Name | Scott Greenstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164484804 PECOS PAC ID: 9830280577 Enrollment ID: I20070809000229 |
| Provider Name | Joseph Ciolino |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558418020 PECOS PAC ID: 2062503428 Enrollment ID: I20070814000652 |
| Provider Name | Kathyrn Masselam Hatch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528265824 PECOS PAC ID: 2466547781 Enrollment ID: I20071002000481 |
| Provider Name | Aalok V Agarwala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699801068 PECOS PAC ID: 7012005903 Enrollment ID: I20071109000394 |
| Provider Name | Cailyn Kelly |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104005834 PECOS PAC ID: 2163512989 Enrollment ID: I20071218000040 |
| Provider Name | Demetrios Vavvas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518941285 PECOS PAC ID: 3870679673 Enrollment ID: I20080319000309 |
| Provider Name | Daniel J Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437130267 PECOS PAC ID: 6305922923 Enrollment ID: I20080324000514 |
| Provider Name | Ivana K Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851381933 PECOS PAC ID: 7113005331 Enrollment ID: I20080429000020 |
| Provider Name | Lucy H Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407837644 PECOS PAC ID: 8325126550 Enrollment ID: I20080429000078 |
| Provider Name | Arezou Goli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730276692 PECOS PAC ID: 9638196843 Enrollment ID: I20080722000071 |
| Provider Name | Laura V Romo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114917275 PECOS PAC ID: 3870660780 Enrollment ID: I20080918000357 |
| Provider Name | Sheila Borboli-gerogiannis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730293358 PECOS PAC ID: 1557250198 Enrollment ID: I20080925000577 |
| Provider Name | Gustavo A Lozada |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437314887 PECOS PAC ID: 6709954456 Enrollment ID: I20081007000781 |
| Provider Name | Allison Mahoney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851458368 PECOS PAC ID: 7810056058 Enrollment ID: I20081104000020 |
| Provider Name | Margaret M Gregowicz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255498150 PECOS PAC ID: 1951460971 Enrollment ID: I20081105000875 |
| Provider Name | Mandy B Theisen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164589057 PECOS PAC ID: 5294894150 Enrollment ID: I20081106000498 |
| Provider Name | Laura Weiner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851358675 PECOS PAC ID: 7214098011 Enrollment ID: I20081212000028 |
| Provider Name | Martin Joseph Hortaleza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447287073 PECOS PAC ID: 2668535147 Enrollment ID: I20090109000137 |
| Provider Name | Arshad Ragen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538140561 PECOS PAC ID: 9537224498 Enrollment ID: I20090210000635 |
| Provider Name | Jennifer L Ciano |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205940459 PECOS PAC ID: 9335204536 Enrollment ID: I20090224000028 |
| Provider Name | Sanita D Souza |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639328164 PECOS PAC ID: 0941365142 Enrollment ID: I20090224000048 |
| Provider Name | Mandana Namiranian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497913826 PECOS PAC ID: 7214084334 Enrollment ID: I20090407000342 |
| Provider Name | Christopher Hartnick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972593242 PECOS PAC ID: 7214084631 Enrollment ID: I20090421000725 |
| Provider Name | Seetal Preet Kaur Cheema |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710009881 PECOS PAC ID: 1557411758 Enrollment ID: I20090610000071 |
| Provider Name | Ankoor S Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528122819 PECOS PAC ID: 2163573551 Enrollment ID: I20090624000676 |
| Provider Name | Aisha Sarah Traish |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689738205 PECOS PAC ID: 6901958453 Enrollment ID: I20090715000284 |
| Provider Name | Radu Botnaru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538344171 PECOS PAC ID: 2769535111 Enrollment ID: I20090801000030 |
| Provider Name | Lucy Shen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881860922 PECOS PAC ID: 2163593500 Enrollment ID: I20090804000353 |
| Provider Name | Brian J Park |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396969598 PECOS PAC ID: 3577662543 Enrollment ID: I20091002000022 |
| Provider Name | Jeremy W Goldfarb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619003084 PECOS PAC ID: 8527029925 Enrollment ID: I20091105000085 |
| Provider Name | Deeba Husain |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952397697 PECOS PAC ID: 9638212582 Enrollment ID: I20100201000713 |
| Provider Name | Christine L. Carter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922165810 PECOS PAC ID: 0244362077 Enrollment ID: I20100714000834 |
| Provider Name | Dongdong Yao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801088174 PECOS PAC ID: 2466586342 Enrollment ID: I20100813000467 |
| Provider Name | Daniel Lefebvre |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013163567 PECOS PAC ID: 0749304954 Enrollment ID: I20100825000116 |
| Provider Name | Alvaro Macias |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750543609 PECOS PAC ID: 7618091729 Enrollment ID: I20100826000312 |
| Provider Name | Brendan Mccarthy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033177969 PECOS PAC ID: 9436273299 Enrollment ID: I20100831000308 |
| Provider Name | Daniel Deschler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952391351 PECOS PAC ID: 0648395616 Enrollment ID: I20100914000733 |
| Provider Name | Jason Comander |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538211289 PECOS PAC ID: 8224154703 Enrollment ID: I20100922000733 |
