| University Professional Services | |
|
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 | |
| (503) 494-8311 | |
| Not Available |
| Full Name | University Professional Services |
|---|---|
| Speciality | General Practice |
| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Authorized Official Name and Position | Anthony Masciotra (SR. ASSOC. DEAN, CLINICAL PRACTICE) |
| Authorized Official Contact | 5034945099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Professional Services 1400 Sw 5th Ave Ste 500 Portland OR 97201-5537 Ph: (503) 494-8417 | University Professional Services 3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 Ph: (503) 494-8311 |
| NPI Number | 1376709535 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 07/14/2021 |
| Medicare PECOS PAC ID | 4880760107 |
|---|---|
| Medicare Enrollment ID | O20080910000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376709535 | NPI | - | NPPES |
| 276228 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Joann S Deutsche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497761001 PECOS PAC ID: 5193621209 Enrollment ID: I20031210000138 |
| Provider Name | Daniel James Woodward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871521666 PECOS PAC ID: 0042111338 Enrollment ID: I20040120000020 |
| Provider Name | John Andrew Kaufman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992711584 PECOS PAC ID: 0446152763 Enrollment ID: I20040126000497 |
| Provider Name | Bronwyn Elizabeth Hamilton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902812464 PECOS PAC ID: 8123913381 Enrollment ID: I20040217000468 |
| Provider Name | Jodi Kim Demunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780614727 PECOS PAC ID: 5890681662 Enrollment ID: I20040227000038 |
| Provider Name | Brandon M Hayes Lattin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851306351 PECOS PAC ID: 3476440843 Enrollment ID: I20040301000946 |
| Provider Name | Richard T Maziarz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275548760 PECOS PAC ID: 2668368192 Enrollment ID: I20040305000243 |
| Provider Name | Brian Jay Druker |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528073012 PECOS PAC ID: 3274421912 Enrollment ID: I20040305000359 |
| Provider Name | Bryon E Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518975093 PECOS PAC ID: 7012805765 Enrollment ID: I20040305000417 |
| Provider Name | Susan E Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184639676 PECOS PAC ID: 8921996554 Enrollment ID: I20040305001012 |
| Provider Name | Carol Elizabeth Jacoby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457368391 PECOS PAC ID: 9436047065 Enrollment ID: I20040305001051 |
| Provider Name | John B Rugge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316955842 PECOS PAC ID: 4587552005 Enrollment ID: I20040308000202 |
| Provider Name | Lynne Hubbell Morrison |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174538664 PECOS PAC ID: 1658269030 Enrollment ID: I20040308000690 |
| Provider Name | Sarah Fife Sahl |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740511286 PECOS PAC ID: 8820986151 Enrollment ID: I20040309000235 |
| Provider Name | Eric L Simpson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972511426 PECOS PAC ID: 0244128171 Enrollment ID: I20040310000856 |
| Provider Name | Kirk Lalwani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144265612 PECOS PAC ID: 3274422928 Enrollment ID: I20040311001220 |
| Provider Name | Robert G Hendrickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467457192 PECOS PAC ID: 4082504972 Enrollment ID: I20040316000618 |
| Provider Name | Zanice E Hays |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427021401 PECOS PAC ID: 1658261516 Enrollment ID: I20040316001081 |
| Provider Name | Shiuhwen Luoh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1619982113 PECOS PAC ID: 8123918927 Enrollment ID: I20040316001368 |
| Provider Name | Marc M Loriaux |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215943824 PECOS PAC ID: 9335030436 Enrollment ID: I20040319001560 |
| Provider Name | Gregory Landry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700891223 PECOS PAC ID: 5294626875 Enrollment ID: I20040323000829 |
| Provider Name | Phoebe Rich |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205818101 PECOS PAC ID: 3476444738 Enrollment ID: I20040324000743 |
| Provider Name | Amy Eiko Bernel Leatherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386636736 PECOS PAC ID: 0547252793 Enrollment ID: I20040330001618 |
| Provider Name | Dana L Madison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093720591 PECOS PAC ID: 5395737092 Enrollment ID: I20040401001116 |
| Provider Name | Vimal Mohun Aga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902900137 PECOS PAC ID: 9234123134 Enrollment ID: I20040413001200 |
| Provider Name | Mark G Garzotto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619982139 PECOS PAC ID: 4082609078 Enrollment ID: I20040419000911 |
| Provider Name | Kristin R Knight |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790882579 PECOS PAC ID: 2961497953 Enrollment ID: I20040419000938 |
| Provider Name | Mithran S Sukumar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134134646 PECOS PAC ID: 9638164320 Enrollment ID: I20040420001233 |
| Provider Name | Kathryn A Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366457863 PECOS PAC ID: 2163418914 Enrollment ID: I20040426000483 |
| Provider Name | Arthur C Jaffe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841206331 PECOS PAC ID: 8123914652 Enrollment ID: I20040427000511 |
| Provider Name | Brett C Sheppard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174531644 PECOS PAC ID: 8921994450 Enrollment ID: I20040504000513 |
| Provider Name | Nicholas L Gideonse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639184146 PECOS PAC ID: 8123016276 Enrollment ID: I20040505001499 |
| Provider Name | Allison I Summers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770535007 PECOS PAC ID: 6507855152 Enrollment ID: I20040508000417 |
| Provider Name | Jennifer E Devoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457399321 PECOS PAC ID: 3971593864 Enrollment ID: I20040513000696 |
| Provider Name | Deborah A Lewinsohn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801802350 PECOS PAC ID: 7911988795 Enrollment ID: I20040527000301 |
| Provider Name | Timothy K Liem |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790882561 PECOS PAC ID: 1557342342 Enrollment ID: I20040527000385 |
| Provider Name | Kerry Lynn Haugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972600757 PECOS PAC ID: 6002898145 Enrollment ID: I20040603000154 |
| Provider Name | John M Kinzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386652840 PECOS PAC ID: 0345223434 Enrollment ID: I20040610000176 |
| Provider Name | Julio Andres Gonzalez-sotomayor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922043371 PECOS PAC ID: 4082697800 Enrollment ID: I20040611000191 |
| Provider Name | Howard K Song |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003822594 PECOS PAC ID: 8123001153 Enrollment ID: I20040614001023 |
| Provider Name | Elizabeth M Haney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467473397 PECOS PAC ID: 5698759546 Enrollment ID: I20040617000176 |
| Provider Name | Michael D Dellinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548277478 PECOS PAC ID: 1759367998 Enrollment ID: I20040628000880 |
| Provider Name | Paula H Bednarek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336154848 PECOS PAC ID: 7416934690 Enrollment ID: I20040706000902 |
| Provider Name | Craig Y Okada |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1801801311 PECOS PAC ID: 0345227344 Enrollment ID: I20040707000370 |
| Provider Name | Clifford A Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508874074 PECOS PAC ID: 2668451774 Enrollment ID: I20040714000278 |
| Provider Name | Natasha M Carmichael |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497760904 PECOS PAC ID: 0648259986 Enrollment ID: I20040719001245 |
| Provider Name | Leonardo M Pereira |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427063932 PECOS PAC ID: 5193705036 Enrollment ID: I20040722000136 |
| Provider Name | Scott A Collins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780658013 PECOS PAC ID: 6901886639 Enrollment ID: I20040723000015 |
| Provider Name | Jose F Rueda |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194730697 PECOS PAC ID: 0941293138 Enrollment ID: I20040723000320 |
| Provider Name | Kelly D Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730195330 PECOS PAC ID: 3779563036 Enrollment ID: I20040726000792 |
| Provider Name | Judith A Guzman Cottrill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063427573 PECOS PAC ID: 8224000146 Enrollment ID: I20040811000530 |
| Provider Name | Xinyu S Fu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376592212 PECOS PAC ID: 8022080944 Enrollment ID: I20040811000550 |
| Provider Name | Paul Schipper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225044787 PECOS PAC ID: 9234103433 Enrollment ID: I20040824000251 |
| Provider Name | Lyndsay A Duffus |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124098629 PECOS PAC ID: 6901870740 Enrollment ID: I20040825001539 |
| Provider Name | Christina J Flaxel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629029079 PECOS PAC ID: 8426944075 Enrollment ID: I20040826001291 |
| Provider Name | Donald L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821006388 PECOS PAC ID: 4587639497 Enrollment ID: I20040901001227 |
| Provider Name | Stephanie A Halvorson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760497275 PECOS PAC ID: 8628045036 Enrollment ID: I20040915000330 |
| Provider Name | Christine Gaye Yedinak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285640748 PECOS PAC ID: 2961479050 Enrollment ID: I20040916001125 |
| Provider Name | Barzin Khalili |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1487725990 PECOS PAC ID: 2860460599 Enrollment ID: I20040921000630 |
| Provider Name | Judy R Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538141171 PECOS PAC ID: 0042289829 Enrollment ID: I20040928001273 |
| Provider Name | Virginia M Satcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083710115 PECOS PAC ID: 4688633886 Enrollment ID: I20041004001152 |
| Provider Name | Philip T Korthuis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841207776 PECOS PAC ID: 6305805946 Enrollment ID: I20041008000093 |
| Provider Name | Elizabeth A Bower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811904741 PECOS PAC ID: 3476512021 Enrollment ID: I20041008000117 |
| Provider Name | Arpana M Naik |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1508871013 PECOS PAC ID: 6800855362 Enrollment ID: I20041008001037 |
| Provider Name | Christina M Nicolaidis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144238668 PECOS PAC ID: 7416917067 Enrollment ID: I20041018000820 |
| Provider Name | Mary E Pickett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902813835 PECOS PAC ID: 5799745394 Enrollment ID: I20041018001004 |
| Provider Name | Sage N Saxton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902811409 PECOS PAC ID: 0941261903 Enrollment ID: I20041022000531 |
| Provider Name | Linda B Lester |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952455032 PECOS PAC ID: 9739140658 Enrollment ID: I20041025000322 |
| Provider Name | Wendy Osorio Domreis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689689192 PECOS PAC ID: 0143281873 Enrollment ID: I20041025001187 |
| Provider Name | David J Wilson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316999642 PECOS PAC ID: 7012803554 Enrollment ID: I20041029000859 |
| Provider Name | Jorge E Tolosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699780106 PECOS PAC ID: 3072575281 Enrollment ID: I20041101000014 |
| Provider Name | John C Morrison |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033161997 PECOS PAC ID: 6406819101 Enrollment ID: I20041104000232 |
| Provider Name | Andreas K Lauer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265485890 PECOS PAC ID: 1254394968 Enrollment ID: I20041104000308 |
| Provider Name | Jung U Yoo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881609394 PECOS PAC ID: 3476517277 Enrollment ID: I20041111001067 |
| Provider Name | Gabrielle Meyers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881602308 PECOS PAC ID: 5092783985 Enrollment ID: I20041118000514 |
| Provider Name | Maria C Leiva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790766244 PECOS PAC ID: 4284690447 Enrollment ID: I20041208001201 |
| Provider Name | Cary O Harding |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952327926 PECOS PAC ID: 7416905559 Enrollment ID: I20050105000981 |
| Provider Name | Eugene Hiebert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487686994 PECOS PAC ID: 3971579640 Enrollment ID: I20050105001001 |
| Provider Name | Jeff Allen Kraakevik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518054568 PECOS PAC ID: 1254389745 Enrollment ID: I20050111000977 |
| Provider Name | David Martin Koeller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629086145 PECOS PAC ID: 2769431006 Enrollment ID: I20050113000728 |
| Provider Name | Markus C Grompe |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1154336659 PECOS PAC ID: 9739138074 Enrollment ID: I20050113000741 |
| Provider Name | Frederick S Ey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326041948 PECOS PAC ID: 9931158284 Enrollment ID: I20050113000811 |
| Provider Name | Dennis C Crawford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861408312 PECOS PAC ID: 7517916471 Enrollment ID: I20050118000601 |
| Provider Name | Julie M Falardeau |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508818832 PECOS PAC ID: 3173573698 Enrollment ID: I20050124000098 |
| Provider Name | Irene P Vetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578657656 PECOS PAC ID: 8426000423 Enrollment ID: I20050217000906 |
