| Ph Medical Group Midlands | |
|
3555 Harden Street Ext Ste 300 Columbia SC 29203-6894 | |
| (803) 545-5000 | |
| Not Available |
| Full Name | Ph Medical Group Midlands |
|---|---|
| Speciality | Clinic/Center |
| Location | 3555 Harden Street Ext Ste 300, Columbia, South Carolina |
| Authorized Official Name and Position | Kristi Lawrence (DIRECTOR-PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8645228611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ph Medical Group Midlands Po Box 743904 Atlanta GA 30374-3904 Ph: (803) 296-7033 | Ph Medical Group Midlands 3555 Harden Street Ext Ste 300 Columbia SC 29203-6894 Ph: (803) 545-5000 |
| NPI Number | 1275988321 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 5991099707 |
|---|---|
| Medicare Enrollment ID | O20160802001226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275988321 | NPI | - | NPPES |
| GP7530 | Medicaid | SC | |
| DA9495 | Medicaid | SC |
| Provider Name | Scott D Cohen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871699652 PECOS PAC ID: 3577475904 Enrollment ID: I20031106000116 |
| Provider Name | John W York |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700828746 PECOS PAC ID: 5698689768 Enrollment ID: I20031113000762 |
| Provider Name | Teresa B Durden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790763613 PECOS PAC ID: 6507770088 Enrollment ID: I20031204000454 |
| Provider Name | Demerise O Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245296797 PECOS PAC ID: 6305742628 Enrollment ID: I20031209000221 |
| Provider Name | William J Hollins |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1164422820 PECOS PAC ID: 4385542695 Enrollment ID: I20031223000681 |
| Provider Name | Gopi Yogesh Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750380333 PECOS PAC ID: 4082512322 Enrollment ID: I20031223000830 |
| Provider Name | John Baugh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942208707 PECOS PAC ID: 2567360621 Enrollment ID: I20031229000011 |
| Provider Name | David J Amrol |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255308219 PECOS PAC ID: 4486552569 Enrollment ID: I20031229000136 |
| Provider Name | Barry Jay Feldman |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1598764276 PECOS PAC ID: 7911805007 Enrollment ID: I20031229000218 |
| Provider Name | Carl Weir Peter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811975550 PECOS PAC ID: 1254239361 Enrollment ID: I20031229000366 |
| Provider Name | Jennifer A Feldman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407855182 PECOS PAC ID: 6507765344 Enrollment ID: I20031231000338 |
| Provider Name | Ali Abbas Rizvi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033186754 PECOS PAC ID: 4688573850 Enrollment ID: I20040107000317 |
| Provider Name | Shannon R Poole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457469009 PECOS PAC ID: 1153223284 Enrollment ID: I20040121000269 |
| Provider Name | Daniel C Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407802267 PECOS PAC ID: 8820999055 Enrollment ID: I20040122000399 |
| Provider Name | Jeffrey W Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154308765 PECOS PAC ID: 5698678241 Enrollment ID: I20040130000214 |
| Provider Name | Cynthia E Reese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699771006 PECOS PAC ID: 5890688030 Enrollment ID: I20040203000596 |
| Provider Name | Mulugeta Tarekegne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336105535 PECOS PAC ID: 7618860768 Enrollment ID: I20040204000103 |
| Provider Name | Rhona M Harrell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194792184 PECOS PAC ID: 2264326776 Enrollment ID: I20040213000188 |
| Provider Name | Paul D Deholl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124029103 PECOS PAC ID: 8426944901 Enrollment ID: I20040223000698 |
| Provider Name | Julie K Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528047560 PECOS PAC ID: 2365339504 Enrollment ID: I20040302000742 |
| Provider Name | Barbara Magera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891776621 PECOS PAC ID: 4587552302 Enrollment ID: I20040304000947 |
| Provider Name | Michael H Emmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245299072 PECOS PAC ID: 5698664100 Enrollment ID: I20040312000812 |
| Provider Name | Lavon Michelle Ross-purdie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053378901 PECOS PAC ID: 3476444332 Enrollment ID: I20040322001132 |
| Provider Name | Anthony Joseph Mesiano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609960384 PECOS PAC ID: 3971495110 Enrollment ID: I20040325000204 |
| Provider Name | Tisha Smith Boston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427027192 PECOS PAC ID: 9335132562 Enrollment ID: I20040405001170 |
| Provider Name | William Harrington Richardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831160506 PECOS PAC ID: 7012903503 Enrollment ID: I20040421000875 |
| Provider Name | Miroslav Cuturic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093776254 PECOS PAC ID: 6901893718 Enrollment ID: I20040426000963 |
| Provider Name | Terry Anthony Godfrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003806266 PECOS PAC ID: 8729075635 Enrollment ID: I20040430000293 |
| Provider Name | Alfred Nicholas Depace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982755054 PECOS PAC ID: 4789672288 Enrollment ID: I20040504000495 |
| Provider Name | Jeter Pritchard Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124099890 PECOS PAC ID: 7214926393 Enrollment ID: I20040512000736 |
| Provider Name | Frank K Noojin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669440525 PECOS PAC ID: 6800887142 Enrollment ID: I20040524001058 |
| Provider Name | Christopher Gadsden Carsten |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275586471 PECOS PAC ID: 4082695846 Enrollment ID: I20040527000159 |
| Provider Name | Harris Hartwell Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831177377 PECOS PAC ID: 8820070154 Enrollment ID: I20040602000246 |
| Provider Name | Stephanie S Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477592178 PECOS PAC ID: 3476537234 Enrollment ID: I20040617000986 |
| Provider Name | Balbir S Minhas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033158779 PECOS PAC ID: 8022093566 Enrollment ID: I20040621000354 |
| Provider Name | Lee S Carson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649248576 PECOS PAC ID: 6709861263 Enrollment ID: I20040621000489 |
| Provider Name | William C Gerard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326019191 PECOS PAC ID: 2668457060 Enrollment ID: I20040621000885 |
| Provider Name | Vincent J Lloyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811968654 PECOS PAC ID: 9537144936 Enrollment ID: I20040621000917 |
| Provider Name | Thomas P Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598736282 PECOS PAC ID: 9931184348 Enrollment ID: I20040621000968 |
| Provider Name | Christopher G Mazoue |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366406837 PECOS PAC ID: 9537144886 Enrollment ID: I20040621001382 |
| Provider Name | Allison L Harvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316918188 PECOS PAC ID: 0345225355 Enrollment ID: I20040623000665 |
| Provider Name | Stephen F Ridley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508839630 PECOS PAC ID: 2567448855 Enrollment ID: I20040628000381 |
| Provider Name | James Maurice Nottingham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396702254 PECOS PAC ID: 9739166497 Enrollment ID: I20040701000541 |
| Provider Name | Sara L Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124071451 PECOS PAC ID: 9032196324 Enrollment ID: I20040706000212 |
| Provider Name | Kathy W Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124031836 PECOS PAC ID: 9638156953 Enrollment ID: I20040706000481 |
| Provider Name | Joseph S Myslinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962474734 PECOS PAC ID: 9335126358 Enrollment ID: I20040707000516 |
| Provider Name | Nioaka Nicole Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083675615 PECOS PAC ID: 2062490824 Enrollment ID: I20040709000214 |
| Provider Name | Mary Elizabeth Poston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497722367 PECOS PAC ID: 9830177567 Enrollment ID: I20040709000780 |
| Provider Name | Bela K Udani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104878784 PECOS PAC ID: 0446238737 Enrollment ID: I20040713000218 |
| Provider Name | Patrick Stephen Hunt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265403026 PECOS PAC ID: 7012995319 Enrollment ID: I20040713000275 |
| Provider Name | Leverne M Prosser |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588663264 PECOS PAC ID: 1355320482 Enrollment ID: I20040714000396 |
| Provider Name | Eric A Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962473736 PECOS PAC ID: 3173502218 Enrollment ID: I20040714000453 |
| Provider Name | Judith Thompson Burgis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255395893 PECOS PAC ID: 3678552650 Enrollment ID: I20040714000825 |
| Provider Name | Troy W Privette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154392827 PECOS PAC ID: 8123007465 Enrollment ID: I20040719001302 |
| Provider Name | David E Koon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073577037 PECOS PAC ID: 4385624378 Enrollment ID: I20040721000772 |
| Provider Name | Leighton Douglas Teague |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225084809 PECOS PAC ID: 5496735458 Enrollment ID: I20040721001213 |
| Provider Name | Wayne A Duffus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174590392 PECOS PAC ID: 6103896378 Enrollment ID: I20040727000916 |
| Provider Name | Laura M Pirich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144297623 PECOS PAC ID: 4789654617 Enrollment ID: I20040728001241 |
| Provider Name | Leigh J Hawn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154390763 PECOS PAC ID: 6709856404 Enrollment ID: I20040729000923 |
| Provider Name | Anthony Gregg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205890399 PECOS PAC ID: 8729058235 Enrollment ID: I20040730000269 |
| Provider Name | Caroline K Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386752251 PECOS PAC ID: 7012989817 Enrollment ID: I20040811001133 |
| Provider Name | Sharon Lynette Aldrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548260946 PECOS PAC ID: 9638142383 Enrollment ID: I20040819000609 |
| Provider Name | William B Owens |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366419178 PECOS PAC ID: 2860466240 Enrollment ID: I20040823000210 |
| Provider Name | Claire L Birdsong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346216306 PECOS PAC ID: 7618941717 Enrollment ID: I20040824000997 |
| Provider Name | Elizabeth Alison Lebel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881687440 PECOS PAC ID: 6103890066 Enrollment ID: I20040825000824 |
| Provider Name | Francis A Clarkson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639168180 PECOS PAC ID: 3577539295 Enrollment ID: I20040903000581 |
| Provider Name | David T Ford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528039385 PECOS PAC ID: 3274500756 Enrollment ID: I20040914000694 |
| Provider Name | Lauren J Painter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467420521 PECOS PAC ID: 6800865114 Enrollment ID: I20041001000781 |
| Provider Name | Rosemary Davis Gordon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902865280 PECOS PAC ID: 6204898430 Enrollment ID: I20041101000140 |
| Provider Name | Monica F Ansani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528025772 PECOS PAC ID: 6204899313 Enrollment ID: I20041110000074 |
| Provider Name | Daniel C Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699791855 PECOS PAC ID: 7416911771 Enrollment ID: I20041116000858 |
| Provider Name | Gary D Hals |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780655456 PECOS PAC ID: 2264496348 Enrollment ID: I20041118000092 |
| Provider Name | Namrata M Shidhaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356398432 PECOS PAC ID: 7315902251 Enrollment ID: I20041119000949 |
| Provider Name | Robert J Breen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427019181 PECOS PAC ID: 4688630908 Enrollment ID: I20041208000074 |
| Provider Name | Greta S Harper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396715975 PECOS PAC ID: 7911963210 Enrollment ID: I20041208000775 |
| Provider Name | Robert Carter Holleman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639109903 PECOS PAC ID: 0244134070 Enrollment ID: I20041214000148 |
| Provider Name | Michael Donald Wade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417928193 PECOS PAC ID: 1355308651 Enrollment ID: I20041218000165 |
| Provider Name | Cynthia M Pridgen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487627436 PECOS PAC ID: 3274591946 Enrollment ID: I20041228000510 |
| Provider Name | Jeffrey T Ehreth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962431304 PECOS PAC ID: 8921066556 Enrollment ID: I20041229000089 |
| Provider Name | Olga C Rosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659343531 PECOS PAC ID: 2860450129 Enrollment ID: I20050103000799 |
| Provider Name | Samuel M Riddle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134188238 PECOS PAC ID: 8426007022 Enrollment ID: I20050121000043 |
| Provider Name | George M Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053370155 PECOS PAC ID: 6507815107 Enrollment ID: I20050121000051 |
| Provider Name | Helen Demos Latham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831168129 PECOS PAC ID: 2769431360 Enrollment ID: I20050121000079 |
| Provider Name | Janice L Coleman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851340111 PECOS PAC ID: 0648242131 Enrollment ID: I20050201000371 |
| Provider Name | Kevin William Kopera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700839115 PECOS PAC ID: 3173574639 Enrollment ID: I20050202000635 |
| Provider Name | David G Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871532556 PECOS PAC ID: 0840242582 Enrollment ID: I20050210000730 |
| Provider Name | Stephen L Shelton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649241316 PECOS PAC ID: 7214980960 Enrollment ID: I20050223000154 |
| Provider Name | Betty D Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548392442 PECOS PAC ID: 9638122302 Enrollment ID: I20050223000360 |
| Provider Name | Michael G Helms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881792323 PECOS PAC ID: 5294788212 Enrollment ID: I20050301000983 |
| Provider Name | Carol B Alan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932116217 PECOS PAC ID: 0648225698 Enrollment ID: I20050314000283 |
| Provider Name | Henry P Moses |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356395248 PECOS PAC ID: 4981659950 Enrollment ID: I20050314000452 |
| Provider Name | Mark M Crabbe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619921905 PECOS PAC ID: 9234184110 Enrollment ID: I20050314000584 |
| Provider Name | Michael Jay Naylor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992720601 PECOS PAC ID: 5890740039 Enrollment ID: I20050321000543 |
| Provider Name | Promila B Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518943000 PECOS PAC ID: 8325093511 Enrollment ID: I20050321000905 |
| Provider Name | Jennifer G Amrol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174559553 PECOS PAC ID: 7012964752 Enrollment ID: I20050405000360 |
| Provider Name | Benjamin R Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770582454 PECOS PAC ID: 9234186545 Enrollment ID: I20050407000841 |
| Provider Name | Imranullah Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083681241 PECOS PAC ID: 8628016359 Enrollment ID: I20050421001436 |
| Provider Name | John J Walsh |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1427012491 PECOS PAC ID: 1456390962 Enrollment ID: I20050425001030 |
| Provider Name | Jeffrey Hall Brandenburg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659345379 PECOS PAC ID: 6800836412 Enrollment ID: I20050503000944 |
| Provider Name | Ellie Bryan Mozingo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316912066 PECOS PAC ID: 4486694007 Enrollment ID: I20050503001066 |
| Provider Name | Robin E Traufler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669474490 PECOS PAC ID: 7315987013 Enrollment ID: I20050511000727 |
| Provider Name | Charles J Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013982412 PECOS PAC ID: 7810938420 Enrollment ID: I20050513000227 |
| Provider Name | Craig F Maylath |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326015249 PECOS PAC ID: 4880635119 Enrollment ID: I20050517001000 |
| Provider Name | Jason L Wechsler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740266246 PECOS PAC ID: 5496798977 Enrollment ID: I20050606000817 |
| Provider Name | Thomas F Mattox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437113537 PECOS PAC ID: 7911940408 Enrollment ID: I20050606000839 |
| Provider Name | Wendy L Lykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194775866 PECOS PAC ID: 7911941885 Enrollment ID: I20050613000789 |
| Provider Name | Brian David Keisler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750357554 PECOS PAC ID: 9436193067 Enrollment ID: I20050615000213 |
| Provider Name | Rachel Setzler Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396710430 PECOS PAC ID: 4082658174 Enrollment ID: I20050620000720 |
| Provider Name | Kerry K Sease |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134170871 PECOS PAC ID: 2365487683 Enrollment ID: I20050627000690 |
| Provider Name | Jeffrey A Guy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447214408 PECOS PAC ID: 9032155015 Enrollment ID: I20050629001043 |
| Provider Name | Jeffery Scott Martin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578531125 PECOS PAC ID: 2961438973 Enrollment ID: I20050712000208 |
| Provider Name | Kamran Z Zargham Koranloo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013022516 PECOS PAC ID: 0446289094 Enrollment ID: I20050804000629 |
| Provider Name | Divya Ahuja |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134105760 PECOS PAC ID: 5294767984 Enrollment ID: I20050901000829 |
| Provider Name | Meera Narasimhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235199233 PECOS PAC ID: 1456383926 Enrollment ID: I20050906000465 |
| Provider Name | Robert W Rowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033139134 PECOS PAC ID: 0244263390 Enrollment ID: I20050919000205 |
| Provider Name | Oliver Pierre Harden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164479747 PECOS PAC ID: 7517991789 Enrollment ID: I20050927000368 |
| Provider Name | Gary B Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689640922 PECOS PAC ID: 8628003860 Enrollment ID: I20050927001012 |
| Provider Name | Patricia M Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205822509 PECOS PAC ID: 5698790418 Enrollment ID: I20051011000758 |
| Provider Name | Leslie E Frinks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699738591 PECOS PAC ID: 6002831740 Enrollment ID: I20051011001045 |
| Provider Name | Laura Szadek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740210129 PECOS PAC ID: 9032134788 Enrollment ID: I20051011001100 |
| Provider Name | Elizabeth Hinton Darragh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659501799 PECOS PAC ID: 3779509278 Enrollment ID: I20051024000116 |
| Provider Name | Natalie Bingham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366408635 PECOS PAC ID: 6204853815 Enrollment ID: I20051101001168 |
| Provider Name | Timothy Ronald Wagner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306899539 PECOS PAC ID: 0749207306 Enrollment ID: I20051102000239 |
| Provider Name | Kimberly Kirton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104808013 PECOS PAC ID: 4183642143 Enrollment ID: I20051108000593 |
| Provider Name | Andrew H Woldorf |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376508176 PECOS PAC ID: 3971567876 Enrollment ID: I20051109001007 |
| Provider Name | Brian W Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346201365 PECOS PAC ID: 9234165234 Enrollment ID: I20051220000792 |
| Provider Name | Andrew T Mcgown |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1508876434 PECOS PAC ID: 9335101666 Enrollment ID: I20060117000942 |
| Provider Name | Charles H White |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215900220 PECOS PAC ID: 6002821766 Enrollment ID: I20060216000241 |
| Provider Name | Mary C Meggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558325159 PECOS PAC ID: 6709891310 Enrollment ID: I20060217000130 |
| Provider Name | Debra L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790749372 PECOS PAC ID: 4284649898 Enrollment ID: I20060217000194 |
| Provider Name | Jason L Hawn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689600959 PECOS PAC ID: 1557378031 Enrollment ID: I20060308000219 |
| Provider Name | Stephanie L Schaller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386611424 PECOS PAC ID: 3072520493 Enrollment ID: I20060309000546 |
| Provider Name | Robert E Bullard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053371104 PECOS PAC ID: 2668489923 Enrollment ID: I20060310000235 |
| Provider Name | Phillip Julius Hodge |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720083926 PECOS PAC ID: 1759398670 Enrollment ID: I20060316000472 |
| Provider Name | Lacey P Mcneely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669492088 PECOS PAC ID: 7719995091 Enrollment ID: I20060328000577 |
| Provider Name | Lillian Grace Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962404772 PECOS PAC ID: 5597775486 Enrollment ID: I20060421000065 |
| Provider Name | Phyllis H Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962404780 PECOS PAC ID: 5496765356 Enrollment ID: I20060424000091 |
| Provider Name | Francis P Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326030289 PECOS PAC ID: 0244136356 Enrollment ID: I20060502000539 |
| Provider Name | Sara Finley Lindsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891723326 PECOS PAC ID: 6608886692 Enrollment ID: I20060504000868 |
| Provider Name | Sonya Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154384378 PECOS PAC ID: 4284645458 Enrollment ID: I20060601000248 |
| Provider Name | Karen F Mattocks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982660148 PECOS PAC ID: 7618980277 Enrollment ID: I20060726000322 |
| Provider Name | Malaka Baharah Jackson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609806264 PECOS PAC ID: 6204849714 Enrollment ID: I20060731000395 |
| Provider Name | Helmut Albrecht |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780618223 PECOS PAC ID: 6709899164 Enrollment ID: I20060801000373 |
| Provider Name | Shilpa Srinivasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639105232 PECOS PAC ID: 2961434691 Enrollment ID: I20060803000208 |
| Provider Name | Danny H Ford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669403564 PECOS PAC ID: 7315950607 Enrollment ID: I20060804000039 |
| Provider Name | Kurt T Stroebel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598796401 PECOS PAC ID: 1951314244 Enrollment ID: I20060804000042 |
| Provider Name | Brabham Martin Hester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487623831 PECOS PAC ID: 5092718171 Enrollment ID: I20060809000428 |
| Provider Name | Martha P Hester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598724841 PECOS PAC ID: 9830192921 Enrollment ID: I20060810000050 |
| Provider Name | Evelynne D Shumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013963677 PECOS PAC ID: 8325041429 Enrollment ID: I20060810000119 |
| Provider Name | Christian C Steen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891720595 PECOS PAC ID: 5496758427 Enrollment ID: I20060814000035 |
| Provider Name | Eric R Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013995315 PECOS PAC ID: 9537196118 Enrollment ID: I20060816000360 |
| Provider Name | Mark A Hucks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902839301 PECOS PAC ID: 2668475096 Enrollment ID: I20060824000303 |
| Provider Name | Scott James Petit |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932168580 PECOS PAC ID: 4587567300 Enrollment ID: I20060901000067 |
| Provider Name | Reid Warren Tribble |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1669440699 PECOS PAC ID: 9133022957 Enrollment ID: I20060901000086 |
| Provider Name | Rachelle N Gajadhar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720034879 PECOS PAC ID: 2668427097 Enrollment ID: I20060922000106 |
| Provider Name | Michael Bradley Markowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225088032 PECOS PAC ID: 9638174683 Enrollment ID: I20060925000531 |
| Provider Name | Brandi R Newsome |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902875537 PECOS PAC ID: 8921003823 Enrollment ID: I20060928000070 |