| Provider Name | Beverly T Gonzales-arrieta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801932306 PECOS PAC ID: 7719060151 Enrollment ID: I20100927000066 |
| Provider Name | Brandon D Black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740509355 PECOS PAC ID: 4688790595 Enrollment ID: I20100929000113 |
| Provider Name | Mary Iann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235462516 PECOS PAC ID: 0042402794 Enrollment ID: I20101013000381 |
| Provider Name | Jason M. Erlich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578709267 PECOS PAC ID: 1850584020 Enrollment ID: I20101020000477 |
| Provider Name | Richard Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649261751 PECOS PAC ID: 3173717238 Enrollment ID: I20101102001182 |
| Provider Name | Eric Holbrook |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740271840 PECOS PAC ID: 0941494017 Enrollment ID: I20101102001355 |
| Provider Name | Andrew Scott |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457567471 PECOS PAC ID: 7810181732 Enrollment ID: I20101104000108 |
| Provider Name | Ramon Franco |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104817204 PECOS PAC ID: 1951595768 Enrollment ID: I20101104001392 |
| Provider Name | Richard Gliklich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922099027 PECOS PAC ID: 0143415877 Enrollment ID: I20101108001238 |
| Provider Name | Leila Mankarious |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891786901 PECOS PAC ID: 0042405581 Enrollment ID: I20101110000918 |
| Provider Name | Benjamin Bleier |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386700300 PECOS PAC ID: 0749335545 Enrollment ID: I20101110001388 |
| Provider Name | Mark Rounds |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669463782 PECOS PAC ID: 6002001369 Enrollment ID: I20101111001116 |
| Provider Name | Tatyana Tenenboym |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508871310 PECOS PAC ID: 9335166875 Enrollment ID: I20101118000691 |
| Provider Name | Catherine M Mullaly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790753499 PECOS PAC ID: 3476732066 Enrollment ID: I20110128000247 |
| Provider Name | Hani Ibrahim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770508988 PECOS PAC ID: 8628108651 Enrollment ID: I20110217000745 |
| Provider Name | Brittney J Mazza |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013211689 PECOS PAC ID: 9638350853 Enrollment ID: I20110222000378 |
| Provider Name | Amy Watts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669416400 PECOS PAC ID: 4385660257 Enrollment ID: I20110223001247 |
| Provider Name | Artem Grush |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407837420 PECOS PAC ID: 2668654948 Enrollment ID: I20110308000431 |
| Provider Name | Sherleen Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528059383 PECOS PAC ID: 6103008909 Enrollment ID: I20110316000267 |
| Provider Name | Dean Eliott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306883897 PECOS PAC ID: 5496649055 Enrollment ID: I20110330000260 |
| Provider Name | Nicolas Youssef Bu-saba |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306837406 PECOS PAC ID: 1052596855 Enrollment ID: I20110420000632 |
| Provider Name | Kenneth M Grundfast |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336101054 PECOS PAC ID: 0446259725 Enrollment ID: I20110620000229 |
| Provider Name | Hillary Kelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013044452 PECOS PAC ID: 5092983395 Enrollment ID: I20110712000207 |
| Provider Name | Michael Cohen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649435561 PECOS PAC ID: 5890963896 Enrollment ID: I20110719000003 |
| Provider Name | Zhonghui Luo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790985935 PECOS PAC ID: 3072781475 Enrollment ID: I20110728000496 |
| Provider Name | Felipe Santos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841309580 PECOS PAC ID: 6002084449 Enrollment ID: I20110729000313 |
| Provider Name | Leo Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265609275 PECOS PAC ID: 7810042769 Enrollment ID: I20110815000189 |
| Provider Name | Michael H. Fattal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679756704 PECOS PAC ID: 6507037066 Enrollment ID: I20110914000413 |
| Provider Name | Nahyoung Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386898898 PECOS PAC ID: 6305962283 Enrollment ID: I20110927000641 |
| Provider Name | Cathy Chong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043205974 PECOS PAC ID: 3870765894 Enrollment ID: I20111017000120 |
| Provider Name | Michael Yoon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710199047 PECOS PAC ID: 8527119817 Enrollment ID: I20111104000478 |
| Provider Name | Adina Gutium |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639351612 PECOS PAC ID: 7113190018 Enrollment ID: I20111108000854 |
| Provider Name | Amee Dharia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376575498 PECOS PAC ID: 2668646316 Enrollment ID: I20111116000010 |
| Provider Name | Eric Pierce |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578674941 PECOS PAC ID: 9032278460 Enrollment ID: I20111202000175 |
| Provider Name | Noah S Siegel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861506776 PECOS PAC ID: 7416033204 Enrollment ID: I20120111000188 |
| Provider Name | Paula Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710031562 PECOS PAC ID: 1759558802 Enrollment ID: I20120113000056 |
| Provider Name | Makara Cayer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487858635 PECOS PAC ID: 1951578921 Enrollment ID: I20120113000398 |
| Provider Name | Samir Melki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407838295 PECOS PAC ID: 4183668734 Enrollment ID: I20120113000706 |
| Provider Name | Colleen Mcartor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003948282 PECOS PAC ID: 7719144344 Enrollment ID: I20120208000919 |
