| Southern Tier Health Associates | |
|
7329 Seneca Road North Hornell NY 14843 | |
| (607) 385-3960 | |
| (607) 385-3195 |
| Full Name | Southern Tier Health Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 7329 Seneca Road North, Hornell, New York |
| Authorized Official Name and Position | Stephanie Mitchell (PHYSICIAN STAFF COORDINATOR) |
| Authorized Official Contact | 6073248294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Tier Health Associates 411 Canisteo St 3rd Floor Lincoln School Hornell NY 14843-2104 Ph: (607) 324-8294 | Southern Tier Health Associates 7329 Seneca Road North Hornell NY 14843 Ph: (607) 385-3960 |
| NPI Number | 1699839431 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 05/07/2020 |
| Medicare PECOS PAC ID | 0345154480 |
|---|---|
| Medicare Enrollment ID | O20031113000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699839431 | NPI | - | NPPES |
| 01198498 | Medicaid | NY | |
| 0075639 | Other | NY | GHI GROUP # |
| ========= | Other | NY | TRICARE GROUP # |
| Provider Name | Steven Millmond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851365944 PECOS PAC ID: 6204730013 Enrollment ID: I20031124000212 |
| Provider Name | Gary M Hollenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417983545 PECOS PAC ID: 2961300934 Enrollment ID: I20031229000731 |
| Provider Name | Stefan E Lucas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174541213 PECOS PAC ID: 0840199691 Enrollment ID: I20031231000365 |
| Provider Name | Mitchell Chess |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487602058 PECOS PAC ID: 0941101927 Enrollment ID: I20040114000493 |
| Provider Name | Julietta Fiscella |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205952801 PECOS PAC ID: 4385545037 Enrollment ID: I20040116000154 |
| Provider Name | Stan Lee Weiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508880238 PECOS PAC ID: 0143125518 Enrollment ID: I20040127000135 |
| Provider Name | Xiaolan Ou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013952241 PECOS PAC ID: 0749173730 Enrollment ID: I20040204000322 |
| Provider Name | Tamera A Paczos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275767725 PECOS PAC ID: 5799777504 Enrollment ID: I20040401000501 |
| Provider Name | Arie Franco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568562395 PECOS PAC ID: 1850284712 Enrollment ID: I20040402000623 |
| Provider Name | Robert M Giambrone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891897914 PECOS PAC ID: 7113910274 Enrollment ID: I20040405001426 |
| Provider Name | Susan O Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770518623 PECOS PAC ID: 2668465220 Enrollment ID: I20040407001448 |
| Provider Name | David T Rayne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417924408 PECOS PAC ID: 6305839804 Enrollment ID: I20040408000052 |
| Provider Name | Ruby L Belton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548259708 PECOS PAC ID: 2264329796 Enrollment ID: I20040423001105 |
| Provider Name | Yechiel Reit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144251752 PECOS PAC ID: 3678568078 Enrollment ID: I20040503000234 |
| Provider Name | John Stirling Halpenny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104845700 PECOS PAC ID: 2961491394 Enrollment ID: I20040511001670 |
| Provider Name | Michael Weinberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164450110 PECOS PAC ID: 0446233654 Enrollment ID: I20040609000964 |
| Provider Name | Talia Sasson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124058441 PECOS PAC ID: 2365420361 Enrollment ID: I20040707001228 |
| Provider Name | Thomas P Stuver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376504795 PECOS PAC ID: 8426028275 Enrollment ID: I20040728001509 |
| Provider Name | Mark E Hamer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235107152 PECOS PAC ID: 6709856560 Enrollment ID: I20040728001579 |
| Provider Name | Nancy C Ebling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619920428 PECOS PAC ID: 3577535707 Enrollment ID: I20040809001135 |
| Provider Name | Michael E Leit |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952361578 PECOS PAC ID: 7214909894 Enrollment ID: I20040812001038 |
| Provider Name | Burr W Hall |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881636686 PECOS PAC ID: 1153394705 Enrollment ID: I20040813000057 |
| Provider Name | George E Vates |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841243243 PECOS PAC ID: 8224025093 Enrollment ID: I20040819001329 |
| Provider Name | Richard Walter Pretorius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013900505 PECOS PAC ID: 4688561517 Enrollment ID: I20040823001107 |
| Provider Name | Mervat Eid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629045992 PECOS PAC ID: 2769441914 Enrollment ID: I20041005000332 |
| Provider Name | Michael D Dibella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760471072 PECOS PAC ID: 0749240356 Enrollment ID: I20041018000410 |
| Provider Name | Ismail A Mehr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821042052 PECOS PAC ID: 4385608413 Enrollment ID: I20041117000956 |
| Provider Name | Ahsen Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659328979 PECOS PAC ID: 3375508922 Enrollment ID: I20041123000846 |
| Provider Name | Steven A Leveston |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922052927 PECOS PAC ID: 9436100088 Enrollment ID: I20050222000218 |
| Provider Name | Deborah Rubens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225056492 PECOS PAC ID: 9638072002 Enrollment ID: I20050310000337 |
| Provider Name | John G Strang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972533172 PECOS PAC ID: 6406759885 Enrollment ID: I20050310000365 |
| Provider Name | Ash M Motimaya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861561177 PECOS PAC ID: 8325093230 Enrollment ID: I20050315000038 |
| Provider Name | David R Trawick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659302909 PECOS PAC ID: 4587619085 Enrollment ID: I20050317000494 |
| Provider Name | Radha R Iyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689643025 PECOS PAC ID: 1759320641 Enrollment ID: I20050429000490 |
| Provider Name | Halina Jandura-cessna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548290836 PECOS PAC ID: 6507755535 Enrollment ID: I20050601000405 |
| Provider Name | David L Waldman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811928781 PECOS PAC ID: 4284537663 Enrollment ID: I20050602000172 |
| Provider Name | David Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457305195 PECOS PAC ID: 2769385236 Enrollment ID: I20050602000221 |
| Provider Name | Carol-lynn Petronaci |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912938465 PECOS PAC ID: 1850337965 Enrollment ID: I20050629000462 |
| Provider Name | Christine A Blonski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356565790 PECOS PAC ID: 2365479094 Enrollment ID: I20050725000278 |
| Provider Name | Vikram S Dogra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649207689 PECOS PAC ID: 4981631629 Enrollment ID: I20050725000834 |
| Provider Name | Andrea Zynda Weiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275564148 PECOS PAC ID: 2163459801 Enrollment ID: I20050725000870 |
| Provider Name | Savita Puri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518900059 PECOS PAC ID: 3274436746 Enrollment ID: I20050805000648 |