| Provider Name | Karen W Hand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831135839 PECOS PAC ID: 2567415540 Enrollment ID: I20050302000424 |
| Provider Name | Ahmed Muneer Raslan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356550206 PECOS PAC ID: 5294780292 Enrollment ID: I20050312000037 |
| Provider Name | Thomas S Hwang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508819947 PECOS PAC ID: 5294781381 Enrollment ID: I20050322000768 |
| Provider Name | David A Dorr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093723520 PECOS PAC ID: 6103873518 Enrollment ID: I20050406001246 |
| Provider Name | Amy O Kenagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568407633 PECOS PAC ID: 8123065638 Enrollment ID: I20050414001266 |
| Provider Name | Jeffrey L Koh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972531150 PECOS PAC ID: 9931146446 Enrollment ID: I20050414001278 |
| Provider Name | Samuel A Camacho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598757452 PECOS PAC ID: 6901844893 Enrollment ID: I20050421000105 |
| Provider Name | Louis P Riccelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114932621 PECOS PAC ID: 8022057132 Enrollment ID: I20050428000265 |
| Provider Name | Joel Solomon |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770599227 PECOS PAC ID: 8325949894 Enrollment ID: I20050429000320 |
| Provider Name | Sumathi Devarajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992874267 PECOS PAC ID: 3072554500 Enrollment ID: I20050516000381 |
| Provider Name | Nancy M Zink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912000795 PECOS PAC ID: 5092757435 Enrollment ID: I20050525001405 |
| Provider Name | Marian E Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790791374 PECOS PAC ID: 3375587116 Enrollment ID: I20050614000046 |
| Provider Name | Anthony Montanaro |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1720185598 PECOS PAC ID: 9537103213 Enrollment ID: I20050614000395 |
| Provider Name | Bethany J Klopfenstein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871690651 PECOS PAC ID: 2567407216 Enrollment ID: I20050622001340 |
| Provider Name | Craig S Broberg |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1508874058 PECOS PAC ID: 7911942313 Enrollment ID: I20050627000467 |
| Provider Name | Valerie J Priest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912989047 PECOS PAC ID: 8527094093 Enrollment ID: I20050715000475 |
| Provider Name | Sandra J Youngworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114910122 PECOS PAC ID: 8820025687 Enrollment ID: I20050722000665 |
| Provider Name | Robert G Martindale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154339604 PECOS PAC ID: 1759319957 Enrollment ID: I20050729000094 |
| Provider Name | Nancy Ann Durben |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689742926 PECOS PAC ID: 3971532938 Enrollment ID: I20050810000202 |
| Provider Name | Eric A Steele |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871545145 PECOS PAC ID: 4981635703 Enrollment ID: I20050822001010 |
| Provider Name | Kesavan Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538275276 PECOS PAC ID: 8527090034 Enrollment ID: I20050906000865 |
| Provider Name | Kim C Lu |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1871500702 PECOS PAC ID: 8123050549 Enrollment ID: I20050907000475 |
| Provider Name | Eneida R Nemecek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538174024 PECOS PAC ID: 2769414093 Enrollment ID: I20050907000659 |
| Provider Name | Marian Fireman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104831601 PECOS PAC ID: 7810929155 Enrollment ID: I20050907000702 |
| Provider Name | David L Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750397246 PECOS PAC ID: 3072405364 Enrollment ID: I20050907000745 |
| Provider Name | Joshua S Schindler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417965989 PECOS PAC ID: 9436135563 Enrollment ID: I20050907000776 |
| Provider Name | Timothy L Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326056896 PECOS PAC ID: 9234161506 Enrollment ID: I20050907001000 |
| Provider Name | Andrew Gerard Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003891524 PECOS PAC ID: 9436194388 Enrollment ID: I20050909000560 |
| Provider Name | Leeza M Maron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801993670 PECOS PAC ID: 7618901612 Enrollment ID: I20050920000405 |
| Provider Name | Brandon Zane Horowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720082357 PECOS PAC ID: 0042116410 Enrollment ID: I20050921001115 |
| Provider Name | Julie C Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124033634 PECOS PAC ID: 0244264802 Enrollment ID: I20050922000798 |
| Provider Name | Robert B Ellis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972729044 PECOS PAC ID: 2860427952 Enrollment ID: I20050927001576 |
| Provider Name | Shayne N Willis Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821237652 PECOS PAC ID: 7810922705 Enrollment ID: I20050929000201 |
| Provider Name | Jeffrey A Gold |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427145473 PECOS PAC ID: 3971528902 Enrollment ID: I20051010000474 |
| Provider Name | Kevin S Wei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962418574 PECOS PAC ID: 0547285587 Enrollment ID: I20051010000543 |
| Provider Name | Andrea S Herzka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629083118 PECOS PAC ID: 2567487515 Enrollment ID: I20051010000603 |
| Provider Name | Thomas A Molloy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023000395 PECOS PAC ID: 3678471240 Enrollment ID: I20051024001176 |
| Provider Name | Marcella R Messerle Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134134638 PECOS PAC ID: 1557380060 Enrollment ID: I20051114001144 |
| Provider Name | Terry Knud Morgan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235147703 PECOS PAC ID: 9133101421 Enrollment ID: I20051115000072 |
| Provider Name | Andrea R Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336236389 PECOS PAC ID: 0648299503 Enrollment ID: I20051121000439 |
| Provider Name | Sanjay Krishnaswami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427063924 PECOS PAC ID: 6709806441 Enrollment ID: I20051128000244 |
| Provider Name | Jayne Stuart Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750373593 PECOS PAC ID: 9638199953 Enrollment ID: I20051201000675 |
| Provider Name | Lorna Elizabeth S Edmunds |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407801756 PECOS PAC ID: 6002836251 Enrollment ID: I20051201000981 |
| Provider Name | Lalena M Yarris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730261918 PECOS PAC ID: 5092736280 Enrollment ID: I20051215000488 |
| Provider Name | Mario Cesar Petersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760490239 PECOS PAC ID: 8426049719 Enrollment ID: I20051229000054 |
| Provider Name | Andrew J Ahmann |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891701405 PECOS PAC ID: 1557385515 Enrollment ID: I20060118000389 |
| Provider Name | James P Kyser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972584753 PECOS PAC ID: 8921997446 Enrollment ID: I20060127000544 |
| Provider Name | Daniel Owen Herzig |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1841205358 PECOS PAC ID: 7618981515 Enrollment ID: I20060131000212 |
| Provider Name | Joanne M Stoner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972531762 PECOS PAC ID: 3375558646 Enrollment ID: I20060208000629 |
| Provider Name | Dai Trang E Le |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982612412 PECOS PAC ID: 7214942440 Enrollment ID: I20060209000305 |
| Provider Name | Andrea G Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831131713 PECOS PAC ID: 1759279896 Enrollment ID: I20060214000132 |
| Provider Name | Stephen E F Spurgeon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194730606 PECOS PAC ID: 6901812262 Enrollment ID: I20060224000182 |
| Provider Name | Carrie A Phillipi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225106560 PECOS PAC ID: 9032126610 Enrollment ID: I20060308000086 |
| Provider Name | Thomas G Kern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801901624 PECOS PAC ID: 4082621263 Enrollment ID: I20060313000592 |
| Provider Name | Laurie B Armsby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184613960 PECOS PAC ID: 2163439357 Enrollment ID: I20060313000676 |
| Provider Name | Sanjiv Kaul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699783167 PECOS PAC ID: 4284641903 Enrollment ID: I20060321000218 |
| Provider Name | Patricia Erin Hanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801804323 PECOS PAC ID: 9436168952 Enrollment ID: I20060412000318 |
| Provider Name | Elizabeth N Eckstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538266309 PECOS PAC ID: 3072522317 Enrollment ID: I20060413000288 |
| Provider Name | Justin E Denny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164519112 PECOS PAC ID: 0345207262 Enrollment ID: I20060426000835 |
| Provider Name | Jessica M Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689682122 PECOS PAC ID: 3577573872 Enrollment ID: I20060502000187 |
| Provider Name | Kurt A Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659387157 PECOS PAC ID: 4385655372 Enrollment ID: I20060504000994 |
| Provider Name | Katherine L Bensching |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407823867 PECOS PAC ID: 6608887807 Enrollment ID: I20060602000093 |
| Provider Name | William Mark Kelley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164477105 PECOS PAC ID: 7618970302 Enrollment ID: I20060818000313 |
| Provider Name | Kevin L Winthrop |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679509525 PECOS PAC ID: 8628964384 Enrollment ID: I20060822000141 |
| Provider Name | Jana K Rouhier |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518998863 PECOS PAC ID: 7911901848 Enrollment ID: I20060908000093 |
| Provider Name | Kevin L Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841215480 PECOS PAC ID: 7618996612 Enrollment ID: I20060920000126 |
| Provider Name | John D Heintzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689690653 PECOS PAC ID: 3870599798 Enrollment ID: I20061016000417 |
| Provider Name | Anna A Bar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326053836 PECOS PAC ID: 4385640226 Enrollment ID: I20061017000046 |
| Provider Name | Elizabeth P Lahti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639190564 PECOS PAC ID: 2163428939 Enrollment ID: I20061018000640 |
| Provider Name | Lisa D Madison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649291576 PECOS PAC ID: 5294731147 Enrollment ID: I20061019000659 |
| Provider Name | Joaquin Emeterio Cigarroa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407880545 PECOS PAC ID: 9537165204 Enrollment ID: I20061020000216 |
| Provider Name | Lynne M Strasfeld |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003837931 PECOS PAC ID: 0840289039 Enrollment ID: I20061027000007 |
| Provider Name | Darin M Friess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215963368 PECOS PAC ID: 3779516190 Enrollment ID: I20061102000036 |
| Provider Name | Jonathan P Betlinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992802763 PECOS PAC ID: 0244237212 Enrollment ID: I20061106000037 |
| Provider Name | Billy Hoon Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710921739 PECOS PAC ID: 7315944386 Enrollment ID: I20061106000053 |
| Provider Name | Kimberly M Mauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154439578 PECOS PAC ID: 2860462298 Enrollment ID: I20061114000490 |
| Provider Name | Edward Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578656187 PECOS PAC ID: 3577561018 Enrollment ID: I20061117000220 |
| Provider Name | Johanna Beth Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043226541 PECOS PAC ID: 0547286668 Enrollment ID: I20061122000484 |
| Provider Name | Eilis A Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093737629 PECOS PAC ID: 8820096969 Enrollment ID: I20061127000392 |
| Provider Name | Daniel J Karr |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912908880 PECOS PAC ID: 9638177801 Enrollment ID: I20061206000034 |
| Provider Name | Steven Bailey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114032687 PECOS PAC ID: 0941209662 Enrollment ID: I20061206000583 |
| Provider Name | Y Pritham Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972690923 PECOS PAC ID: 8325047814 Enrollment ID: I20061211000419 |
| Provider Name | Tamara L Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356410625 PECOS PAC ID: 4880694785 Enrollment ID: I20061227000128 |
| Provider Name | Kevin P. White |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447329719 PECOS PAC ID: 5294735163 Enrollment ID: I20061228000325 |
| Provider Name | Dawn Lynn Nolt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285609917 PECOS PAC ID: 3072529817 Enrollment ID: I20061228000361 |
| Provider Name | Chaim Vanek |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720180300 PECOS PAC ID: 0244230639 Enrollment ID: I20070109000365 |
| Provider Name | Pascale Schwab |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174509897 PECOS PAC ID: 0941273510 Enrollment ID: I20070109000391 |
| Provider Name | Trevor A. Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306914643 PECOS PAC ID: 5597766634 Enrollment ID: I20070116000567 |
| Provider Name | John T Vetto |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1629086103 PECOS PAC ID: 9931100112 Enrollment ID: I20070131000301 |
| Provider Name | Randall L Woltjer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356444772 PECOS PAC ID: 1759383151 Enrollment ID: I20070214000284 |
| Provider Name | Kenneth J Kolbeck |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538238803 PECOS PAC ID: 9739281049 Enrollment ID: I20070216000216 |
| Provider Name | Donn Hatiim Spight |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194746024 PECOS PAC ID: 8527160613 Enrollment ID: I20070220000410 |