| Provider Name | Christine Bond-eaves |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598808149 PECOS PAC ID: 1052573623 Enrollment ID: I20120426000285 |
| Provider Name | Calliope J Galatis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053433839 PECOS PAC ID: 3173787108 Enrollment ID: I20120604000196 |
| Provider Name | Alicia M. Quesnel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306051289 PECOS PAC ID: 6709041411 Enrollment ID: I20120703000174 |
| Provider Name | Hyunjoo J Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386808269 PECOS PAC ID: 9335304500 Enrollment ID: I20120713000489 |
| Provider Name | Han-ying Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184882870 PECOS PAC ID: 6901064849 Enrollment ID: I20120810000312 |
| Provider Name | Mark Bernardo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790063956 PECOS PAC ID: 3274789003 Enrollment ID: I20120810000502 |
| Provider Name | Robin W. Lindsay |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225002488 PECOS PAC ID: 2264689868 Enrollment ID: I20120905000274 |
| Provider Name | Matthew Mulholland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386905503 PECOS PAC ID: 8921256918 Enrollment ID: I20120917000608 |
| Provider Name | Benjamin M Mizell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881833234 PECOS PAC ID: 5991724866 Enrollment ID: I20120925000486 |
| Provider Name | Carla Petersen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003162785 PECOS PAC ID: 3476703380 Enrollment ID: I20121030000095 |
| Provider Name | David Mingdar Wu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164540886 PECOS PAC ID: 0042363418 Enrollment ID: I20121128000499 |
| Provider Name | Nita D. Sahani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295930360 PECOS PAC ID: 2668624255 Enrollment ID: I20121205000442 |
| Provider Name | Nelson J Aquino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598019267 PECOS PAC ID: 6507002334 Enrollment ID: I20130423000136 |
| Provider Name | John Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306075734 PECOS PAC ID: 9537327085 Enrollment ID: I20130813000820 |
| Provider Name | John A. Camuso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316288715 PECOS PAC ID: 5890937130 Enrollment ID: I20130815000441 |
| Provider Name | Yan Jiang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083053508 PECOS PAC ID: 8921240078 Enrollment ID: I20130820000423 |
| Provider Name | Linda Nancy Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366618464 PECOS PAC ID: 8123288552 Enrollment ID: I20130926000448 |
| Provider Name | Jessica K Rankin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679700926 PECOS PAC ID: 0345408944 Enrollment ID: I20131205000078 |
| Provider Name | John Dobrowski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538160452 PECOS PAC ID: 5092608893 Enrollment ID: I20140314000611 |
| Provider Name | Duane B Welling |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548294226 PECOS PAC ID: 9234033341 Enrollment ID: I20140604000401 |
| Provider Name | Lisa M Hammond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306162664 PECOS PAC ID: 9638317878 Enrollment ID: I20140617001706 |
| Provider Name | David H Jung |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205031739 PECOS PAC ID: 6204096670 Enrollment ID: I20140624000661 |
| Provider Name | Alice C Lorch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215257886 PECOS PAC ID: 9638337744 Enrollment ID: I20140709001105 |
| Provider Name | Judy B Akpan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144645128 PECOS PAC ID: 3779708466 Enrollment ID: I20140715000075 |
| Provider Name | David Shaye |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073771085 PECOS PAC ID: 8729234836 Enrollment ID: I20140728001838 |
| Provider Name | Ryan A Vasan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548587645 PECOS PAC ID: 0345484523 Enrollment ID: I20140805001807 |
| Provider Name | Anna M Stagner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053632448 PECOS PAC ID: 3870710601 Enrollment ID: I20140819000155 |
| Provider Name | Katie Harrington |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922237692 PECOS PAC ID: 9436299054 Enrollment ID: I20140922000996 |
| Provider Name | Tiffany Lynn Ryan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285047233 PECOS PAC ID: 6002036662 Enrollment ID: I20141002000128 |
| Provider Name | Jennifer Setlur |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679736110 PECOS PAC ID: 9739301946 Enrollment ID: I20141103001836 |
| Provider Name | Yuka Kiyota |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821194465 PECOS PAC ID: 1759389471 Enrollment ID: I20141208000034 |
| Provider Name | Christian Song |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528217916 PECOS PAC ID: 7214190834 Enrollment ID: I20141230002292 |
| Provider Name | Kristine Lo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235368952 PECOS PAC ID: 7416273388 Enrollment ID: I20150312000620 |
| Provider Name | Juan De Dios Flores |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457758708 PECOS PAC ID: 1456670652 Enrollment ID: I20150511001984 |
| Provider Name | Ivanka Choumanova |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346530060 PECOS PAC ID: 8820239791 Enrollment ID: I20150520002207 |
| Provider Name | Rachel Huckfeldt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205160173 PECOS PAC ID: 3274791850 Enrollment ID: I20150702001764 |
| Provider Name | Robert Mallery |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033347281 PECOS PAC ID: 8921269838 Enrollment ID: I20150702002077 |
| Provider Name | Allen C Lam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407177769 PECOS PAC ID: 5597925966 Enrollment ID: I20150713000554 |
| Provider Name | Archana T Seethala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376772665 PECOS PAC ID: 9638301633 Enrollment ID: I20150721002447 |