| Provider Name | James Thelbert Fields |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023087277 PECOS PAC ID: 1658376553 Enrollment ID: I20060928000075 |
| Provider Name | William B Lindsey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669413357 PECOS PAC ID: 7911902812 Enrollment ID: I20060928000081 |
| Provider Name | Heather Powers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114987955 PECOS PAC ID: 7618943929 Enrollment ID: I20060928000087 |
| Provider Name | Mary Warren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902904477 PECOS PAC ID: 3870599004 Enrollment ID: I20061011000666 |
| Provider Name | Sangita Dash |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225126840 PECOS PAC ID: 3476559360 Enrollment ID: I20061017000405 |
| Provider Name | Sidney Freeman Rhoades |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497852651 PECOS PAC ID: 8820095573 Enrollment ID: I20061023000353 |
| Provider Name | Peter Jos Zavell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154327229 PECOS PAC ID: 5092713750 Enrollment ID: I20061114000147 |
| Provider Name | Joseph Andrew Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548356314 PECOS PAC ID: 7012916935 Enrollment ID: I20061204000157 |
| Provider Name | Steven C Lauzon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841254059 PECOS PAC ID: 9234181272 Enrollment ID: I20061218000044 |
| Provider Name | John B Pate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295708535 PECOS PAC ID: 1254330319 Enrollment ID: I20061219000186 |
| Provider Name | Taj Burnside Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336214840 PECOS PAC ID: 2062412075 Enrollment ID: I20061221000401 |
| Provider Name | Eric Stephen Wernsman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164468724 PECOS PAC ID: 1951373760 Enrollment ID: I20070104000425 |
| Provider Name | David E Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679507065 PECOS PAC ID: 4082614698 Enrollment ID: I20070104000542 |
| Provider Name | Edward J Byrnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346263753 PECOS PAC ID: 9436167640 Enrollment ID: I20070108000229 |
| Provider Name | Deepa Sobti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124058458 PECOS PAC ID: 3577564566 Enrollment ID: I20070117000406 |
| Provider Name | David Lindsie Cone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134194293 PECOS PAC ID: 4688676851 Enrollment ID: I20070201000355 |
| Provider Name | George Ambrose Blestel |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1396798716 PECOS PAC ID: 6709989478 Enrollment ID: I20070319000099 |
| Provider Name | Niccole A Mount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427073758 PECOS PAC ID: 4587769179 Enrollment ID: I20070410000155 |
| Provider Name | Jill C Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750482824 PECOS PAC ID: 2567565161 Enrollment ID: I20070417000002 |
| Provider Name | Toriah Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558381194 PECOS PAC ID: 4688770431 Enrollment ID: I20070511000002 |
| Provider Name | Andrea A Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578506994 PECOS PAC ID: 0244338291 Enrollment ID: I20070614000421 |
| Provider Name | Samuel C Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629299359 PECOS PAC ID: 0840390647 Enrollment ID: I20070710000008 |
| Provider Name | James Ryan Burke |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1215071527 PECOS PAC ID: 6103927223 Enrollment ID: I20070719000405 |
| Provider Name | Damon Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235104464 PECOS PAC ID: 2860593910 Enrollment ID: I20070719000631 |
| Provider Name | Triz V Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962585448 PECOS PAC ID: 4587765243 Enrollment ID: I20070725000008 |
| Provider Name | Vince M Vismara |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285691931 PECOS PAC ID: 2466422183 Enrollment ID: I20070810000432 |
| Provider Name | Michael T Warrick |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1952472953 PECOS PAC ID: 3173614732 Enrollment ID: I20070810000455 |
| Provider Name | Steven L Cruea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790816676 PECOS PAC ID: 1951494475 Enrollment ID: I20070829000571 |
| Provider Name | Nirav Rameshchandra Pathak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790795649 PECOS PAC ID: 4284727421 Enrollment ID: I20070905000219 |
| Provider Name | Fredric Carroll Woriax |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326127523 PECOS PAC ID: 1850486945 Enrollment ID: I20071004000318 |
| Provider Name | Emmanuel Awuku Yirenkyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326264425 PECOS PAC ID: 2466547575 Enrollment ID: I20071004000567 |
| Provider Name | Russell Dale Mcmurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770698235 PECOS PAC ID: 8426063900 Enrollment ID: I20071010000691 |
| Provider Name | Jeffrey Raynor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841409760 PECOS PAC ID: 9234225996 Enrollment ID: I20071011000378 |
| Provider Name | Suzanne M Bertollo |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1871542902 PECOS PAC ID: 3971560285 Enrollment ID: I20071022000145 |
| Provider Name | Danielle Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184756900 PECOS PAC ID: 6103913348 Enrollment ID: I20071105000091 |
| Provider Name | James F Selph |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639226426 PECOS PAC ID: 1456449339 Enrollment ID: I20071109000314 |
| Provider Name | Bogdan M Irimies |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851378806 PECOS PAC ID: 3072514579 Enrollment ID: I20071109000538 |
| Provider Name | Karin M Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457371387 PECOS PAC ID: 7517055395 Enrollment ID: I20071112000434 |
| Provider Name | Mark Preston Androes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942200407 PECOS PAC ID: 5698702645 Enrollment ID: I20071204000490 |
| Provider Name | Laura Herpel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558411751 PECOS PAC ID: 9436133642 Enrollment ID: I20071204000844 |
| Provider Name | Sarah L Frassica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225160062 PECOS PAC ID: 1355430984 Enrollment ID: I20071205000382 |
| Provider Name | Andres F Leone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518090901 PECOS PAC ID: 4789774787 Enrollment ID: I20071214000006 |
| Provider Name | Jimmy F Joye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871552695 PECOS PAC ID: 9234229261 Enrollment ID: I20071214000256 |
| Provider Name | Julia B Ballance |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649206160 PECOS PAC ID: 8325138068 Enrollment ID: I20071218000189 |
| Provider Name | Leah M Mccartt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861551285 PECOS PAC ID: 7618058595 Enrollment ID: I20080116000785 |
| Provider Name | Michael C Tucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205947249 PECOS PAC ID: 7517049273 Enrollment ID: I20080204000105 |
| Provider Name | Julie N Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912945171 PECOS PAC ID: 7113009770 Enrollment ID: I20080205000110 |
| Provider Name | Jorge Galan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598746612 PECOS PAC ID: 9830095371 Enrollment ID: I20080207000429 |
| Provider Name | Guillermo E Pineda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205920709 PECOS PAC ID: 6406931161 Enrollment ID: I20080306000003 |
| Provider Name | Wendy J Hartshorne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124203757 PECOS PAC ID: 0446148993 Enrollment ID: I20080306000729 |
| Provider Name | Laura Elizabeth Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033390661 PECOS PAC ID: 6709962624 Enrollment ID: I20080318000503 |
| Provider Name | Robert Schulze |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841299427 PECOS PAC ID: 8820170962 Enrollment ID: I20080408000270 |
| Provider Name | Jay Anton Crockett |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1538165287 PECOS PAC ID: 7517046576 Enrollment ID: I20080502000278 |
| Provider Name | Elizabeth M Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104866771 PECOS PAC ID: 8022197409 Enrollment ID: I20080509000600 |
| Provider Name | Patrick Joseph Culumovic |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336146299 PECOS PAC ID: 1557440880 Enrollment ID: I20080512000234 |
| Provider Name | Rachel A Houchins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528199536 PECOS PAC ID: 7618046335 Enrollment ID: I20080521000565 |
| Provider Name | Mark D Wild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891759916 PECOS PAC ID: 0345319836 Enrollment ID: I20080523000561 |
| Provider Name | Anna Kathryn K Burch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356566103 PECOS PAC ID: 2365512779 Enrollment ID: I20080528000189 |
| Provider Name | Phyllis Poyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114970712 PECOS PAC ID: 9537239397 Enrollment ID: I20080605000162 |
| Provider Name | Tenley E Murphy |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1760516249 PECOS PAC ID: 1658441290 Enrollment ID: I20080609000262 |
| Provider Name | Melanie Blackburn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750410965 PECOS PAC ID: 9436220126 Enrollment ID: I20080624000687 |
| Provider Name | Rachel W Vidal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962463281 PECOS PAC ID: 1759453434 Enrollment ID: I20080714000074 |
| Provider Name | Jonathan Hewett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063696011 PECOS PAC ID: 1456436245 Enrollment ID: I20080714000520 |
| Provider Name | Cynthia Denise Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184884702 PECOS PAC ID: 3577636158 Enrollment ID: I20080715000352 |
| Provider Name | Roy Hampton Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912097056 PECOS PAC ID: 4486727641 Enrollment ID: I20080723000492 |
| Provider Name | Carla W Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942277421 PECOS PAC ID: 1951474923 Enrollment ID: I20080724000143 |
| Provider Name | Alric Blake |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689654162 PECOS PAC ID: 5991879587 Enrollment ID: I20080730000597 |
| Provider Name | Patrick Hall |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205872850 PECOS PAC ID: 7315859659 Enrollment ID: I20080808000603 |
| Provider Name | Antoinette W Rutherford |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740316934 PECOS PAC ID: 3476628256 Enrollment ID: I20080813000280 |
| Provider Name | Robert Emery Delphia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407896954 PECOS PAC ID: 2860567252 Enrollment ID: I20080820000070 |
| Provider Name | Richard Adam Edelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902847494 PECOS PAC ID: 1951476357 Enrollment ID: I20080820000076 |
| Provider Name | Terry A Grainger |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1003854464 PECOS PAC ID: 4486729886 Enrollment ID: I20080820000084 |
| Provider Name | Kerry M Sims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457407132 PECOS PAC ID: 9739254137 Enrollment ID: I20080820000109 |
| Provider Name | Rodney V Harrison |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1962448712 PECOS PAC ID: 8527133545 Enrollment ID: I20080826000291 |
| Provider Name | Davit Mrelashvili |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760539555 PECOS PAC ID: 5496821209 Enrollment ID: I20080902000418 |
| Provider Name | Theresa P Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144344821 PECOS PAC ID: 6204903313 Enrollment ID: I20080915000688 |
| Provider Name | Jaiprakash N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245290402 PECOS PAC ID: 2567539604 Enrollment ID: I20080916000200 |
| Provider Name | William Bret Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568673911 PECOS PAC ID: 0648379586 Enrollment ID: I20080917000261 |
| Provider Name | Kenechukwu Ntukogu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922128453 PECOS PAC ID: 5395812788 Enrollment ID: I20080926000494 |
| Provider Name | Michael Charles Mareska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538130778 PECOS PAC ID: 5092791335 Enrollment ID: I20081008000745 |
| Provider Name | John A Wells |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841289154 PECOS PAC ID: 5294822797 Enrollment ID: I20081120000606 |
| Provider Name | Wiley B Easton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174684716 PECOS PAC ID: 2860598802 Enrollment ID: I20090105000154 |
| Provider Name | Elliott H Chen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073667085 PECOS PAC ID: 5294829198 Enrollment ID: I20090106000008 |
| Provider Name | James Benjamin Tribble |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245218700 PECOS PAC ID: 8123181799 Enrollment ID: I20090107000601 |
| Provider Name | Eric R Byrd |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598792285 PECOS PAC ID: 8426112939 Enrollment ID: I20090128000461 |
| Provider Name | David Fulton |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1619945540 PECOS PAC ID: 5698687028 Enrollment ID: I20090129000178 |
| Provider Name | Navid Madani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841211687 PECOS PAC ID: 1951356823 Enrollment ID: I20090210000559 |
| Provider Name | Brown J Mccallum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124090352 PECOS PAC ID: 9638234404 Enrollment ID: I20090210000810 |
| Provider Name | Monica N Milas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427182005 PECOS PAC ID: 9931264587 Enrollment ID: I20090213000220 |
| Provider Name | Patricia D Mcdonagh Zeigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407019268 PECOS PAC ID: 8224193800 Enrollment ID: I20090213000479 |
| Provider Name | Stephanie L Berg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508809831 PECOS PAC ID: 2668477415 Enrollment ID: I20090223000222 |
| Provider Name | Daniel F. Saad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801917877 PECOS PAC ID: 6608931860 Enrollment ID: I20090223000360 |
| Provider Name | Cedric Rivers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639181787 PECOS PAC ID: 1759446800 Enrollment ID: I20090224000546 |
| Provider Name | Hance Oliver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033175096 PECOS PAC ID: 5496811911 Enrollment ID: I20090309000516 |
| Provider Name | Veronica B Deas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215034368 PECOS PAC ID: 1658437892 Enrollment ID: I20090312000629 |
| Provider Name | Timothy Idiaghe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437362456 PECOS PAC ID: 7719070184 Enrollment ID: I20090317000568 |
| Provider Name | Gerald E Harmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821073321 PECOS PAC ID: 9537226220 Enrollment ID: I20090325000095 |
| Provider Name | Suzanne Hardeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316018427 PECOS PAC ID: 1557428851 Enrollment ID: I20090331000233 |
| Provider Name | Allison G Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225280720 PECOS PAC ID: 2860549557 Enrollment ID: I20090415000520 |
| Provider Name | Margaret S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750535530 PECOS PAC ID: 3375691553 Enrollment ID: I20090427000528 |
| Provider Name | Earl B Mcfadden |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1548238496 PECOS PAC ID: 1355499179 Enrollment ID: I20090506000137 |
| Provider Name | Patricia Walsh Felmly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912009028 PECOS PAC ID: 7012066632 Enrollment ID: I20090601000161 |
| Provider Name | Jodi Belinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295745941 PECOS PAC ID: 3678624251 Enrollment ID: I20090622000122 |
| Provider Name | Nathan Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669495347 PECOS PAC ID: 9032261896 Enrollment ID: I20090709000285 |
| Provider Name | Hugh Labarbe Willcox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174649198 PECOS PAC ID: 8921150475 Enrollment ID: I20090715000268 |
| Provider Name | Judy Stuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285806109 PECOS PAC ID: 1557413408 Enrollment ID: I20090723000483 |
| Provider Name | Scott E Porter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710929617 PECOS PAC ID: 8426088626 Enrollment ID: I20090729000018 |
| Provider Name | Robert D Hubbird |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093795353 PECOS PAC ID: 4688728611 Enrollment ID: I20090811000114 |
| Provider Name | Sheryl L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619112695 PECOS PAC ID: 6002960994 Enrollment ID: I20090811000740 |
| Provider Name | Mark J. Mayson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962480889 PECOS PAC ID: 4284789116 Enrollment ID: I20090828000401 |
| Provider Name | Jeri Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841427838 PECOS PAC ID: 6507912615 Enrollment ID: I20090915000284 |
| Provider Name | Johan Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669596789 PECOS PAC ID: 5395891402 Enrollment ID: I20090915000311 |
| Provider Name | Kelle Danielle Bolden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629098918 PECOS PAC ID: 4183770712 Enrollment ID: I20090923000035 |
| Provider Name | Amber Marshall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336109206 PECOS PAC ID: 8820134125 Enrollment ID: I20090929000675 |
| Provider Name | Barbara Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730320870 PECOS PAC ID: 1658417092 Enrollment ID: I20091015000146 |
| Provider Name | Andrew W Sides |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720117724 PECOS PAC ID: 0042357816 Enrollment ID: I20091027000772 |
| Provider Name | Michael P Fox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912937269 PECOS PAC ID: 3274670062 Enrollment ID: I20091028000011 |
| Provider Name | Deitra Mechelle Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285869578 PECOS PAC ID: 4183762107 Enrollment ID: I20091112000246 |
| Provider Name | Jessica A Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679586028 PECOS PAC ID: 4688712227 Enrollment ID: I20091119000057 |
| Provider Name | Robert H Kneece |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902823545 PECOS PAC ID: 3971575465 Enrollment ID: I20100106000510 |
| Provider Name | Tanya G Seawright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518916378 PECOS PAC ID: 4587707245 Enrollment ID: I20100203000121 |
| Provider Name | Rajantiben N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538170907 PECOS PAC ID: 3173666427 Enrollment ID: I20100209000044 |
| Provider Name | Walter J Bristow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407847023 PECOS PAC ID: 7214833748 Enrollment ID: I20100211000140 |
| Provider Name | George Postic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447231469 PECOS PAC ID: 1658415799 Enrollment ID: I20100212000544 |
| Provider Name | Samuel Willis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770586588 PECOS PAC ID: 4385540822 Enrollment ID: I20100212000573 |
| Provider Name | Edward Kimbrough |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699756619 PECOS PAC ID: 1153465299 Enrollment ID: I20100212000585 |
| Provider Name | William Strat Stavrou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528031531 PECOS PAC ID: 7719021666 Enrollment ID: I20100216000931 |
| Provider Name | Veronica Slice Wactor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417286949 PECOS PAC ID: 9133263742 Enrollment ID: I20100220000186 |
| Provider Name | John Parrott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073514139 PECOS PAC ID: 3072518356 Enrollment ID: I20100224000806 |
| Provider Name | Christopher Madison Watson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972629756 PECOS PAC ID: 1951446251 Enrollment ID: I20100310000674 |
| Provider Name | Joseph Sherrard Rice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538140652 PECOS PAC ID: 7113823659 Enrollment ID: I20100323000854 |
| Provider Name | Robert M Callis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093780140 PECOS PAC ID: 2961537311 Enrollment ID: I20100324000357 |
| Provider Name | Eileen M Walsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740249994 PECOS PAC ID: 9931236189 Enrollment ID: I20100421000103 |
| Provider Name | Shannon Gainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780914051 PECOS PAC ID: 0244368736 Enrollment ID: I20100504000145 |
| Provider Name | Patricia W Witherspoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336114834 PECOS PAC ID: 0345379806 Enrollment ID: I20100521000791 |
| Provider Name | James W Fant |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699742825 PECOS PAC ID: 4486783784 Enrollment ID: I20100525000703 |
| Provider Name | Joseph A Horvath |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386612976 PECOS PAC ID: 9436288735 Enrollment ID: I20100525000749 |
| Provider Name | Davinder Lally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699741819 PECOS PAC ID: 1951430263 Enrollment ID: I20100525000797 |
| Provider Name | Charles Scott Lamar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225003288 PECOS PAC ID: 8426187675 Enrollment ID: I20100526000298 |
| Provider Name | John E Bragg |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1790746584 PECOS PAC ID: 5496885931 Enrollment ID: I20100610000406 |
| Provider Name | Richard Frierson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003878547 PECOS PAC ID: 6204966658 Enrollment ID: I20100610000668 |
| Provider Name | James R Stallworth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720017346 PECOS PAC ID: 4880724749 Enrollment ID: I20100621000081 |
| Provider Name | Linda B Vanduys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134100159 PECOS PAC ID: 5395876270 Enrollment ID: I20100622000610 |
| Provider Name | Souvik Sen |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1962574442 PECOS PAC ID: 6800926080 Enrollment ID: I20100624000199 |
| Provider Name | Anthony D Lowman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083617880 PECOS PAC ID: 3678479110 Enrollment ID: I20100624000237 |
| Provider Name | Shelly Deanne Brigman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710917372 PECOS PAC ID: 9436280708 Enrollment ID: I20100630000451 |
| Provider Name | Harold I Friedman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1609833839 PECOS PAC ID: 5294866448 Enrollment ID: I20100701000548 |
| Provider Name | Raymond P Bynoe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205893237 PECOS PAC ID: 9537291893 Enrollment ID: I20100722000056 |
| Provider Name | Elijah Adkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588634265 PECOS PAC ID: 5193857407 Enrollment ID: I20100722000639 |
| Provider Name | Juan Camps |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740250521 PECOS PAC ID: 3173655487 Enrollment ID: I20100722000665 |
| Provider Name | Roland Ivan Saavedra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427011089 PECOS PAC ID: 4183711880 Enrollment ID: I20100726000427 |
| Provider Name | Laura Angela Nolting |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649464421 PECOS PAC ID: 2668501644 Enrollment ID: I20100728000277 |
| Provider Name | John Gary Falcon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013981885 PECOS PAC ID: 6204969272 Enrollment ID: I20100728000953 |
| Provider Name | Kathryn A Stephenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619905809 PECOS PAC ID: 0840323713 Enrollment ID: I20100728001088 |
| Provider Name | Poornema Ramasamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902920978 PECOS PAC ID: 3476686254 Enrollment ID: I20100730000200 |
| Provider Name | Sharon B Weissman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023049269 PECOS PAC ID: 4789683855 Enrollment ID: I20100730000375 |
| Provider Name | Jamee H Steen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508831579 PECOS PAC ID: 3779616438 Enrollment ID: I20100802000213 |
| Provider Name | Silas Holmes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033187984 PECOS PAC ID: 9133031560 Enrollment ID: I20100802000675 |
| Provider Name | Robert C Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801929971 PECOS PAC ID: 7810020484 Enrollment ID: I20100803000502 |
| Provider Name | Christopher W Munger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821103482 PECOS PAC ID: 0446355697 Enrollment ID: I20100805000790 |
| Provider Name | John Buckland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871623413 PECOS PAC ID: 6608909015 Enrollment ID: I20100805000867 |
| Provider Name | Stacy H Graham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912093501 PECOS PAC ID: 4385744226 Enrollment ID: I20100812000077 |
| Provider Name | Mark A Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295863058 PECOS PAC ID: 6305970153 Enrollment ID: I20100816000170 |
| Provider Name | Jennifer R Hucks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699960294 PECOS PAC ID: 9032243613 Enrollment ID: I20100818000397 |