| Provider Name | Douglas J Norman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508871005 PECOS PAC ID: 4183726557 Enrollment ID: I20070305000119 |
| Provider Name | Honora L Englander |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1649226994 PECOS PAC ID: 7618071713 Enrollment ID: I20070329000451 |
| Provider Name | Erin J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669427787 PECOS PAC ID: 0143286575 Enrollment ID: I20070330000031 |
| Provider Name | Maria Fleseriu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700983574 PECOS PAC ID: 0446355093 Enrollment ID: I20070410000647 |
| Provider Name | Joylyn K Michaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659417186 PECOS PAC ID: 1557466950 Enrollment ID: I20070413000009 |
| Provider Name | Kendrick Mk Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164552626 PECOS PAC ID: 3173629888 Enrollment ID: I20070426000016 |
| Provider Name | Noelle H Nurre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043342884 PECOS PAC ID: 8426154873 Enrollment ID: I20070502000219 |
| Provider Name | Laurie Dawn Yablon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780723775 PECOS PAC ID: 9335245604 Enrollment ID: I20070502000496 |
| Provider Name | Petra L Vajtai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285703629 PECOS PAC ID: 6406952530 Enrollment ID: I20070505000089 |
| Provider Name | Derek Jen-kon Louie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235281379 PECOS PAC ID: 9638104276 Enrollment ID: I20070507000278 |
| Provider Name | Timothy A Joslin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164591079 PECOS PAC ID: 5991802746 Enrollment ID: I20070514000219 |
| Provider Name | Nanette C Marty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841206448 PECOS PAC ID: 9931206794 Enrollment ID: I20070514000277 |
| Provider Name | Roger Doyle Garvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831172022 PECOS PAC ID: 9931206703 Enrollment ID: I20070514000384 |
| Provider Name | Renee Michelle Beninger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457455917 PECOS PAC ID: 7012014590 Enrollment ID: I20070517000319 |
| Provider Name | Dafne E Mattiello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538174032 PECOS PAC ID: 6002913381 Enrollment ID: I20070522000025 |
| Provider Name | Colin M. Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295743722 PECOS PAC ID: 9931206950 Enrollment ID: I20070525000129 |
| Provider Name | Bruce A Boston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003821505 PECOS PAC ID: 2668578782 Enrollment ID: I20070525000140 |
| Provider Name | Darren Marshall Janzen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548393689 PECOS PAC ID: 1557468584 Enrollment ID: I20070525000163 |
| Provider Name | Michael A Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033243134 PECOS PAC ID: 1355448259 Enrollment ID: I20070529000202 |
| Provider Name | Robert L Cloutier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760574230 PECOS PAC ID: 7416054341 Enrollment ID: I20070529000459 |
| Provider Name | Elizabeth Steiner Hayward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053329508 PECOS PAC ID: 5496853319 Enrollment ID: I20070531000080 |
| Provider Name | Dmitriy Rakhlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215014907 PECOS PAC ID: 2163521758 Enrollment ID: I20070622000101 |
| Provider Name | Ajitkumar N Jetmalani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104994920 PECOS PAC ID: 7113026345 Enrollment ID: I20070628000283 |
| Provider Name | Dianne Lynn Hrubec |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316091499 PECOS PAC ID: 5193825115 Enrollment ID: I20070705000184 |
| Provider Name | Esther K Choo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598746166 PECOS PAC ID: 5890729818 Enrollment ID: I20070705000317 |
| Provider Name | Megan E Aylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700815362 PECOS PAC ID: 7618974908 Enrollment ID: I20070709000247 |
| Provider Name | Amie L Hiller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649205600 PECOS PAC ID: 0547266348 Enrollment ID: I20070709000480 |
| Provider Name | Antonio E Frias |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033130299 PECOS PAC ID: 9638074156 Enrollment ID: I20070717000108 |
| Provider Name | Willscott E Naugler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689698342 PECOS PAC ID: 6507868767 Enrollment ID: I20070803000179 |
| Provider Name | Adam J Mirarchi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417931304 PECOS PAC ID: 5698778561 Enrollment ID: I20070803000291 |
| Provider Name | Paula Amato |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316027683 PECOS PAC ID: 6608967641 Enrollment ID: I20070806000736 |
| Provider Name | Margaret H Wolf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003011271 PECOS PAC ID: 4183715931 Enrollment ID: I20070808000143 |
| Provider Name | Jennifer M Watters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801013560 PECOS PAC ID: 5597856393 Enrollment ID: I20070808000593 |
| Provider Name | Joseph D Pinter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679557995 PECOS PAC ID: 1153412879 Enrollment ID: I20070810000009 |
| Provider Name | Seema R Gupta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568495265 PECOS PAC ID: 3779674205 Enrollment ID: I20070813000176 |
| Provider Name | Michael Recht |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366403164 PECOS PAC ID: 5496778185 Enrollment ID: I20070815000206 |
| Provider Name | Robert Adams Dubose |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578610374 PECOS PAC ID: 1658464029 Enrollment ID: I20070831000104 |
| Provider Name | Gary M Silberbach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649285149 PECOS PAC ID: 7719070606 Enrollment ID: I20070910000091 |
| Provider Name | Randall A Phelps |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245455450 PECOS PAC ID: 5799878682 Enrollment ID: I20070910000107 |
| Provider Name | Julie Ann Martchenke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417965963 PECOS PAC ID: 0446343156 Enrollment ID: I20070911000182 |
| Provider Name | Leah Greenhill Reznick |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922043611 PECOS PAC ID: 8729082326 Enrollment ID: I20070913000809 |
| Provider Name | Joseph A Hardman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821044306 PECOS PAC ID: 1759384514 Enrollment ID: I20070919000145 |
| Provider Name | Michael F Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538213608 PECOS PAC ID: 5193770881 Enrollment ID: I20070926000159 |
| Provider Name | Alice W Fung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811944374 PECOS PAC ID: 2567557317 Enrollment ID: I20071009000297 |
| Provider Name | Todd W Ulmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407834773 PECOS PAC ID: 2466548904 Enrollment ID: I20071015000538 |
| Provider Name | Eric C Stecker |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023104726 PECOS PAC ID: 2466548342 Enrollment ID: I20071024000110 |
| Provider Name | Mina Dinh Nguyen Driver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376653519 PECOS PAC ID: 8628165610 Enrollment ID: I20071108000149 |
| Provider Name | David Joel Rozansky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881600336 PECOS PAC ID: 4587752589 Enrollment ID: I20071108000280 |
| Provider Name | Dana Braner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982619409 PECOS PAC ID: 3072407600 Enrollment ID: I20071108000303 |
| Provider Name | Stephanie A Nonas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871631051 PECOS PAC ID: 1850480500 Enrollment ID: I20071203000366 |
| Provider Name | Karin M Ide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770508152 PECOS PAC ID: 1658326335 Enrollment ID: I20071203000474 |
| Provider Name | Ronald J Turker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386755379 PECOS PAC ID: 4183713720 Enrollment ID: I20071204000542 |
| Provider Name | Paul Francis Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093721557 PECOS PAC ID: 2062501364 Enrollment ID: I20071210000536 |
| Provider Name | Melissa Ann Jacobs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245376060 PECOS PAC ID: 7315983319 Enrollment ID: I20071210000645 |
| Provider Name | Jorge A Pineda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073739058 PECOS PAC ID: 9133218308 Enrollment ID: I20071211000492 |
| Provider Name | Stephen E Renwick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588733489 PECOS PAC ID: 1456440627 Enrollment ID: I20071211000532 |
| Provider Name | David J Mansoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992711907 PECOS PAC ID: 8325137664 Enrollment ID: I20071212000182 |
| Provider Name | Michelle Ann Lachance |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265489769 PECOS PAC ID: 8426004821 Enrollment ID: I20071218000279 |
| Provider Name | Elizabeth Ryann Watson Stites |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013989243 PECOS PAC ID: 0042118523 Enrollment ID: I20071219000137 |
| Provider Name | Serena P Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457545899 PECOS PAC ID: 2264522689 Enrollment ID: I20071221000062 |
| Provider Name | Andrew F Zigman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205934866 PECOS PAC ID: 0042390262 Enrollment ID: I20071231000110 |
| Provider Name | Mark K Wax |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912912429 PECOS PAC ID: 3173421229 Enrollment ID: I20080114000105 |
| Provider Name | James B Wentzien |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629171954 PECOS PAC ID: 9739260803 Enrollment ID: I20080115000219 |
| Provider Name | Eric M Wiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467402982 PECOS PAC ID: 1254351117 Enrollment ID: I20080124000398 |
| Provider Name | James W Carson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588676357 PECOS PAC ID: 7517964919 Enrollment ID: I20080218000357 |
| Provider Name | Ashit G Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1427276757 PECOS PAC ID: 3173606886 Enrollment ID: I20080218000522 |
| Provider Name | Daniel Kingsbury |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396705414 PECOS PAC ID: 7810073699 Enrollment ID: I20080319000204 |
| Provider Name | Mitchell V Brinks |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891870697 PECOS PAC ID: 0143240978 Enrollment ID: I20080319000325 |
| Provider Name | Phoebe R Trubowitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972603074 PECOS PAC ID: 3779669163 Enrollment ID: I20080326000218 |
| Provider Name | Monica Arce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376723270 PECOS PAC ID: 8921181363 Enrollment ID: I20080408000930 |
| Provider Name | Nathan R W Selden |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235147752 PECOS PAC ID: 5092744102 Enrollment ID: I20080411000388 |
| Provider Name | Linda E Schmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932271004 PECOS PAC ID: 8729167820 Enrollment ID: I20080430000582 |
| Provider Name | Jane G Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942218003 PECOS PAC ID: 7214016500 Enrollment ID: I20080512000700 |
| Provider Name | Linda Claudette Stork |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902811425 PECOS PAC ID: 5092884973 Enrollment ID: I20080519000225 |
| Provider Name | Catriona M Buist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699879684 PECOS PAC ID: 8527138668 Enrollment ID: I20080602000708 |
| Provider Name | Michael Ralph Kolesnikov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568630580 PECOS PAC ID: 4486724382 Enrollment ID: I20080604000346 |
| Provider Name | Thomas W. Huff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720252810 PECOS PAC ID: 7517037138 Enrollment ID: I20080609000118 |
| Provider Name | Jeffrey Pollock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811019383 PECOS PAC ID: 7618077041 Enrollment ID: I20080609000688 |
| Provider Name | Cathy Lynn Emeis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841273174 PECOS PAC ID: 0345310942 Enrollment ID: I20080609000761 |
| Provider Name | Craigan Usher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760456925 PECOS PAC ID: 8123190675 Enrollment ID: I20080628000112 |
| Provider Name | Winston D Chamberlain |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710108162 PECOS PAC ID: 2264525476 Enrollment ID: I20080708000272 |
| Provider Name | Mark E Pennesi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225256274 PECOS PAC ID: 7719059724 Enrollment ID: I20080709000167 |
| Provider Name | Lisa M Radcliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467619320 PECOS PAC ID: 0244302925 Enrollment ID: I20080714000035 |
| Provider Name | Nicole Marie Kirker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780611988 PECOS PAC ID: 4688687064 Enrollment ID: I20080718000170 |
| Provider Name | Raghav Wusirika |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629192372 PECOS PAC ID: 7214000462 Enrollment ID: I20080721000626 |
| Provider Name | Dawn Filch Tilgner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639174287 PECOS PAC ID: 9335213149 Enrollment ID: I20080728000566 |
| Provider Name | Randall D Jenkins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619934213 PECOS PAC ID: 0941370472 Enrollment ID: I20080728000603 |
| Provider Name | Cong Qiu Chu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780625780 PECOS PAC ID: 6204855844 Enrollment ID: I20080806000166 |
| Provider Name | Barbara D Hettinger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649484544 PECOS PAC ID: 8921172941 Enrollment ID: I20080808000209 |
| Provider Name | Michelle Cameron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184883381 PECOS PAC ID: 8729153648 Enrollment ID: I20080812000448 |
| Provider Name | Catherine J Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235393406 PECOS PAC ID: 2769557354 Enrollment ID: I20080815000513 |
| Provider Name | Leah B Wessenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023200821 PECOS PAC ID: 5597831511 Enrollment ID: I20080827000456 |