| Provider Name | Joshua Alan Sudec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184001646 PECOS PAC ID: 3971816505 Enrollment ID: I20150724011476 |
| Provider Name | Anita Marie Mepani |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871974907 PECOS PAC ID: 3375857220 Enrollment ID: I20150805008054 |
| Provider Name | Jia Yin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750678850 PECOS PAC ID: 0749596351 Enrollment ID: I20150827001214 |
| Provider Name | James Christopher Spencer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740417492 PECOS PAC ID: 7810211414 Enrollment ID: I20150908002040 |
| Provider Name | Alexandra Shevelyok |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104296854 PECOS PAC ID: 9931419090 Enrollment ID: I20151103000181 |
| Provider Name | David M Miller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356662373 PECOS PAC ID: 7012134299 Enrollment ID: I20160125002382 |
| Provider Name | Sarah Ying |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275731952 PECOS PAC ID: 2668461955 Enrollment ID: I20160209002501 |
| Provider Name | Maryann Heider |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588780480 PECOS PAC ID: 7618042490 Enrollment ID: I20160329001958 |
| Provider Name | Michael J Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982084992 PECOS PAC ID: 8224344007 Enrollment ID: I20160502000216 |
| Provider Name | Katherine Reinshagen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053727792 PECOS PAC ID: 9739307935 Enrollment ID: I20160621002152 |
| Provider Name | Miin Roh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629333166 PECOS PAC ID: 0749419158 Enrollment ID: I20160707001249 |
| Provider Name | Heidi J. Leonard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053478891 PECOS PAC ID: 2668765090 Enrollment ID: I20160722001580 |
| Provider Name | Allison R Soneru |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093070195 PECOS PAC ID: 3375837156 Enrollment ID: I20160803000171 |
| Provider Name | Emma C Davies |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386904761 PECOS PAC ID: 8921242835 Enrollment ID: I20160803001353 |
| Provider Name | Caroline Banks |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386807766 PECOS PAC ID: 0446544357 Enrollment ID: I20160815002188 |
| Provider Name | Cheryl Glovsky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851449409 PECOS PAC ID: 7214221175 Enrollment ID: I20160816000850 |
| Provider Name | Valeria Duque |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497106389 PECOS PAC ID: 3870888688 Enrollment ID: I20160818000360 |
| Provider Name | Bart K Chwalisz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629365234 PECOS PAC ID: 3678880556 Enrollment ID: I20160818001135 |
| Provider Name | Rupal A Bhakta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346654423 PECOS PAC ID: 6709171093 Enrollment ID: I20160825001814 |
| Provider Name | Gillian R Diercks |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255573515 PECOS PAC ID: 3274793658 Enrollment ID: I20160901001699 |
| Provider Name | Blake C Alkire |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649560707 PECOS PAC ID: 2062649569 Enrollment ID: I20160901001929 |
| Provider Name | Milica Margeta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225328321 PECOS PAC ID: 0749598332 Enrollment ID: I20160913001566 |
| Provider Name | Jeremy Richmon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871658369 PECOS PAC ID: 1456410232 Enrollment ID: I20160914000026 |
| Provider Name | Marc Bouffard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407119373 PECOS PAC ID: 6709173016 Enrollment ID: I20160929000748 |
| Provider Name | Silas L Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699988899 PECOS PAC ID: 8123205937 Enrollment ID: I20161011000799 |
| Provider Name | Xiaohong Zhou |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982054797 PECOS PAC ID: 0648492397 Enrollment ID: I20161011000904 |
| Provider Name | Jong Chul Park |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336307925 PECOS PAC ID: 2264676121 Enrollment ID: I20170403000389 |
| Provider Name | Natalie Wolkow |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205271863 PECOS PAC ID: 2062637622 Enrollment ID: I20170623001224 |
| Provider Name | John Harold Kempen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679684385 PECOS PAC ID: 5698717882 Enrollment ID: I20170711003247 |
| Provider Name | Jordan T Glicksman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124479282 PECOS PAC ID: 4183917982 Enrollment ID: I20170725000786 |
| Provider Name | Eric D Gaier |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134568199 PECOS PAC ID: 3274757109 Enrollment ID: I20170803003157 |
| Provider Name | Yuna Larrabee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386933117 PECOS PAC ID: 4183916877 Enrollment ID: I20170822000040 |
| Provider Name | Sarah J. Goudreau |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336669597 PECOS PAC ID: 2062785306 Enrollment ID: I20170907001954 |
| Provider Name | Jae Young You |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518250679 PECOS PAC ID: 1355560145 Enrollment ID: I20170920001360 |
| Provider Name | Lisa Zappala |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851829949 PECOS PAC ID: 5799050860 Enrollment ID: I20170929001575 |
| Provider Name | Dunia E Abdul Aziz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487880985 PECOS PAC ID: 8729248190 Enrollment ID: I20171012000740 |
| Provider Name | Patrick Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518370535 PECOS PAC ID: 2365669967 Enrollment ID: I20171116000247 |
| Provider Name | Emily M. Francisco |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982121489 PECOS PAC ID: 8426315474 Enrollment ID: I20171129000232 |
| Provider Name | George A Scangas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851659916 PECOS PAC ID: 9537393566 Enrollment ID: I20180518000778 |