| Provider Name | David Dombroski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235165416 PECOS PAC ID: 9133022692 Enrollment ID: I20050823000170 |
| Provider Name | Rodolfo D Vaglienty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023036571 PECOS PAC ID: 7113958273 Enrollment ID: I20050829000298 |
| Provider Name | Patricia D Pavlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730153735 PECOS PAC ID: 1052337375 Enrollment ID: I20051017000496 |
| Provider Name | Chirag R Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114941952 PECOS PAC ID: 1850318197 Enrollment ID: I20051026000971 |
| Provider Name | Steven John Posnick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639117914 PECOS PAC ID: 8325069479 Enrollment ID: I20051216000137 |
| Provider Name | David G Hicks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386617157 PECOS PAC ID: 7911921036 Enrollment ID: I20060117000354 |
| Provider Name | Avice M Oconnell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053340208 PECOS PAC ID: 2668369059 Enrollment ID: I20060123000791 |
| Provider Name | Webster H Pilcher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124073937 PECOS PAC ID: 0941214241 Enrollment ID: I20060125000861 |
| Provider Name | Pradeep S Sharda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992799837 PECOS PAC ID: 6800803909 Enrollment ID: I20060315000182 |
| Provider Name | Brian P Watkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558343152 PECOS PAC ID: 0244208544 Enrollment ID: I20061018000051 |
| Provider Name | Vanessa M Zayas Colon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780626457 PECOS PAC ID: 9234135963 Enrollment ID: I20061019000536 |
| Provider Name | Rhonda L. Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699729541 PECOS PAC ID: 3779583059 Enrollment ID: I20070111000077 |
| Provider Name | Sharon L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609822972 PECOS PAC ID: 7012917313 Enrollment ID: I20070111000091 |
| Provider Name | Gurdeep S Kundlas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063477677 PECOS PAC ID: 1759382161 Enrollment ID: I20070129000286 |
| Provider Name | Brendan F Boyce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801807656 PECOS PAC ID: 9436253226 Enrollment ID: I20070404000246 |
| Provider Name | Philip J Katzman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275556557 PECOS PAC ID: 9133223936 Enrollment ID: I20070404000287 |
| Provider Name | Mehmet K Aktas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689680498 PECOS PAC ID: 3476658816 Enrollment ID: I20070413000366 |
| Provider Name | Bruce I Goldman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871581827 PECOS PAC ID: 1951406925 Enrollment ID: I20070419000471 |
| Provider Name | Charlotte K Ryan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669583142 PECOS PAC ID: 6709981780 Enrollment ID: I20070419000532 |
| Provider Name | Xi Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588761043 PECOS PAC ID: 1951406933 Enrollment ID: I20070419000561 |
| Provider Name | Mahlon D Johnson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306805288 PECOS PAC ID: 7416924584 Enrollment ID: I20070507000141 |
| Provider Name | Linda M Schiffhauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700990348 PECOS PAC ID: 5496851552 Enrollment ID: I20070507000191 |
| Provider Name | Michael T Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801853791 PECOS PAC ID: 0547159766 Enrollment ID: I20070522000480 |
| Provider Name | Scott A Kirkley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699797803 PECOS PAC ID: 6103923164 Enrollment ID: I20070525000460 |
| Provider Name | Leon A Metlay |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508976457 PECOS PAC ID: 9436259678 Enrollment ID: I20070717000378 |
| Provider Name | Mark P Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972542272 PECOS PAC ID: 0547207888 Enrollment ID: I20070724000382 |
| Provider Name | Robert M Kottmann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073620738 PECOS PAC ID: 0840382974 Enrollment ID: I20070822000237 |
| Provider Name | Ellen J Giampoli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447261920 PECOS PAC ID: 2860586914 Enrollment ID: I20070919000869 |
| Provider Name | Richard Welles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598731531 PECOS PAC ID: 7416841846 Enrollment ID: I20070927000447 |
| Provider Name | John Geoffrey Robshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427062629 PECOS PAC ID: 2466434998 Enrollment ID: I20070929000118 |
| Provider Name | David R Francisco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114916889 PECOS PAC ID: 7012818552 Enrollment ID: I20071009000423 |
| Provider Name | David A Shrier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558392340 PECOS PAC ID: 1052214434 Enrollment ID: I20071017000223 |
| Provider Name | Allan D Bernstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134156219 PECOS PAC ID: 6406943299 Enrollment ID: I20071025000405 |
| Provider Name | Steven P Meyers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689606212 PECOS PAC ID: 3476456948 Enrollment ID: I20071108000494 |
| Provider Name | Walter R Burack |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467478776 PECOS PAC ID: 0042308371 Enrollment ID: I20071120000110 |
| Provider Name | Mary M Wilsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013973734 PECOS PAC ID: 9830288935 Enrollment ID: I20071127000553 |
| Provider Name | Linda Welles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326014366 PECOS PAC ID: 3971497314 Enrollment ID: I20071203000176 |
| Provider Name | Sandhya Khurana |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588678874 PECOS PAC ID: 5193807923 Enrollment ID: I20080131000531 |
| Provider Name | Ravinder Sidhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053412726 PECOS PAC ID: 3072697622 Enrollment ID: I20080221000254 |
| Provider Name | Gregory Dieudonne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316045685 PECOS PAC ID: 6204910771 Enrollment ID: I20080221000409 |
| Provider Name | Shawn D Newlands |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710063581 PECOS PAC ID: 5890879902 Enrollment ID: I20080228000260 |
| Provider Name | John Wandtke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457382327 PECOS PAC ID: 4183527567 Enrollment ID: I20080411000531 |
| Provider Name | Patrick Fultz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952330367 PECOS PAC ID: 4587567045 Enrollment ID: I20080411000536 |
| Provider Name | Peter A Rosella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669697595 PECOS PAC ID: 2668550393 Enrollment ID: I20080422000435 |
| Provider Name | Spencer P Annabel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033184577 PECOS PAC ID: 6305925090 Enrollment ID: I20080506000771 |
| Provider Name | Jeevak Almast |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922277680 PECOS PAC ID: 3870665094 Enrollment ID: I20080703000367 |
| Provider Name | Per Lennart Westesson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821027582 PECOS PAC ID: 8628971009 Enrollment ID: I20080709000363 |
| Provider Name | Archibald S Perkins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285823633 PECOS PAC ID: 6901971936 Enrollment ID: I20080826000366 |