| Provider Name | Matthew Halsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063445401 PECOS PAC ID: 2961416839 Enrollment ID: I20080829000329 |
| Provider Name | James K Boehnlein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174538698 PECOS PAC ID: 5799851515 Enrollment ID: I20080902000510 |
| Provider Name | George A Keepers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619982105 PECOS PAC ID: 8325934847 Enrollment ID: I20080902000548 |
| Provider Name | Jeffrey Penikas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063447043 PECOS PAC ID: 2365459062 Enrollment ID: I20080904000383 |
| Provider Name | Kevin Wung Hong Yee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548263189 PECOS PAC ID: 1658301445 Enrollment ID: I20080909000233 |
| Provider Name | Rebecca I Spain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497934772 PECOS PAC ID: 8628144045 Enrollment ID: I20080909000737 |
| Provider Name | Maisie L Shindo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386663672 PECOS PAC ID: 3476620212 Enrollment ID: I20080922000134 |
| Provider Name | Christina E Milano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972703403 PECOS PAC ID: 9739259243 Enrollment ID: I20081003000130 |
| Provider Name | James C Chesnutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043225543 PECOS PAC ID: 9436227220 Enrollment ID: I20081007000242 |
| Provider Name | Laura M Ibsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821003336 PECOS PAC ID: 5395813190 Enrollment ID: I20081007000296 |
| Provider Name | Aileen L Kirby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780699298 PECOS PAC ID: 6507934304 Enrollment ID: I20081007000366 |
| Provider Name | Mohamud R Daya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629073895 PECOS PAC ID: 1355419169 Enrollment ID: I20081007000429 |
| Provider Name | Holger W Link |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922014471 PECOS PAC ID: 4688742406 Enrollment ID: I20081007000463 |
| Provider Name | Ariel K Smits |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811903370 PECOS PAC ID: 8921176678 Enrollment ID: I20081007000839 |
| Provider Name | Miles S Ellenby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780692210 PECOS PAC ID: 4385712041 Enrollment ID: I20081008000035 |
| Provider Name | Seshadri Balaji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164437653 PECOS PAC ID: 2466520150 Enrollment ID: I20081008000251 |
| Provider Name | Brian D Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811073315 PECOS PAC ID: 2668471012 Enrollment ID: I20081014000285 |
| Provider Name | Matthew A. Brodsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164430609 PECOS PAC ID: 5890863146 Enrollment ID: I20081014000309 |
| Provider Name | Clifford W Sells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669488268 PECOS PAC ID: 2062580327 Enrollment ID: I20081014000448 |
| Provider Name | Gary M Nesbit |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164437687 PECOS PAC ID: 3173691441 Enrollment ID: I20081014000518 |
| Provider Name | Barry S Oken |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417962911 PECOS PAC ID: 0749358026 Enrollment ID: I20081014000597 |
| Provider Name | Robert M Orfaly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316015654 PECOS PAC ID: 1456429737 Enrollment ID: I20081014000615 |
| Provider Name | Rodney F Pommier |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1114932613 PECOS PAC ID: 1052489341 Enrollment ID: I20081014000657 |
| Provider Name | John G Hunter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699781146 PECOS PAC ID: 8921994443 Enrollment ID: I20081014000695 |
| Provider Name | James C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376551804 PECOS PAC ID: 5890853188 Enrollment ID: I20081014000725 |
| Provider Name | Helmi L Lutsep |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164437661 PECOS PAC ID: 5294731279 Enrollment ID: I20081014000745 |
| Provider Name | Shawn H Blanchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477561934 PECOS PAC ID: 4183782485 Enrollment ID: I20081014000787 |
| Provider Name | David B Jacoby |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982701751 PECOS PAC ID: 0042378374 Enrollment ID: I20081015000344 |
| Provider Name | Alan F Barker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215005558 PECOS PAC ID: 7113085457 Enrollment ID: I20081015000364 |
| Provider Name | James B Hayden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326056870 PECOS PAC ID: 4880752153 Enrollment ID: I20081015000617 |
| Provider Name | Diane L Elliot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831105337 PECOS PAC ID: 7618035999 Enrollment ID: I20081015000711 |
| Provider Name | Windy L Stevenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093723553 PECOS PAC ID: 9739247883 Enrollment ID: I20081020000095 |
| Provider Name | Joanna Laurel Hatfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891829198 PECOS PAC ID: 5395803357 Enrollment ID: I20081020000261 |
| Provider Name | Arthur Y Hung |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609881119 PECOS PAC ID: 5092873067 Enrollment ID: I20081020000297 |
| Provider Name | Yolanda B Suarez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124126362 PECOS PAC ID: 4688658503 Enrollment ID: I20081021000211 |
| Provider Name | Sandra Schmahmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871508382 PECOS PAC ID: 2466510490 Enrollment ID: I20081021000242 |
| Provider Name | Carol J Macarthur |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942218490 PECOS PAC ID: 9537227566 Enrollment ID: I20081021000259 |
| Provider Name | Paul K Leung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548275043 PECOS PAC ID: 9436217478 Enrollment ID: I20081021000364 |
| Provider Name | Kyle P Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518975051 PECOS PAC ID: 3274691134 Enrollment ID: I20081021000523 |
| Provider Name | Michael R Powers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023024619 PECOS PAC ID: 7517025471 Enrollment ID: I20081021000565 |
| Provider Name | Monica N Deshpande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346235991 PECOS PAC ID: 7113028580 Enrollment ID: I20081022000455 |
| Provider Name | Rebecca A Harrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922015841 PECOS PAC ID: 9537227376 Enrollment ID: I20081022000457 |
| Provider Name | Martin A Schreiber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831105386 PECOS PAC ID: 7810055688 Enrollment ID: I20081022000707 |
| Provider Name | Wayne M Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356357958 PECOS PAC ID: 7517025398 Enrollment ID: I20081023000076 |
| Provider Name | Nels L Carlson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720096282 PECOS PAC ID: 3678631454 Enrollment ID: I20081023000097 |
| Provider Name | Juliana E Hansen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750397352 PECOS PAC ID: 8022014000 Enrollment ID: I20081023000153 |
| Provider Name | Richard M Scanlan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326145103 PECOS PAC ID: 0143388934 Enrollment ID: I20081023000192 |
| Provider Name | Alan J Hunter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437165982 PECOS PAC ID: 6305904103 Enrollment ID: I20081023000214 |
| Provider Name | Akram Khan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1710993498 PECOS PAC ID: 1850380973 Enrollment ID: I20081028000329 |
| Provider Name | Lisa C Silbert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700891207 PECOS PAC ID: 6103984687 Enrollment ID: I20081028000403 |
| Provider Name | Sally R Hersh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821195694 PECOS PAC ID: 6800954389 Enrollment ID: I20081028000442 |
| Provider Name | William T Gregory |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972510808 PECOS PAC ID: 6709944283 Enrollment ID: I20081028000451 |
| Provider Name | Gregory L Moneta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679581128 PECOS PAC ID: 1153489588 Enrollment ID: I20081029000078 |
| Provider Name | Tom D Wang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497763932 PECOS PAC ID: 7113085549 Enrollment ID: I20081029000114 |
| Provider Name | John M Townes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710993308 PECOS PAC ID: 4486712825 Enrollment ID: I20081029000123 |
| Provider Name | Kerry S Kuehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194733667 PECOS PAC ID: 7012075450 Enrollment ID: I20081029000139 |
| Provider Name | Brian Sallay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730194242 PECOS PAC ID: 3072672401 Enrollment ID: I20081030000225 |
| Provider Name | Ellen L Tilden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417054297 PECOS PAC ID: 9830258219 Enrollment ID: I20081030000713 |
| Provider Name | Mark S Chesnutt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891892667 PECOS PAC ID: 5597651018 Enrollment ID: I20081030000726 |
| Provider Name | Guang Fan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750399283 PECOS PAC ID: 8628137007 Enrollment ID: I20081030000743 |
| Provider Name | Ken M Gatter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649286246 PECOS PAC ID: 7719046093 Enrollment ID: I20081030000752 |
| Provider Name | Jonathan Zonana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700892312 PECOS PAC ID: 4587723861 Enrollment ID: I20081030000798 |
| Provider Name | Nina S Davis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780690271 PECOS PAC ID: 8325107691 Enrollment ID: I20081103000032 |
| Provider Name | Mary H Samuels |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659387108 PECOS PAC ID: 9133288400 Enrollment ID: I20081103000046 |
| Provider Name | Eric S Orwoll |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083629570 PECOS PAC ID: 5193884377 Enrollment ID: I20081103000279 |
| Provider Name | Richard D Press |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922013424 PECOS PAC ID: 0941369169 Enrollment ID: I20081103000569 |
| Provider Name | Jonathan Q Purnell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144236639 PECOS PAC ID: 4688733801 Enrollment ID: I20081103000648 |
| Provider Name | Peter D Sullivan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558468322 PECOS PAC ID: 5991864126 Enrollment ID: I20081103000706 |
| Provider Name | James O Hancey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538175088 PECOS PAC ID: 2961561196 Enrollment ID: I20081103000739 |
| Provider Name | Henry A Milczuk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477568970 PECOS PAC ID: 1557420791 Enrollment ID: I20081104000013 |
| Provider Name | Sima S Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649377417 PECOS PAC ID: 6901965144 Enrollment ID: I20081104000018 |
| Provider Name | Peter E Andersen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730194234 PECOS PAC ID: 1456410695 Enrollment ID: I20081104000024 |
| Provider Name | Atulya A Deodhar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558376053 PECOS PAC ID: 0446319685 Enrollment ID: I20081104000033 |
| Provider Name | Christopher L Corless |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568477065 PECOS PAC ID: 8527127760 Enrollment ID: I20081104000042 |
| Provider Name | Margaret M Oreilly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255349718 PECOS PAC ID: 5698834604 Enrollment ID: I20081105000854 |
| Provider Name | Susan J Hayflick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538174057 PECOS PAC ID: 1153480173 Enrollment ID: I20081106000036 |
| Provider Name | Alison B Edelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407861917 PECOS PAC ID: 3779642707 Enrollment ID: I20081106000056 |
| Provider Name | Asha Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225230725 PECOS PAC ID: 5395804322 Enrollment ID: I20081106000080 |
| Provider Name | Grace Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053510370 PECOS PAC ID: 2961561550 Enrollment ID: I20081112000065 |
| Provider Name | Rebecca W Peil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316910078 PECOS PAC ID: 4183784671 Enrollment ID: I20081113000277 |
| Provider Name | Stephanie J Mengden Koon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780667527 PECOS PAC ID: 9739083742 Enrollment ID: I20081117000114 |
| Provider Name | Reid V Mueller |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386652857 PECOS PAC ID: 7416017256 Enrollment ID: I20081124000286 |
| Provider Name | Jodeanna M Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487828190 PECOS PAC ID: 5193885812 Enrollment ID: I20081125000270 |
| Provider Name | Roya Sohaey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255346748 PECOS PAC ID: 4385533900 Enrollment ID: I20081125000721 |
| Provider Name | Susan J Lindemulder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770506131 PECOS PAC ID: 2567467087 Enrollment ID: I20081126000077 |
| Provider Name | David M Cohen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467468926 PECOS PAC ID: 7113088758 Enrollment ID: I20081202000074 |
| Provider Name | Kathryn A Chung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073600029 PECOS PAC ID: 8527129014 Enrollment ID: I20081202000607 |
| Provider Name | Christopher W Ryan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1033127584 PECOS PAC ID: 1052472545 Enrollment ID: I20081202000614 |
| Provider Name | Charles D Lopez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851473060 PECOS PAC ID: 4284795774 Enrollment ID: I20081202000647 |
| Provider Name | Grant H Burch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437164936 PECOS PAC ID: 2365503745 Enrollment ID: I20081203000596 |
| Provider Name | Cynthia T Mcevoy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114933710 PECOS PAC ID: 2769490010 Enrollment ID: I20081203000821 |
| Provider Name | David Hoadley Ellison |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346337391 PECOS PAC ID: 7113012139 Enrollment ID: I20081204000162 |