| Provider Name | Elizabeth J Rossin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154734226 PECOS PAC ID: 0941427249 Enrollment ID: I20180629002510 |
| Provider Name | Michael H. Sherman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104204999 PECOS PAC ID: 5799031803 Enrollment ID: I20180703001545 |
| Provider Name | Michael Otremba |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992141808 PECOS PAC ID: 7911219159 Enrollment ID: I20180710003503 |
| Provider Name | Nicholas John Butler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356568539 PECOS PAC ID: 1052443975 Enrollment ID: I20180712001280 |
| Provider Name | Ryan Andrew Gise |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417214107 PECOS PAC ID: 7214284678 Enrollment ID: I20180717003044 |
| Provider Name | Thomas Dohlman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174938120 PECOS PAC ID: 5193072221 Enrollment ID: I20180720001600 |
| Provider Name | Matthew Roberts Naunheim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386910214 PECOS PAC ID: 9436383460 Enrollment ID: I20180723001207 |
| Provider Name | Howard L Kaufman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1376627109 PECOS PAC ID: 3476613464 Enrollment ID: I20180821003612 |
| Provider Name | Nazlee Zebardast |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316384118 PECOS PAC ID: 3476777343 Enrollment ID: I20180905001343 |
| Provider Name | Melina Hutchison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972034247 PECOS PAC ID: 3577813526 Enrollment ID: I20180912001902 |
| Provider Name | Arielle B. Swartz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386096410 PECOS PAC ID: 8224381025 Enrollment ID: I20181024002538 |
| Provider Name | Courtney Ondeck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609213719 PECOS PAC ID: 6709015530 Enrollment ID: I20181030001556 |
| Provider Name | Marc A. Selin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063885697 PECOS PAC ID: 4587960422 Enrollment ID: I20181121001951 |
| Provider Name | Daniel Faden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366739153 PECOS PAC ID: 2466683099 Enrollment ID: I20181128000149 |
| Provider Name | David S Friedman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669415220 PECOS PAC ID: 4082746151 Enrollment ID: I20190423000317 |
| Provider Name | Grayson Armstrong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205213972 PECOS PAC ID: 2961706734 Enrollment ID: I20190604001486 |
| Provider Name | Louis Insalaco |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316280886 PECOS PAC ID: 2668604125 Enrollment ID: I20190610000905 |
| Provider Name | Phillip A Huyett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285999813 PECOS PAC ID: 5092048405 Enrollment ID: I20190617001834 |
| Provider Name | Xue Zhao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407292873 PECOS PAC ID: 7618284571 Enrollment ID: I20190617002113 |
| Provider Name | Michael Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801200563 PECOS PAC ID: 2062727670 Enrollment ID: I20190617002886 |
| Provider Name | Dan Gong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346621596 PECOS PAC ID: 0244543973 Enrollment ID: I20190703002000 |
| Provider Name | Elliott Kozin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013200740 PECOS PAC ID: 1557524196 Enrollment ID: I20190708000786 |
| Provider Name | Mohammad Dahrouj |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891180428 PECOS PAC ID: 3375863665 Enrollment ID: I20190715001716 |
| Provider Name | Karen W Jeng-miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720460447 PECOS PAC ID: 0143524298 Enrollment ID: I20190718002259 |
| Provider Name | Bridget Driscoll Burgess |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861734949 PECOS PAC ID: 1951602713 Enrollment ID: I20190718002299 |
| Provider Name | Divya Chari |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750700415 PECOS PAC ID: 1052603487 Enrollment ID: I20190819003461 |
| Provider Name | Joe Alan Solomon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285734913 PECOS PAC ID: 2365512472 Enrollment ID: I20190905001094 |
| Provider Name | Mehnaz Khan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740575067 PECOS PAC ID: 1850604356 Enrollment ID: I20191016001688 |
| Provider Name | David Abraham Wolraich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710043682 PECOS PAC ID: 1850569369 Enrollment ID: I20191205002585 |
| Provider Name | Ryan Masi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558856914 PECOS PAC ID: 6800147752 Enrollment ID: I20200210000902 |
| Provider Name | Stephanie Sullo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366892721 PECOS PAC ID: 7315375318 Enrollment ID: I20200324003343 |
| Provider Name | Prashant Yadav |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972856334 PECOS PAC ID: 1153676960 Enrollment ID: I20200408002810 |
| Provider Name | Justin Benoit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811379233 PECOS PAC ID: 6103112115 Enrollment ID: I20200518001197 |
| Provider Name | Devin Ruiz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639559347 PECOS PAC ID: 9739488321 Enrollment ID: I20200608001488 |
| Provider Name | Julie Bruder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336683903 PECOS PAC ID: 0345526778 Enrollment ID: I20200706001521 |
| Provider Name | Lillian I Lukowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437184678 PECOS PAC ID: 2860416344 Enrollment ID: I20200707000735 |
| Provider Name | Levi Ndiukwu Kanu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710341227 PECOS PAC ID: 1254600083 Enrollment ID: I20200717001818 |
| Provider Name | Bardia Abbasi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629429543 PECOS PAC ID: 6305134180 Enrollment ID: I20200723002774 |