| Provider Name | Ben Wandtke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780691097 PECOS PAC ID: 6204994486 Enrollment ID: I20081016000079 |
| Provider Name | Eric Weinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366473233 PECOS PAC ID: 4082517461 Enrollment ID: I20090102000280 |
| Provider Name | Nina Klionsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043246234 PECOS PAC ID: 1759445091 Enrollment ID: I20090130000428 |
| Provider Name | Roger Sequeira |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699933200 PECOS PAC ID: 0345305272 Enrollment ID: I20090210000329 |
| Provider Name | Muhammad T Randhawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164476743 PECOS PAC ID: 9931256690 Enrollment ID: I20090415000318 |
| Provider Name | Richard L Gramer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952413502 PECOS PAC ID: 2860428836 Enrollment ID: I20090528000543 |
| Provider Name | Valeriy Kheyfits |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235390329 PECOS PAC ID: 4284784679 Enrollment ID: I20090605000012 |
| Provider Name | Joseph E Modrak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801820162 PECOS PAC ID: 0749330488 Enrollment ID: I20090618000104 |
| Provider Name | Hiroshi Miyamoto |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255424396 PECOS PAC ID: 0648325365 Enrollment ID: I20090902000227 |
| Provider Name | Majed A Refaai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730383274 PECOS PAC ID: 6204983059 Enrollment ID: I20090902000274 |
| Provider Name | Christa L Whitney-miller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093893562 PECOS PAC ID: 1355349663 Enrollment ID: I20090902000364 |
| Provider Name | Andrew M Wensel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780696740 PECOS PAC ID: 3577456409 Enrollment ID: I20090911000194 |
| Provider Name | Kimberly R Peckham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174554430 PECOS PAC ID: 9830245604 Enrollment ID: I20090919000016 |
| Provider Name | Susan K Hobbs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912952656 PECOS PAC ID: 2860435302 Enrollment ID: I20091111000011 |
| Provider Name | Richard E Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962420554 PECOS PAC ID: 4688712250 Enrollment ID: I20091119000236 |
| Provider Name | Ashwani Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598834558 PECOS PAC ID: 2567502321 Enrollment ID: I20091229000632 |
| Provider Name | Johnny U V Monu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740219831 PECOS PAC ID: 8527018464 Enrollment ID: I20100209000152 |
| Provider Name | Mark W Frampton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710917877 PECOS PAC ID: 1355486119 Enrollment ID: I20100304000021 |
| Provider Name | Maureen B Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881861656 PECOS PAC ID: 0941335400 Enrollment ID: I20100323000299 |
| Provider Name | Howard Merzel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447233002 PECOS PAC ID: 9234173394 Enrollment ID: I20100327000033 |
| Provider Name | Mark Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194752105 PECOS PAC ID: 1759284219 Enrollment ID: I20100412000004 |
| Provider Name | Francis A Burgener |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265477715 PECOS PAC ID: 7618870171 Enrollment ID: I20100414000001 |
| Provider Name | Vaseem U Chengazi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750326047 PECOS PAC ID: 1254234719 Enrollment ID: I20100512000370 |
| Provider Name | Raymond Tan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780615575 PECOS PAC ID: 2860395241 Enrollment ID: I20100522000037 |
| Provider Name | Luann T Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679503213 PECOS PAC ID: 5395874457 Enrollment ID: I20100527000635 |
| Provider Name | Thomas F Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811965502 PECOS PAC ID: 8921996695 Enrollment ID: I20100609000743 |
| Provider Name | Gerald R Holzwasser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730118076 PECOS PAC ID: 5698805091 Enrollment ID: I20100611000019 |
| Provider Name | Edwin R Acosta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255309985 PECOS PAC ID: 3476596453 Enrollment ID: I20100611000641 |
| Provider Name | Leonard Kolodny |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356371991 PECOS PAC ID: 6305749870 Enrollment ID: I20100629000001 |
| Provider Name | Paul C Levy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629002084 PECOS PAC ID: 1254462211 Enrollment ID: I20100708000605 |
| Provider Name | Brian Tan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871524660 PECOS PAC ID: 5698807618 Enrollment ID: I20100709000412 |
| Provider Name | Henry Z Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679503817 PECOS PAC ID: 0547163925 Enrollment ID: I20100717000168 |
| Provider Name | Milton L Pozo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023158771 PECOS PAC ID: 3870563414 Enrollment ID: I20100806000642 |
| Provider Name | Justin M Weis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245356468 PECOS PAC ID: 8022141324 Enrollment ID: I20100807000032 |
| Provider Name | Alberto N Velasco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710051909 PECOS PAC ID: 5092849943 Enrollment ID: I20100816000087 |
| Provider Name | Pasquale A Picco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598719460 PECOS PAC ID: 1557495017 Enrollment ID: I20100819000184 |
| Provider Name | Joan M Kamalsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568494276 PECOS PAC ID: 2668596222 Enrollment ID: I20100902000985 |
| Provider Name | Adrian Ashdown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144278474 PECOS PAC ID: 4183748643 Enrollment ID: I20100907000049 |
| Provider Name | William Hall Reynolds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942295605 PECOS PAC ID: 2062410533 Enrollment ID: I20100917000038 |
| Provider Name | Kimberley A Betker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003862855 PECOS PAC ID: 8628194404 Enrollment ID: I20100929001093 |
| Provider Name | Stuart P Hanau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598783797 PECOS PAC ID: 2567369010 Enrollment ID: I20101004001043 |
| Provider Name | Manoj J Mammen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770778045 PECOS PAC ID: 9234322868 Enrollment ID: I20101015000054 |
| Provider Name | Sharlin Varghese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487747671 PECOS PAC ID: 1153517479 Enrollment ID: I20101130000032 |
| Provider Name | Uzma S Mehr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114979101 PECOS PAC ID: 1658568829 Enrollment ID: I20101214000703 |
| Provider Name | Erez Vidan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982818373 PECOS PAC ID: 8022206572 Enrollment ID: I20101228000135 |
| Provider Name | Roger M Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326029943 PECOS PAC ID: 0345420279 Enrollment ID: I20110210000318 |
| Provider Name | Axel Wismueller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326361288 PECOS PAC ID: 9133300338 Enrollment ID: I20110222000197 |
| Provider Name | Michel J Berg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639113723 PECOS PAC ID: 1557543170 Enrollment ID: I20110303000081 |
| Provider Name | Jingbing Xue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841431145 PECOS PAC ID: 9638351802 Enrollment ID: I20110309000216 |