| Provider Name | Scott D Carney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255531158 PECOS PAC ID: 2860526456 Enrollment ID: I20100818000528 |
| Provider Name | Leslie Mills Stuck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437110756 PECOS PAC ID: 1052445665 Enrollment ID: I20100818000813 |
| Provider Name | Alyssa S Cogdill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376863654 PECOS PAC ID: 1052445467 Enrollment ID: I20100819000917 |
| Provider Name | Farrah L Schildknecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902874860 PECOS PAC ID: 5092839381 Enrollment ID: I20100823001054 |
| Provider Name | William Felmly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154399079 PECOS PAC ID: 5193801595 Enrollment ID: I20100823001085 |
| Provider Name | Bradley Presnal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104894062 PECOS PAC ID: 8921184326 Enrollment ID: I20100823001103 |
| Provider Name | Arvie C Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306869219 PECOS PAC ID: 3173647054 Enrollment ID: I20100830000280 |
| Provider Name | Mark Locke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962470849 PECOS PAC ID: 1658457056 Enrollment ID: I20100909001211 |
| Provider Name | Kim Chillag |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053389908 PECOS PAC ID: 3971497629 Enrollment ID: I20100909001220 |
| Provider Name | Stephen H Metropol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477665123 PECOS PAC ID: 1759406887 Enrollment ID: I20100914000175 |
| Provider Name | Marc New |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831170612 PECOS PAC ID: 1052329224 Enrollment ID: I20100923000744 |
| Provider Name | Jennifer Risinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225006372 PECOS PAC ID: 3577689447 Enrollment ID: I20100928001373 |
| Provider Name | Ashley T Jeffords |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295067924 PECOS PAC ID: 7810189388 Enrollment ID: I20101004000442 |
| Provider Name | James Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770531188 PECOS PAC ID: 2062438179 Enrollment ID: I20101004000963 |
| Provider Name | Gene F Dickerson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386698652 PECOS PAC ID: 7810189198 Enrollment ID: I20101005000449 |
| Provider Name | David L Greenhouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679549414 PECOS PAC ID: 4284826561 Enrollment ID: I20101005000556 |
| Provider Name | Christopher Hydorn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902938053 PECOS PAC ID: 8224220546 Enrollment ID: I20101005001039 |
| Provider Name | Kimberlee Goode |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376511436 PECOS PAC ID: 2961694625 Enrollment ID: I20101013000517 |
| Provider Name | Cedrek Latroy Mcfadden |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1417976721 PECOS PAC ID: 1658422142 Enrollment ID: I20101013000824 |
| Provider Name | James Ryan Altman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194928457 PECOS PAC ID: 8022200674 Enrollment ID: I20101014000390 |
| Provider Name | Thomas W Schultz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023274776 PECOS PAC ID: 0840483202 Enrollment ID: I20101019000491 |
| Provider Name | Wilson G Mcwilliams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912960212 PECOS PAC ID: 7618022740 Enrollment ID: I20101020001000 |
| Provider Name | Joshua T Thornhill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013977974 PECOS PAC ID: 2860685989 Enrollment ID: I20101021000914 |
| Provider Name | John Clavet |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144423930 PECOS PAC ID: 5193918894 Enrollment ID: I20101026000237 |
| Provider Name | Alexander M Getz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588877856 PECOS PAC ID: 3678767357 Enrollment ID: I20101027000878 |
| Provider Name | David Allan Scott |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851421838 PECOS PAC ID: 1759575251 Enrollment ID: I20101028001028 |
| Provider Name | Timothy Malone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225008832 PECOS PAC ID: 1052454816 Enrollment ID: I20101028001195 |
| Provider Name | Ashley B Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417088964 PECOS PAC ID: 0648464172 Enrollment ID: I20101028001339 |
| Provider Name | Lisa M Knight |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235213935 PECOS PAC ID: 0143415687 Enrollment ID: I20101110000908 |
| Provider Name | Victor Hirth |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508835588 PECOS PAC ID: 5597895383 Enrollment ID: I20101111001241 |
| Provider Name | Margaret Matthews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295704898 PECOS PAC ID: 2961698733 Enrollment ID: I20101119000439 |
| Provider Name | Justin M Garzone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770806804 PECOS PAC ID: 6608063235 Enrollment ID: I20101208001279 |
| Provider Name | Matthew Pollack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437230364 PECOS PAC ID: 0749334217 Enrollment ID: I20101228000051 |
| Provider Name | Rebecca Lehman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831105659 PECOS PAC ID: 6305992785 Enrollment ID: I20101229000791 |
| Provider Name | Zachary P Kiker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881855740 PECOS PAC ID: 5597954644 Enrollment ID: I20110105000943 |
| Provider Name | Gregg N Talente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790768992 PECOS PAC ID: 4880729193 Enrollment ID: I20110106000880 |
| Provider Name | Electra Bradshaw Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275848897 PECOS PAC ID: 5799964052 Enrollment ID: I20110119001027 |
| Provider Name | Timothy James Harkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427187277 PECOS PAC ID: 1759366925 Enrollment ID: I20110210000842 |
| Provider Name | Gopalbhai K Vaghela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013221589 PECOS PAC ID: 5799966834 Enrollment ID: I20110223000495 |
| Provider Name | Jeffery Joseph Dorociak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407805328 PECOS PAC ID: 0345231973 Enrollment ID: I20110309000745 |
| Provider Name | Kimberly Kruse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366745416 PECOS PAC ID: 6608059209 Enrollment ID: I20110318000680 |
| Provider Name | Benson Garrick Messer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871752055 PECOS PAC ID: 9234313222 Enrollment ID: I20110415000670 |
| Provider Name | Whitney Brown |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972681096 PECOS PAC ID: 0345285177 Enrollment ID: I20110505000836 |
| Provider Name | Scott Allen Bloch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801062658 PECOS PAC ID: 4880732338 Enrollment ID: I20110516000291 |
| Provider Name | Carl Thurmond |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386638518 PECOS PAC ID: 3779521919 Enrollment ID: I20110519000209 |
| Provider Name | Amy J Bloch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275709024 PECOS PAC ID: 5092888248 Enrollment ID: I20110525000516 |
| Provider Name | Aleta Marie Mcgough |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114127826 PECOS PAC ID: 8224215082 Enrollment ID: I20110602000553 |
| Provider Name | Heather A Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396906251 PECOS PAC ID: 7618154261 Enrollment ID: I20110607000647 |
| Provider Name | Sabra S. Custer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164729844 PECOS PAC ID: 9537347463 Enrollment ID: I20110624000172 |
| Provider Name | Derick Michael Wenning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366603235 PECOS PAC ID: 0244408474 Enrollment ID: I20110714000244 |
| Provider Name | Gina Mckelvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588973416 PECOS PAC ID: 0446428411 Enrollment ID: I20110718000417 |
| Provider Name | Allison W Moses |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295939007 PECOS PAC ID: 7810165495 Enrollment ID: I20110726000692 |
| Provider Name | Walter R Mazzei |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083948285 PECOS PAC ID: 9739357229 Enrollment ID: I20110728000327 |
| Provider Name | Jeffrey Holloway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376742411 PECOS PAC ID: 8426227315 Enrollment ID: I20110810000459 |
| Provider Name | Holly L Grooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114226792 PECOS PAC ID: 4688843485 Enrollment ID: I20110812000089 |
| Provider Name | Tracy D Ridgill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558674812 PECOS PAC ID: 0648449355 Enrollment ID: I20110815000888 |
| Provider Name | Jose L Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477714335 PECOS PAC ID: 5890964407 Enrollment ID: I20110816000002 |
| Provider Name | Nikki A Keisler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740441757 PECOS PAC ID: 0042480568 Enrollment ID: I20110818000904 |
| Provider Name | Jeremy M Reeves |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598889578 PECOS PAC ID: 0042480873 Enrollment ID: I20110902000211 |
| Provider Name | Rajinder Parmar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891791570 PECOS PAC ID: 9032100953 Enrollment ID: I20110914000205 |
| Provider Name | Daniel F Noltkamper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942292115 PECOS PAC ID: 7214108331 Enrollment ID: I20110922000009 |
| Provider Name | Alexandra S Witherspoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871755678 PECOS PAC ID: 1557532454 Enrollment ID: I20110926000926 |
| Provider Name | Gregory Grabowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487874699 PECOS PAC ID: 0446421101 Enrollment ID: I20110929000323 |
| Provider Name | Tara Leigh Jordan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437446432 PECOS PAC ID: 1052583705 Enrollment ID: I20111003000108 |
| Provider Name | Leslie B Mcdill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417121831 PECOS PAC ID: 0648442145 Enrollment ID: I20111005000377 |
| Provider Name | Juliet A Glover |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1609073014 PECOS PAC ID: 4789856105 Enrollment ID: I20111007000219 |
| Provider Name | Brandon Wade Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205134939 PECOS PAC ID: 7810169901 Enrollment ID: I20111014000228 |
| Provider Name | Martin Mirra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972615631 PECOS PAC ID: 0446423958 Enrollment ID: I20111028000244 |
| Provider Name | Jeffrey S Hopkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558524835 PECOS PAC ID: 3476678160 Enrollment ID: I20111028000593 |
| Provider Name | Michele Ohara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770590911 PECOS PAC ID: 5890968341 Enrollment ID: I20111028000683 |
| Provider Name | Tonya Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265451926 PECOS PAC ID: 0244403798 Enrollment ID: I20111028000688 |
| Provider Name | Scott M Strayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124197769 PECOS PAC ID: 5799793170 Enrollment ID: I20111103000668 |
| Provider Name | Thomas M Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386693158 PECOS PAC ID: 8426174624 Enrollment ID: I20111104000442 |
| Provider Name | Spencer F Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124256722 PECOS PAC ID: 6608040308 Enrollment ID: I20111115000304 |
| Provider Name | Glenn Banegura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770744989 PECOS PAC ID: 7315111010 Enrollment ID: I20111115000325 |
| Provider Name | Garrett M Clanton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013022482 PECOS PAC ID: 3476727975 Enrollment ID: I20111118000368 |
| Provider Name | George S Dilts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699861377 PECOS PAC ID: 8729252226 Enrollment ID: I20111118000386 |
| Provider Name | Jennifer C Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942595368 PECOS PAC ID: 6800060203 Enrollment ID: I20111121000997 |
| Provider Name | Ria Edwina Gripaldo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174788913 PECOS PAC ID: 9335313345 Enrollment ID: I20111130000631 |
| Provider Name | Esther E Ikuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801078506 PECOS PAC ID: 6709930183 Enrollment ID: I20111206000064 |
| Provider Name | Jason Peck |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235290693 PECOS PAC ID: 8820180326 Enrollment ID: I20111222000488 |
| Provider Name | Claudius Shuler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700815271 PECOS PAC ID: 2769658178 Enrollment ID: I20120106000498 |
| Provider Name | Peter Haines |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1568476711 PECOS PAC ID: 3274563481 Enrollment ID: I20120117000884 |
| Provider Name | Yedatore S Venkatesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851379408 PECOS PAC ID: 9133208853 Enrollment ID: I20120124000041 |
| Provider Name | Donald J Dipette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194784686 PECOS PAC ID: 8820255631 Enrollment ID: I20120207000310 |
| Provider Name | Sandra J Hoffmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518039189 PECOS PAC ID: 0941108658 Enrollment ID: I20120207000540 |
| Provider Name | Michael P Horan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659535706 PECOS PAC ID: 1456518166 Enrollment ID: I20120208000693 |
| Provider Name | James Viapiano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104860675 PECOS PAC ID: 4789688102 Enrollment ID: I20120215000020 |
| Provider Name | Albert E Odom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790737997 PECOS PAC ID: 0840459368 Enrollment ID: I20120301000925 |
| Provider Name | Audrey Frances Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063487999 PECOS PAC ID: 3274516927 Enrollment ID: I20120412000459 |
| Provider Name | Kimberly Frick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306110960 PECOS PAC ID: 1355502667 Enrollment ID: I20120413000192 |
| Provider Name | Ryan Putnam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043369853 PECOS PAC ID: 7911071816 Enrollment ID: I20120417000120 |
| Provider Name | Andrea L Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720263189 PECOS PAC ID: 5991887234 Enrollment ID: I20120515000431 |
| Provider Name | Michael Peelle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740223841 PECOS PAC ID: 0446414965 Enrollment ID: I20120614000034 |
| Provider Name | Brett P Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124255120 PECOS PAC ID: 6103081799 Enrollment ID: I20120705000304 |
| Provider Name | Matthew T Haigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063770923 PECOS PAC ID: 8022274158 Enrollment ID: I20120718000256 |
| Provider Name | Rodney Owen Leacock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356436703 PECOS PAC ID: 4183728173 Enrollment ID: I20120723000314 |
| Provider Name | Lauren S Holliday |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033348537 PECOS PAC ID: 4385800804 Enrollment ID: I20120726000646 |
| Provider Name | Mickey Plymale |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972809192 PECOS PAC ID: 7517137250 Enrollment ID: I20120727000373 |
| Provider Name | Elizabeth Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043449549 PECOS PAC ID: 6406012806 Enrollment ID: I20120731000221 |
| Provider Name | Colin Widener |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760645899 PECOS PAC ID: 0042362691 Enrollment ID: I20120801000319 |
| Provider Name | Elizabeth W Boggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174784128 PECOS PAC ID: 2769638840 Enrollment ID: I20120806000148 |
| Provider Name | Monica S Mccutcheon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144482035 PECOS PAC ID: 6709032865 Enrollment ID: I20120807000011 |
| Provider Name | Matthew S Haldeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932494853 PECOS PAC ID: 1355597840 Enrollment ID: I20120816000542 |
| Provider Name | Rebecca W Widener |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831352368 PECOS PAC ID: 1850450917 Enrollment ID: I20120816000944 |
| Provider Name | Joseph Erik Busby |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417064460 PECOS PAC ID: 5294736716 Enrollment ID: I20120821000811 |
| Provider Name | Leonardo Bonilha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861699969 PECOS PAC ID: 6901053107 Enrollment ID: I20120822000821 |
| Provider Name | Prexa D Naik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073718615 PECOS PAC ID: 1052568086 Enrollment ID: I20120827000885 |
| Provider Name | Matthew Glendon-hudson Cantrell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336364264 PECOS PAC ID: 0143380832 Enrollment ID: I20120828000910 |
| Provider Name | Carroll B Watford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255560652 PECOS PAC ID: 7618124363 Enrollment ID: I20120830000829 |
| Provider Name | John T Atkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487638169 PECOS PAC ID: 3274579727 Enrollment ID: I20120906000896 |
| Provider Name | Fernando Navarro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164479325 PECOS PAC ID: 9931107109 Enrollment ID: I20120907000505 |
| Provider Name | Meghan L Businaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639326283 PECOS PAC ID: 4789832171 Enrollment ID: I20120910000205 |
| Provider Name | Masood N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588652218 PECOS PAC ID: 6507981776 Enrollment ID: I20120914000033 |
| Provider Name | William B Gamble |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164508479 PECOS PAC ID: 1557519444 Enrollment ID: I20120918000953 |
| Provider Name | Seejil S Dan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225267727 PECOS PAC ID: 8123276953 Enrollment ID: I20120919000534 |
| Provider Name | Ryan Macnevin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992921480 PECOS PAC ID: 9335212802 Enrollment ID: I20120925000785 |
| Provider Name | Achu F Mofor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053529685 PECOS PAC ID: 3476702838 Enrollment ID: I20121001000221 |
| Provider Name | Bhawna Sethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104058130 PECOS PAC ID: 1355590613 Enrollment ID: I20121001000273 |
| Provider Name | Sarah Anne Ludington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780826966 PECOS PAC ID: 2961651062 Enrollment ID: I20121005000009 |
| Provider Name | Haran Aynkaran Ravindran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477797975 PECOS PAC ID: 9133379787 Enrollment ID: I20121017000485 |
| Provider Name | James W Cook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336239284 PECOS PAC ID: 4587699400 Enrollment ID: I20121018000043 |
| Provider Name | Joshua Benjamin Skaggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043522246 PECOS PAC ID: 8123278306 Enrollment ID: I20121024000508 |
| Provider Name | Christine B Turley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689766305 PECOS PAC ID: 7315198835 Enrollment ID: I20121109000482 |
| Provider Name | Eric L Kerley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770533523 PECOS PAC ID: 4183653520 Enrollment ID: I20121113000482 |
| Provider Name | Farnel F Backer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033302575 PECOS PAC ID: 3072603216 Enrollment ID: I20121128000220 |
| Provider Name | Cynthia R Zeigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528087376 PECOS PAC ID: 7315191343 Enrollment ID: I20130129000223 |
| Provider Name | Jill Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477870715 PECOS PAC ID: 0244484202 Enrollment ID: I20130129000434 |
| Provider Name | James R Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275503146 PECOS PAC ID: 9739333238 Enrollment ID: I20130211000192 |
| Provider Name | Majdi Al-hasan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477525822 PECOS PAC ID: 5395772362 Enrollment ID: I20130226000525 |
| Provider Name | Farahnaz Nafisy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699015347 PECOS PAC ID: 0840438255 Enrollment ID: I20130524000085 |
| Provider Name | Jamez Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639418940 PECOS PAC ID: 0749428027 Enrollment ID: I20130528000361 |
| Provider Name | Stacey M Cobb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669615332 PECOS PAC ID: 2769620707 Enrollment ID: I20130603000212 |
| Provider Name | Michelle L Blakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366781163 PECOS PAC ID: 4880834068 Enrollment ID: I20130711000518 |
| Provider Name | Micheal W Bunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881933885 PECOS PAC ID: 7618117680 Enrollment ID: I20130716000361 |
| Provider Name | Rosalyn Steckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861698417 PECOS PAC ID: 4486720182 Enrollment ID: I20130723000128 |
| Provider Name | Sarah E Fabiano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972585438 PECOS PAC ID: 3779748926 Enrollment ID: I20130806000486 |
| Provider Name | Steven Michael Tanner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467747246 PECOS PAC ID: 1052553765 Enrollment ID: I20130808000850 |
| Provider Name | Adam G Przybyla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194984476 PECOS PAC ID: 0345498200 Enrollment ID: I20130813000492 |
| Provider Name | Patrick J Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801136379 PECOS PAC ID: 4486897352 Enrollment ID: I20130823001161 |
| Provider Name | Cynthia T Fields |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891999645 PECOS PAC ID: 1658514435 Enrollment ID: I20130826001082 |
| Provider Name | Sultan Mahmud Siddique |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417995259 PECOS PAC ID: 8123008323 Enrollment ID: I20130904000101 |
| Provider Name | Carlos M Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659571347 PECOS PAC ID: 2466695705 Enrollment ID: I20130905000359 |
| Provider Name | Shorouk Admad Ramahi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659633261 PECOS PAC ID: 2163665464 Enrollment ID: I20130906000079 |
| Provider Name | Tobin R Moss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396974895 PECOS PAC ID: 1254575384 Enrollment ID: I20130911000625 |
| Provider Name | Christopher W Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487971107 PECOS PAC ID: 2466696414 Enrollment ID: I20130913000366 |
| Provider Name | Stanley Hess Hassinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508153271 PECOS PAC ID: 2466686688 Enrollment ID: I20131001000476 |
| Provider Name | Timothy Michael Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477849578 PECOS PAC ID: 1850525098 Enrollment ID: I20131002000026 |
| Provider Name | Eric Y Marom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942512173 PECOS PAC ID: 9638303498 Enrollment ID: I20131009001798 |
| Provider Name | Christina E Payne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144407271 PECOS PAC ID: 8820121064 Enrollment ID: I20131017000208 |
| Provider Name | Elspeth C Dyal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609189646 PECOS PAC ID: 4688808074 Enrollment ID: I20131018001140 |
| Provider Name | Mark E Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801976402 PECOS PAC ID: 9537260344 Enrollment ID: I20131030001039 |
| Provider Name | Ashley Linda Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417242272 PECOS PAC ID: 1254566185 Enrollment ID: I20131031001463 |
| Provider Name | Weston L Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497188635 PECOS PAC ID: 5597990341 Enrollment ID: I20131101000821 |
| Provider Name | Fritz E Jean-gilles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033121751 PECOS PAC ID: 0840366472 Enrollment ID: I20131114000839 |
| Provider Name | Rodel V Bobadilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942312111 PECOS PAC ID: 0547497943 Enrollment ID: I20131210001096 |
| Provider Name | Quretul Quresh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396056966 PECOS PAC ID: 0143457077 Enrollment ID: I20131220000365 |
| Provider Name | Mark Stellingworth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003000936 PECOS PAC ID: 9739278128 Enrollment ID: I20140108000857 |
| Provider Name | Selina H Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205264454 PECOS PAC ID: 5294963583 Enrollment ID: I20140113001054 |
| Provider Name | Kimberly Barrett Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932193489 PECOS PAC ID: 5799726725 Enrollment ID: I20140127001107 |
| Provider Name | Donna S Sanders |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255432514 PECOS PAC ID: 7911001516 Enrollment ID: I20140203001099 |
| Provider Name | Gina Abbruzzi Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417990276 PECOS PAC ID: 5193862738 Enrollment ID: I20140210001731 |
| Provider Name | Anil Venkata Seshu Yallapragada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639338585 PECOS PAC ID: 9739343740 Enrollment ID: I20140211000485 |