| Provider Name | Donna E. Corbett |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639792997 PECOS PAC ID: 7012331994 Enrollment ID: I20200724000905 |
| Provider Name | Kanika Agarwal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245692433 PECOS PAC ID: 8224329206 Enrollment ID: I20200724001452 |
| Provider Name | Frances Wu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679935563 PECOS PAC ID: 6608290507 Enrollment ID: I20200724001687 |
| Provider Name | Matthew Gordon Crowson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629310933 PECOS PAC ID: 6103242920 Enrollment ID: I20200811002457 |
| Provider Name | Elizabeth Chandler Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265058085 PECOS PAC ID: 4981020088 Enrollment ID: I20200820000294 |
| Provider Name | Hanna Kratochvil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356728372 PECOS PAC ID: 7214354570 Enrollment ID: I20200901001546 |
| Provider Name | Lauren Branchini |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093078461 PECOS PAC ID: 6305137613 Enrollment ID: I20200904001157 |
| Provider Name | Inas F Aboobakar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760846265 PECOS PAC ID: 1658649207 Enrollment ID: I20200905000002 |
| Provider Name | Megan Bilodeau |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649893538 PECOS PAC ID: 6800214792 Enrollment ID: I20200909001015 |
| Provider Name | Daniel M Vu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336535020 PECOS PAC ID: 1951693753 Enrollment ID: I20200909001765 |
| Provider Name | Nimesh Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083029763 PECOS PAC ID: 9537403340 Enrollment ID: I20200910002923 |
| Provider Name | Don E Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952496143 PECOS PAC ID: 7911004593 Enrollment ID: I20200921000779 |
| Provider Name | Nandini Venkateswaran |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265813992 PECOS PAC ID: 2466782461 Enrollment ID: I20201009000832 |
| Provider Name | William Francis Powell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508251935 PECOS PAC ID: 6204141294 Enrollment ID: I20201009002067 |
| Provider Name | Michael V Boland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023074143 PECOS PAC ID: 8123055100 Enrollment ID: I20201020003619 |
| Provider Name | Sonia Cohen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033557756 PECOS PAC ID: 6901034925 Enrollment ID: I20201104000867 |
| Provider Name | Rahmatullah Rahmati |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215191887 PECOS PAC ID: 1355511528 Enrollment ID: I20201125002507 |
| Provider Name | Amanda Dilger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710304753 PECOS PAC ID: 9638473606 Enrollment ID: I20201209002222 |
| Provider Name | Ying-ying Hsiao |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497340145 PECOS PAC ID: 5698184802 Enrollment ID: I20210429000260 |
| Provider Name | Ashley Andrew Gaucher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063936029 PECOS PAC ID: 4981979168 Enrollment ID: I20210512001427 |
| Provider Name | Morgan Erik Ostendorf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659937167 PECOS PAC ID: 2769883883 Enrollment ID: I20210628001196 |
| Provider Name | Jennifer Rose Vaughan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689239188 PECOS PAC ID: 6800297946 Enrollment ID: I20210628001936 |
| Provider Name | Jose Davila |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700317823 PECOS PAC ID: 4587066782 Enrollment ID: I20210710000009 |
| Provider Name | Derek Mai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588008031 PECOS PAC ID: 7911214234 Enrollment ID: I20210714002763 |
| Provider Name | Steven Young |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437686060 PECOS PAC ID: 2668744145 Enrollment ID: I20210721000766 |
| Provider Name | Laurel Tainsh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699203034 PECOS PAC ID: 9335419076 Enrollment ID: I20210722002839 |
| Provider Name | Rachel Petrie |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982271805 PECOS PAC ID: 9931503547 Enrollment ID: I20210804001238 |
| Provider Name | Asha Meloottu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760059836 PECOS PAC ID: 7618371592 Enrollment ID: I20210816000338 |
| Provider Name | Clifford B Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689105785 PECOS PAC ID: 2365713948 Enrollment ID: I20210816003714 |
| Provider Name | Grace S Shin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154942464 PECOS PAC ID: 3072930593 Enrollment ID: I20210817002942 |
| Provider Name | Alyssa Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528623113 PECOS PAC ID: 3678978301 Enrollment ID: I20210818003517 |
| Provider Name | Allen Feng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114266426 PECOS PAC ID: 0547552168 Enrollment ID: I20210820001042 |
| Provider Name | Stephanie Clare Patterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326401688 PECOS PAC ID: 4587957139 Enrollment ID: I20210825000185 |
| Provider Name | Austin Ryan Meeker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437507548 PECOS PAC ID: 7113291618 Enrollment ID: I20210901003168 |
| Provider Name | Valerie G Tainsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407218522 PECOS PAC ID: 9638442841 Enrollment ID: I20211004001876 |
| Provider Name | Jaime Morgan Horowitz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710650718 PECOS PAC ID: 0840688800 Enrollment ID: I20211023000043 |
| Provider Name | Catherine Liu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619542362 PECOS PAC ID: 5698163681 Enrollment ID: I20211025001068 |
| Provider Name | Karen Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578725685 PECOS PAC ID: 3971745076 Enrollment ID: I20211130002606 |
| Provider Name | Madeline J Macaluso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619644176 PECOS PAC ID: 4183017395 Enrollment ID: I20220211000777 |