| Provider Name | Thomas E Werth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477501849 PECOS PAC ID: 7810883469 Enrollment ID: I20110328000203 |
| Provider Name | David Oguz Engin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720392905 PECOS PAC ID: 4688858475 Enrollment ID: I20110401000370 |
| Provider Name | Heather A Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073820171 PECOS PAC ID: 9335323526 Enrollment ID: I20110413000294 |
| Provider Name | Nicholas I Kilmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154316669 PECOS PAC ID: 5991705725 Enrollment ID: I20110414000108 |
| Provider Name | Ali H Hussain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265679161 PECOS PAC ID: 3173707056 Enrollment ID: I20110419000117 |
| Provider Name | Bradley M Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184790669 PECOS PAC ID: 1951390830 Enrollment ID: I20110505000106 |
| Provider Name | Bilal Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043253701 PECOS PAC ID: 1557547478 Enrollment ID: I20110510000779 |
| Provider Name | Damien O Dawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306177308 PECOS PAC ID: 2769660810 Enrollment ID: I20110621000177 |
| Provider Name | Laurie E Seltzer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033248588 PECOS PAC ID: 9436337730 Enrollment ID: I20110708000147 |
| Provider Name | David D Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588870042 PECOS PAC ID: 3971771155 Enrollment ID: I20110713000484 |
| Provider Name | Devang Butani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811901135 PECOS PAC ID: 2365574886 Enrollment ID: I20110906000153 |
| Provider Name | William Neil Ambrosini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881662898 PECOS PAC ID: 5698947141 Enrollment ID: I20111006000044 |
| Provider Name | Dean V Yacobucci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366422446 PECOS PAC ID: 4082886163 Enrollment ID: I20111014000107 |
| Provider Name | Doris Jean Landreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174810279 PECOS PAC ID: 1153595889 Enrollment ID: I20111115000719 |
| Provider Name | Abdul R Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851353908 PECOS PAC ID: 5395912711 Enrollment ID: I20120207000482 |
| Provider Name | Saeed Anwar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518939594 PECOS PAC ID: 7113905985 Enrollment ID: I20120227000564 |
| Provider Name | Kristen A Simon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386916690 PECOS PAC ID: 8820256514 Enrollment ID: I20120227000710 |
| Provider Name | James Steven Burkhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720150618 PECOS PAC ID: 5092974857 Enrollment ID: I20120314000307 |
| Provider Name | Apeksha Chaturvedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205024403 PECOS PAC ID: 8527155340 Enrollment ID: I20120319000076 |
| Provider Name | Abhishek Chaturvedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992981179 PECOS PAC ID: 1153475934 Enrollment ID: I20120319000290 |
| Provider Name | Edward Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306852504 PECOS PAC ID: 4981750460 Enrollment ID: I20120321000008 |
| Provider Name | Inna Hughes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255455648 PECOS PAC ID: 1456516491 Enrollment ID: I20120626000209 |
| Provider Name | Thomas Wychowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710191275 PECOS PAC ID: 8426213265 Enrollment ID: I20120629000265 |
| Provider Name | Shelley D Steeprock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689921942 PECOS PAC ID: 7113174665 Enrollment ID: I20120906000013 |
| Provider Name | Daniel T O Connor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548484264 PECOS PAC ID: 8729238571 Enrollment ID: I20121101000332 |
| Provider Name | Jennifer J Findeis-hosey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669574760 PECOS PAC ID: 9830340843 Enrollment ID: I20121120000543 |
| Provider Name | Amit Bansal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649582271 PECOS PAC ID: 1850545096 Enrollment ID: I20130216000053 |
| Provider Name | Sonja B Kreckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689782690 PECOS PAC ID: 7012162480 Enrollment ID: I20130311000166 |
| Provider Name | John T Schueckler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386962470 PECOS PAC ID: 3173763505 Enrollment ID: I20130709000322 |
| Provider Name | Matthew J Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275979924 PECOS PAC ID: 3173765104 Enrollment ID: I20130805000128 |
| Provider Name | Gabriel Elia Yacob |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1003107285 PECOS PAC ID: 1759523038 Enrollment ID: I20130815000839 |
| Provider Name | Sendhan A Rajamanickam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508108192 PECOS PAC ID: 4981846268 Enrollment ID: I20130815000905 |
| Provider Name | Joseph C Konwinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851534010 PECOS PAC ID: 3173788395 Enrollment ID: I20130829000069 |
| Provider Name | Jerome Jean Gilles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295931467 PECOS PAC ID: 7810130432 Enrollment ID: I20130830000057 |
| Provider Name | Scott F Wilbur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558522847 PECOS PAC ID: 7113161407 Enrollment ID: I20130927000041 |
| Provider Name | Michael J Potchen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013975283 PECOS PAC ID: 9234165184 Enrollment ID: I20131010000019 |
| Provider Name | Joseph A Talarico |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477576510 PECOS PAC ID: 9638226608 Enrollment ID: I20140107000156 |
| Provider Name | Amira Hussien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033366877 PECOS PAC ID: 4981833969 Enrollment ID: I20140218001132 |
| Provider Name | Aaron Huber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407901234 PECOS PAC ID: 8628202033 Enrollment ID: I20140411000724 |
| Provider Name | Andrew G Evans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730322660 PECOS PAC ID: 6406079771 Enrollment ID: I20140514001827 |
| Provider Name | Perry S Nemechek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720156433 PECOS PAC ID: 5890918379 Enrollment ID: I20140602001970 |
| Provider Name | Marcia Romeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437244803 PECOS PAC ID: 4688898240 Enrollment ID: I20140623000514 |
| Provider Name | Bruce R Smoller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144310632 PECOS PAC ID: 4082755624 Enrollment ID: I20140715002301 |
| Provider Name | Christopher Montgomery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700175965 PECOS PAC ID: 0840416913 Enrollment ID: I20140725000820 |
| Provider Name | Beth A Delpapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053404632 PECOS PAC ID: 4486870458 Enrollment ID: I20140728001844 |
| Provider Name | Taras M Gulyanich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134357726 PECOS PAC ID: 4880842053 Enrollment ID: I20140731002720 |
| Provider Name | Deana M Bonno |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780826198 PECOS PAC ID: 7113144106 Enrollment ID: I20140815000048 |
| Provider Name | Otto Sandoval Linares |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407010598 PECOS PAC ID: 8426284084 Enrollment ID: I20140922001824 |
| Provider Name | Kevin Okeefe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780845289 PECOS PAC ID: 5991933053 Enrollment ID: I20141024000719 |