| Provider Name | Argiri X Brook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003829714 PECOS PAC ID: 3577792555 Enrollment ID: I20140218000052 |
| Provider Name | Cedric Fisher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316122682 PECOS PAC ID: 1052463049 Enrollment ID: I20140219001728 |
| Provider Name | Jeanette O Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962833798 PECOS PAC ID: 2466682992 Enrollment ID: I20140303001368 |
| Provider Name | Syed Gilani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447451182 PECOS PAC ID: 3678646288 Enrollment ID: I20140311000766 |
| Provider Name | Kinan Rahal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639278708 PECOS PAC ID: 3577563642 Enrollment ID: I20140319002028 |
| Provider Name | Stanley O Skarli |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326144049 PECOS PAC ID: 4183623655 Enrollment ID: I20140401001216 |
| Provider Name | Neville G Bennett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841389855 PECOS PAC ID: 1052543584 Enrollment ID: I20140415000849 |
| Provider Name | Paulo Souza Silva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477714194 PECOS PAC ID: 1052449477 Enrollment ID: I20140423001548 |
| Provider Name | Lewis S Hardison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568601870 PECOS PAC ID: 8921258930 Enrollment ID: I20140520000593 |
| Provider Name | Benjamin Ellis Rawls |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003831710 PECOS PAC ID: 3173421492 Enrollment ID: I20140521001834 |
| Provider Name | David Michael Gloystein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619947413 PECOS PAC ID: 6507932746 Enrollment ID: I20140603000331 |
| Provider Name | Cristina Lara-castro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780909200 PECOS PAC ID: 9537383872 Enrollment ID: I20140606001546 |
| Provider Name | Shagufta Y Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972753408 PECOS PAC ID: 0749452068 Enrollment ID: I20140609001762 |
| Provider Name | Michael E Moran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912957473 PECOS PAC ID: 0547275133 Enrollment ID: I20140627001593 |
| Provider Name | Jill B Mcleod |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861704082 PECOS PAC ID: 0941425094 Enrollment ID: I20140702002314 |
| Provider Name | Belgin Camcioglu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871786574 PECOS PAC ID: 1355527821 Enrollment ID: I20140709002027 |
| Provider Name | Priyantha Herath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013185115 PECOS PAC ID: 0749364537 Enrollment ID: I20140714000803 |
| Provider Name | Kamla D Sanasi-bhola |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316178213 PECOS PAC ID: 5799900452 Enrollment ID: I20140714001207 |
| Provider Name | Jamie G Spicer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619224409 PECOS PAC ID: 6709002322 Enrollment ID: I20140716002493 |
| Provider Name | Jake A Krieg,md |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184886996 PECOS PAC ID: 0345466611 Enrollment ID: I20140722001425 |
| Provider Name | Nanik Ram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093978660 PECOS PAC ID: 8123193455 Enrollment ID: I20140722002218 |
| Provider Name | Jaideep Debsikdar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558308452 PECOS PAC ID: 3173545811 Enrollment ID: I20140730002152 |
| Provider Name | Ronelle Guinyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326464058 PECOS PAC ID: 4486870227 Enrollment ID: I20140731000037 |
| Provider Name | Michael Sean Wagner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235385824 PECOS PAC ID: 6800013913 Enrollment ID: I20140814000226 |
| Provider Name | Courtney L Lane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710274485 PECOS PAC ID: 4183842800 Enrollment ID: I20140821001497 |
| Provider Name | Christopher Edward Gainey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487918884 PECOS PAC ID: 0345468849 Enrollment ID: I20140825002572 |
| Provider Name | David S Schrift |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316168230 PECOS PAC ID: 4486873965 Enrollment ID: I20140916000257 |
| Provider Name | James R Winbush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912008806 PECOS PAC ID: 1951309616 Enrollment ID: I20140916002447 |
| Provider Name | Elizabeth Jo Mason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235367822 PECOS PAC ID: 5991924029 Enrollment ID: I20140922002040 |
| Provider Name | Leeann Ansica Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699187005 PECOS PAC ID: 4880813831 Enrollment ID: I20140924000913 |
| Provider Name | Lauren A Castleberry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659561421 PECOS PAC ID: 0143499012 Enrollment ID: I20141002000742 |
| Provider Name | Keith R Barron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093001497 PECOS PAC ID: 1254551716 Enrollment ID: I20141003001438 |
| Provider Name | Ashley J Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134417694 PECOS PAC ID: 6608096185 Enrollment ID: I20141005000001 |
| Provider Name | Sarah Elizabeth Broeker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457650111 PECOS PAC ID: 6800016320 Enrollment ID: I20141006001431 |
| Provider Name | Cecelia M Baskett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679702856 PECOS PAC ID: 3577701655 Enrollment ID: I20141010000925 |
| Provider Name | Richard D Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427241157 PECOS PAC ID: 4587832241 Enrollment ID: I20141010002022 |
| Provider Name | Gregg Onyemachi Anazia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497045512 PECOS PAC ID: 4183844236 Enrollment ID: I20141013001577 |
| Provider Name | Jessica Lynn Katchman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528350030 PECOS PAC ID: 5890937148 Enrollment ID: I20141013002080 |
| Provider Name | William R Mcwilliams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346535127 PECOS PAC ID: 3274753348 Enrollment ID: I20141013002490 |
| Provider Name | James B Jackson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912165234 PECOS PAC ID: 2860626165 Enrollment ID: I20141015002485 |
| Provider Name | Sarah E Slone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457764516 PECOS PAC ID: 7012138746 Enrollment ID: I20141022002038 |
| Provider Name | Prem Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124291380 PECOS PAC ID: 7012080013 Enrollment ID: I20141023001588 |
| Provider Name | Kimberly Lorraine Beavers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912996042 PECOS PAC ID: 9830173954 Enrollment ID: I20141027002291 |
| Provider Name | Patrick Joseph Mccann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487850780 PECOS PAC ID: 5799836326 Enrollment ID: I20141031002159 |
| Provider Name | Stacey M Humphreys |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861698128 PECOS PAC ID: 0143352393 Enrollment ID: I20141031002180 |
| Provider Name | Rakesh M Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467614792 PECOS PAC ID: 3375791825 Enrollment ID: I20141113001534 |
| Provider Name | Stephanie A Fournel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508267048 PECOS PAC ID: 2163644741 Enrollment ID: I20141114001813 |
| Provider Name | Bonnie Simon Grossman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427345479 PECOS PAC ID: 0244452852 Enrollment ID: I20141116000015 |
| Provider Name | Ryan C Zitzke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003074733 PECOS PAC ID: 6507188810 Enrollment ID: I20141121002367 |
| Provider Name | Anton Marek Clemmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225163454 PECOS PAC ID: 5799868451 Enrollment ID: I20141209002414 |
| Provider Name | Marcus O Vaught |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396001897 PECOS PAC ID: 2567784168 Enrollment ID: I20141210001814 |
| Provider Name | Natalie R Prochak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962797746 PECOS PAC ID: 5395067755 Enrollment ID: I20141215000655 |
| Provider Name | John Dale Rozich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063473684 PECOS PAC ID: 2860405891 Enrollment ID: I20141217002734 |
| Provider Name | Alexandra E Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720488851 PECOS PAC ID: 5890018956 Enrollment ID: I20141220000206 |
| Provider Name | Caroline Hill Dibattisto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821022757 PECOS PAC ID: 8921138496 Enrollment ID: I20141220000209 |
| Provider Name | Morgan Jackson Kanwisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134520836 PECOS PAC ID: 6002139144 Enrollment ID: I20141223000009 |
| Provider Name | Pranitha R Nallu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013170646 PECOS PAC ID: 5698838019 Enrollment ID: I20141230000011 |
| Provider Name | Tara N Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164824421 PECOS PAC ID: 4789907486 Enrollment ID: I20150105001804 |
| Provider Name | Nancye H Vernon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740528991 PECOS PAC ID: 1052635125 Enrollment ID: I20150120001309 |
| Provider Name | Belinda H Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356746630 PECOS PAC ID: 0749504785 Enrollment ID: I20150121001772 |
| Provider Name | Marisa V Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518374586 PECOS PAC ID: 9335463173 Enrollment ID: I20150126002331 |
| Provider Name | Roxie H Chisholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932502572 PECOS PAC ID: 3779807490 Enrollment ID: I20150128000906 |
| Provider Name | Mark Edward Shaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639308380 PECOS PAC ID: 2961727953 Enrollment ID: I20150216000865 |
| Provider Name | Catherine Nicole Allgrim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669808382 PECOS PAC ID: 3577889617 Enrollment ID: I20150306001856 |
| Provider Name | Onyinye Ugboaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801158167 PECOS PAC ID: 3971738121 Enrollment ID: I20150310001436 |
| Provider Name | Paul William Courtwright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871886069 PECOS PAC ID: 4082850508 Enrollment ID: I20150326001124 |
| Provider Name | Michelle A Widener |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033217716 PECOS PAC ID: 6305163387 Enrollment ID: I20150401000774 |
| Provider Name | Leslie Walter Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306883970 PECOS PAC ID: 3476651274 Enrollment ID: I20150417001856 |
| Provider Name | Candace Leibman Chamberlain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396177838 PECOS PAC ID: 6709106867 Enrollment ID: I20150513002546 |
| Provider Name | Priyadarshan Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104947662 PECOS PAC ID: 8527128594 Enrollment ID: I20150616002022 |
| Provider Name | Richard A Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003203811 PECOS PAC ID: 0941511000 Enrollment ID: I20150617000228 |
| Provider Name | Kaustubh G Joshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710947460 PECOS PAC ID: 9032358858 Enrollment ID: I20150617000373 |
| Provider Name | Roham Moftakhar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184689515 PECOS PAC ID: 5597958009 Enrollment ID: I20150620000027 |
| Provider Name | Sheryl Durant Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104211234 PECOS PAC ID: 9133431513 Enrollment ID: I20150629001578 |
| Provider Name | Wajid Siddiqui |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669647889 PECOS PAC ID: 0345309571 Enrollment ID: I20150630000232 |
| Provider Name | Julia E Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922490606 PECOS PAC ID: 4082927389 Enrollment ID: I20150715001872 |
| Provider Name | Matthew English Gaskins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669784674 PECOS PAC ID: 2961716485 Enrollment ID: I20150728005940 |
| Provider Name | Mary K Cone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396008090 PECOS PAC ID: 7810202082 Enrollment ID: I20150817002463 |
| Provider Name | Rohan R Arya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093950602 PECOS PAC ID: 0547487332 Enrollment ID: I20150818003477 |
| Provider Name | Zachary Gatlin Coward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750642906 PECOS PAC ID: 5395967244 Enrollment ID: I20150818005012 |
| Provider Name | Kelly Marie Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912221920 PECOS PAC ID: 9436375219 Enrollment ID: I20150825005095 |
| Provider Name | Makala K Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083017222 PECOS PAC ID: 5092021717 Enrollment ID: I20150826000753 |
| Provider Name | Monica C Holbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053707448 PECOS PAC ID: 2163739855 Enrollment ID: I20150911002543 |
| Provider Name | Subash Regmi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316113004 PECOS PAC ID: 1951589332 Enrollment ID: I20150922000854 |
| Provider Name | Robert Y Knowlton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952690984 PECOS PAC ID: 8224346085 Enrollment ID: I20150929001523 |
| Provider Name | Berthrand Chukwuemeka Onuoha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043504251 PECOS PAC ID: 7315255981 Enrollment ID: I20150930002846 |
| Provider Name | Rajeev K Bais |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063427532 PECOS PAC ID: 8123932217 Enrollment ID: I20151006001129 |
| Provider Name | Leah E Cuff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801144134 PECOS PAC ID: 6800049941 Enrollment ID: I20151007002846 |
| Provider Name | Emily Elizabeth Krodel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760794762 PECOS PAC ID: 5395960934 Enrollment ID: I20151019001729 |
| Provider Name | Mattie Kristen Brazell Julian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417323213 PECOS PAC ID: 0941519508 Enrollment ID: I20151021002051 |
| Provider Name | Jason Potes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861404626 PECOS PAC ID: 4082666516 Enrollment ID: I20151022002122 |
| Provider Name | Robin B Welsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780613661 PECOS PAC ID: 0547579930 Enrollment ID: I20151026002729 |
| Provider Name | Emmeline L Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760868962 PECOS PAC ID: 6002125333 Enrollment ID: I20151027001613 |
| Provider Name | Erwin Z Mangubat |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285890046 PECOS PAC ID: 9335380872 Enrollment ID: I20151103002825 |
| Provider Name | Alex Mcpherson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235492240 PECOS PAC ID: 4688984487 Enrollment ID: I20151106001530 |
| Provider Name | Elizabeth Clare M Porter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205114808 PECOS PAC ID: 8820236383 Enrollment ID: I20151110001336 |
| Provider Name | Susan G Benesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174917710 PECOS PAC ID: 2567772148 Enrollment ID: I20151111000818 |
| Provider Name | Mitul Ashok Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942563952 PECOS PAC ID: 0345550968 Enrollment ID: I20151111002353 |
| Provider Name | Amit Mahendra Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649533654 PECOS PAC ID: 4880904390 Enrollment ID: I20151113000431 |
| Provider Name | Christina H Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386806073 PECOS PAC ID: 1355641465 Enrollment ID: I20151121000099 |
| Provider Name | Sijie Joy Shen-wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750601886 PECOS PAC ID: 8123269552 Enrollment ID: I20151121000140 |
| Provider Name | Lorena Jane Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891164216 PECOS PAC ID: 5698075703 Enrollment ID: I20151121000244 |
| Provider Name | Megan Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184091969 PECOS PAC ID: 0547560344 Enrollment ID: I20151201000944 |
| Provider Name | Mark E Robinson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891966115 PECOS PAC ID: 4789757493 Enrollment ID: I20151201001772 |
| Provider Name | Sherri L Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730558677 PECOS PAC ID: 0446550271 Enrollment ID: I20151201002219 |
| Provider Name | Naceme Azizzadeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306192240 PECOS PAC ID: 1052611480 Enrollment ID: I20151207003058 |
| Provider Name | Tyrone Alexander Kyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174882500 PECOS PAC ID: 1456595719 Enrollment ID: I20151221000202 |
| Provider Name | Stephen Cross |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063737351 PECOS PAC ID: 5890932560 Enrollment ID: I20151222001196 |
| Provider Name | Petra Lee Sheba Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154791259 PECOS PAC ID: 8527369230 Enrollment ID: I20151223000112 |
| Provider Name | Peter Louis Loper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295703676 PECOS PAC ID: 8820178023 Enrollment ID: I20160106001662 |
| Provider Name | Berry Allen Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700808979 PECOS PAC ID: 5193776912 Enrollment ID: I20160111001906 |
| Provider Name | Calla Rose Chow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083083117 PECOS PAC ID: 2466752472 Enrollment ID: I20160125000008 |
| Provider Name | Jeanette Elizabeth Norris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255341947 PECOS PAC ID: 7911913959 Enrollment ID: I20160203002529 |
| Provider Name | Renu Kishor Pokharna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508870874 PECOS PAC ID: 2062416233 Enrollment ID: I20160205000037 |
| Provider Name | Zeid Mahmoud Keilani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154585578 PECOS PAC ID: 2567631468 Enrollment ID: I20160212002158 |
| Provider Name | Susan Drinkwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487031860 PECOS PAC ID: 9537463351 Enrollment ID: I20160215001246 |
| Provider Name | Hilary M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851773147 PECOS PAC ID: 4183929664 Enrollment ID: I20160222000377 |
| Provider Name | Stephanie Sharperson Curry |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497040273 PECOS PAC ID: 4587969654 Enrollment ID: I20160226001841 |
| Provider Name | Mark Harold Greenberg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992757405 PECOS PAC ID: 5092885442 Enrollment ID: I20160308001051 |
| Provider Name | Michael A Kanwisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689969453 PECOS PAC ID: 9436455748 Enrollment ID: I20160314000920 |
| Provider Name | Erin W Mcelveen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073876082 PECOS PAC ID: 9830495803 Enrollment ID: I20160317000866 |
| Provider Name | Brittany Rachel Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417321597 PECOS PAC ID: 3173820875 Enrollment ID: I20160323002145 |
| Provider Name | Jessica Leigh Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861786345 PECOS PAC ID: 4385809912 Enrollment ID: I20160324001841 |
| Provider Name | Mae Ewing Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144463597 PECOS PAC ID: 2860799491 Enrollment ID: I20160328000701 |
| Provider Name | Kelly C Branstetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578988432 PECOS PAC ID: 5092012138 Enrollment ID: I20160405000220 |
| Provider Name | Rathna Amarnath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154375707 PECOS PAC ID: 3375840424 Enrollment ID: I20160405000509 |
| Provider Name | Phillip J Prest |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801107321 PECOS PAC ID: 9931348901 Enrollment ID: I20160406000192 |
| Provider Name | Donna Wolff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558745588 PECOS PAC ID: 8921306515 Enrollment ID: I20160414001918 |
| Provider Name | Hillery L Dolford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104283548 PECOS PAC ID: 7214236835 Enrollment ID: I20160504000416 |
| Provider Name | Katie W Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841662483 PECOS PAC ID: 7719286038 Enrollment ID: I20160509000073 |
| Provider Name | Melissa Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194027813 PECOS PAC ID: 4789973157 Enrollment ID: I20160525001717 |
| Provider Name | Tareq Haidary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356754154 PECOS PAC ID: 9032416110 Enrollment ID: I20160526000312 |
| Provider Name | Ahmad Md Ismail |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104911650 PECOS PAC ID: 0941356646 Enrollment ID: I20160527000328 |
| Provider Name | Matthew P Doepker |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1316232606 PECOS PAC ID: 4385879238 Enrollment ID: I20160610000452 |
| Provider Name | Teresa Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619953015 PECOS PAC ID: 0547393134 Enrollment ID: I20160614000659 |
| Provider Name | Katherine Marie Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659732667 PECOS PAC ID: 2163713280 Enrollment ID: I20160621002008 |
| Provider Name | Stewart Oliver Sanford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447464490 PECOS PAC ID: 1153513213 Enrollment ID: I20160623001856 |
| Provider Name | Brett Greenwood Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477993384 PECOS PAC ID: 9739471756 Enrollment ID: I20160713000028 |
| Provider Name | Jennifer Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487094694 PECOS PAC ID: 6901198928 Enrollment ID: I20160713000068 |
| Provider Name | Sara B Woodberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336507623 PECOS PAC ID: 9234421975 Enrollment ID: I20160715002003 |
| Provider Name | Lawrence A Robillard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396731790 PECOS PAC ID: 7517139280 Enrollment ID: I20160719001317 |
| Provider Name | Lauren F Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700153913 PECOS PAC ID: 3173790516 Enrollment ID: I20160721000358 |
| Provider Name | William Jackson Perkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871813733 PECOS PAC ID: 3476853383 Enrollment ID: I20160722000680 |
| Provider Name | Michael Edward Haughton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316266208 PECOS PAC ID: 1557654761 Enrollment ID: I20160726001966 |
| Provider Name | Sunita Paudyal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225230949 PECOS PAC ID: 0941355606 Enrollment ID: I20160728001019 |
| Provider Name | Erica Lawlor Jordan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508206426 PECOS PAC ID: 2163715970 Enrollment ID: I20160801000495 |
| Provider Name | Emily Huggins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568802478 PECOS PAC ID: 9739472556 Enrollment ID: I20160801000749 |
| Provider Name | Todd Nathaniel Senn |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972760056 PECOS PAC ID: 3779876552 Enrollment ID: I20160802000029 |
| Provider Name | Sicily C Loranger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417311655 PECOS PAC ID: 3870887698 Enrollment ID: I20160802001679 |
| Provider Name | Bhisit Changcharoen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538422217 PECOS PAC ID: 6305130048 Enrollment ID: I20160803002007 |
| Provider Name | Randolph Brown Bradford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245670165 PECOS PAC ID: 4587958244 Enrollment ID: I20160803002746 |
| Provider Name | Sagar S Gandhi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154587012 PECOS PAC ID: 2567604994 Enrollment ID: I20160804002521 |
| Provider Name | Joseph Vincent Valentino Blas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730313313 PECOS PAC ID: 9931347309 Enrollment ID: I20160809001044 |
| Provider Name | Sara Sheehan Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003255605 PECOS PAC ID: 9931493806 Enrollment ID: I20160816001224 |
| Provider Name | Walter Hamilton Peters |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831362037 PECOS PAC ID: 0446490080 Enrollment ID: I20160902000144 |
| Provider Name | Laura E Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043661986 PECOS PAC ID: 4486940251 Enrollment ID: I20160902000233 |
| Provider Name | James Alton Gambrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427286525 PECOS PAC ID: 7810144748 Enrollment ID: I20160906000769 |
| Provider Name | Andrea Webb Oates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710333133 PECOS PAC ID: 2769779750 Enrollment ID: I20160919001807 |
| Provider Name | Stephanie Hopkins Millhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841652088 PECOS PAC ID: 1456648492 Enrollment ID: I20160920000494 |
| Provider Name | Yuliya Yuryevna Yurko |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1457585226 PECOS PAC ID: 1850549718 Enrollment ID: I20160922002494 |
| Provider Name | Satyajit Doddapaneni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518214071 PECOS PAC ID: 8022319714 Enrollment ID: I20160926001699 |
| Provider Name | Brooke H Mcadams |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336434182 PECOS PAC ID: 2264729748 Enrollment ID: I20160927002088 |
| Provider Name | Eric Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598016099 PECOS PAC ID: 2466606595 Enrollment ID: I20161007000295 |