| Provider Name | Kersti Pettit-kekel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184639684 PECOS PAC ID: 3678634946 Enrollment ID: I20081204000632 |
| Provider Name | Melaura Wittemyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932114436 PECOS PAC ID: 0941361257 Enrollment ID: I20081204000917 |
| Provider Name | Robert E Nickel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215963160 PECOS PAC ID: 9133280456 Enrollment ID: I20081204001008 |
| Provider Name | Heather M Durham |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356448179 PECOS PAC ID: 1951462274 Enrollment ID: I20081204001010 |
| Provider Name | Lydia A Fusetti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871508374 PECOS PAC ID: 0547321861 Enrollment ID: I20081205000049 |
| Provider Name | Catherine M Mcgovern Zlotek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447265947 PECOS PAC ID: 5991866212 Enrollment ID: I20081205000056 |
| Provider Name | Robert W Nance |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447266044 PECOS PAC ID: 5890856116 Enrollment ID: I20081205000064 |
| Provider Name | Rita Panoscha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366457871 PECOS PAC ID: 4789745001 Enrollment ID: I20081205000084 |
| Provider Name | John Maynard Barry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609882281 PECOS PAC ID: 8325109663 Enrollment ID: I20081205000195 |
| Provider Name | Marlo L Mcilraith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407861909 PECOS PAC ID: 4587725825 Enrollment ID: I20081205000205 |
| Provider Name | Angeles Pena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205844776 PECOS PAC ID: 5395806632 Enrollment ID: I20081205000215 |
| Provider Name | Kim J Burchiel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891702726 PECOS PAC ID: 8820984362 Enrollment ID: I20081205000324 |
| Provider Name | Hans L Carlson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902813827 PECOS PAC ID: 7911068119 Enrollment ID: I20081205000682 |
| Provider Name | Atif Zaman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003821513 PECOS PAC ID: 9335200534 Enrollment ID: I20081205000717 |
| Provider Name | Joseph F Quinn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831107390 PECOS PAC ID: 8426119637 Enrollment ID: I20081205000804 |
| Provider Name | Jeffrey A Kaye |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295741783 PECOS PAC ID: 1456412691 Enrollment ID: I20081208000048 |
| Provider Name | Jeanene A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033127550 PECOS PAC ID: 0648331611 Enrollment ID: I20081209000502 |
| Provider Name | Jeffrey T Jensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164430690 PECOS PAC ID: 1153482161 Enrollment ID: I20081209000814 |
| Provider Name | Aclan Dogan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639184153 PECOS PAC ID: 1456412469 Enrollment ID: I20081210000012 |
| Provider Name | Thomas G Deloughery |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063427581 PECOS PAC ID: 0446311377 Enrollment ID: I20081210000206 |
| Provider Name | Tomasz M Beer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669487179 PECOS PAC ID: 6406917335 Enrollment ID: I20081210000238 |
| Provider Name | Gopal Allada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235236019 PECOS PAC ID: 0648331587 Enrollment ID: I20081210000278 |
| Provider Name | Michael C Heinrich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548278005 PECOS PAC ID: 3971608837 Enrollment ID: I20081210000355 |
| Provider Name | Paul B Duell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265448864 PECOS PAC ID: 5193886042 Enrollment ID: I20081210000369 |
| Provider Name | Stephen B Hall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366549131 PECOS PAC ID: 8820159783 Enrollment ID: I20081210000472 |
| Provider Name | Kathryn G Schuff |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487660080 PECOS PAC ID: 3072674936 Enrollment ID: I20081210000498 |
| Provider Name | John G. Nutt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871680827 PECOS PAC ID: 7315008125 Enrollment ID: I20081211000124 |
| Provider Name | John P Hammerstad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174692446 PECOS PAC ID: 2365503117 Enrollment ID: I20081211000455 |
| Provider Name | Michele S Ferchau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447414982 PECOS PAC ID: 1951462712 Enrollment ID: I20081211000596 |
| Provider Name | Catherine M Leclair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750398681 PECOS PAC ID: 2961564620 Enrollment ID: I20081215000586 |
| Provider Name | Keith Y Cheng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306854849 PECOS PAC ID: 1052473568 Enrollment ID: I20081217000472 |
| Provider Name | Sharon R Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447267372 PECOS PAC ID: 7315009636 Enrollment ID: I20081222000103 |
| Provider Name | Vijayshree Yadav |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043225550 PECOS PAC ID: 0244392330 Enrollment ID: I20081226000076 |
| Provider Name | David C Spencer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962419895 PECOS PAC ID: 4587726682 Enrollment ID: I20081226000097 |
| Provider Name | Michael A Seropian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285662114 PECOS PAC ID: 0547322380 Enrollment ID: I20090102000394 |
| Provider Name | Penelope Hogarth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437246485 PECOS PAC ID: 3779646344 Enrollment ID: I20090107000582 |
| Provider Name | Anna C Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750526455 PECOS PAC ID: 2961566708 Enrollment ID: I20090123000096 |
| Provider Name | Amira Y Al Uzri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780699280 PECOS PAC ID: 5294890851 Enrollment ID: I20090213000318 |
| Provider Name | David M Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528155579 PECOS PAC ID: 2466518527 Enrollment ID: I20090226000057 |
| Provider Name | Amy Mee-ran Kobus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376697185 PECOS PAC ID: 1557427523 Enrollment ID: I20090305000038 |
| Provider Name | Jessica K Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154339679 PECOS PAC ID: 4284790916 Enrollment ID: I20090305000043 |
| Provider Name | Jessica S Schlegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780885277 PECOS PAC ID: 3678639895 Enrollment ID: I20090312000500 |
| Provider Name | Victoria W Cartwright |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174591747 PECOS PAC ID: 2961393400 Enrollment ID: I20090318000051 |
| Provider Name | Christopher L Amling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134173032 PECOS PAC ID: 7810920964 Enrollment ID: I20090325000292 |
| Provider Name | Paul W Flint |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669414579 PECOS PAC ID: 9830247683 Enrollment ID: I20090505000072 |
| Provider Name | Amela Blekic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285833780 PECOS PAC ID: 9638227366 Enrollment ID: I20090506000230 |
| Provider Name | Safina F Koreishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568626281 PECOS PAC ID: 5496803967 Enrollment ID: I20090511000576 |
| Provider Name | Scott M Chadderdon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811068752 PECOS PAC ID: 6103855747 Enrollment ID: I20090527000624 |
| Provider Name | Saad F Jazrawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942417118 PECOS PAC ID: 3072683952 Enrollment ID: I20090604000108 |
| Provider Name | Robert L Schelonka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861429987 PECOS PAC ID: 1557412251 Enrollment ID: I20090619000036 |
| Provider Name | Hilary A Shreves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982820692 PECOS PAC ID: 1254482979 Enrollment ID: I20090619000171 |
| Provider Name | Mary S Minette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275548786 PECOS PAC ID: 0941351613 Enrollment ID: I20090620000005 |
| Provider Name | James C Austin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013918267 PECOS PAC ID: 0345391488 Enrollment ID: I20090630000467 |
| Provider Name | Jana M Childes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538348255 PECOS PAC ID: 5496806549 Enrollment ID: I20090630000594 |
| Provider Name | Shaun L Ageno |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760692529 PECOS PAC ID: 4183776909 Enrollment ID: I20090708000706 |
| Provider Name | Daisuke Yamashita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770782047 PECOS PAC ID: 4183776958 Enrollment ID: I20090709000427 |
| Provider Name | Donald A Ross |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477553618 PECOS PAC ID: 1557319308 Enrollment ID: I20090714000672 |
| Provider Name | Andrew D Palmer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487833315 PECOS PAC ID: 2769534080 Enrollment ID: I20090717000340 |
| Provider Name | Priscilla Jane Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518145432 PECOS PAC ID: 5395815971 Enrollment ID: I20090806000772 |
| Provider Name | Jill K Dolata |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851309322 PECOS PAC ID: 2264586221 Enrollment ID: I20090811000350 |
| Provider Name | Laszlo N Kiraly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134324551 PECOS PAC ID: 4486708302 Enrollment ID: I20090812000153 |
| Provider Name | Elizabeth Munro |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508838897 PECOS PAC ID: 4183778970 Enrollment ID: I20090813000014 |
| Provider Name | Linda Bryans |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063692523 PECOS PAC ID: 6709930340 Enrollment ID: I20090818000054 |
| Provider Name | Brendan Patrick Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033233192 PECOS PAC ID: 8921152257 Enrollment ID: I20090820000346 |
| Provider Name | Michele P Megregian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043206279 PECOS PAC ID: 2769536036 Enrollment ID: I20090820000633 |
| Provider Name | Misty L Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083824031 PECOS PAC ID: 5799830824 Enrollment ID: I20090826000084 |
| Provider Name | Scott W Beadnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629206248 PECOS PAC ID: 7113072299 Enrollment ID: I20090826000615 |
| Provider Name | Ryan C Petering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174793301 PECOS PAC ID: 5890840458 Enrollment ID: I20090902000660 |
| Provider Name | Marwan K Mouammar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891780201 PECOS PAC ID: 2163578154 Enrollment ID: I20090916000234 |
| Provider Name | Daniel D Dugi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932302536 PECOS PAC ID: 9830263300 Enrollment ID: I20090916000379 |
| Provider Name | Trisha E Wong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407967912 PECOS PAC ID: 2567518392 Enrollment ID: I20090921000476 |
| Provider Name | Gregory S Blaschke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255308896 PECOS PAC ID: 9638225121 Enrollment ID: I20090924000684 |
| Provider Name | Allison L Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538119433 PECOS PAC ID: 3173589702 Enrollment ID: I20090928000000 |
| Provider Name | Katharine E Zuckerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811023666 PECOS PAC ID: 0840384434 Enrollment ID: I20090928000170 |
| Provider Name | Thomas J Valvano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477521847 PECOS PAC ID: 9133159494 Enrollment ID: I20090928000191 |
| Provider Name | Daniel P Werle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205037272 PECOS PAC ID: 3274689542 Enrollment ID: I20090929000275 |
| Provider Name | Joseph S Doggett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093914533 PECOS PAC ID: 1355497645 Enrollment ID: I20090929000484 |
| Provider Name | Elena K Korngold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497737670 PECOS PAC ID: 6608889811 Enrollment ID: I20090930000736 |
| Provider Name | Julie Nicole Graff |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1942445952 PECOS PAC ID: 2365588258 Enrollment ID: I20091007000102 |
| Provider Name | Valerie Lynn Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942205547 PECOS PAC ID: 0244376077 Enrollment ID: I20091008000595 |
| Provider Name | Sophana Karnchanasorn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710165303 PECOS PAC ID: 6800933276 Enrollment ID: I20091019000102 |
| Provider Name | Farahnaz S Joarder |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205063815 PECOS PAC ID: 2769529437 Enrollment ID: I20091028000858 |
| Provider Name | Andy I Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902900384 PECOS PAC ID: 0143270728 Enrollment ID: I20091106000430 |
| Provider Name | Morgan Basil Hakki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255441556 PECOS PAC ID: 4981694429 Enrollment ID: I20091110000528 |
| Provider Name | Frederick A Tibayan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1174719686 PECOS PAC ID: 4385782333 Enrollment ID: I20091124000436 |
| Provider Name | Kenneth J Scalapino |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003907601 PECOS PAC ID: 1456304179 Enrollment ID: I20091211000734 |
| Provider Name | Angela T Zimmerman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457396038 PECOS PAC ID: 0143361675 Enrollment ID: I20100106000538 |
| Provider Name | Elizabeth Pedigo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366650814 PECOS PAC ID: 2567503006 Enrollment ID: I20100106000618 |
| Provider Name | Elizabeth Rachel Super |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326258773 PECOS PAC ID: 0244371284 Enrollment ID: I20100112000839 |
| Provider Name | Kelvin Macdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942356605 PECOS PAC ID: 8426118464 Enrollment ID: I20100226000878 |
| Provider Name | Vazul F Gabor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891796249 PECOS PAC ID: 3870496292 Enrollment ID: I20100309000195 |
| Provider Name | Meghan Ann Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679715189 PECOS PAC ID: 4486799848 Enrollment ID: I20100310000133 |