| Provider Name | O'dell D Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659784809 PECOS PAC ID: 1759603020 Enrollment ID: I20141124001508 |
| Provider Name | Rebecca A Sick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710384474 PECOS PAC ID: 9739404815 Enrollment ID: I20150212000567 |
| Provider Name | Brandi L Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083007579 PECOS PAC ID: 6002137247 Enrollment ID: I20150601000310 |
| Provider Name | Paul L Axtell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790786234 PECOS PAC ID: 7810978392 Enrollment ID: I20150622000969 |
| Provider Name | Nicholas M Venci |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427347509 PECOS PAC ID: 1759694219 Enrollment ID: I20150714000140 |
| Provider Name | Prity J Rawal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851650998 PECOS PAC ID: 8426287095 Enrollment ID: I20150828000342 |
| Provider Name | Aaron N Farney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114217726 PECOS PAC ID: 6800022500 Enrollment ID: I20150903000941 |
| Provider Name | Scott Schiffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003044538 PECOS PAC ID: 0547577132 Enrollment ID: I20150915000684 |
| Provider Name | Katherine Kaproth-joslin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386873727 PECOS PAC ID: 3375850977 Enrollment ID: I20150915000973 |
| Provider Name | Henry Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730447616 PECOS PAC ID: 3779890769 Enrollment ID: I20150924000244 |
| Provider Name | Aizaz Shaikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750514816 PECOS PAC ID: 7719295310 Enrollment ID: I20151001000412 |
| Provider Name | Neil Blumberg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417977695 PECOS PAC ID: 1254437312 Enrollment ID: I20151001001797 |
| Provider Name | William Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801864418 PECOS PAC ID: 5890856041 Enrollment ID: I20151105001605 |
| Provider Name | Elizabeth A Butterer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336452267 PECOS PAC ID: 0648580431 Enrollment ID: I20151106000896 |
| Provider Name | Theodor I Kaufman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821061086 PECOS PAC ID: 1153463716 Enrollment ID: I20151201001848 |
| Provider Name | Robert Wise |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093861890 PECOS PAC ID: 1951372960 Enrollment ID: I20160107001737 |
| Provider Name | Leigh A Dries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518349547 PECOS PAC ID: 2668777913 Enrollment ID: I20160224000794 |
| Provider Name | Robert P Glantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841578259 PECOS PAC ID: 7416102678 Enrollment ID: I20160412000740 |
| Provider Name | Sanjiv Virdee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124484423 PECOS PAC ID: 7911205281 Enrollment ID: I20160420000541 |
| Provider Name | Luis E De Las Casas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063452910 PECOS PAC ID: 3779506175 Enrollment ID: I20160520001890 |
| Provider Name | Howard H Lin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336582949 PECOS PAC ID: 2365731965 Enrollment ID: I20160620000001 |
| Provider Name | Alexis Mary Strohl-bryan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851690283 PECOS PAC ID: 9638468747 Enrollment ID: I20160623001956 |
| Provider Name | Fahad Saeed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396901229 PECOS PAC ID: 0840433850 Enrollment ID: I20160801002757 |
| Provider Name | Dongwei Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437415239 PECOS PAC ID: 9335434182 Enrollment ID: I20160818001825 |
| Provider Name | Marietta Frances Goodliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801244397 PECOS PAC ID: 9931494549 Enrollment ID: I20160822001717 |
| Provider Name | Aaron Fields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518300110 PECOS PAC ID: 3577856939 Enrollment ID: I20160907001269 |
| Provider Name | Kenessa B Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871882795 PECOS PAC ID: 5890082796 Enrollment ID: I20160920002894 |
| Provider Name | Sydney N Chamberlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467895060 PECOS PAC ID: 5193014793 Enrollment ID: I20161005000307 |
| Provider Name | Michael G Drage |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013254457 PECOS PAC ID: 5597907816 Enrollment ID: I20161011001776 |
| Provider Name | Jessica Rose Lippa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386091445 PECOS PAC ID: 5294023917 Enrollment ID: I20161013000401 |
| Provider Name | Satpal Kaur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083930374 PECOS PAC ID: 0840588315 Enrollment ID: I20161017000722 |
| Provider Name | Sarah A Kralovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811253354 PECOS PAC ID: 0042503427 Enrollment ID: I20161108000429 |
| Provider Name | Michael A Daniels |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700119336 PECOS PAC ID: 4688712458 Enrollment ID: I20161205001323 |
| Provider Name | Holly A Greiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609313006 PECOS PAC ID: 2062795925 Enrollment ID: I20170220002043 |
| Provider Name | Gustave Theodore Ruckert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558628180 PECOS PAC ID: 2668752015 Enrollment ID: I20170412000102 |
| Provider Name | Trenton J Tollefson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770872707 PECOS PAC ID: 1557656980 Enrollment ID: I20170517001635 |
| Provider Name | Daniel Lachant |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558650713 PECOS PAC ID: 5799084349 Enrollment ID: I20170623000994 |
| Provider Name | Tareen Loqman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366739245 PECOS PAC ID: 0345534368 Enrollment ID: I20170721000561 |
| Provider Name | Mark R Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295178242 PECOS PAC ID: 0941593388 Enrollment ID: I20170802000131 |
| Provider Name | Gerard Charles Buffo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427016849 PECOS PAC ID: 0143211599 Enrollment ID: I20170814000649 |
| Provider Name | Hakan Sahin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447431796 PECOS PAC ID: 8224103213 Enrollment ID: I20170915001849 |
| Provider Name | Kathleen A Mannava |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427284488 PECOS PAC ID: 1153565890 Enrollment ID: I20170926000880 |
| Provider Name | Daniel C Oppenheimer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144519992 PECOS PAC ID: 3779882113 Enrollment ID: I20171004000628 |
| Provider Name | Robert D Ambrosini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346549573 PECOS PAC ID: 1254626914 Enrollment ID: I20171009000686 |
| Provider Name | Aamir Mir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619161114 PECOS PAC ID: 7517020159 Enrollment ID: I20171016002980 |
| Provider Name | Ioana Moisini |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083930689 PECOS PAC ID: 8527371970 Enrollment ID: I20171025002894 |
| Provider Name | Moises J Velez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861782757 PECOS PAC ID: 6103192471 Enrollment ID: I20171101001451 |
| Provider Name | Eric F Greif |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528341203 PECOS PAC ID: 1153688346 Enrollment ID: I20171124000052 |