| Provider Name | Raymond Clifford Cullen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174296248 PECOS PAC ID: 6406240217 Enrollment ID: I20220221001969 |
| Provider Name | Yuh-shin Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275166985 PECOS PAC ID: 7214323807 Enrollment ID: I20220407001117 |
| Provider Name | Weining Fu-feng |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578728929 PECOS PAC ID: 6507913019 Enrollment ID: I20220422002353 |
| Provider Name | Sameer Gupta |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851741268 PECOS PAC ID: 7113213711 Enrollment ID: I20220527001604 |
| Provider Name | Aaron Richard Kaufman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174028096 PECOS PAC ID: 8820348212 Enrollment ID: I20220602002057 |
| Provider Name | Ahmad Al Moujahed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073008777 PECOS PAC ID: 1153709167 Enrollment ID: I20220603000898 |
| Provider Name | James Bradley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487036638 PECOS PAC ID: 0042525040 Enrollment ID: I20220614001468 |
| Provider Name | Carolina Altagracia Chiou |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336639970 PECOS PAC ID: 4587911508 Enrollment ID: I20220620000386 |
| Provider Name | Ines Maria De Carvalho Lains |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538665039 PECOS PAC ID: 4688922552 Enrollment ID: I20220621000365 |
| Provider Name | Rodrigo Alonso Alvarez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750044608 PECOS PAC ID: 0143609131 Enrollment ID: I20220622001502 |
| Provider Name | David J Doobin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336646777 PECOS PAC ID: 0648516807 Enrollment ID: I20220623002562 |
| Provider Name | Sarah Leonard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114664125 PECOS PAC ID: 0840679767 Enrollment ID: I20220623002823 |
| Provider Name | Isabel Deakins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447833090 PECOS PAC ID: 9234531419 Enrollment ID: I20220625000074 |
| Provider Name | Robin Brittany Pappal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811428436 PECOS PAC ID: 9537499488 Enrollment ID: I20220629000258 |
| Provider Name | Aishwarya Sriram |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831693118 PECOS PAC ID: 8325428899 Enrollment ID: I20220630002384 |
| Provider Name | Katherine Metcalf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336399690 PECOS PAC ID: 0143455733 Enrollment ID: I20220802000106 |
| Provider Name | Morgan Phillips |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730735697 PECOS PAC ID: 9133558299 Enrollment ID: I20220825003872 |
| Provider Name | Wendy L Linderman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992295216 PECOS PAC ID: 8325391980 Enrollment ID: I20220916002141 |
| Provider Name | Barak Ringel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285240366 PECOS PAC ID: 9234531427 Enrollment ID: I20220926002511 |
| Provider Name | Kyle Durel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245892322 PECOS PAC ID: 7719215201 Enrollment ID: I20221012001435 |
| Provider Name | Matthew Russell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821260084 PECOS PAC ID: 4486831377 Enrollment ID: I20221019002420 |
| Provider Name | Alina Swierski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053935601 PECOS PAC ID: 4981014578 Enrollment ID: I20221208003071 |
| Provider Name | Mark Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023024395 PECOS PAC ID: 3476547068 Enrollment ID: I20221215000068 |
| Provider Name | Julia M Mellon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667769 PECOS PAC ID: 4789055005 Enrollment ID: I20230125000878 |
| Provider Name | Sara Witek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265068894 PECOS PAC ID: 7012331564 Enrollment ID: I20230203000986 |
| Provider Name | Lauren Martin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639823131 PECOS PAC ID: 1153715404 Enrollment ID: I20230210000907 |
| Provider Name | Jillian Bushor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396456596 PECOS PAC ID: 7012389406 Enrollment ID: I20230213000949 |
| Provider Name | Madelyn Schefer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346951530 PECOS PAC ID: 5890167993 Enrollment ID: I20230220000968 |
| Provider Name | Morgan Denno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760905301 PECOS PAC ID: 1254604382 Enrollment ID: I20230320002309 |
| Provider Name | Sivan Mira Elyashiv |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437529062 PECOS PAC ID: 5597139907 Enrollment ID: I20230327002321 |
| Provider Name | Melanie Anne Rosenthal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891341202 PECOS PAC ID: 1254764525 Enrollment ID: I20230501002443 |
| Provider Name | Margaret Song |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184006603 PECOS PAC ID: 6709187024 Enrollment ID: I20230504001322 |
| Provider Name | Nicole Jiam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831513225 PECOS PAC ID: 5092045559 Enrollment ID: I20230516001678 |
| Provider Name | Daniel A. Schwartz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649733783 PECOS PAC ID: 6800252818 Enrollment ID: I20230517002704 |
| Provider Name | Tomas Andersen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336608124 PECOS PAC ID: 5890151807 Enrollment ID: I20230517002768 |
| Provider Name | Laura Barna |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265991079 PECOS PAC ID: 2961733787 Enrollment ID: I20230522001506 |
| Provider Name | Lisa Y Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801355904 PECOS PAC ID: 3870910490 Enrollment ID: I20230522002559 |
| Provider Name | Anthony Marte |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225598394 PECOS PAC ID: 6608232384 Enrollment ID: I20230523001221 |