| Provider Name | Sandra Iragorri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912982463 PECOS PAC ID: 9436161692 Enrollment ID: I20100312001029 |
| Provider Name | John D Ng |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235181108 PECOS PAC ID: 1951436989 Enrollment ID: I20100316000902 |
| Provider Name | Rachael L Garrett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225080559 PECOS PAC ID: 6103951132 Enrollment ID: I20100316000934 |
| Provider Name | Roger A Dailey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558312835 PECOS PAC ID: 0941335988 Enrollment ID: I20100316001014 |
| Provider Name | John M Boyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891742722 PECOS PAC ID: 7113052150 Enrollment ID: I20100316001019 |
| Provider Name | Joseph E. Robertson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861444192 PECOS PAC ID: 1658377635 Enrollment ID: I20100316001027 |
| Provider Name | Maggie M Conser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528243185 PECOS PAC ID: 3870621824 Enrollment ID: I20100512000366 |
| Provider Name | Ellen Stevenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043246838 PECOS PAC ID: 9436288941 Enrollment ID: I20100521000197 |
| Provider Name | John C Moorhead |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457456147 PECOS PAC ID: 2466581616 Enrollment ID: I20100526000368 |
| Provider Name | Alexandra Verdieck Devlaeminck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114900644 PECOS PAC ID: 1850286576 Enrollment ID: I20100526001130 |
| Provider Name | Avital Y Oglasser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700089463 PECOS PAC ID: 8123158839 Enrollment ID: I20100607000514 |
| Provider Name | Eric B Suhler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275585143 PECOS PAC ID: 7416087317 Enrollment ID: I20100618000382 |
| Provider Name | Craig D Newgard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265528046 PECOS PAC ID: 2466584107 Enrollment ID: I20100716000079 |
| Provider Name | Jessica R Weiss |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770519902 PECOS PAC ID: 4880697952 Enrollment ID: I20100804000082 |
| Provider Name | David M Sibell |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1497786743 PECOS PAC ID: 8820121247 Enrollment ID: I20100804001287 |
| Provider Name | Maria I Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154525897 PECOS PAC ID: 4789742487 Enrollment ID: I20100810000285 |
| Provider Name | Heather M Onoday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376855387 PECOS PAC ID: 3971628330 Enrollment ID: I20100909000388 |
| Provider Name | Peter M Jessel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023136199 PECOS PAC ID: 9638294499 Enrollment ID: I20100916000653 |
| Provider Name | Charles K Enestvedt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962612283 PECOS PAC ID: 2163547977 Enrollment ID: I20100916001381 |
| Provider Name | Matthew L Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720287840 PECOS PAC ID: 9739205113 Enrollment ID: I20100922000917 |
| Provider Name | Jared P Austin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568664852 PECOS PAC ID: 6800982018 Enrollment ID: I20100928001388 |
| Provider Name | Aaron P Bayne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578779492 PECOS PAC ID: 2062538952 Enrollment ID: I20100928001697 |
| Provider Name | Danny W Hsia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790868644 PECOS PAC ID: 5496710683 Enrollment ID: I20101012000459 |
| Provider Name | Erika Finanger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487709259 PECOS PAC ID: 9335116011 Enrollment ID: I20101012000643 |
| Provider Name | Daniel L Gradin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275859399 PECOS PAC ID: 9739372384 Enrollment ID: I20101015000269 |
| Provider Name | Chin K Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467526947 PECOS PAC ID: 3971796491 Enrollment ID: I20101018000018 |
| Provider Name | Emma Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326230715 PECOS PAC ID: 1355534207 Enrollment ID: I20101022001269 |
| Provider Name | Allan L Harrelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437360740 PECOS PAC ID: 7911022322 Enrollment ID: I20101027001147 |
| Provider Name | David Huang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669534483 PECOS PAC ID: 2466428024 Enrollment ID: I20101027001561 |
| Provider Name | Yee-cheen Doung |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881852945 PECOS PAC ID: 8022202514 Enrollment ID: I20101028000895 |
| Provider Name | Alfredo Sabbaj |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336144450 PECOS PAC ID: 2163616681 Enrollment ID: I20101028001251 |
| Provider Name | Erin W Gilbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205946720 PECOS PAC ID: 7618161159 Enrollment ID: I20101028001517 |
| Provider Name | Jonathan Jui |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912907908 PECOS PAC ID: 6608060140 Enrollment ID: I20101028001543 |
| Provider Name | Emily K Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346216876 PECOS PAC ID: 4688868136 Enrollment ID: I20101028001573 |
| Provider Name | Brooke R Beckett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275732679 PECOS PAC ID: 4082808472 Enrollment ID: I20101029000700 |
| Provider Name | Sharon Sarah Green Gorini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003061805 PECOS PAC ID: 8820282221 Enrollment ID: I20101029000808 |
| Provider Name | Christina L Lancioni |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679651699 PECOS PAC ID: 5991732216 Enrollment ID: I20101029000823 |
| Provider Name | Christine E Mullowney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811154602 PECOS PAC ID: 3870787294 Enrollment ID: I20101029001105 |
| Provider Name | Aaron B Caughey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457398430 PECOS PAC ID: 0042394751 Enrollment ID: I20101029001110 |
| Provider Name | Lindsay A Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740595636 PECOS PAC ID: 5597959932 Enrollment ID: I20101029001262 |
| Provider Name | Lindsey Nicol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306801386 PECOS PAC ID: 8820163249 Enrollment ID: I20101104001476 |
| Provider Name | Mark M Shih |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851366801 PECOS PAC ID: 1254525082 Enrollment ID: I20101104001625 |
| Provider Name | Erica E Kiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780838318 PECOS PAC ID: 6002979382 Enrollment ID: I20101105000516 |
| Provider Name | Michael I Lieberman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518275155 PECOS PAC ID: 4981898764 Enrollment ID: I20101105000531 |
| Provider Name | Venay Uecke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649447327 PECOS PAC ID: 4385692003 Enrollment ID: I20101109000893 |
| Provider Name | Abigail A Lenhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861694390 PECOS PAC ID: 9436344884 Enrollment ID: I20101110001127 |
| Provider Name | Melissa Carol Weddle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205803475 PECOS PAC ID: 8325101546 Enrollment ID: I20101119000044 |
| Provider Name | Kathryn L. Schabel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770764995 PECOS PAC ID: 9537227095 Enrollment ID: I20101119000162 |
| Provider Name | Donna H Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073769592 PECOS PAC ID: 1254527369 Enrollment ID: I20101130001327 |
| Provider Name | Lishiana S Shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497827158 PECOS PAC ID: 6901824275 Enrollment ID: I20101202000897 |
| Provider Name | Berklee Robins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851328041 PECOS PAC ID: 8628265436 Enrollment ID: I20101206001042 |
| Provider Name | Erica M. J. Degenhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851607196 PECOS PAC ID: 7911194592 Enrollment ID: I20101208000665 |
| Provider Name | Evan B Shereck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184742140 PECOS PAC ID: 0446448344 Enrollment ID: I20101220000258 |
| Provider Name | Anjalee Nix Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003065640 PECOS PAC ID: 2163611211 Enrollment ID: I20110105001033 |
| Provider Name | Kevin M Senn |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1013973668 PECOS PAC ID: 0244201507 Enrollment ID: I20110111000419 |
| Provider Name | Elizabeth A Palmer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801042163 PECOS PAC ID: 8628267168 Enrollment ID: I20110113000898 |
| Provider Name | Dawn M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093836934 PECOS PAC ID: 3072702372 Enrollment ID: I20110118000349 |
| Provider Name | Jessica A Clarke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922291236 PECOS PAC ID: 6608055363 Enrollment ID: I20110126001092 |
| Provider Name | Christopher V Chien |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1477732535 PECOS PAC ID: 9830378272 Enrollment ID: I20110201000044 |
| Provider Name | Mark E Engelstad |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1437102746 PECOS PAC ID: 8426069410 Enrollment ID: I20110221000629 |
| Provider Name | Sonia E W Sosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396949749 PECOS PAC ID: 8123209095 Enrollment ID: I20110224000974 |
| Provider Name | Anne C Trainor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154346567 PECOS PAC ID: 3072570969 Enrollment ID: I20110321000777 |
| Provider Name | Bart C Moulton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891841409 PECOS PAC ID: 3476736505 Enrollment ID: I20110325000743 |
| Provider Name | Yen D Tibayan |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1932297322 PECOS PAC ID: 8123180809 Enrollment ID: I20110326000058 |
| Provider Name | Nicole E Marshall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609062728 PECOS PAC ID: 2062695117 Enrollment ID: I20110326000059 |
| Provider Name | Samuel C Crane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801031588 PECOS PAC ID: 0345424743 Enrollment ID: I20110408000624 |
| Provider Name | Christopher G Conrady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790759991 PECOS PAC ID: 5890979942 Enrollment ID: I20110413001054 |
| Provider Name | George V Thomas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073546909 PECOS PAC ID: 5597941781 Enrollment ID: I20110524000637 |
| Provider Name | Jennifer L Mccall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063615672 PECOS PAC ID: 8123205002 Enrollment ID: I20110601000443 |
| Provider Name | Tracy R Severson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588869747 PECOS PAC ID: 9739238122 Enrollment ID: I20110608000687 |
| Provider Name | Lydia K Chiang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801956230 PECOS PAC ID: 1557548187 Enrollment ID: I20110608000719 |
| Provider Name | Maureen K Baldwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962606483 PECOS PAC ID: 9335327402 Enrollment ID: I20110621000399 |
| Provider Name | Benjamin Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669649653 PECOS PAC ID: 8325226814 Enrollment ID: I20110705000383 |
| Provider Name | Jennifer B Dunlap |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912106451 PECOS PAC ID: 2062680275 Enrollment ID: I20110713000865 |
| Provider Name | Paul Motika |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770600405 PECOS PAC ID: 8426123332 Enrollment ID: I20110718000413 |
| Provider Name | Shinpei Shibata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609179639 PECOS PAC ID: 2365610367 Enrollment ID: I20110718000776 |
| Provider Name | Sabra L Leitenberger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528250727 PECOS PAC ID: 0446428445 Enrollment ID: I20110718000783 |
| Provider Name | Stephanie L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427361690 PECOS PAC ID: 9234307091 Enrollment ID: I20110721000396 |
| Provider Name | Amy Cantor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790980456 PECOS PAC ID: 2365610136 Enrollment ID: I20110721000468 |
| Provider Name | Rachel R Bengtzen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417115197 PECOS PAC ID: 3971772393 Enrollment ID: I20110801000689 |
| Provider Name | Shana Gittle Kusin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750575239 PECOS PAC ID: 0749459188 Enrollment ID: I20110801000880 |
| Provider Name | Jacqueline Vuky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851462998 PECOS PAC ID: 8022001585 Enrollment ID: I20110805000357 |
| Provider Name | Alison H Skalet |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093940579 PECOS PAC ID: 3173792017 Enrollment ID: I20110809000720 |
| Provider Name | Kamran Sajadi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508986530 PECOS PAC ID: 5991857633 Enrollment ID: I20110809000804 |
| Provider Name | Khashayar Farsad |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376578609 PECOS PAC ID: 8224169313 Enrollment ID: I20110810000191 |
| Provider Name | Carl O Eriksson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336262450 PECOS PAC ID: 1850482811 Enrollment ID: I20110810000207 |
| Provider Name | Danny C Duke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427342237 PECOS PAC ID: 4284803073 Enrollment ID: I20110812000006 |
| Provider Name | Amit Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861607434 PECOS PAC ID: 5193994986 Enrollment ID: I20110812000009 |
| Provider Name | Beech S Burns |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346495603 PECOS PAC ID: 1456520147 Enrollment ID: I20110815000624 |
| Provider Name | Erin J Madriago |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073723656 PECOS PAC ID: 4789853201 Enrollment ID: I20110817000607 |
| Provider Name | Leslie E Kahl |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467479923 PECOS PAC ID: 2769515287 Enrollment ID: I20110818000259 |
| Provider Name | Amir F Azarbal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497951867 PECOS PAC ID: 2769651249 Enrollment ID: I20110818000291 |
| Provider Name | Targol Saedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396919874 PECOS PAC ID: 5991984783 Enrollment ID: I20110818000433 |