| Provider Name | Darcia M Putnam |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659642643 PECOS PAC ID: 9032372446 Enrollment ID: I20161017001970 |
| Provider Name | Kurt Barringhaus |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588647416 PECOS PAC ID: 4789643990 Enrollment ID: I20161017002260 |
| Provider Name | Alicia K Ribar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679680631 PECOS PAC ID: 7618937434 Enrollment ID: I20161018000991 |
| Provider Name | Kimberly Dawn Spires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194278879 PECOS PAC ID: 0547558918 Enrollment ID: I20161018001733 |
| Provider Name | Erin P Ricker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619289816 PECOS PAC ID: 5092093369 Enrollment ID: I20161021000690 |
| Provider Name | Brittany R Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841463163 PECOS PAC ID: 3577841733 Enrollment ID: I20161024001478 |
| Provider Name | Brandi Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245698232 PECOS PAC ID: 8224316377 Enrollment ID: I20161025001987 |
| Provider Name | David M Hicklin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740312982 PECOS PAC ID: 6709164569 Enrollment ID: I20161028001313 |
| Provider Name | Cynthia B Nichols |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326248535 PECOS PAC ID: 5294013934 Enrollment ID: I20161031001697 |
| Provider Name | James W Curtis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831265271 PECOS PAC ID: 1355629007 Enrollment ID: I20161031001839 |
| Provider Name | Roger Caughman Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558393199 PECOS PAC ID: 3577661636 Enrollment ID: I20161107000123 |
| Provider Name | Justin Horwitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528201670 PECOS PAC ID: 3274707476 Enrollment ID: I20161108001175 |
| Provider Name | Kristina S Hotz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407111636 PECOS PAC ID: 1355579673 Enrollment ID: I20161108001281 |
| Provider Name | David Calvin Straus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467680678 PECOS PAC ID: 1456672807 Enrollment ID: I20161114000830 |
| Provider Name | Kristen Marie Wyrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669486155 PECOS PAC ID: 0749469823 Enrollment ID: I20161115000566 |
| Provider Name | Jaclyn Marie Gravis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427501873 PECOS PAC ID: 6507145505 Enrollment ID: I20161115001986 |
| Provider Name | Catherine Mcclung Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972709236 PECOS PAC ID: 0345520771 Enrollment ID: I20161201000370 |
| Provider Name | Renatta N Palmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821488099 PECOS PAC ID: 6002196987 Enrollment ID: I20161212000792 |
| Provider Name | Shilpa Shivakumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033365762 PECOS PAC ID: 9032499686 Enrollment ID: I20161216001954 |
| Provider Name | Lauren Shurtliff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164803193 PECOS PAC ID: 2668770868 Enrollment ID: I20161220001996 |
| Provider Name | Bhairav Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699937219 PECOS PAC ID: 1557642071 Enrollment ID: I20161221000867 |
| Provider Name | Dezmond Bernard Sumter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831452853 PECOS PAC ID: 6608183801 Enrollment ID: I20161222000014 |
| Provider Name | Mohit Datta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720217102 PECOS PAC ID: 2961657176 Enrollment ID: I20161227000730 |
| Provider Name | Abbey Tapler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043671134 PECOS PAC ID: 9133400419 Enrollment ID: I20161228000702 |
| Provider Name | Brooke Howell Perugini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538540562 PECOS PAC ID: 0941599013 Enrollment ID: I20170109000680 |
| Provider Name | Monica T Cramer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811017635 PECOS PAC ID: 9133268097 Enrollment ID: I20170110002278 |
| Provider Name | Rachel A Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427498591 PECOS PAC ID: 7113209859 Enrollment ID: I20170112003080 |
| Provider Name | La'quandra Rampersant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336519776 PECOS PAC ID: 0941582829 Enrollment ID: I20170130001445 |
| Provider Name | Brittany Schafer Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780996280 PECOS PAC ID: 9638452311 Enrollment ID: I20170202001710 |
| Provider Name | William Alvin Mcelveen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528121449 PECOS PAC ID: 5890769616 Enrollment ID: I20170220000129 |
| Provider Name | Francis Roosevelt Gilliam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891704474 PECOS PAC ID: 5799785713 Enrollment ID: I20170221001351 |
| Provider Name | Gwen Choi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528287836 PECOS PAC ID: 2961579115 Enrollment ID: I20170227001322 |
| Provider Name | Alexander Pogrebniak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124039656 PECOS PAC ID: 0547334245 Enrollment ID: I20170308002076 |
| Provider Name | Yolanda Mines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750676813 PECOS PAC ID: 9133403215 Enrollment ID: I20170309001528 |
| Provider Name | Michaeleena Carr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427345123 PECOS PAC ID: 0547544512 Enrollment ID: I20170313000741 |
| Provider Name | Kevin B Ford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063697522 PECOS PAC ID: 7618956293 Enrollment ID: I20170315000649 |
| Provider Name | Stuart Cramer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831216472 PECOS PAC ID: 0941485072 Enrollment ID: I20170315001420 |
| Provider Name | Tameka Funny |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972794394 PECOS PAC ID: 4587835277 Enrollment ID: I20170316000301 |
| Provider Name | Patrick R Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255745469 PECOS PAC ID: 8123249778 Enrollment ID: I20170320002112 |
| Provider Name | Clarence Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811448194 PECOS PAC ID: 0143505701 Enrollment ID: I20170322000001 |
| Provider Name | Angel Gonzalez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518132711 PECOS PAC ID: 3173746880 Enrollment ID: I20170322001602 |
| Provider Name | Homer Franklin Herlong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699725366 PECOS PAC ID: 7214110881 Enrollment ID: I20170329000513 |
| Provider Name | Michael Daris Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679935514 PECOS PAC ID: 2466737622 Enrollment ID: I20170330001457 |
| Provider Name | Marc Georgi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902096480 PECOS PAC ID: 0749374585 Enrollment ID: I20170515000944 |
| Provider Name | Jodi Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942588793 PECOS PAC ID: 8224348636 Enrollment ID: I20170519002180 |
| Provider Name | Andrea P Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669911087 PECOS PAC ID: 5092082040 Enrollment ID: I20170524000409 |
| Provider Name | Benjamin Wells Weston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225419252 PECOS PAC ID: 3870890296 Enrollment ID: I20170524001451 |
| Provider Name | Saria Saccocio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992882468 PECOS PAC ID: 0345213658 Enrollment ID: I20170524002495 |
| Provider Name | Chasity Logan Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477091221 PECOS PAC ID: 0648547273 Enrollment ID: I20170601001661 |
| Provider Name | Linda Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780124073 PECOS PAC ID: 1557638913 Enrollment ID: I20170606002720 |
| Provider Name | Melissa Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467819748 PECOS PAC ID: 1759659717 Enrollment ID: I20170615000356 |
| Provider Name | Mirsad Mirza Mujadzic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1184812968 PECOS PAC ID: 5698953743 Enrollment ID: I20170616000197 |
| Provider Name | Sri Harsha Tella |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649534975 PECOS PAC ID: 3971871856 Enrollment ID: I20170619000020 |
| Provider Name | Colleen A Wunderlich |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689702698 PECOS PAC ID: 8022100866 Enrollment ID: I20170620000001 |
| Provider Name | Uzoma Ifeyinwa Ezeuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689122574 PECOS PAC ID: 2163790882 Enrollment ID: I20170621000101 |
| Provider Name | Janice M Wiggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376594101 PECOS PAC ID: 6709780224 Enrollment ID: I20170621002884 |
| Provider Name | David Eugene Mcneely |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285952705 PECOS PAC ID: 3779724349 Enrollment ID: I20170626001065 |
| Provider Name | Cameron Thomasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205368230 PECOS PAC ID: 5193094696 Enrollment ID: I20170627000015 |
| Provider Name | Cierra Oneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346787231 PECOS PAC ID: 7315216744 Enrollment ID: I20170628002341 |
| Provider Name | Shannon Jackson Gooding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134570336 PECOS PAC ID: 6204105661 Enrollment ID: I20170629000019 |
| Provider Name | Deborah Ann Hutcheon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831626738 PECOS PAC ID: 5991074064 Enrollment ID: I20170705001279 |
| Provider Name | Gabrielle Lee Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609227974 PECOS PAC ID: 8426327289 Enrollment ID: I20170711000314 |
| Provider Name | David C Giovannini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639582547 PECOS PAC ID: 4183918907 Enrollment ID: I20170717000891 |
| Provider Name | Margaret A Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164719894 PECOS PAC ID: 9537380522 Enrollment ID: I20170717001242 |
| Provider Name | Duncan L Norton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316350226 PECOS PAC ID: 3577859388 Enrollment ID: I20170719001142 |
| Provider Name | Abhinav Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346290780 PECOS PAC ID: 6709883366 Enrollment ID: I20170722000276 |
| Provider Name | Ryan Stewart Slife |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164765848 PECOS PAC ID: 2961705389 Enrollment ID: I20170801000054 |
| Provider Name | Justin Henry Atwood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790079085 PECOS PAC ID: 7012172596 Enrollment ID: I20170803000964 |
| Provider Name | Alex Deforest Gleason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316382039 PECOS PAC ID: 8527368547 Enrollment ID: I20170807000792 |
| Provider Name | Rodney G Briggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962604181 PECOS PAC ID: 6709777527 Enrollment ID: I20170815001044 |
| Provider Name | Sundip Somabhai Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487857025 PECOS PAC ID: 0648443408 Enrollment ID: I20170818000958 |
| Provider Name | Varun Bhalla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447412127 PECOS PAC ID: 4284874025 Enrollment ID: I20170828001368 |
| Provider Name | Shaquan Martee Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053868810 PECOS PAC ID: 4284906140 Enrollment ID: I20170828001972 |
| Provider Name | Preetinder Kaleka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427462316 PECOS PAC ID: 2769789056 Enrollment ID: I20170828002178 |
| Provider Name | Sarah Dorey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801331830 PECOS PAC ID: 9638442551 Enrollment ID: I20170829000320 |
| Provider Name | Gretchen Kaune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417485574 PECOS PAC ID: 0648543132 Enrollment ID: I20170905002360 |
| Provider Name | Kristin Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467891051 PECOS PAC ID: 8325311616 Enrollment ID: I20170908000487 |
| Provider Name | Blake Andrew Wynia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942591961 PECOS PAC ID: 2264725431 Enrollment ID: I20170912000149 |
| Provider Name | Firas Fuad Mussa |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821204363 PECOS PAC ID: 3375639016 Enrollment ID: I20170912000448 |
| Provider Name | Ladonna Alex Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558658724 PECOS PAC ID: 8022382415 Enrollment ID: I20170925000071 |
| Provider Name | Jarom Nathan Gilstrap |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205157658 PECOS PAC ID: 8426367491 Enrollment ID: I20170925000143 |
| Provider Name | Kristl V. Dorschner Tomlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861757304 PECOS PAC ID: 6608143409 Enrollment ID: I20171002000197 |
| Provider Name | Patricia M Seal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447592167 PECOS PAC ID: 3577861970 Enrollment ID: I20171005002741 |
| Provider Name | Rebecca Suzanne Napier |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1730317314 PECOS PAC ID: 3375707409 Enrollment ID: I20171005002877 |
| Provider Name | Kevin Murr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083907125 PECOS PAC ID: 9133448194 Enrollment ID: I20171010003817 |
| Provider Name | Annah H Kirkley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174937601 PECOS PAC ID: 1254625197 Enrollment ID: I20171013001929 |
| Provider Name | Christina M Lafoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881120806 PECOS PAC ID: 9335415439 Enrollment ID: I20171017002576 |
| Provider Name | Kristen Nathe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740577477 PECOS PAC ID: 1951677814 Enrollment ID: I20171019002319 |
| Provider Name | Michael Dallman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740361930 PECOS PAC ID: 5496903502 Enrollment ID: I20171020001798 |
| Provider Name | Yolanda M Newton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841482304 PECOS PAC ID: 2860531969 Enrollment ID: I20171025002185 |
| Provider Name | Andrew D Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750762167 PECOS PAC ID: 7113220047 Enrollment ID: I20171025002186 |
| Provider Name | Anil Purohit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447415211 PECOS PAC ID: 0042480295 Enrollment ID: I20171101002850 |
| Provider Name | Andrea K Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679091128 PECOS PAC ID: 3779849922 Enrollment ID: I20171104000001 |
| Provider Name | Caitlin Marie Mccarroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174048466 PECOS PAC ID: 4789940800 Enrollment ID: I20171106003118 |
| Provider Name | Angela A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053834705 PECOS PAC ID: 2365708302 Enrollment ID: I20171108001716 |
| Provider Name | Danna Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922412642 PECOS PAC ID: 1850679788 Enrollment ID: I20171109002920 |
| Provider Name | Bhavana Narala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568758761 PECOS PAC ID: 5799902714 Enrollment ID: I20171109003156 |
| Provider Name | Leah R Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174072755 PECOS PAC ID: 1254698079 Enrollment ID: I20171204002502 |
| Provider Name | Serena Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396286431 PECOS PAC ID: 2860765641 Enrollment ID: I20171205000534 |
| Provider Name | Allison P Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447644596 PECOS PAC ID: 3779840293 Enrollment ID: I20171207002600 |
| Provider Name | Chetak Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740589597 PECOS PAC ID: 9537427620 Enrollment ID: I20171219001052 |
| Provider Name | Stephaine Phillips Ambrose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639466360 PECOS PAC ID: 6608097274 Enrollment ID: I20171219002835 |
| Provider Name | Myriam J Sollman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497035612 PECOS PAC ID: 8729252515 Enrollment ID: I20171228001499 |
| Provider Name | Reena Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710919147 PECOS PAC ID: 5890053474 Enrollment ID: I20180103003323 |
| Provider Name | Sabrina Blocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922510353 PECOS PAC ID: 3173882628 Enrollment ID: I20180109002049 |
| Provider Name | Kenna Courtney Stephanie Altobello |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851716708 PECOS PAC ID: 2163655580 Enrollment ID: I20180116002351 |
| Provider Name | Mariam Younas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891922969 PECOS PAC ID: 6002063153 Enrollment ID: I20180117000833 |
| Provider Name | Kelley Hodge Bostic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396257325 PECOS PAC ID: 5991064073 Enrollment ID: I20180117002958 |
| Provider Name | Deangela Lenore Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619351863 PECOS PAC ID: 5799044749 Enrollment ID: I20180119000453 |
| Provider Name | Lauren S Barron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508151358 PECOS PAC ID: 7719246503 Enrollment ID: I20180124003048 |
| Provider Name | Sierra Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891200572 PECOS PAC ID: 9638430754 Enrollment ID: I20180305002639 |
| Provider Name | Michael Sorrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982118592 PECOS PAC ID: 6002178621 Enrollment ID: I20180320000855 |
| Provider Name | Shannon Williamson Cribb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285142216 PECOS PAC ID: 1254693757 Enrollment ID: I20180321001752 |
| Provider Name | Valencia Arthiena Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073043097 PECOS PAC ID: 1557623832 Enrollment ID: I20180326002795 |
| Provider Name | Kari Claudia M Allen Delsol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528403359 PECOS PAC ID: 9830411354 Enrollment ID: I20180403000520 |
| Provider Name | Jordan Rentz Barham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083169940 PECOS PAC ID: 0941563795 Enrollment ID: I20180410000937 |
| Provider Name | Melissa J Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093234866 PECOS PAC ID: 5890058523 Enrollment ID: I20180411002012 |
| Provider Name | David A Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710437389 PECOS PAC ID: 3173886611 Enrollment ID: I20180413001166 |
| Provider Name | Anna Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619424462 PECOS PAC ID: 0345503504 Enrollment ID: I20180423000372 |
| Provider Name | Nizar P Hallak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861627697 PECOS PAC ID: 0749331247 Enrollment ID: I20180501000163 |
| Provider Name | David Deaton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023000858 PECOS PAC ID: 1557546926 Enrollment ID: I20180514000288 |
| Provider Name | Tamika Anita Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831625458 PECOS PAC ID: 7618232554 Enrollment ID: I20180524002793 |
| Provider Name | Kevin A Osgood |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1306860705 PECOS PAC ID: 4183816499 Enrollment ID: I20180530001955 |
| Provider Name | Srinadh O Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669455911 PECOS PAC ID: 1658301197 Enrollment ID: I20180621000008 |
| Provider Name | Michael Wayne Farwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508246935 PECOS PAC ID: 3072807890 Enrollment ID: I20180625000272 |
| Provider Name | Michele Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073063251 PECOS PAC ID: 9739435009 Enrollment ID: I20180629001195 |
| Provider Name | Ansleigh Claire Morrow Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184140543 PECOS PAC ID: 8729334099 Enrollment ID: I20180629001236 |
| Provider Name | Robin H Munn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417448465 PECOS PAC ID: 4284980301 Enrollment ID: I20180703001818 |
| Provider Name | Kathryn Page Rarick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871099093 PECOS PAC ID: 7214283084 Enrollment ID: I20180709003470 |
| Provider Name | Ravish Ashokkumar Kothari |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1497195390 PECOS PAC ID: 5890081855 Enrollment ID: I20180711001466 |
| Provider Name | Paige O'bryan Kight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538661269 PECOS PAC ID: 3274880786 Enrollment ID: I20180716000138 |
| Provider Name | Megan Crandall Lybrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033612627 PECOS PAC ID: 6103173661 Enrollment ID: I20180716002364 |
| Provider Name | Neda Azizzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053791772 PECOS PAC ID: 1850685835 Enrollment ID: I20180719002803 |
| Provider Name | Kevin G Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790165280 PECOS PAC ID: 7618261454 Enrollment ID: I20180724000702 |
| Provider Name | Shameem Beigh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194072405 PECOS PAC ID: 7315294931 Enrollment ID: I20180727000119 |
| Provider Name | Williams C Andrew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003295171 PECOS PAC ID: 1759674567 Enrollment ID: I20180727001775 |
| Provider Name | Ashleigh Love Quick Ledford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801233523 PECOS PAC ID: 6507114113 Enrollment ID: I20180730001628 |
| Provider Name | Katie M Keck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922441906 PECOS PAC ID: 7416205059 Enrollment ID: I20180730002851 |
| Provider Name | Jessica Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184123630 PECOS PAC ID: 2365790888 Enrollment ID: I20180731002283 |
| Provider Name | Brittany Lynn Osteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154813780 PECOS PAC ID: 7911255377 Enrollment ID: I20180801004021 |
| Provider Name | James E Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205252319 PECOS PAC ID: 1658629522 Enrollment ID: I20180809000109 |
| Provider Name | Joycelyn Kennedy Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972976124 PECOS PAC ID: 3375891245 Enrollment ID: I20180809000161 |
| Provider Name | Catherine Elaine Lindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619418241 PECOS PAC ID: 7214285071 Enrollment ID: I20180810000114 |
| Provider Name | Richard Mccarroll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194013656 PECOS PAC ID: 4385930395 Enrollment ID: I20180816001726 |
| Provider Name | Stormy D Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962994160 PECOS PAC ID: 5092064238 Enrollment ID: I20180821001512 |
| Provider Name | Keith Lynn Jackson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578728614 PECOS PAC ID: 9638352099 Enrollment ID: I20180822002560 |
| Provider Name | Jonathan D Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447657622 PECOS PAC ID: 6507115599 Enrollment ID: I20180824000616 |
| Provider Name | Mariangela Rivera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841515996 PECOS PAC ID: 0143593665 Enrollment ID: I20180828000811 |
| Provider Name | Suchita Shirish Pancholi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144516386 PECOS PAC ID: 6406075217 Enrollment ID: I20180904001295 |
| Provider Name | Forrest J Lowe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750724142 PECOS PAC ID: 6305087594 Enrollment ID: I20180910001886 |
| Provider Name | Hollie Raye Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992143010 PECOS PAC ID: 0648561209 Enrollment ID: I20180911000294 |
| Provider Name | Wayne N. Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396008454 PECOS PAC ID: 0042476871 Enrollment ID: I20180919000474 |
| Provider Name | Sheila Pabon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972846541 PECOS PAC ID: 8921306283 Enrollment ID: I20180926002378 |
| Provider Name | Christian D Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629427422 PECOS PAC ID: 0345538351 Enrollment ID: I20181005000959 |
| Provider Name | Shannon Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679951990 PECOS PAC ID: 3476867938 Enrollment ID: I20181015002587 |
| Provider Name | Katherine D Schill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790165124 PECOS PAC ID: 7517272206 Enrollment ID: I20181024003096 |
| Provider Name | Kimberly M Kilgore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366677676 PECOS PAC ID: 8527239581 Enrollment ID: I20181024003357 |
| Provider Name | Whitney Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073020517 PECOS PAC ID: 4183977804 Enrollment ID: I20181026001424 |
| Provider Name | Timothy D Averch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578535977 PECOS PAC ID: 0345371373 Enrollment ID: I20181030003157 |
| Provider Name | Wilbur Lynn Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487934881 PECOS PAC ID: 1850524448 Enrollment ID: I20181031000061 |
| Provider Name | Kimberly Sue Bregenzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073095683 PECOS PAC ID: 9436402807 Enrollment ID: I20181101000833 |
| Provider Name | Michael Anthony Gajewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629553755 PECOS PAC ID: 5991058398 Enrollment ID: I20181101002204 |
| Provider Name | Emily Grace Cart |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386902435 PECOS PAC ID: 7719296219 Enrollment ID: I20181113002814 |
| Provider Name | Cecelia Fogle Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912487422 PECOS PAC ID: 1254685753 Enrollment ID: I20181120002052 |