| Provider Name | Paul R Hosking |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376702274 PECOS PAC ID: 0749414613 Enrollment ID: I20171215001639 |
| Provider Name | Svetlana V Yudina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487664140 PECOS PAC ID: 9537342365 Enrollment ID: I20180103002277 |
| Provider Name | Nael E Saad |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1497762801 PECOS PAC ID: 1850464298 Enrollment ID: I20180103002576 |
| Provider Name | Richard W Gong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366459760 PECOS PAC ID: 6406026343 Enrollment ID: I20180110003133 |
| Provider Name | Yohetsor Ometse Hargoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194243238 PECOS PAC ID: 8921367186 Enrollment ID: I20180115000992 |
| Provider Name | Asif A Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750808697 PECOS PAC ID: 0446519425 Enrollment ID: I20180119001789 |
| Provider Name | Diana Agostini-vulaj |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518301647 PECOS PAC ID: 6103187794 Enrollment ID: I20180222000699 |
| Provider Name | Katelynn J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215445713 PECOS PAC ID: 9830451004 Enrollment ID: I20180328000815 |
| Provider Name | Curtis L Wininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649713710 PECOS PAC ID: 3173800661 Enrollment ID: I20180329002259 |
| Provider Name | Shehanaz K Ellika |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902064819 PECOS PAC ID: 1951583731 Enrollment ID: I20180412001165 |
| Provider Name | Xiaoyan Liao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467836205 PECOS PAC ID: 4385908516 Enrollment ID: I20180515002899 |
| Provider Name | Mark G Ettel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649614520 PECOS PAC ID: 3173892718 Enrollment ID: I20180516003042 |
| Provider Name | Dominick Roto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366838468 PECOS PAC ID: 5294090940 Enrollment ID: I20180530000174 |
| Provider Name | David J Nagel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023300654 PECOS PAC ID: 5092934596 Enrollment ID: I20180613000261 |
| Provider Name | Huina Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427492362 PECOS PAC ID: 7911278718 Enrollment ID: I20180622000852 |
| Provider Name | Javed I Malik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134113780 PECOS PAC ID: 8729982871 Enrollment ID: I20180703001083 |
| Provider Name | Andrew J Cantos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285900191 PECOS PAC ID: 2163779430 Enrollment ID: I20180717003757 |
| Provider Name | William J Carle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366465924 PECOS PAC ID: 7517940562 Enrollment ID: I20180723002313 |
| Provider Name | Katherine Ks Rieth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508108218 PECOS PAC ID: 9335498849 Enrollment ID: I20180816001694 |
| Provider Name | Adam J Basler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376983627 PECOS PAC ID: 5395094775 Enrollment ID: I20180817001524 |
| Provider Name | Tyler Lemay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821483686 PECOS PAC ID: 6204185689 Enrollment ID: I20180817001529 |
| Provider Name | Marc J O'donnell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346509106 PECOS PAC ID: 7719237866 Enrollment ID: I20180911001514 |
| Provider Name | Tuan T Tran |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1639197940 PECOS PAC ID: 4385675891 Enrollment ID: I20181008000306 |
| Provider Name | Deborah K Cavalieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881766699 PECOS PAC ID: 6002807542 Enrollment ID: I20181010003012 |
| Provider Name | Ryan P Calnan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699260075 PECOS PAC ID: 6901158385 Enrollment ID: I20181012001172 |
| Provider Name | Nana Ohene-baah |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245582113 PECOS PAC ID: 3678848280 Enrollment ID: I20181019001092 |
| Provider Name | Akm A Rahman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568727121 PECOS PAC ID: 1759650542 Enrollment ID: I20181129002592 |
| Provider Name | Rajnish Bharadwaj |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588074777 PECOS PAC ID: 5193034247 Enrollment ID: I20190103002569 |
| Provider Name | Alexander T Kessler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992071948 PECOS PAC ID: 1153616818 Enrollment ID: I20190109002031 |
| Provider Name | Charanjeet Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235582610 PECOS PAC ID: 8325332851 Enrollment ID: I20190219001595 |
| Provider Name | Ruth Boadu Odoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518387570 PECOS PAC ID: 6305114067 Enrollment ID: I20190507003227 |
| Provider Name | Jessica A Falk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356709885 PECOS PAC ID: 7416256789 Enrollment ID: I20190606001718 |
| Provider Name | Divya Ajay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396001053 PECOS PAC ID: 0345574760 Enrollment ID: I20190618003584 |
| Provider Name | Tanupriya Agrawal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598171894 PECOS PAC ID: 7618266909 Enrollment ID: I20190624001584 |
| Provider Name | Anthony Portanova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518305291 PECOS PAC ID: 7911258728 Enrollment ID: I20190723002336 |
| Provider Name | Sean Evan Cleary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225471378 PECOS PAC ID: 9537455530 Enrollment ID: I20190730003838 |
| Provider Name | Bradley James Hensley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841557790 PECOS PAC ID: 4880982073 Enrollment ID: I20190808002529 |
| Provider Name | Pradeep Goyal |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1699054601 PECOS PAC ID: 0648417295 Enrollment ID: I20190829002807 |
| Provider Name | Richard E Connor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265798615 PECOS PAC ID: 3173853645 Enrollment ID: I20190925003436 |
| Provider Name | Jeffrey Dines |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427498351 PECOS PAC ID: 7810227105 Enrollment ID: I20190930002591 |
| Provider Name | Anthony M Mirabella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073925673 PECOS PAC ID: 0345570446 Enrollment ID: I20191002001117 |
| Provider Name | Yu Wing W Yeung |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043556079 PECOS PAC ID: 9931439023 Enrollment ID: I20191003000738 |
| Provider Name | Sachin Joseph Manthuruthil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053710913 PECOS PAC ID: 2769601319 Enrollment ID: I20191003002206 |
| Provider Name | Du Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467879627 PECOS PAC ID: 1850642703 Enrollment ID: I20191018002556 |
| Provider Name | Sachica C Cheris |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013351154 PECOS PAC ID: 4486905130 Enrollment ID: I20191022002296 |
| Provider Name | Shane Varghese |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851747372 PECOS PAC ID: 1951648245 Enrollment ID: I20191031002322 |
| Provider Name | Constantine Michaelides |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477661270 PECOS PAC ID: 4789916305 Enrollment ID: I20191031002793 |
| Provider Name | Kinzya B Grant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154539971 PECOS PAC ID: 3476770660 Enrollment ID: I20191105001540 |
| Provider Name | Joanne M Nazareth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851741797 PECOS PAC ID: 0749572923 Enrollment ID: I20191113001360 |