| Provider Name | Diana H Wu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760602569 PECOS PAC ID: 8729151303 Enrollment ID: I20110818000813 |
| Provider Name | Benjamin D Hoffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639185200 PECOS PAC ID: 2163517160 Enrollment ID: I20110818000886 |
| Provider Name | Ellen J Davis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376734368 PECOS PAC ID: 9830369107 Enrollment ID: I20110823000931 |
| Provider Name | Pavan Chopra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851473730 PECOS PAC ID: 1759312028 Enrollment ID: I20110823001062 |
| Provider Name | Bryan R Foster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710152632 PECOS PAC ID: 1355465592 Enrollment ID: I20110824000188 |
| Provider Name | Linda V Muir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386684470 PECOS PAC ID: 4688623853 Enrollment ID: I20110824000368 |
| Provider Name | Brian E Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962659300 PECOS PAC ID: 7113197054 Enrollment ID: I20110831000671 |
| Provider Name | Jason C Hedges |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639384720 PECOS PAC ID: 5193995009 Enrollment ID: I20110901000674 |
| Provider Name | Brianna L Sustersic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942468939 PECOS PAC ID: 4688844509 Enrollment ID: I20110901000737 |
| Provider Name | Megan E Mcchesney |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184746562 PECOS PAC ID: 2567632482 Enrollment ID: I20110901000773 |
| Provider Name | Jane Kim-hoffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144314527 PECOS PAC ID: 4486796380 Enrollment ID: I20110907001199 |
| Provider Name | Sarah J Diamond |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346495785 PECOS PAC ID: 5294906772 Enrollment ID: I20110913000466 |
| Provider Name | Mubeen A Jafri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245433184 PECOS PAC ID: 8022289511 Enrollment ID: I20110913000563 |
| Provider Name | Jeffrey M Healey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710275938 PECOS PAC ID: 4688845050 Enrollment ID: I20110914000669 |
| Provider Name | Rebecca A Hall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043378003 PECOS PAC ID: 6305017781 Enrollment ID: I20110914000797 |
| Provider Name | Courtney K Nall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487853107 PECOS PAC ID: 3274716220 Enrollment ID: I20110920000103 |
| Provider Name | Anne Gross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952437360 PECOS PAC ID: 2264563246 Enrollment ID: I20110920000513 |
| Provider Name | Aleksandra A Mcleod |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457564833 PECOS PAC ID: 4587835657 Enrollment ID: I20110921000393 |
| Provider Name | Smriti Ohri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184880353 PECOS PAC ID: 2062683154 Enrollment ID: I20110921000618 |
| Provider Name | Melissa Novak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952575391 PECOS PAC ID: 2769550342 Enrollment ID: I20110929000621 |
| Provider Name | Viktoriya D Monroe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649431693 PECOS PAC ID: 1153593363 Enrollment ID: I20111012000724 |
| Provider Name | Vassiliki Tsikitis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1952503062 PECOS PAC ID: 2567553993 Enrollment ID: I20111013000071 |
| Provider Name | Laura F Newell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477539203 PECOS PAC ID: 7416138425 Enrollment ID: I20111018000861 |
| Provider Name | Daniel Petrisor |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1235332834 PECOS PAC ID: 1355465576 Enrollment ID: I20111026000020 |
| Provider Name | Charles A Henrikson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235199704 PECOS PAC ID: 5799715264 Enrollment ID: I20111026000948 |
| Provider Name | Eriko Onishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538261573 PECOS PAC ID: 4688636640 Enrollment ID: I20111026000958 |
| Provider Name | Meg A Devoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255591970 PECOS PAC ID: 6406029933 Enrollment ID: I20111028000436 |
| Provider Name | Deborah M Rock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699709311 PECOS PAC ID: 7214100759 Enrollment ID: I20111028000589 |
| Provider Name | Bettricia A Otto |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629086491 PECOS PAC ID: 9931103827 Enrollment ID: I20111102000263 |
| Provider Name | Kimberly Hutchison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689761710 PECOS PAC ID: 7113965583 Enrollment ID: I20111102000471 |
| Provider Name | Paolo Antonio R Punsalan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568743003 PECOS PAC ID: 2567635717 Enrollment ID: I20111103000155 |
| Provider Name | Kathryn W Holmes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477584142 PECOS PAC ID: 7113938838 Enrollment ID: I20111103000192 |
| Provider Name | Kimberly E Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720370935 PECOS PAC ID: 6901079177 Enrollment ID: I20111103000331 |
| Provider Name | Vivek K Unni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477670255 PECOS PAC ID: 6103991518 Enrollment ID: I20111108000703 |
| Provider Name | Janice H Jou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679531941 PECOS PAC ID: 5193998193 Enrollment ID: I20111108000763 |
| Provider Name | Ryan B Hutchison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427062595 PECOS PAC ID: 5991767758 Enrollment ID: I20111108000923 |
| Provider Name | Christopher Pfeiffer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760440044 PECOS PAC ID: 6103979067 Enrollment ID: I20111116000533 |
| Provider Name | Lorri B Wilson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558427286 PECOS PAC ID: 4587838735 Enrollment ID: I20111128000264 |
| Provider Name | Sara J Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578855490 PECOS PAC ID: 2567637390 Enrollment ID: I20111206000849 |
| Provider Name | Katherine Jorda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629236237 PECOS PAC ID: 7810162310 Enrollment ID: I20111212000822 |
| Provider Name | Emma C Scott |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1821204934 PECOS PAC ID: 4688849052 Enrollment ID: I20111213000856 |
| Provider Name | Jonathan R Soffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316222136 PECOS PAC ID: 9032385414 Enrollment ID: I20120106000153 |
| Provider Name | Khidir A Dalouk |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386823987 PECOS PAC ID: 3577690056 Enrollment ID: I20120111000291 |
| Provider Name | Andy Stuart Barnett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194717819 PECOS PAC ID: 6901805597 Enrollment ID: I20120223000480 |
| Provider Name | Kathleen J Wilder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861609521 PECOS PAC ID: 6608964655 Enrollment ID: I20120223000506 |
| Provider Name | James B Clements |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811170905 PECOS PAC ID: 3072781848 Enrollment ID: I20120518000379 |
| Provider Name | Lisa L Bayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801069232 PECOS PAC ID: 5597928002 Enrollment ID: I20120521000366 |
| Provider Name | John P. Campbell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255598041 PECOS PAC ID: 2466615984 Enrollment ID: I20120521000503 |
| Provider Name | Tiffany Jean Culbertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124384334 PECOS PAC ID: 5799948139 Enrollment ID: I20120522000775 |
| Provider Name | Dean L Laochamroonvorapongse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659539096 PECOS PAC ID: 2567625932 Enrollment ID: I20120522001020 |
| Provider Name | Michelle Burke Noelck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487897138 PECOS PAC ID: 4183887557 Enrollment ID: I20120522001042 |
| Provider Name | Jamie B Warren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396955761 PECOS PAC ID: 4880857259 Enrollment ID: I20120522001070 |
| Provider Name | Mikelle D Bassett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942212170 PECOS PAC ID: 4880768399 Enrollment ID: I20120522001310 |
| Provider Name | Nir Modiano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073790788 PECOS PAC ID: 3779658414 Enrollment ID: I20120529000186 |
| Provider Name | Robert Jason Coryell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619082070 PECOS PAC ID: 3779746821 Enrollment ID: I20120530000067 |
| Provider Name | Annette Meliza Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437311016 PECOS PAC ID: 9335302314 Enrollment ID: I20120601000053 |
| Provider Name | Jessica Anne Bailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801020953 PECOS PAC ID: 0547424558 Enrollment ID: I20120601000504 |
| Provider Name | Christine Rose Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689945560 PECOS PAC ID: 3072777283 Enrollment ID: I20120619000155 |
| Provider Name | Olga Sergeevna Senashova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578730438 PECOS PAC ID: 6901061670 Enrollment ID: I20120702000153 |
| Provider Name | David C Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255644886 PECOS PAC ID: 0143486118 Enrollment ID: I20120718000733 |
| Provider Name | Darren Malinoski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154353969 PECOS PAC ID: 2062411317 Enrollment ID: I20120718000744 |
| Provider Name | Patricia J Ritze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578705737 PECOS PAC ID: 9739345687 Enrollment ID: I20120723000447 |
| Provider Name | Jamie O Lo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215182035 PECOS PAC ID: 7810153632 Enrollment ID: I20120724000255 |
| Provider Name | Justin John Leitenberger |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1508027616 PECOS PAC ID: 4981860624 Enrollment ID: I20120724000509 |
| Provider Name | Joseph Ahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497770416 PECOS PAC ID: 5799778882 Enrollment ID: I20120727000327 |
| Provider Name | Ramya Ramraj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770731671 PECOS PAC ID: 9436315918 Enrollment ID: I20120727000483 |
| Provider Name | Renee K Dversdal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164659637 PECOS PAC ID: 5799947404 Enrollment ID: I20120727000493 |
| Provider Name | Joe M Skariah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023058070 PECOS PAC ID: 9931254158 Enrollment ID: I20120727000531 |
| Provider Name | Erin Marie Murchan Bonura |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013071125 PECOS PAC ID: 4385890078 Enrollment ID: I20120813000383 |
| Provider Name | Elie Abraham Traer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295933729 PECOS PAC ID: 7618123290 Enrollment ID: I20120814000670 |
| Provider Name | Jonathan T Pak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467657056 PECOS PAC ID: 9436305018 Enrollment ID: I20120814000676 |
| Provider Name | Andre Mansoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164658001 PECOS PAC ID: 4284880725 Enrollment ID: I20120815000702 |
| Provider Name | Bory Kea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457687469 PECOS PAC ID: 6305093691 Enrollment ID: I20120821000706 |
| Provider Name | Megan Stack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033478409 PECOS PAC ID: 2567619794 Enrollment ID: I20120823000338 |
| Provider Name | Angela Ethridge Alday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861636003 PECOS PAC ID: 1951559905 Enrollment ID: I20120917000233 |
| Provider Name | Tamara J Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831420017 PECOS PAC ID: 2769630474 Enrollment ID: I20121017000654 |
| Provider Name | Brian D Duty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841410222 PECOS PAC ID: 7719010784 Enrollment ID: I20121018000490 |
| Provider Name | Fergus V Coakley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306800453 PECOS PAC ID: 4587611025 Enrollment ID: I20121018000509 |
| Provider Name | Paul Yang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295995264 PECOS PAC ID: 2062538929 Enrollment ID: I20121019000671 |
| Provider Name | Patricia Lynn Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518976679 PECOS PAC ID: 0547227035 Enrollment ID: I20121022000566 |
| Provider Name | Johanna C Nesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356607931 PECOS PAC ID: 1355591561 Enrollment ID: I20121024000826 |
| Provider Name | Maureen Delongis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225101686 PECOS PAC ID: 8426208356 Enrollment ID: I20121030000257 |
| Provider Name | Marissa Marie Maier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346446119 PECOS PAC ID: 7618127556 Enrollment ID: I20121030000359 |
| Provider Name | Daniel C Tu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467610311 PECOS PAC ID: 6305096272 Enrollment ID: I20121031000048 |
| Provider Name | Danielle Ann Cataxinos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295964310 PECOS PAC ID: 5092965806 Enrollment ID: I20121031000564 |
| Provider Name | Derek Jeremy Lam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104938091 PECOS PAC ID: 8628229291 Enrollment ID: I20121107000232 |
| Provider Name | Valerie L Sweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881940229 PECOS PAC ID: 7810148483 Enrollment ID: I20121107000314 |
| Provider Name | Allison Lindauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134273212 PECOS PAC ID: 2961393228 Enrollment ID: I20121107000419 |
| Provider Name | Caroline Tse |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1629202106 PECOS PAC ID: 8820249287 Enrollment ID: I20121112000312 |
| Provider Name | Craig S Mcdougall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679716716 PECOS PAC ID: 5496906877 Enrollment ID: I20121112000557 |
| Provider Name | Meera Mahendra Kanakia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467600940 PECOS PAC ID: 1153482955 Enrollment ID: I20121114000178 |
| Provider Name | Amy L Stenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629286323 PECOS PAC ID: 8224104906 Enrollment ID: I20121119000225 |