| Provider Name | James Lucas Mcfadden |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1154687861 PECOS PAC ID: 2466603253 Enrollment ID: I20181129002046 |
| Provider Name | Latova Nichelle Quattlebaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659854255 PECOS PAC ID: 3072857101 Enrollment ID: I20181130001131 |
| Provider Name | Tanyatta Lane-king |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013490911 PECOS PAC ID: 2668716663 Enrollment ID: I20181203000502 |
| Provider Name | Frederick C Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356307441 PECOS PAC ID: 4082632021 Enrollment ID: I20181203002727 |
| Provider Name | Allison Christine Quinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104230630 PECOS PAC ID: 2567706419 Enrollment ID: I20181203003154 |
| Provider Name | Andrew M Price |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1881958221 PECOS PAC ID: 5597059295 Enrollment ID: I20181204002642 |
| Provider Name | Julian A Kim |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1346268497 PECOS PAC ID: 0244236859 Enrollment ID: I20181204003309 |
| Provider Name | Karla Jeanette Cruz Morel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528346830 PECOS PAC ID: 4981948684 Enrollment ID: I20181206003213 |
| Provider Name | Jack Legrand Depriest |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881699957 PECOS PAC ID: 9638100969 Enrollment ID: I20181208000403 |
| Provider Name | Kyle Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033697362 PECOS PAC ID: 5395089809 Enrollment ID: I20181210001707 |
| Provider Name | Angela D Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225529555 PECOS PAC ID: 3476897927 Enrollment ID: I20181210003118 |
| Provider Name | Kristin Mckenzie Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164907853 PECOS PAC ID: 9133464555 Enrollment ID: I20181212003714 |
| Provider Name | Nicholas Green |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922532811 PECOS PAC ID: 3274807797 Enrollment ID: I20181213000385 |
| Provider Name | Malissa Wilson Etheredge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811301203 PECOS PAC ID: 9638463698 Enrollment ID: I20181214001871 |
| Provider Name | Zachary Logan Hardy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356791966 PECOS PAC ID: 9830434182 Enrollment ID: I20181214001956 |
| Provider Name | Susan Elizabeth Petrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831502103 PECOS PAC ID: 3476848334 Enrollment ID: I20181219003197 |
| Provider Name | Josneldavmatus Faiivae |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528323961 PECOS PAC ID: 5092050989 Enrollment ID: I20181220003143 |
| Provider Name | Jennifer Leigh Shipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326513557 PECOS PAC ID: 7012252539 Enrollment ID: I20190102001844 |
| Provider Name | Christopher Than |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477947844 PECOS PAC ID: 1850637323 Enrollment ID: I20190104001476 |
| Provider Name | Mary Kathryn Lethco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912475351 PECOS PAC ID: 4880930361 Enrollment ID: I20190104001896 |
| Provider Name | Linda A Balles |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346442670 PECOS PAC ID: 2466547609 Enrollment ID: I20190108004142 |
| Provider Name | Chelsie Leonna Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457839532 PECOS PAC ID: 7517203698 Enrollment ID: I20190110000895 |
| Provider Name | Marc E Kushinka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174972509 PECOS PAC ID: 5799021333 Enrollment ID: I20190117003995 |
| Provider Name | Aimee Heather Aline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700382660 PECOS PAC ID: 4880931377 Enrollment ID: I20190122001868 |
| Provider Name | Trisha D Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821447038 PECOS PAC ID: 3779866132 Enrollment ID: I20190125000973 |
| Provider Name | Kyle Evan Arthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679837520 PECOS PAC ID: 9638390818 Enrollment ID: I20190128002323 |
| Provider Name | Benjamin M Hinman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700298874 PECOS PAC ID: 5092030072 Enrollment ID: I20190129002525 |
| Provider Name | Courtney Prince Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790253920 PECOS PAC ID: 2062750292 Enrollment ID: I20190214000668 |
| Provider Name | Zoe Jane Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477520963 PECOS PAC ID: 1355301292 Enrollment ID: I20190222001878 |
| Provider Name | Kenneth Kalassian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700897048 PECOS PAC ID: 3173417292 Enrollment ID: I20190226001198 |
| Provider Name | Jaclyn Leigh Sligar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942613278 PECOS PAC ID: 0244579126 Enrollment ID: I20190312001045 |
| Provider Name | Caroline Marie Flake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346720596 PECOS PAC ID: 9830435213 Enrollment ID: I20190314002209 |
| Provider Name | Bala Prakash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033315932 PECOS PAC ID: 7719103829 Enrollment ID: I20190319000254 |
| Provider Name | Marion Claire Geddings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003371089 PECOS PAC ID: 7911247531 Enrollment ID: I20190319000677 |
| Provider Name | Mary Lee Gregory |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376710970 PECOS PAC ID: 7113176850 Enrollment ID: I20190320003495 |
| Provider Name | Kathryn Capan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164980470 PECOS PAC ID: 9133469364 Enrollment ID: I20190325002364 |
| Provider Name | Lateef J Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891101531 PECOS PAC ID: 3870833932 Enrollment ID: I20190327002688 |
| Provider Name | Anthony A Floreani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336197102 PECOS PAC ID: 7214021534 Enrollment ID: I20190401000005 |
| Provider Name | Komaleather Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457817785 PECOS PAC ID: 5496096463 Enrollment ID: I20190402000172 |
| Provider Name | Robert James Klein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376543686 PECOS PAC ID: 6406825819 Enrollment ID: I20190411002492 |
| Provider Name | Shaqueena Kirby Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427516772 PECOS PAC ID: 7315288537 Enrollment ID: I20190416000953 |
| Provider Name | Juan D'brot |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700822442 PECOS PAC ID: 3274720040 Enrollment ID: I20190416000996 |
| Provider Name | Kristina Allane Bristow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700345303 PECOS PAC ID: 7012258288 Enrollment ID: I20190416002975 |
| Provider Name | Megan Elizabeth Nagle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447632278 PECOS PAC ID: 7618218819 Enrollment ID: I20190417000877 |
| Provider Name | Brandon Heath Kilgore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023158508 PECOS PAC ID: 5890853725 Enrollment ID: I20190503000571 |
| Provider Name | Nicole Annmarie Vidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376903724 PECOS PAC ID: 1850690785 Enrollment ID: I20190508000759 |
| Provider Name | Harmeet Singh Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659703981 PECOS PAC ID: 8325345622 Enrollment ID: I20190522000167 |
| Provider Name | Sean Joseph Battle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689023707 PECOS PAC ID: 4688917917 Enrollment ID: I20190529003170 |
| Provider Name | Edwin Hayes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942543632 PECOS PAC ID: 6507199635 Enrollment ID: I20190605001032 |
| Provider Name | Brian M Ford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457731150 PECOS PAC ID: 3274829098 Enrollment ID: I20190610002276 |
| Provider Name | Daniel Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003269481 PECOS PAC ID: 6507199338 Enrollment ID: I20190611002077 |
| Provider Name | Katherine C Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629537055 PECOS PAC ID: 2860726262 Enrollment ID: I20190618002788 |
| Provider Name | Hardik J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558756676 PECOS PAC ID: 6901103001 Enrollment ID: I20190619002634 |
| Provider Name | Diana Margaret Whiteman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366490419 PECOS PAC ID: 6002719200 Enrollment ID: I20190619002808 |
| Provider Name | Heather Marie Staples |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265872162 PECOS PAC ID: 1153655386 Enrollment ID: I20190621002610 |
| Provider Name | Joshua Lee Lagrant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750601910 PECOS PAC ID: 9436483401 Enrollment ID: I20190625001632 |
| Provider Name | Michelle Labrunda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902081318 PECOS PAC ID: 3072695741 Enrollment ID: I20190722000478 |
| Provider Name | Alvin Lee Day |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811300726 PECOS PAC ID: 4880988724 Enrollment ID: I20190729000058 |
| Provider Name | Katelin Jean Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477967859 PECOS PAC ID: 1850627530 Enrollment ID: I20190802000287 |
| Provider Name | Xinlu Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831553502 PECOS PAC ID: 9335476936 Enrollment ID: I20190805002759 |
| Provider Name | Brian Scott Cope |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902893506 PECOS PAC ID: 3971605098 Enrollment ID: I20190807000260 |
| Provider Name | Collins Harrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336534080 PECOS PAC ID: 3678885696 Enrollment ID: I20190816000064 |
| Provider Name | Narendra Yallanki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992146419 PECOS PAC ID: 3274861059 Enrollment ID: I20190819002557 |
| Provider Name | Caleb Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508216490 PECOS PAC ID: 5698003374 Enrollment ID: I20190819002840 |
| Provider Name | Diego Alejandro Lim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699038505 PECOS PAC ID: 1951611516 Enrollment ID: I20190822003815 |
| Provider Name | Jaqui A Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528413184 PECOS PAC ID: 7113210642 Enrollment ID: I20190823002757 |
| Provider Name | Michael Thomas Weymers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174184519 PECOS PAC ID: 8123357910 Enrollment ID: I20190903003234 |
| Provider Name | Lauren Kinley Fitzhugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902162381 PECOS PAC ID: 3274862099 Enrollment ID: I20190904001136 |
| Provider Name | Ryan Patrick Werntz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780940023 PECOS PAC ID: 7810132214 Enrollment ID: I20190906002474 |
| Provider Name | Praveen Venigalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528352598 PECOS PAC ID: 6103125232 Enrollment ID: I20190910002908 |
| Provider Name | Brian S Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497894562 PECOS PAC ID: 4183777014 Enrollment ID: I20190911001019 |
| Provider Name | Stephanie Lynn Paolini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558603241 PECOS PAC ID: 9830454438 Enrollment ID: I20190918001236 |
| Provider Name | Devon Eileen Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598999435 PECOS PAC ID: 5698922433 Enrollment ID: I20190925002199 |
| Provider Name | Corey Mitchell Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245892595 PECOS PAC ID: 0941530422 Enrollment ID: I20190926000119 |
| Provider Name | Akal Saagu Zeleke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932639242 PECOS PAC ID: 8921378027 Enrollment ID: I20191001001431 |
| Provider Name | Caitlin Brooke Tidwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881117828 PECOS PAC ID: 9436415684 Enrollment ID: I20191002000906 |
| Provider Name | Michael Thomas Fitzgerald |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588924245 PECOS PAC ID: 5092971630 Enrollment ID: I20191007002023 |
| Provider Name | Shannon Elisabeth Iriza |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124438759 PECOS PAC ID: 1951527407 Enrollment ID: I20191013000013 |
| Provider Name | Elise Pinero Salerno |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992951065 PECOS PAC ID: 4385873199 Enrollment ID: I20191014001007 |
| Provider Name | Lawren Evelyn Honken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588046411 PECOS PAC ID: 8325379746 Enrollment ID: I20191015002934 |
| Provider Name | Lauren Mansfield Beasley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376804047 PECOS PAC ID: 8022349307 Enrollment ID: I20191017002176 |
| Provider Name | Amanda J Stratton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275054462 PECOS PAC ID: 5395001556 Enrollment ID: I20191018002637 |
| Provider Name | Caroline Elizabeth Riddick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932751559 PECOS PAC ID: 3375875909 Enrollment ID: I20191030002969 |
| Provider Name | Megan Crane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265800783 PECOS PAC ID: 7719273614 Enrollment ID: I20191106000082 |
| Provider Name | Selina White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699333427 PECOS PAC ID: 3375975501 Enrollment ID: I20191108002315 |
| Provider Name | Kelsey Fearing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477194306 PECOS PAC ID: 5395177786 Enrollment ID: I20191125001061 |
| Provider Name | Sherri L Keelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790038651 PECOS PAC ID: 9436389277 Enrollment ID: I20191219002915 |
| Provider Name | James Rielly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386638005 PECOS PAC ID: 3577564228 Enrollment ID: I20191220002241 |
| Provider Name | Caroline Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740644376 PECOS PAC ID: 8921364373 Enrollment ID: I20191226002265 |
| Provider Name | Tyler Aaron Gonzalez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750644290 PECOS PAC ID: 1850546433 Enrollment ID: I20200109001886 |
| Provider Name | Katie L Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205211430 PECOS PAC ID: 1052626165 Enrollment ID: I20200110002506 |
| Provider Name | Avia Latrelle Reaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164076733 PECOS PAC ID: 4284069691 Enrollment ID: I20200113001954 |
| Provider Name | Jesse Clanton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023246295 PECOS PAC ID: 6204065899 Enrollment ID: I20200115000004 |
| Provider Name | Linda F. Dunovant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629314182 PECOS PAC ID: 9739514662 Enrollment ID: I20200122002490 |
| Provider Name | Erica Danielle Ladson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821643388 PECOS PAC ID: 1951736693 Enrollment ID: I20200127001676 |
| Provider Name | Jaclyn Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285276782 PECOS PAC ID: 6204262777 Enrollment ID: I20200130003215 |
| Provider Name | Kristy Smith Mounger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013578061 PECOS PAC ID: 4284060617 Enrollment ID: I20200204000705 |
| Provider Name | Zandria Fredrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265079263 PECOS PAC ID: 3870929219 Enrollment ID: I20200204000933 |
| Provider Name | Shawn Michael Iverson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205248077 PECOS PAC ID: 8921355488 Enrollment ID: I20200214002108 |
| Provider Name | Kim Marion Carollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972072114 PECOS PAC ID: 5496095697 Enrollment ID: I20200225002448 |
| Provider Name | Kevin Johnson Via |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215340542 PECOS PAC ID: 7719280668 Enrollment ID: I20200226000745 |
| Provider Name | Josselyn Phifer Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730690397 PECOS PAC ID: 4082976998 Enrollment ID: I20200306001157 |
| Provider Name | Jennifer Pilot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679133524 PECOS PAC ID: 0244668010 Enrollment ID: I20200310002887 |
| Provider Name | Ran Neiger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780689638 PECOS PAC ID: 0941280317 Enrollment ID: I20200319000493 |
| Provider Name | Karen Darlene Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013976307 PECOS PAC ID: 9436123858 Enrollment ID: I20200320002325 |
| Provider Name | Jamie Solaine Shorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558991711 PECOS PAC ID: 0941638159 Enrollment ID: I20200323002072 |
| Provider Name | Margaret Conant Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033741590 PECOS PAC ID: 2466880547 Enrollment ID: I20200324001936 |
| Provider Name | Javan Bozard Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447800958 PECOS PAC ID: 6406284413 Enrollment ID: I20200325000007 |
| Provider Name | Bertram Richter |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174965651 PECOS PAC ID: 6608164231 Enrollment ID: I20200403002257 |
| Provider Name | Jessica J Rueb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497199400 PECOS PAC ID: 9739317520 Enrollment ID: I20200405000243 |
| Provider Name | Sara Mae Delaney Henriques |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184157356 PECOS PAC ID: 1153608229 Enrollment ID: I20200406003148 |
| Provider Name | Frank John Penna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497982110 PECOS PAC ID: 0840422804 Enrollment ID: I20200408002843 |
| Provider Name | Anna Iliasova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689226557 PECOS PAC ID: 0840629150 Enrollment ID: I20200408002958 |
| Provider Name | Chekita Rena Legette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013454073 PECOS PAC ID: 6002245255 Enrollment ID: I20200409000451 |
| Provider Name | Pamela Bailey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730509829 PECOS PAC ID: 5890913453 Enrollment ID: I20200410000471 |
| Provider Name | Patrisa Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881234631 PECOS PAC ID: 3173952215 Enrollment ID: I20200410001568 |
| Provider Name | Emily Harkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841831708 PECOS PAC ID: 2466882386 Enrollment ID: I20200416003070 |
| Provider Name | Benjamin Wolf Thompson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558710764 PECOS PAC ID: 3072871656 Enrollment ID: I20200422002765 |
| Provider Name | Dwayne Randolph Alleyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962644393 PECOS PAC ID: 5991135451 Enrollment ID: I20200423002267 |
| Provider Name | Allen Ozeran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346525128 PECOS PAC ID: 2365705514 Enrollment ID: I20200423003237 |
| Provider Name | Frank Andrew Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164802807 PECOS PAC ID: 7517398720 Enrollment ID: I20200501002842 |
| Provider Name | Mona Rabieh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184253379 PECOS PAC ID: 1254762206 Enrollment ID: I20200507002629 |
| Provider Name | Cecilia Fernandes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437566718 PECOS PAC ID: 1759712623 Enrollment ID: I20200508000755 |
| Provider Name | Todd Warner Gandy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467898767 PECOS PAC ID: 0244523553 Enrollment ID: I20200512000248 |
| Provider Name | Juliet Chhay Bishop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386880672 PECOS PAC ID: 8022311737 Enrollment ID: I20200518001289 |
| Provider Name | Seth P Lapic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497137038 PECOS PAC ID: 1254762628 Enrollment ID: I20200519002329 |
| Provider Name | Brittney N Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366917924 PECOS PAC ID: 0446681829 Enrollment ID: I20200519002815 |
| Provider Name | Matthew Nodelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326400979 PECOS PAC ID: 0446548358 Enrollment ID: I20200520002260 |
| Provider Name | Peter J Hunt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841459401 PECOS PAC ID: 3476701285 Enrollment ID: I20200530000022 |
| Provider Name | Bryan J Pimlott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396761318 PECOS PAC ID: 9739138009 Enrollment ID: I20200603000878 |
| Provider Name | Patrice Nicole Ladson Keels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346887650 PECOS PAC ID: 5799106381 Enrollment ID: I20200608001607 |
| Provider Name | Elizabeth Nodelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891146783 PECOS PAC ID: 1557647542 Enrollment ID: I20200610003204 |
| Provider Name | Liang Zha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497165682 PECOS PAC ID: 4880993849 Enrollment ID: I20200616000024 |
| Provider Name | Guy Dooley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811336092 PECOS PAC ID: 2163854472 Enrollment ID: I20200618000118 |
| Provider Name | Jonathan Jensen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598745002 PECOS PAC ID: 4587625074 Enrollment ID: I20200706002985 |
| Provider Name | Emily J Melsom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356875348 PECOS PAC ID: 0547531659 Enrollment ID: I20200707001617 |
| Provider Name | Mark N Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932181849 PECOS PAC ID: 5092732388 Enrollment ID: I20200713001232 |
| Provider Name | Jodi Ann Dingle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083059232 PECOS PAC ID: 4587958723 Enrollment ID: I20200714000634 |
| Provider Name | James Stewart Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134751084 PECOS PAC ID: 1557784147 Enrollment ID: I20200715001704 |
| Provider Name | Michelle Crouse |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942664610 PECOS PAC ID: 0749575488 Enrollment ID: I20200716000936 |
| Provider Name | Alexander M Wagner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972955623 PECOS PAC ID: 1658795158 Enrollment ID: I20200716002524 |
| Provider Name | Catherine Frier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669992103 PECOS PAC ID: 9133495609 Enrollment ID: I20200728000553 |
| Provider Name | James Oware Ampadu |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1689916157 PECOS PAC ID: 2567764913 Enrollment ID: I20200804002422 |
| Provider Name | Nathan C Davis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003255548 PECOS PAC ID: 9739475328 Enrollment ID: I20200805002128 |
| Provider Name | Gwendolyn Gray Cashwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720112618 PECOS PAC ID: 4486070984 Enrollment ID: I20200814000280 |
| Provider Name | Katelyn Parnell Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760831895 PECOS PAC ID: 8325464340 Enrollment ID: I20200820001261 |
| Provider Name | Emily Powell Lowell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639417157 PECOS PAC ID: 8921425893 Enrollment ID: I20200825000313 |
| Provider Name | Kristi Ann Oxley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619495215 PECOS PAC ID: 8325307986 Enrollment ID: I20200825001352 |
| Provider Name | Hailley Oxner Story |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093236309 PECOS PAC ID: 3476819616 Enrollment ID: I20200826000429 |
| Provider Name | Clay Thomas Winkler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750653002 PECOS PAC ID: 4486905387 Enrollment ID: I20200831002232 |
| Provider Name | Alexander Braun Milgrom |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295117307 PECOS PAC ID: 4688091986 Enrollment ID: I20200901002704 |
| Provider Name | Tenise Wilson Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487265708 PECOS PAC ID: 0941627103 Enrollment ID: I20200902001504 |
| Provider Name | Puja Dalal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326468299 PECOS PAC ID: 9234457722 Enrollment ID: I20200902002794 |
| Provider Name | Richard Jackson Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043730468 PECOS PAC ID: 7810253051 Enrollment ID: I20200908000751 |
| Provider Name | Jacob Hessey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588082176 PECOS PAC ID: 0547693699 Enrollment ID: I20200911001364 |
| Provider Name | Robert Michael Patton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720018138 PECOS PAC ID: 9234174483 Enrollment ID: I20200912000054 |
| Provider Name | John Bennett Manna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891311163 PECOS PAC ID: 7618395369 Enrollment ID: I20200914000729 |
| Provider Name | Zachary Dylan Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336639194 PECOS PAC ID: 0345594149 Enrollment ID: I20200916001953 |
| Provider Name | Marjorie G Cloninger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215454079 PECOS PAC ID: 5991123374 Enrollment ID: I20200916003117 |
| Provider Name | Erin Wisbey-martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073725784 PECOS PAC ID: 2860547619 Enrollment ID: I20200923001876 |
| Provider Name | Aziz Petiwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417560889 PECOS PAC ID: 8224457098 Enrollment ID: I20200928002040 |
| Provider Name | Jimmy L Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922592757 PECOS PAC ID: 2264786045 Enrollment ID: I20201001002743 |