| Provider Name | Madeleine Diegidio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154981116 PECOS PAC ID: 2163857707 Enrollment ID: I20200108003091 |
| Provider Name | Patrick Dacquel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134414899 PECOS PAC ID: 5294952560 Enrollment ID: I20200226000032 |
| Provider Name | Bulent Mamikoglu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043228349 PECOS PAC ID: 6608866579 Enrollment ID: I20200326000188 |
| Provider Name | Yang Gu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922425859 PECOS PAC ID: 0941591044 Enrollment ID: I20200406002327 |
| Provider Name | Nadia Sultan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700410065 PECOS PAC ID: 3870922099 Enrollment ID: I20200408003981 |
| Provider Name | Jennifer Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275678815 PECOS PAC ID: 6305826769 Enrollment ID: I20200409002027 |
| Provider Name | Taylor Anne Morrison |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710519301 PECOS PAC ID: 1153752266 Enrollment ID: I20200505001810 |
| Provider Name | Akshya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376804922 PECOS PAC ID: 9436426533 Enrollment ID: I20200512000262 |
| Provider Name | James Bai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205179686 PECOS PAC ID: 2567704208 Enrollment ID: I20200513002591 |
| Provider Name | Wen R Zhang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679006258 PECOS PAC ID: 4284987124 Enrollment ID: I20200513003248 |
| Provider Name | Jarett Thelen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700204195 PECOS PAC ID: 6901150911 Enrollment ID: I20200519001712 |
| Provider Name | Ying Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104189455 PECOS PAC ID: 6406126366 Enrollment ID: I20200520000369 |
| Provider Name | Shawn Michael Valentine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942572904 PECOS PAC ID: 4981863750 Enrollment ID: I20200520002367 |
| Provider Name | Andy Ngo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427478502 PECOS PAC ID: 0648494559 Enrollment ID: I20200521001111 |
| Provider Name | Mary Frances A Croake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902291917 PECOS PAC ID: 4183960644 Enrollment ID: I20200529002314 |
| Provider Name | Hani Katerji |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225456551 PECOS PAC ID: 7911328802 Enrollment ID: I20200601002687 |
| Provider Name | Roula Katerji |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558717819 PECOS PAC ID: 6305267220 Enrollment ID: I20200602000850 |
| Provider Name | Jeffrey Kallas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518353614 PECOS PAC ID: 2567758998 Enrollment ID: I20200609000102 |
| Provider Name | Gaurav K Gupta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760815393 PECOS PAC ID: 2466741384 Enrollment ID: I20200615001213 |
| Provider Name | Omar Patrick Nemer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609253798 PECOS PAC ID: 8224330550 Enrollment ID: I20200623001302 |
| Provider Name | Alexander F Croake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265815534 PECOS PAC ID: 4183968191 Enrollment ID: I20200626001497 |
| Provider Name | Asfandyar Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750765392 PECOS PAC ID: 5294030763 Enrollment ID: I20200724002059 |
| Provider Name | Andrew J Powers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619363249 PECOS PAC ID: 2365742319 Enrollment ID: I20200814002332 |
| Provider Name | Li-hsiang Yen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992146880 PECOS PAC ID: 1658512678 Enrollment ID: I20200916000326 |
| Provider Name | Travis J Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245853134 PECOS PAC ID: 4486073533 Enrollment ID: I20200923002100 |
| Provider Name | Carley A Johnston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255932760 PECOS PAC ID: 4880005321 Enrollment ID: I20201204001108 |
| Provider Name | Catrina N Noniewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922604321 PECOS PAC ID: 6406261007 Enrollment ID: I20210211003207 |
| Provider Name | Alicia Christine Shaikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609020791 PECOS PAC ID: 1557424579 Enrollment ID: I20210517000498 |
| Provider Name | Arash Lahoutiharahdashti |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831553189 PECOS PAC ID: 3072850676 Enrollment ID: I20210527003170 |
| Provider Name | Siba El Hussein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083003396 PECOS PAC ID: 0547669376 Enrollment ID: I20210528000307 |
| Provider Name | Yansheng Hao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417319518 PECOS PAC ID: 1658617352 Enrollment ID: I20210528000693 |
| Provider Name | Phillip Mcmullen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215384698 PECOS PAC ID: 3274825807 Enrollment ID: I20210528001119 |
| Provider Name | Andrew C Clark |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740660539 PECOS PAC ID: 1254643679 Enrollment ID: I20210601000586 |
| Provider Name | Joshua J Trenkamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164919130 PECOS PAC ID: 5991058802 Enrollment ID: I20210601000842 |
| Provider Name | Stephen Doyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154825719 PECOS PAC ID: 5890040216 Enrollment ID: I20210601001090 |
| Provider Name | Lindsay Danielle Beamon-scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144753583 PECOS PAC ID: 3971875667 Enrollment ID: I20210610000708 |
| Provider Name | Janany J Sabescumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942652714 PECOS PAC ID: 7719387893 Enrollment ID: I20210610002108 |
| Provider Name | Sarah King-morgan Findeis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164886412 PECOS PAC ID: 4587956131 Enrollment ID: I20210623003039 |
| Provider Name | Neetu Soni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437672888 PECOS PAC ID: 4789958240 Enrollment ID: I20210707000104 |
| Provider Name | Philip A Graber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417446956 PECOS PAC ID: 5092068908 Enrollment ID: I20210708001781 |
| Provider Name | Vektra L Casler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427435965 PECOS PAC ID: 1759694839 Enrollment ID: I20210709002798 |
| Provider Name | Marco Ertreo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265827224 PECOS PAC ID: 9931501707 Enrollment ID: I20210715003501 |
| Provider Name | Jodi J Lipof |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619364338 PECOS PAC ID: 1951704246 Enrollment ID: I20210723002372 |
| Provider Name | Rachel Lee Gartland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518499383 PECOS PAC ID: 5597168765 Enrollment ID: I20210726001961 |
| Provider Name | Andrew J Wilhelm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972806909 PECOS PAC ID: 7214113430 Enrollment ID: I20210727000561 |
| Provider Name | Sara C Hess |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720388598 PECOS PAC ID: 2365845278 Enrollment ID: I20210729000287 |
| Provider Name | Gong Feng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730535691 PECOS PAC ID: 6800176108 Enrollment ID: I20210817003490 |
| Provider Name | Aishwarya Bhardwaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033596564 PECOS PAC ID: 5698170173 Enrollment ID: I20210820002661 |