| Provider Name | Jeffrey Desilets |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992265029 PECOS PAC ID: 4880050590 Enrollment ID: I20230523001937 |
| Provider Name | Jia Xu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366000192 PECOS PAC ID: 4284960147 Enrollment ID: I20230526000405 |
| Provider Name | William Foulsham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124581863 PECOS PAC ID: 8224495502 Enrollment ID: I20230531002997 |
| Provider Name | Megan Steinkerchner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568922128 PECOS PAC ID: 6103152319 Enrollment ID: I20230531003138 |
| Provider Name | Daniel L Liebman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467912758 PECOS PAC ID: 0042544975 Enrollment ID: I20230531003253 |
| Provider Name | Omar A Karadaghy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811480601 PECOS PAC ID: 7012265382 Enrollment ID: I20230601000541 |
| Provider Name | Yandong Bian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275093064 PECOS PAC ID: 5193143824 Enrollment ID: I20230602000506 |
| Provider Name | Emily Jo Venskytis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033635859 PECOS PAC ID: 2062879117 Enrollment ID: I20230605001119 |
| Provider Name | Nicole R Lifson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730743477 PECOS PAC ID: 1850626961 Enrollment ID: I20230605001635 |
| Provider Name | Abel Poliarco David |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740784925 PECOS PAC ID: 0244697332 Enrollment ID: I20230605003178 |
| Provider Name | Amy Metry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285286815 PECOS PAC ID: 9335572890 Enrollment ID: I20230607001233 |
| Provider Name | Luis A. Martinez-velazquez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164985933 PECOS PAC ID: 7719220821 Enrollment ID: I20230607002492 |
| Provider Name | Kevin James Quinn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629459243 PECOS PAC ID: 5698080281 Enrollment ID: I20230612001756 |
| Provider Name | Ariel Axelbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629637988 PECOS PAC ID: 0749516524 Enrollment ID: I20230614001720 |
| Provider Name | Isaac Bleicher |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760943914 PECOS PAC ID: 2668899113 Enrollment ID: I20230614002006 |
| Provider Name | Natalia Kyriazidis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497288609 PECOS PAC ID: 4587900162 Enrollment ID: I20230616001986 |
| Provider Name | Amalie Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154881241 PECOS PAC ID: 7012375363 Enrollment ID: I20230620001557 |
| Provider Name | Jennifer Chi Wei Hu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285194589 PECOS PAC ID: 7618208851 Enrollment ID: I20230713000528 |
| Provider Name | Corinne Marie Zazzaro |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114618543 PECOS PAC ID: 9931569670 Enrollment ID: I20230713001366 |
| Provider Name | Leyla Yavuz Saricay |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942878251 PECOS PAC ID: 9133589781 Enrollment ID: I20230714001615 |
| Provider Name | Kyang Oh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013476860 PECOS PAC ID: 1052647252 Enrollment ID: I20230717002808 |
| Provider Name | Julie Lin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700521978 PECOS PAC ID: 1557731189 Enrollment ID: I20230718000638 |
| Provider Name | Emma Elizabeth Furness |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255021812 PECOS PAC ID: 6608238241 Enrollment ID: I20230815001262 |
| Provider Name | Annie Song |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073978334 PECOS PAC ID: 2860722881 Enrollment ID: I20230816000959 |
| Provider Name | Kenneth Matthew Mckay |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235510462 PECOS PAC ID: 6103138805 Enrollment ID: I20230822000404 |
| Provider Name | Caroline Moria Mcgovern |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477242865 PECOS PAC ID: 3274995345 Enrollment ID: I20230822001607 |
| Provider Name | Marilyn R. Spinale |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487992269 PECOS PAC ID: 1254794365 Enrollment ID: I20230822003588 |
| Provider Name | Samira Sadat Mortazavi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992436786 PECOS PAC ID: 1456714476 Enrollment ID: I20230823004384 |
| Provider Name | Eileen Bui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841724051 PECOS PAC ID: 1153775739 Enrollment ID: I20231001000080 |
| Provider Name | Archana Singaravelu Ramesh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790190809 PECOS PAC ID: 2466778550 Enrollment ID: I20231002002062 |
| Provider Name | Mauro Cappa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851812580 PECOS PAC ID: 1557732179 Enrollment ID: I20231012002890 |
| Provider Name | Alex O'connell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598153462 PECOS PAC ID: 7719204213 Enrollment ID: I20231030001053 |
| Provider Name | Robert O'donnell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285871731 PECOS PAC ID: 2668611260 Enrollment ID: I20231205000454 |
| Provider Name | Alexa Bullard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477286656 PECOS PAC ID: 6103200977 Enrollment ID: I20231207001523 |
| Provider Name | Anna Keenan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538881651 PECOS PAC ID: 2769868967 Enrollment ID: I20231213003254 |
| Provider Name | Victoria Elizabeth Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669248548 PECOS PAC ID: 6608211768 Enrollment ID: I20240228001959 |
| Provider Name | Kara Wheeler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174253884 PECOS PAC ID: 5799121604 Enrollment ID: I20240314001030 |
| Provider Name | Matthew Jacob Javitt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477173755 PECOS PAC ID: 1052853751 Enrollment ID: I20240610002528 |
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