| Provider Name | Auryelle Ascue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558971390 PECOS PAC ID: 6507286564 Enrollment ID: I20201014000531 |
| Provider Name | Molly Irwin Hook |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649701574 PECOS PAC ID: 1052731320 Enrollment ID: I20201027000106 |
| Provider Name | Sumit Saraf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619132446 PECOS PAC ID: 0547416992 Enrollment ID: I20201103000380 |
| Provider Name | Marcus Markette Tedder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407467038 PECOS PAC ID: 4183034176 Enrollment ID: I20201103000503 |
| Provider Name | Amy Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578173555 PECOS PAC ID: 1759791130 Enrollment ID: I20201113002629 |
| Provider Name | Daniel William Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447872643 PECOS PAC ID: 4981015229 Enrollment ID: I20201118000690 |
| Provider Name | Echezona Nsofor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033645734 PECOS PAC ID: 3173934148 Enrollment ID: I20201123002176 |
| Provider Name | Latroy Omar Dingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932708146 PECOS PAC ID: 2567882939 Enrollment ID: I20201125002186 |
| Provider Name | Michelle M Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760087845 PECOS PAC ID: 3072926492 Enrollment ID: I20210104001213 |
| Provider Name | Mariagoretti Lumnwi Niba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801407325 PECOS PAC ID: 8325452980 Enrollment ID: I20210122001720 |
| Provider Name | Anna Crew Kinney Psomas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962093500 PECOS PAC ID: 1759795776 Enrollment ID: I20210202001511 |
| Provider Name | Allyson Glen Derrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053933267 PECOS PAC ID: 4183039944 Enrollment ID: I20210209002156 |
| Provider Name | Joann Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033549233 PECOS PAC ID: 8123250362 Enrollment ID: I20210210002748 |
| Provider Name | Michael Crowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669953246 PECOS PAC ID: 4486998945 Enrollment ID: I20210212000325 |
| Provider Name | Shanika Renee Shephard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922601988 PECOS PAC ID: 4880009935 Enrollment ID: I20210223001288 |
| Provider Name | Alisha J Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922594662 PECOS PAC ID: 0840530655 Enrollment ID: I20210309000918 |
| Provider Name | Olakumbi B Otulana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760769699 PECOS PAC ID: 7911286554 Enrollment ID: I20210324003114 |
| Provider Name | Isaac E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639773567 PECOS PAC ID: 9739597725 Enrollment ID: I20210412001330 |
| Provider Name | Todd Gunnar Holmes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588720544 PECOS PAC ID: 4981627924 Enrollment ID: I20210415000281 |
| Provider Name | Kristie Tillman Tuscany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144810938 PECOS PAC ID: 4284033499 Enrollment ID: I20210520000515 |
| Provider Name | Natasha Nadine Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023631116 PECOS PAC ID: 0648679530 Enrollment ID: I20210526000530 |
| Provider Name | Pauline Ngum Mancho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225631435 PECOS PAC ID: 7911306725 Enrollment ID: I20210527002598 |
| Provider Name | Justin Ross Moore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235339870 PECOS PAC ID: 5890955041 Enrollment ID: I20210607000286 |
| Provider Name | Robert Mccreery Flowers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386138964 PECOS PAC ID: 5294071189 Enrollment ID: I20210607001020 |
| Provider Name | William Keates |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750579942 PECOS PAC ID: 3971673708 Enrollment ID: I20210622001427 |
| Provider Name | Carter J Degennaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699334417 PECOS PAC ID: 9335471507 Enrollment ID: I20210715000556 |
| Provider Name | Renuka Rajagopal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912326471 PECOS PAC ID: 9436552999 Enrollment ID: I20210722000171 |
| Provider Name | Michael John Abercrombie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073047221 PECOS PAC ID: 5698198307 Enrollment ID: I20210726000960 |
| Provider Name | Ogheneruona Odili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275707309 PECOS PAC ID: 7719052455 Enrollment ID: I20210727002382 |
| Provider Name | Vistina Metts Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407484041 PECOS PAC ID: 6800299827 Enrollment ID: I20210728000261 |
| Provider Name | Duc Minh Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356622013 PECOS PAC ID: 5193032704 Enrollment ID: I20210729000950 |
| Provider Name | Ashley Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558853788 PECOS PAC ID: 7012269954 Enrollment ID: I20210729001590 |
| Provider Name | Moriah Zuckerman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598293615 PECOS PAC ID: 5597034793 Enrollment ID: I20210730001577 |
| Provider Name | Natalie Warrum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720656010 PECOS PAC ID: 0547663312 Enrollment ID: I20210730002719 |
| Provider Name | Pradeep Bollu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598094393 PECOS PAC ID: 1456595263 Enrollment ID: I20210803000067 |
| Provider Name | Joshua Avery Couch-garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356938534 PECOS PAC ID: 1557765260 Enrollment ID: I20210803001148 |
| Provider Name | Matthew Douglas Maccarthy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053678862 PECOS PAC ID: 1052733102 Enrollment ID: I20210803001895 |
| Provider Name | David T Lake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154853430 PECOS PAC ID: 6204103245 Enrollment ID: I20210805002004 |
| Provider Name | Matthew Philip Varner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336522135 PECOS PAC ID: 1557608833 Enrollment ID: I20210806002623 |
| Provider Name | Kayla Danielle Lafaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598256307 PECOS PAC ID: 7113263468 Enrollment ID: I20210809002039 |
| Provider Name | Richard Patrick Kozinski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255822706 PECOS PAC ID: 3577814029 Enrollment ID: I20210809003724 |
| Provider Name | Carlyn Hett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457983504 PECOS PAC ID: 3870905110 Enrollment ID: I20210811001065 |
| Provider Name | Adam Haines Pearlman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659735280 PECOS PAC ID: 1951691583 Enrollment ID: I20210812000418 |
| Provider Name | Steven Wayne Templeton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831578822 PECOS PAC ID: 1153615117 Enrollment ID: I20210812001856 |
| Provider Name | Sarah Stice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598359861 PECOS PAC ID: 7416352117 Enrollment ID: I20210818002325 |
| Provider Name | Ajeet Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184113375 PECOS PAC ID: 8820334162 Enrollment ID: I20210819001082 |
| Provider Name | Caleb Franklin Story |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336660513 PECOS PAC ID: 8123394947 Enrollment ID: I20210819003669 |
| Provider Name | Robert R Brigman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942707260 PECOS PAC ID: 3971908369 Enrollment ID: I20210824000398 |
| Provider Name | Cory Wyatt Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679950570 PECOS PAC ID: 7012226194 Enrollment ID: I20210825000270 |
| Provider Name | Robert Lee Stanley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942867767 PECOS PAC ID: 7810229721 Enrollment ID: I20210826001123 |
| Provider Name | Navya Kuchipudi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902340953 PECOS PAC ID: 8628340767 Enrollment ID: I20210826001412 |
| Provider Name | Andy Ionut Iriza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588042725 PECOS PAC ID: 3870800766 Enrollment ID: I20210827000298 |
| Provider Name | Betro Tawfik Alfy Sadek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215279203 PECOS PAC ID: 4385938208 Enrollment ID: I20210827000401 |
| Provider Name | Manoj Kumar Nepal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063783454 PECOS PAC ID: 7517115835 Enrollment ID: I20210827000872 |
| Provider Name | William Matthew Wooten |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548604341 PECOS PAC ID: 1052533072 Enrollment ID: I20210827002675 |
| Provider Name | Ronald Scott Wells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891872008 PECOS PAC ID: 0941605976 Enrollment ID: I20210830000268 |
| Provider Name | Katelyn Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619642881 PECOS PAC ID: 4183029143 Enrollment ID: I20210830001193 |
| Provider Name | Mai-trinh Truong Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073006961 PECOS PAC ID: 8123435047 Enrollment ID: I20210830002286 |
| Provider Name | Sarah Elizabeth Battle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023561719 PECOS PAC ID: 1759787591 Enrollment ID: I20210902002144 |
| Provider Name | Carla Rae Nowicki |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023527835 PECOS PAC ID: 6709282296 Enrollment ID: I20210908004035 |
| Provider Name | Nikki Mark Burish |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619397619 PECOS PAC ID: 7113263120 Enrollment ID: I20210913001214 |
| Provider Name | Marcus A Bethurem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730538869 PECOS PAC ID: 7618374695 Enrollment ID: I20210916003454 |
| Provider Name | April Nicole Hobbs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366934531 PECOS PAC ID: 4789929415 Enrollment ID: I20210917001938 |
| Provider Name | Nuri Ozden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841279627 PECOS PAC ID: 5890746366 Enrollment ID: I20210921000281 |
| Provider Name | Sarah Jabeen Akhtar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518462126 PECOS PAC ID: 4183968340 Enrollment ID: I20210921000311 |
| Provider Name | John Wilson Coward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881170702 PECOS PAC ID: 2365787454 Enrollment ID: I20210922000514 |
| Provider Name | Charles Ofosu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982637062 PECOS PAC ID: 6002817061 Enrollment ID: I20210928001504 |
| Provider Name | Kevin Chialing Choong |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1295092302 PECOS PAC ID: 6709026164 Enrollment ID: I20210929000058 |
| Provider Name | Cheryl Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306418207 PECOS PAC ID: 8729485974 Enrollment ID: I20210930001639 |
| Provider Name | David Douglas Moffat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063809713 PECOS PAC ID: 4284934530 Enrollment ID: I20211004001729 |
| Provider Name | Jacqueline Deneen Leverett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841968054 PECOS PAC ID: 6800294968 Enrollment ID: I20211005001158 |
| Provider Name | Monique L Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144970 PECOS PAC ID: 0042618597 Enrollment ID: I20211013002526 |
| Provider Name | Devendra Enjamuri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861745135 PECOS PAC ID: 4789990573 Enrollment ID: I20211016000014 |
| Provider Name | Jeremy Andrew Rowell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295154136 PECOS PAC ID: 0749577336 Enrollment ID: I20211019001863 |
| Provider Name | Thomas Alan Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508838871 PECOS PAC ID: 1456431642 Enrollment ID: I20211021001040 |
| Provider Name | Christina Rose Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386232890 PECOS PAC ID: 1557759636 Enrollment ID: I20211021002286 |
| Provider Name | Amanda Caywood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417520230 PECOS PAC ID: 3971991886 Enrollment ID: I20211026003002 |
| Provider Name | Bandana Paudyal-nepal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427497163 PECOS PAC ID: 7810111804 Enrollment ID: I20211028001789 |
| Provider Name | Nishanth Kodumuri |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1093268781 PECOS PAC ID: 4880082593 Enrollment ID: I20211029001661 |
| Provider Name | Dana Lynn Panas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558955062 PECOS PAC ID: 1456749076 Enrollment ID: I20211101000210 |
| Provider Name | Corrielle Caldwell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760895627 PECOS PAC ID: 3779821301 Enrollment ID: I20211104000802 |
| Provider Name | Erica Odom Mccumbers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518564897 PECOS PAC ID: 5294124665 Enrollment ID: I20211105002240 |
| Provider Name | Delany Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841969649 PECOS PAC ID: 2365831658 Enrollment ID: I20211108000140 |
| Provider Name | Lindsey Cameron Dunkelberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245475961 PECOS PAC ID: 8022439843 Enrollment ID: I20211111000216 |
| Provider Name | Judson Alan Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376740340 PECOS PAC ID: 8921293408 Enrollment ID: I20211111001255 |
| Provider Name | Emily Rae Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134709322 PECOS PAC ID: 3375932023 Enrollment ID: I20211118000048 |
| Provider Name | Andrew Ann Pickens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962066530 PECOS PAC ID: 3072845197 Enrollment ID: I20211201001178 |
| Provider Name | Jeffrey Scott Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194022046 PECOS PAC ID: 2668656422 Enrollment ID: I20211205000009 |
| Provider Name | Charlotte S Wilkes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487899373 PECOS PAC ID: 4385792753 Enrollment ID: I20211209003046 |
| Provider Name | Julie Ann Shain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902310642 PECOS PAC ID: 6901165315 Enrollment ID: I20211216000685 |
| Provider Name | Arthur Jung Nam |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497981914 PECOS PAC ID: 1355590282 Enrollment ID: I20211227000831 |
| Provider Name | Jaimee Lauren Vandenboogaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487318788 PECOS PAC ID: 6103217948 Enrollment ID: I20220105000449 |
| Provider Name | Joel Benn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558028746 PECOS PAC ID: 0143613315 Enrollment ID: I20220210002149 |
| Provider Name | Jazmine Danielle Porterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235881772 PECOS PAC ID: 8123411311 Enrollment ID: I20220210002812 |
| Provider Name | Daniel C Carney |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316928500 PECOS PAC ID: 8224094461 Enrollment ID: I20220223000330 |
| Provider Name | Tam T Huynh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235177098 PECOS PAC ID: 7517971989 Enrollment ID: I20220224000306 |
| Provider Name | Charlene Mary Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184032187 PECOS PAC ID: 5991925323 Enrollment ID: I20220301001577 |
| Provider Name | Noel Juett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235379702 PECOS PAC ID: 7517015803 Enrollment ID: I20220310002722 |
| Provider Name | Erin Renae Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033658851 PECOS PAC ID: 3870904154 Enrollment ID: I20220314001122 |
| Provider Name | Sarah Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003324245 PECOS PAC ID: 9830584598 Enrollment ID: I20220315002112 |
| Provider Name | Miriam M Holihan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114407558 PECOS PAC ID: 4183954084 Enrollment ID: I20220317002377 |
| Provider Name | Sara A Ritenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730832387 PECOS PAC ID: 3577959659 Enrollment ID: I20220330001600 |
| Provider Name | Donald Ray Siddoway |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235392093 PECOS PAC ID: 5092939827 Enrollment ID: I20220331000057 |
| Provider Name | Rachel Nicole Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295407195 PECOS PAC ID: 5991191678 Enrollment ID: I20220405002691 |
| Provider Name | Lindsey Carol Maxwell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912528365 PECOS PAC ID: 7416343025 Enrollment ID: I20220407001884 |
| Provider Name | Tara E. Smalls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144558040 PECOS PAC ID: 1850788803 Enrollment ID: I20220422000104 |
| Provider Name | Shane Scott Parmer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780685792 PECOS PAC ID: 8820095722 Enrollment ID: I20220423000023 |
| Provider Name | Carson Busby Dula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154962173 PECOS PAC ID: 5496142879 Enrollment ID: I20220504000707 |
| Provider Name | Steven Kagan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508804303 PECOS PAC ID: 7113822990 Enrollment ID: I20220509000709 |
| Provider Name | Philip Ann Riddle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598324337 PECOS PAC ID: 9830421825 Enrollment ID: I20220516002117 |
| Provider Name | Andrew Jay Soo Hoo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447699947 PECOS PAC ID: 0941687636 Enrollment ID: I20220518002506 |
| Provider Name | Scott Michael Balzer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558945790 PECOS PAC ID: 1052799111 Enrollment ID: I20220601001049 |
| Provider Name | Aniqa Avivah Kohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831531995 PECOS PAC ID: 2365877057 Enrollment ID: I20220601002326 |
| Provider Name | Matthew Chase Lustig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679006746 PECOS PAC ID: 7618254491 Enrollment ID: I20220610001484 |
| Provider Name | Evangeline Joy Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427076454 PECOS PAC ID: 2668642752 Enrollment ID: I20220610002045 |
| Provider Name | Thuc Quyen Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033378195 PECOS PAC ID: 7416188834 Enrollment ID: I20220614001515 |
| Provider Name | Kimberly Marie Carnavale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457003303 PECOS PAC ID: 2860871704 Enrollment ID: I20220622003549 |
| Provider Name | Wesley Adam Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679199855 PECOS PAC ID: 7810376654 Enrollment ID: I20220624000230 |
| Provider Name | Michael Joseph Cryer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285047191 PECOS PAC ID: 9830483817 Enrollment ID: I20220624000424 |
| Provider Name | Rema Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194914804 PECOS PAC ID: 9830270644 Enrollment ID: I20220627000962 |
| Provider Name | Jade Sheree Miller Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265925143 PECOS PAC ID: 0941546741 Enrollment ID: I20220628000062 |
| Provider Name | Jessica Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598417222 PECOS PAC ID: 8729468327 Enrollment ID: I20220628003726 |
| Provider Name | Jewel Marie Moreau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528552072 PECOS PAC ID: 5991041873 Enrollment ID: I20220629000463 |
| Provider Name | Thomas Jefferson Holbrook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710248703 PECOS PAC ID: 8527448174 Enrollment ID: I20220629002023 |
| Provider Name | Biswajit Banik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568997708 PECOS PAC ID: 4183996747 Enrollment ID: I20220630000032 |
| Provider Name | Elizabeth Ramsey Macinnis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154980993 PECOS PAC ID: 5294067260 Enrollment ID: I20220703000045 |
| Provider Name | Danielle Tamara Hoo Fatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083031546 PECOS PAC ID: 9739311218 Enrollment ID: I20220712000382 |
| Provider Name | Ikenna Ikechukwu Ihim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679955066 PECOS PAC ID: 9234483538 Enrollment ID: I20220713003440 |
| Provider Name | Matthew John Khayata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982137204 PECOS PAC ID: 0941681936 Enrollment ID: I20220721003882 |
| Provider Name | Jessica Lynn Schumaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801189659 PECOS PAC ID: 3476845389 Enrollment ID: I20220728000519 |
| Provider Name | Johnny Robert Lindquist |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619406766 PECOS PAC ID: 0941579569 Enrollment ID: I20220729001510 |
| Provider Name | Gabrielle Lafata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831683515 PECOS PAC ID: 1850773250 Enrollment ID: I20220802001007 |
| Provider Name | William T Robison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295390896 PECOS PAC ID: 9830424852 Enrollment ID: I20220802001142 |
| Provider Name | Line Abdul Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295255594 PECOS PAC ID: 4385910447 Enrollment ID: I20220804002763 |
| Provider Name | Sien Susumu Rafael Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336660497 PECOS PAC ID: 8022384395 Enrollment ID: I20220805000885 |
| Provider Name | Brian Jones |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295178697 PECOS PAC ID: 3678704616 Enrollment ID: I20220808000650 |
| Provider Name | Pia Shatoree Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679205553 PECOS PAC ID: 4183006182 Enrollment ID: I20220808003341 |
| Provider Name | Brandon William Hanna |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205495025 PECOS PAC ID: 1951632504 Enrollment ID: I20220809000081 |
| Provider Name | Jarred Jorge Justin Sargeant |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306226113 PECOS PAC ID: 5698088748 Enrollment ID: I20220809000770 |
| Provider Name | Michelle Elaine Howell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255931465 PECOS PAC ID: 2668855529 Enrollment ID: I20220810002762 |
| Provider Name | Shana Monique Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326356635 PECOS PAC ID: 0547413387 Enrollment ID: I20220811003903 |
| Provider Name | Jennifer Leigh Sabo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548614373 PECOS PAC ID: 7214228725 Enrollment ID: I20220812000534 |
| Provider Name | Carlos Torres-medina |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972980761 PECOS PAC ID: 9133403439 Enrollment ID: I20220812001636 |
| Provider Name | Jesse Eugene Thompson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558921965 PECOS PAC ID: 9931431020 Enrollment ID: I20220813000596 |
| Provider Name | David Porter Heintze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326507708 PECOS PAC ID: 3274967575 Enrollment ID: I20220818000764 |
| Provider Name | Lindsay Flax |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295146447 PECOS PAC ID: 0446515985 Enrollment ID: I20220818000792 |
| Provider Name | Seetharamprasad Madala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003299223 PECOS PAC ID: 3678866290 Enrollment ID: I20220825000085 |
| Provider Name | Kara Anne Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235592114 PECOS PAC ID: 6507240256 Enrollment ID: I20220830003608 |
| Provider Name | Vivien L. Redeye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275820441 PECOS PAC ID: 5597986679 Enrollment ID: I20220831001773 |
| Provider Name | Glen Alexander Feder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518461110 PECOS PAC ID: 4688075567 Enrollment ID: I20220902002199 |
| Provider Name | Blair Katherine Robillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972070662 PECOS PAC ID: 1557608403 Enrollment ID: I20220906000284 |
| Provider Name | Matta Temujin Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992264121 PECOS PAC ID: 7416331723 Enrollment ID: I20220906003015 |
| Provider Name | Sunday Ayodeji Olatunde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326338336 PECOS PAC ID: 2769607175 Enrollment ID: I20220907001581 |
| Provider Name | Olga Galperin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962934737 PECOS PAC ID: 4688072838 Enrollment ID: I20220909001108 |
| Provider Name | Richard Daryl Huneycutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619538477 PECOS PAC ID: 5698004711 Enrollment ID: I20220909002425 |
| Provider Name | Nirupama Anne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528012408 PECOS PAC ID: 5395757652 Enrollment ID: I20220915003407 |
| Provider Name | Melissa Ann Hite |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1669821492 PECOS PAC ID: 8022396126 Enrollment ID: I20220916000681 |
| Provider Name | Rachel Ahn Allan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699268003 PECOS PAC ID: 4789069493 Enrollment ID: I20220916000804 |
| Provider Name | Paul Martin Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780101436 PECOS PAC ID: 2860759198 Enrollment ID: I20220919003404 |
| Provider Name | Emily Foreman Ingram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023472164 PECOS PAC ID: 8820385685 Enrollment ID: I20220920000185 |
| Provider Name | Courtney Brooke White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770142515 PECOS PAC ID: 2062744154 Enrollment ID: I20220920003594 |
| Provider Name | Brantley C Dick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235755570 PECOS PAC ID: 2365827599 Enrollment ID: I20220923001117 |