| Provider Name | Divya N Chowdhry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609260751 PECOS PAC ID: 4486956299 Enrollment ID: I20210823001220 |
| Provider Name | Jackie Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447789565 PECOS PAC ID: 4486059797 Enrollment ID: I20210825001865 |
| Provider Name | Michaela B Salvo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649703711 PECOS PAC ID: 8729483714 Enrollment ID: I20210830002504 |
| Provider Name | Morgan Ellis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902571342 PECOS PAC ID: 8628474301 Enrollment ID: I20210903000714 |
| Provider Name | Naveed Qasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538656020 PECOS PAC ID: 6709283351 Enrollment ID: I20210923002183 |
| Provider Name | Jennifer L Wetherby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447848981 PECOS PAC ID: 9335546886 Enrollment ID: I20210925000039 |
| Provider Name | Ana Ivette Hernandez Caballero |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467976662 PECOS PAC ID: 6406253962 Enrollment ID: I20210927000216 |
| Provider Name | Daniel J Cranford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497068795 PECOS PAC ID: 8123349297 Enrollment ID: I20210929003237 |
| Provider Name | Kathryn Piraino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700460458 PECOS PAC ID: 6608274584 Enrollment ID: I20211006003098 |
| Provider Name | Alexandra M Danakas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073969085 PECOS PAC ID: 7618366758 Enrollment ID: I20211111001884 |
| Provider Name | Lisa M Ryder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033644604 PECOS PAC ID: 4981943610 Enrollment ID: I20211220002442 |
| Provider Name | Judy H Chen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952601775 PECOS PAC ID: 2163689548 Enrollment ID: I20211228000675 |
| Provider Name | Tremaine Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093247926 PECOS PAC ID: 2961897798 Enrollment ID: I20220315000568 |
| Provider Name | Nitin Sharma |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518587294 PECOS PAC ID: 7113313271 Enrollment ID: I20220330000638 |
| Provider Name | George E Thatvihane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215592555 PECOS PAC ID: 2466863964 Enrollment ID: I20220513002127 |
| Provider Name | Emily Glenn Walsh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679929509 PECOS PAC ID: 4587041033 Enrollment ID: I20220523000932 |
| Provider Name | Numbereye P Numbere |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992229140 PECOS PAC ID: 0244618809 Enrollment ID: I20220609002937 |
| Provider Name | Silva Kristo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336660927 PECOS PAC ID: 7810231859 Enrollment ID: I20220610000408 |
| Provider Name | David P Toomey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891283503 PECOS PAC ID: 6002165487 Enrollment ID: I20220621001284 |
| Provider Name | Anna Kepley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255997672 PECOS PAC ID: 5294062923 Enrollment ID: I20220623001967 |
| Provider Name | Christopher Sciria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518348739 PECOS PAC ID: 9830404888 Enrollment ID: I20220630001971 |
| Provider Name | John M Carney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659614675 PECOS PAC ID: 9830456664 Enrollment ID: I20220719000656 |
| Provider Name | Marisa Jacob-leonce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871880138 PECOS PAC ID: 6507009206 Enrollment ID: I20220719000757 |
| Provider Name | Ali Mansour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003461377 PECOS PAC ID: 4981092780 Enrollment ID: I20220720000574 |
| Provider Name | Caitlin M Metzger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508244245 PECOS PAC ID: 9537404421 Enrollment ID: I20220728002626 |
| Provider Name | Stephen Mohney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073995247 PECOS PAC ID: 1658633771 Enrollment ID: I20220804000799 |
| Provider Name | Brian Steven Finkelman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750812665 PECOS PAC ID: 7416292883 Enrollment ID: I20220804001142 |
| Provider Name | Taylor P Ingram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194382911 PECOS PAC ID: 9931510534 Enrollment ID: I20220810002038 |
| Provider Name | Phuong-lan T Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063917466 PECOS PAC ID: 6204164502 Enrollment ID: I20220810002329 |
| Provider Name | Anna-karoline Israel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629501499 PECOS PAC ID: 1951777598 Enrollment ID: I20221021002010 |
| Provider Name | Akua A Asante |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366706483 PECOS PAC ID: 2264753102 Enrollment ID: I20221118002310 |
| Provider Name | Kevin S Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811527096 PECOS PAC ID: 7012380736 Enrollment ID: I20230228002272 |
| Provider Name | James Mills |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609073246 PECOS PAC ID: 3870765175 Enrollment ID: I20230328000781 |
| Provider Name | Turker Dalkilic |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366141160 PECOS PAC ID: 0244604593 Enrollment ID: I20230328001414 |
| Provider Name | Hongyi Kang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407476575 PECOS PAC ID: 5597176099 Enrollment ID: I20230522000705 |
| Provider Name | Chauncey R Syposs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720644065 PECOS PAC ID: 9436515145 Enrollment ID: I20230523001885 |
| Provider Name | Thijs A. Wolf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831728674 PECOS PAC ID: 9032523782 Enrollment ID: I20230524000798 |
| Provider Name | Steven C Tuttle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447879812 PECOS PAC ID: 3779997424 Enrollment ID: I20230526001641 |
| Provider Name | Steven Terry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336777481 PECOS PAC ID: 7911365937 Enrollment ID: I20230623002238 |
| Provider Name | Eric L Tharmathurai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679137764 PECOS PAC ID: 3779919022 Enrollment ID: I20230727000640 |
| Provider Name | Julie Grace Van Baardwijk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851955769 PECOS PAC ID: 4486081239 Enrollment ID: I20230727002814 |
| Provider Name | Terence J Mclaughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497288393 PECOS PAC ID: 7113294596 Enrollment ID: I20230824000740 |
| Provider Name | Vamsidhar Vennamaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548886047 PECOS PAC ID: 3678936192 Enrollment ID: I20230831002188 |
| Provider Name | Nicholas G Bedrin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508229287 PECOS PAC ID: 3971897752 Enrollment ID: I20230920002198 |
| Provider Name | Jim C Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063917235 PECOS PAC ID: 7214324185 Enrollment ID: I20230923000131 |
| Provider Name | Joy Juhee Hur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730741844 PECOS PAC ID: 0345665691 Enrollment ID: I20231009002548 |
| Provider Name | Ismat Mrad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477221141 PECOS PAC ID: 6709283682 Enrollment ID: I20231018000835 |
| Provider Name | Amanda G Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346807542 PECOS PAC ID: 9032544655 Enrollment ID: I20240130001919 |
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