| Provider Name | Jasmine Lee Scripp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831751346 PECOS PAC ID: 3274862263 Enrollment ID: I20220927000326 |
| Provider Name | Charlie Isaiah Ervin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417451717 PECOS PAC ID: 6002168721 Enrollment ID: I20220927002656 |
| Provider Name | Jamie Lynn Lucia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376209601 PECOS PAC ID: 2668858655 Enrollment ID: I20220928001952 |
| Provider Name | Abby Marie Deal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912634205 PECOS PAC ID: 6305222357 Enrollment ID: I20220929000363 |
| Provider Name | Ratnakishore Pallapothu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629228549 PECOS PAC ID: 9032261169 Enrollment ID: I20221003002754 |
| Provider Name | Kaci Michele Mundhenke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730834102 PECOS PAC ID: 2860878253 Enrollment ID: I20221010000260 |
| Provider Name | Anna Lynn Hoppmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740677459 PECOS PAC ID: 5193036499 Enrollment ID: I20221010001586 |
| Provider Name | Sankeerth Challagundla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861847766 PECOS PAC ID: 2769858083 Enrollment ID: I20221011002923 |
| Provider Name | Raymond Hok Pan Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275945990 PECOS PAC ID: 9830491810 Enrollment ID: I20221012000071 |
| Provider Name | Tara Jean Rose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417670670 PECOS PAC ID: 7113393265 Enrollment ID: I20221014001983 |
| Provider Name | Kelsey Elizabeth Coutsos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598484800 PECOS PAC ID: 5092181057 Enrollment ID: I20221015000109 |
| Provider Name | Alex Westerband |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295849099 PECOS PAC ID: 1456316876 Enrollment ID: I20221017000756 |
| Provider Name | Judith Hope Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265001440 PECOS PAC ID: 4284000126 Enrollment ID: I20221018003640 |
| Provider Name | Racheal Denise Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891422275 PECOS PAC ID: 8325414196 Enrollment ID: I20221019001236 |
| Provider Name | David Kum-wah Chew |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366424509 PECOS PAC ID: 9032134473 Enrollment ID: I20221024002317 |
| Provider Name | Jessica L Ballouli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689236465 PECOS PAC ID: 1759757271 Enrollment ID: I20221024002760 |
| Provider Name | Phuong Hoang Thy Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770140543 PECOS PAC ID: 5496086712 Enrollment ID: I20221026002386 |
| Provider Name | Philip I Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790166197 PECOS PAC ID: 4880926476 Enrollment ID: I20221031002562 |
| Provider Name | Shari Cui |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356570741 PECOS PAC ID: 1153639604 Enrollment ID: I20221103002969 |
| Provider Name | Ghassan Abu-hamad |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972575298 PECOS PAC ID: 7315973187 Enrollment ID: I20221108000882 |
| Provider Name | Igbagboyemi Temidayo Olatunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053752105 PECOS PAC ID: 1951689298 Enrollment ID: I20221109002164 |
| Provider Name | Kasim Lennox Mirza |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932549730 PECOS PAC ID: 7315215563 Enrollment ID: I20221110003092 |
| Provider Name | Archie Overmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144601717 PECOS PAC ID: 0446655179 Enrollment ID: I20221111000986 |
| Provider Name | Kendreia Dickens-carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932199684 PECOS PAC ID: 8628040656 Enrollment ID: I20221201003220 |
| Provider Name | Jonelle George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700226693 PECOS PAC ID: 4486984465 Enrollment ID: I20221212001964 |
| Provider Name | Pushyami Mikkilineni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730616582 PECOS PAC ID: 3678942737 Enrollment ID: I20221212001995 |
| Provider Name | Bhargavi Donepudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710339585 PECOS PAC ID: 0143513218 Enrollment ID: I20221213001827 |
| Provider Name | Julianne T Jett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376169417 PECOS PAC ID: 3476923798 Enrollment ID: I20230103001432 |
| Provider Name | Christopher Sean Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477263614 PECOS PAC ID: 3577934249 Enrollment ID: I20230118000369 |
| Provider Name | Jennifer L Haynie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194013615 PECOS PAC ID: 4486875630 Enrollment ID: I20230120000281 |
| Provider Name | Michael Samuel Cicchillo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922033901 PECOS PAC ID: 8224167663 Enrollment ID: I20230127000521 |
| Provider Name | Amit B Mori |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053548891 PECOS PAC ID: 7719135706 Enrollment ID: I20230206001270 |
| Provider Name | Punam Rajendra Tarpara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033829049 PECOS PAC ID: 2860864543 Enrollment ID: I20230206001791 |
| Provider Name | David S Donaldson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508867474 PECOS PAC ID: 2466460746 Enrollment ID: I20230315002200 |
| Provider Name | Jeffrey John Wisinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275989667 PECOS PAC ID: 9931487196 Enrollment ID: I20230320001899 |
| Provider Name | Adrian Claudiu Balica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720198096 PECOS PAC ID: 8921056946 Enrollment ID: I20230322002462 |
| Provider Name | Anna Yarborough Gaymon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871291013 PECOS PAC ID: 0143694679 Enrollment ID: I20230323000324 |
| Provider Name | Michael Muehlberger |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982752671 PECOS PAC ID: 1658549068 Enrollment ID: I20230324000078 |
| Provider Name | Nicole A Wagaman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689011405 PECOS PAC ID: 8820229222 Enrollment ID: I20230407001532 |
| Provider Name | Saud El-sayed Suleiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285664912 PECOS PAC ID: 4789772419 Enrollment ID: I20230414000434 |
| Provider Name | Leslie Shaquanda Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033754866 PECOS PAC ID: 5698130755 Enrollment ID: I20230425003057 |
| Provider Name | Amy Nicole Hildreth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881715399 PECOS PAC ID: 9931275591 Enrollment ID: I20230426001106 |
| Provider Name | William Gourdin Mcmaster |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124345574 PECOS PAC ID: 5496045387 Enrollment ID: I20230427000287 |
| Provider Name | Noelle Marie Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932636560 PECOS PAC ID: 7911278593 Enrollment ID: I20230501000734 |
| Provider Name | Victorious Suprena Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124713128 PECOS PAC ID: 2860857653 Enrollment ID: I20230501001468 |
| Provider Name | Shamiel Katrice Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902278765 PECOS PAC ID: 4284099094 Enrollment ID: I20230501002160 |
| Provider Name | Stacy Ann Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679187603 PECOS PAC ID: 7012337835 Enrollment ID: I20230515002322 |
| Provider Name | Douglas Byron Hood |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679505242 PECOS PAC ID: 4587643119 Enrollment ID: I20230522000778 |
| Provider Name | Roberto Rubio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093743296 PECOS PAC ID: 0345223004 Enrollment ID: I20230525003275 |
| Provider Name | Tracey Lynn Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003263765 PECOS PAC ID: 1456718774 Enrollment ID: I20230601000844 |
| Provider Name | Caitlin Rea Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477106649 PECOS PAC ID: 6002243458 Enrollment ID: I20230601002215 |
| Provider Name | Thomas Wilson Faust |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861564304 PECOS PAC ID: 0941210033 Enrollment ID: I20230602001416 |
| Provider Name | Lauren Marie Chastain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295392017 PECOS PAC ID: 4688006471 Enrollment ID: I20230606000424 |
| Provider Name | Madina Santiago Jucaban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417553116 PECOS PAC ID: 4981061660 Enrollment ID: I20230612002339 |
| Provider Name | Lissa Dee Green |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811698939 PECOS PAC ID: 1052779626 Enrollment ID: I20230614002795 |
| Provider Name | Christopher R Martin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538668108 PECOS PAC ID: 7911330873 Enrollment ID: I20230615000194 |
| Provider Name | Samuel Jay Peretsman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912946336 PECOS PAC ID: 5092749093 Enrollment ID: I20230616002754 |
| Provider Name | Bret Michael James Clawson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275093726 PECOS PAC ID: 0749648046 Enrollment ID: I20230619001231 |
| Provider Name | Karmon Janssen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740520543 PECOS PAC ID: 0143543074 Enrollment ID: I20230628000915 |
| Provider Name | Brian Ann Kluge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386202430 PECOS PAC ID: 3476885450 Enrollment ID: I20230628003110 |
| Provider Name | Kierra Lashaye Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891487369 PECOS PAC ID: 2264891977 Enrollment ID: I20230628003332 |
| Provider Name | Timothy Michael Attride |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295125011 PECOS PAC ID: 4284039744 Enrollment ID: I20230630001622 |
| Provider Name | Anthony Miles Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447886346 PECOS PAC ID: 3375950371 Enrollment ID: I20230630002712 |
| Provider Name | Gina Michelle Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376227249 PECOS PAC ID: 0042679854 Enrollment ID: I20230711001709 |
| Provider Name | Jennifer Musumeci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093343295 PECOS PAC ID: 5890155501 Enrollment ID: I20230713000281 |
| Provider Name | Charles Hubert Lemoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487385977 PECOS PAC ID: 2860861143 Enrollment ID: I20230714002202 |
| Provider Name | Summer Aldrugh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083000723 PECOS PAC ID: 8022316702 Enrollment ID: I20230718002145 |
| Provider Name | Anna Gustin Zmuda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942874441 PECOS PAC ID: 3375947724 Enrollment ID: I20230731001977 |
| Provider Name | Alaina Sumner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265116859 PECOS PAC ID: 4284095779 Enrollment ID: I20230731003791 |
| Provider Name | Woojin Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790340511 PECOS PAC ID: 0042638926 Enrollment ID: I20230801000245 |
| Provider Name | Jeffrey Roy Meyers |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1003477126 PECOS PAC ID: 3072845981 Enrollment ID: I20230801004697 |
| Provider Name | Samuel Madden Leaman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306472220 PECOS PAC ID: 4486059839 Enrollment ID: I20230804000800 |
| Provider Name | Yenny Alexandra Otalora Rojas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568958551 PECOS PAC ID: 8224490016 Enrollment ID: I20230810001791 |
| Provider Name | Ahmad Aulakh |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205365236 PECOS PAC ID: 7012287428 Enrollment ID: I20230810004107 |
| Provider Name | Rima Gandhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023645280 PECOS PAC ID: 5496117186 Enrollment ID: I20230811002148 |
| Provider Name | Alison Joan Lunsford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184824286 PECOS PAC ID: 2264565365 Enrollment ID: I20230815001594 |
| Provider Name | Jeanette Lynn Epstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225491715 PECOS PAC ID: 3072850544 Enrollment ID: I20230815003458 |
| Provider Name | Ashley Foreman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487114112 PECOS PAC ID: 8224366430 Enrollment ID: I20230816001347 |
| Provider Name | Jinho Eugene Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093372823 PECOS PAC ID: 6406218726 Enrollment ID: I20230817001694 |
| Provider Name | Halley J Alberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407421662 PECOS PAC ID: 9537563069 Enrollment ID: I20230818001890 |
| Provider Name | Courtney Large Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932690740 PECOS PAC ID: 0143568386 Enrollment ID: I20230821000986 |
| Provider Name | Rachel Ann Parr |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548649585 PECOS PAC ID: 7719349851 Enrollment ID: I20230822000222 |
| Provider Name | Prudence Nassem Ipaye-adebiyi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689136475 PECOS PAC ID: 4284969551 Enrollment ID: I20230822002016 |
| Provider Name | Joshua M Richmond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477127397 PECOS PAC ID: 5092119446 Enrollment ID: I20230824001845 |
| Provider Name | Rodrigo Miguel Perez Maceda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467914457 PECOS PAC ID: 7618330440 Enrollment ID: I20230828001739 |
| Provider Name | Maimon Hubbi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942549738 PECOS PAC ID: 8426307307 Enrollment ID: I20230828002361 |
| Provider Name | Kylie Anna Whittle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528682622 PECOS PAC ID: 4587040605 Enrollment ID: I20230830002630 |
| Provider Name | Camille Whittington Graham |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144677055 PECOS PAC ID: 2264713437 Enrollment ID: I20230831002729 |
| Provider Name | Michelyn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437837887 PECOS PAC ID: 9032572466 Enrollment ID: I20230831003206 |
| Provider Name | Meredyth Diana Monroe Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750955670 PECOS PAC ID: 7618371154 Enrollment ID: I20230831004141 |
| Provider Name | Zachary J Boynton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780258780 PECOS PAC ID: 2668876111 Enrollment ID: I20230905004084 |
| Provider Name | Zachary Paul Gitto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295265445 PECOS PAC ID: 0345514329 Enrollment ID: I20230907000855 |
| Provider Name | Jaiwoo Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891312468 PECOS PAC ID: 5193189231 Enrollment ID: I20230907004638 |
| Provider Name | Sarah Amelia Law |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548720329 PECOS PAC ID: 7911361712 Enrollment ID: I20230912004247 |
| Provider Name | John Leland Bullard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336706159 PECOS PAC ID: 4385975945 Enrollment ID: I20230914003543 |
| Provider Name | Andrew Roscoe Mather |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518310994 PECOS PAC ID: 9032532908 Enrollment ID: I20230914003925 |
| Provider Name | Abigail Drew Pothen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780217513 PECOS PAC ID: 9133558190 Enrollment ID: I20230915000825 |
| Provider Name | Kristen Jeffers Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053093500 PECOS PAC ID: 1254795784 Enrollment ID: I20230915002076 |
| Provider Name | Dilip Abraham Thomas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689613994 PECOS PAC ID: 9830101435 Enrollment ID: I20230919002980 |
| Provider Name | Corey Alexander Hamilton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538689872 PECOS PAC ID: 7719253533 Enrollment ID: I20230921003451 |
| Provider Name | Muamer Mujadzic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366892705 PECOS PAC ID: 6800183625 Enrollment ID: I20230923000785 |
| Provider Name | Ajay Dhadwal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629206032 PECOS PAC ID: 6800921362 Enrollment ID: I20231003003770 |
| Provider Name | Joseph D Meserve |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083001473 PECOS PAC ID: 3870841927 Enrollment ID: I20231005003004 |
| Provider Name | Carol Ling |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023059458 PECOS PAC ID: 7113994716 Enrollment ID: I20231005003651 |
| Provider Name | Brittanie Hagen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306266226 PECOS PAC ID: 2769788819 Enrollment ID: I20231011002606 |
| Provider Name | Michael Allan Goble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700402849 PECOS PAC ID: 9032564968 Enrollment ID: I20231012004023 |
| Provider Name | Daniel J Cunningham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184156911 PECOS PAC ID: 9436532892 Enrollment ID: I20231013001966 |
| Provider Name | Candace Clinton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548885783 PECOS PAC ID: 0244655876 Enrollment ID: I20231013003072 |
| Provider Name | Michael Cory Lever |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023513744 PECOS PAC ID: 0446507586 Enrollment ID: I20231013003161 |
| Provider Name | Connor Jeffrey Schweitzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336713833 PECOS PAC ID: 0446654966 Enrollment ID: I20231016002667 |
| Provider Name | Leonie Rose Bovino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558894303 PECOS PAC ID: 9335403385 Enrollment ID: I20231017002506 |
| Provider Name | Krysten Hinton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497370068 PECOS PAC ID: 2264856418 Enrollment ID: I20231017003799 |
| Provider Name | Danielle V Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831763754 PECOS PAC ID: 9931503463 Enrollment ID: I20231019003262 |
| Provider Name | Meron Abraham Tesfay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356603914 PECOS PAC ID: 4981906369 Enrollment ID: I20231024003292 |
| Provider Name | Briana Boulos Gorgy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912783051 PECOS PAC ID: 5890141998 Enrollment ID: I20231025004074 |
| Provider Name | Shardul Gadhia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801229604 PECOS PAC ID: 8527284603 Enrollment ID: I20231030002446 |
| Provider Name | Jenna L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871217935 PECOS PAC ID: 8123474756 Enrollment ID: I20231102000424 |
| Provider Name | Cecily Ellen Lykes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386917763 PECOS PAC ID: 0244663839 Enrollment ID: I20231107001932 |
| Provider Name | Michael Adel Daniel Rofael |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1992171805 PECOS PAC ID: 3678879731 Enrollment ID: I20231114002484 |
| Provider Name | Whitney Denise Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932987278 PECOS PAC ID: 3678921244 Enrollment ID: I20231121002391 |
| Provider Name | Marian Pollock Meriwether |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427110139 PECOS PAC ID: 7810345816 Enrollment ID: I20231201001399 |
| Provider Name | Martha Diane Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386418051 PECOS PAC ID: 2860840600 Enrollment ID: I20231205000068 |
| Provider Name | Jaclyn Turner Sload |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134787138 PECOS PAC ID: 2860840659 Enrollment ID: I20231205001730 |
| Provider Name | Zachariah D Dorsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649720764 PECOS PAC ID: 2860841541 Enrollment ID: I20231206002085 |
| Provider Name | Nicholas John Daering |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760987713 PECOS PAC ID: 0345584512 Enrollment ID: I20231213000510 |
| Provider Name | Kenneth Allan Mook |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285608752 PECOS PAC ID: 0941284384 Enrollment ID: I20231221000348 |
| Provider Name | Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184263840 PECOS PAC ID: 2567812936 Enrollment ID: I20231227001693 |
| Provider Name | Camille B. Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063001592 PECOS PAC ID: 9234580051 Enrollment ID: I20240105002537 |
| Provider Name | Ginger Lynne Manos |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023217908 PECOS PAC ID: 6901054626 Enrollment ID: I20240113000265 |
| Provider Name | Quinn Jameson Frier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396361952 PECOS PAC ID: 0042653115 Enrollment ID: I20240206000325 |
| Provider Name | Winferd Dale Holt |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861122814 PECOS PAC ID: 3971946856 Enrollment ID: I20240207003121 |
| Provider Name | Alicia Gabrielle D'amico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568186989 PECOS PAC ID: 5496198210 Enrollment ID: I20240208003280 |
| Provider Name | Robert Andrew Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508397605 PECOS PAC ID: 3072930353 Enrollment ID: I20240215002968 |
| Provider Name | Hiluv Shanae Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639848583 PECOS PAC ID: 2961846050 Enrollment ID: I20240216001285 |
| Provider Name | Quinyan Le'shaun Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851153175 PECOS PAC ID: 5991149817 Enrollment ID: I20240220001074 |
| Provider Name | Monica Jill Vinson Velazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609647288 PECOS PAC ID: 2466896287 Enrollment ID: I20240221000228 |
| Provider Name | Ahmad Alkaddour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659660272 PECOS PAC ID: 7315163615 Enrollment ID: I20240304001883 |
| Provider Name | Sarah Mary Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790029452 PECOS PAC ID: 5799120465 Enrollment ID: I20240304003498 |
| Provider Name | Lillian Tribble Hallett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699536516 PECOS PAC ID: 5597101618 Enrollment ID: I20240312002053 |
| Provider Name | Judith Calara Delrio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295507614 PECOS PAC ID: 8224474226 Enrollment ID: I20240313001065 |
| Provider Name | Michael Bruin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437119997 PECOS PAC ID: 3779497904 Enrollment ID: I20240321000082 |
| Provider Name | Lawrence Eric Isaacs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073554176 PECOS PAC ID: 0446150619 Enrollment ID: I20240321002109 |
| Provider Name | Kathryn Elizabeth Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720788722 PECOS PAC ID: 5597102772 Enrollment ID: I20240322004192 |
| Provider Name | Michael Martin Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821082157 PECOS PAC ID: 0345552923 Enrollment ID: I20240325000923 |
| Provider Name | Michael Kongnyuy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952833006 PECOS PAC ID: 8921461377 Enrollment ID: I20240328000233 |
| Provider Name | Teri Alesha Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750089603 PECOS PAC ID: 7113365503 Enrollment ID: I20240404000610 |
| Provider Name | Kathleen Godbey Albrecht |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942274907 PECOS PAC ID: 1355310384 Enrollment ID: I20240411003663 |
| Provider Name | Janet H Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255117776 PECOS PAC ID: 5496194953 Enrollment ID: I20240416003797 |
| Provider Name | Sherie D Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083257042 PECOS PAC ID: 3476993221 Enrollment ID: I20240426003534 |
| Provider Name | Kaitlin Brown Sinopoli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427671973 PECOS PAC ID: 9638596109 Enrollment ID: I20240501003841 |
| Provider Name | Ahmad Afif Ahmad Bader |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487037784 PECOS PAC ID: 2163735853 Enrollment ID: I20240503003172 |
| Provider Name | Penny Jo Hamilton-gaertner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205899093 PECOS PAC ID: 5193786754 Enrollment ID: I20240507000501 |
| Provider Name | Teri Kaye Pettaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376322172 PECOS PAC ID: 8820439961 Enrollment ID: I20240507003650 |
| Provider Name | Joshua Baer Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659588903 PECOS PAC ID: 4789743790 Enrollment ID: I20240508002649 |
| Provider Name | Erin Weeks Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083469332 PECOS PAC ID: 9436591260 Enrollment ID: I20240524002585 |
Premier Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7212 Brookfield Rd, Columbia, SC 29223 Phone: 803-626-1265 Fax: 803-281-8832 | |
G Abrams And R Cohen Sc 1 Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Pelham Dr, Columbia, SC 29209 Phone: 803-661-8412 Fax: 803-661-8415 | |
The Braces Place Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Longtown Rd, Suite B, Columbia, SC 29229 Phone: 803-661-8468 | |
Paul R. Downing, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Alpine Cir, Columbia, SC 29223 Phone: 803-736-9991 Fax: 803-788-6921 | |
Columbia Denture Center - Columbia, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2123 Broad River Rd, Columbia, SC 29210 Phone: 803-799-5700 | |
Sandhills Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 456 Clemson Rd, Columbia, SC 29229 Phone: 803-788-9715 Fax: 803-788-9705 | |
Rice Creek Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4547 Hard Scrabble Rd, Columbia, SC 29229 Phone: 803-788-2672 Fax: 803-788-2675 |