| Provider Name | Ryan Alexander Priest |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144475567 PECOS PAC ID: 8426209404 Enrollment ID: I20121126000209 |
| Provider Name | Timothy Herrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063697159 PECOS PAC ID: 3779734769 Enrollment ID: I20121126000251 |
| Provider Name | Sergio A Toledo Valdovinos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215288170 PECOS PAC ID: 6608027552 Enrollment ID: I20121127000383 |
| Provider Name | Laura R Jenson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720226970 PECOS PAC ID: 6507018314 Enrollment ID: I20121130000151 |
| Provider Name | Tarvez Tucker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770537839 PECOS PAC ID: 9537067319 Enrollment ID: I20121204000300 |
| Provider Name | Andrea S Gepner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003193640 PECOS PAC ID: 2567614126 Enrollment ID: I20121205000099 |
| Provider Name | Marissa Christine Macedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104177989 PECOS PAC ID: 1557513116 Enrollment ID: I20121205000110 |
| Provider Name | Brian Scottoline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669409223 PECOS PAC ID: 9739350976 Enrollment ID: I20121217000185 |
| Provider Name | William B Messer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508085739 PECOS PAC ID: 0749437192 Enrollment ID: I20121221000084 |
| Provider Name | Alexandra K Dimitrova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295980951 PECOS PAC ID: 8527210590 Enrollment ID: I20121221000090 |
| Provider Name | April D Mitsch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003173600 PECOS PAC ID: 8325202500 Enrollment ID: I20121227000455 |
| Provider Name | Charles David Blanke |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1639187198 PECOS PAC ID: 3072766971 Enrollment ID: I20121228000300 |
| Provider Name | Sarah Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942551353 PECOS PAC ID: 1456505585 Enrollment ID: I20130125000190 |
| Provider Name | Rogelyn Pacariem Harlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568715399 PECOS PAC ID: 6002060696 Enrollment ID: I20130207000097 |
| Provider Name | Diana L Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821372715 PECOS PAC ID: 3779756820 Enrollment ID: I20130308000468 |
| Provider Name | Merav Sendowski |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1295747327 PECOS PAC ID: 9335385665 Enrollment ID: I20130411000326 |
| Provider Name | Jenna Fiorella-bufkin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245582873 PECOS PAC ID: 7517103716 Enrollment ID: I20130412000486 |
| Provider Name | Sarah Arn Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407191042 PECOS PAC ID: 7517104656 Enrollment ID: I20130509000557 |
| Provider Name | Christine Marcou Eighmey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265633234 PECOS PAC ID: 1850538687 Enrollment ID: I20130514000650 |
| Provider Name | Ines Guttmann Bauman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770532947 PECOS PAC ID: 9931191517 Enrollment ID: I20130515000704 |
| Provider Name | Kara J Connelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730383431 PECOS PAC ID: 2163677097 Enrollment ID: I20130521000264 |
| Provider Name | Kristina Maria Haley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366608911 PECOS PAC ID: 7113172743 Enrollment ID: I20130521000550 |
| Provider Name | Philbert Van |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275743353 PECOS PAC ID: 4082869722 Enrollment ID: I20130603000468 |
| Provider Name | Raegan B Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669672234 PECOS PAC ID: 0840438842 Enrollment ID: I20130604000091 |
| Provider Name | Mary Elizabeth Tanski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225268113 PECOS PAC ID: 4587802442 Enrollment ID: I20130604000915 |
| Provider Name | Brian David Leese |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487979324 PECOS PAC ID: 3173768835 Enrollment ID: I20130606000231 |
| Provider Name | Carrie Ann Sailer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629393392 PECOS PAC ID: 2365697513 Enrollment ID: I20130606000352 |
| Provider Name | David Christopher Harmon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104144930 PECOS PAC ID: 4981857059 Enrollment ID: I20130612000159 |
| Provider Name | Anup Panduranga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316108202 PECOS PAC ID: 2365696697 Enrollment ID: I20130614000288 |
| Provider Name | Jennifer R. Fowler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679919807 PECOS PAC ID: 9335389972 Enrollment ID: I20130703000062 |
| Provider Name | Weronika M Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780837351 PECOS PAC ID: 3173763646 Enrollment ID: I20130703000419 |
| Provider Name | Amanda Kay Matzke Vansandt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316104888 PECOS PAC ID: 8224283130 Enrollment ID: I20130703000476 |
| Provider Name | Joshua Gene Kornegay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811213770 PECOS PAC ID: 9436304235 Enrollment ID: I20130703000580 |
| Provider Name | Julia C Durrant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871665828 PECOS PAC ID: 1254509003 Enrollment ID: I20130703000640 |
| Provider Name | Nicole M Fett |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184682437 PECOS PAC ID: 3577601061 Enrollment ID: I20130703000694 |
| Provider Name | Andrew S Lasky |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982625778 PECOS PAC ID: 1658346630 Enrollment ID: I20130708000607 |
| Provider Name | Mitchell B Sally |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932304284 PECOS PAC ID: 4880849520 Enrollment ID: I20130710000461 |
| Provider Name | Marian Livingston Dale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649405507 PECOS PAC ID: 0941440101 Enrollment ID: I20130711000316 |
| Provider Name | Rebecca Suzanne Foreman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962639831 PECOS PAC ID: 1153561329 Enrollment ID: I20130711000398 |
| Provider Name | James A Heilman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073839049 PECOS PAC ID: 7810137908 Enrollment ID: I20130715000133 |
| Provider Name | Scott H Ambruster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760686505 PECOS PAC ID: 5496810681 Enrollment ID: I20130718000415 |
| Provider Name | Melinda Cushing Riter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699090092 PECOS PAC ID: 0840445474 Enrollment ID: I20130724001003 |
| Provider Name | Jenny Lupovici Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205094406 PECOS PAC ID: 3971744129 Enrollment ID: I20130730000887 |
| Provider Name | Sancy A Leachman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295833788 PECOS PAC ID: 7416942917 Enrollment ID: I20130808000505 |
| Provider Name | Cynthia A Gingalewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043300502 PECOS PAC ID: 0042245292 Enrollment ID: I20130816000384 |
| Provider Name | Carolyn M Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477856409 PECOS PAC ID: 5698955268 Enrollment ID: I20130816000437 |
| Provider Name | Kristen L Mackiewicz Seghete |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114259546 PECOS PAC ID: 1759523996 Enrollment ID: I20130816000817 |
| Provider Name | James E Meeker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659592566 PECOS PAC ID: 2769651520 Enrollment ID: I20130822000088 |
| Provider Name | Jennifer A Stephani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891003091 PECOS PAC ID: 9739322504 Enrollment ID: I20130826000968 |
| Provider Name | Tamara M Grigsby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548257298 PECOS PAC ID: 9032352349 Enrollment ID: I20130905000039 |
| Provider Name | Lara Emily Davis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508992215 PECOS PAC ID: 1153576780 Enrollment ID: I20130906000044 |
| Provider Name | James A Suero |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316909419 PECOS PAC ID: 9032244074 Enrollment ID: I20130911000506 |
| Provider Name | Jessica L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932491032 PECOS PAC ID: 2860636750 Enrollment ID: I20130916000178 |
| Provider Name | Ashok Muralidaran |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356537393 PECOS PAC ID: 8224208350 Enrollment ID: I20130917000142 |
| Provider Name | Robert Bryant Mclafferty |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295721728 PECOS PAC ID: 0547390379 Enrollment ID: I20130917000610 |
| Provider Name | Michael S Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750516456 PECOS PAC ID: 7315192259 Enrollment ID: I20130926000501 |
| Provider Name | Kenneth Scott Azarow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235119561 PECOS PAC ID: 4284796103 Enrollment ID: I20130930000607 |
| Provider Name | Jeremy P Cetnar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104804970 PECOS PAC ID: 5991744351 Enrollment ID: I20130930000613 |
| Provider Name | Eva Medvedova |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1831242718 PECOS PAC ID: 6305034950 Enrollment ID: I20131004000289 |
| Provider Name | Christopher A Hargunani |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952337610 PECOS PAC ID: 7416959515 Enrollment ID: I20131023001712 |
| Provider Name | Rachel J Cook |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598735748 PECOS PAC ID: 3971653643 Enrollment ID: I20131027000008 |
| Provider Name | Amy Leigh Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740411180 PECOS PAC ID: 0143455253 Enrollment ID: I20131027000010 |
| Provider Name | Andrew Richard Riley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316383193 PECOS PAC ID: 1052546165 Enrollment ID: I20131027000012 |
| Provider Name | Jennifer J Lane |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720412778 PECOS PAC ID: 2961637079 Enrollment ID: I20131027000014 |
| Provider Name | Susan M Gritzner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255560983 PECOS PAC ID: 7719112788 Enrollment ID: I20131029000013 |
| Provider Name | Julia E Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346536992 PECOS PAC ID: 0547495301 Enrollment ID: I20131101000975 |
| Provider Name | Jacqueline Louise Trussell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982040291 PECOS PAC ID: 9436384245 Enrollment ID: I20131104000888 |
| Provider Name | Sean C Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558686683 PECOS PAC ID: 5991950529 Enrollment ID: I20131118001185 |
| Provider Name | Donald Richard Sullivan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003019621 PECOS PAC ID: 7911152749 Enrollment ID: I20131122001950 |
| Provider Name | Devon M Paldi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205067642 PECOS PAC ID: 6608004643 Enrollment ID: I20140120000662 |
| Provider Name | Joycelyn O. Niimi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376743971 PECOS PAC ID: 8426116765 Enrollment ID: I20140212000770 |
| Provider Name | Daryl Ann Plotzker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962823278 PECOS PAC ID: 8123258993 Enrollment ID: I20140224001713 |
| Provider Name | Maros Ferencik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609938638 PECOS PAC ID: 7911165345 Enrollment ID: I20140226000463 |
| Provider Name | Timur Mitin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679745822 PECOS PAC ID: 8921265117 Enrollment ID: I20140226000853 |
| Provider Name | Michelle I Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609142009 PECOS PAC ID: 3577711795 Enrollment ID: I20140308000327 |
| Provider Name | Amy S Holley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346558848 PECOS PAC ID: 1052507712 Enrollment ID: I20140327000539 |
| Provider Name | Annie F Kuo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679731798 PECOS PAC ID: 8921292343 Enrollment ID: I20140404001120 |
| Provider Name | Kristina L Bajema |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275829129 PECOS PAC ID: 2668612383 Enrollment ID: I20140416002519 |
| Provider Name | Cherry C Pisigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639592231 PECOS PAC ID: 8729211339 Enrollment ID: I20140506002361 |
| Provider Name | Kristen Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417203605 PECOS PAC ID: 1557594884 Enrollment ID: I20140512001026 |
| Provider Name | David M. Adelson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861465247 PECOS PAC ID: 8729076559 Enrollment ID: I20140513002206 |
| Provider Name | Ben Z. Reiter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841255528 PECOS PAC ID: 4587656210 Enrollment ID: I20140514000278 |
| Provider Name | Rachael O. Postman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609147719 PECOS PAC ID: 2163645359 Enrollment ID: I20140515000357 |
| Provider Name | Andrei D. Sdrulla |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1861648362 PECOS PAC ID: 0446409593 Enrollment ID: I20140519001071 |
| Provider Name | Lidija Mcgrath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073803086 PECOS PAC ID: 2365687266 Enrollment ID: I20140519001457 |
| Provider Name | Brian C Ricci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366734881 PECOS PAC ID: 4981841020 Enrollment ID: I20140522001631 |
| Provider Name | Louise E. Vaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881894293 PECOS PAC ID: 9335273754 Enrollment ID: I20140523001367 |
| Provider Name | Matthew G. Drake |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245487875 PECOS PAC ID: 1254501513 Enrollment ID: I20140528000461 |
| Provider Name | Eliesa A Ing |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659499317 PECOS PAC ID: 2668695388 Enrollment ID: I20140528001137 |
| Provider Name | Ted Huang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356469902 PECOS PAC ID: 6305937921 Enrollment ID: I20140603001009 |
| Provider Name | Phil H Alday |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417181629 PECOS PAC ID: 8921253550 Enrollment ID: I20140605000895 |
| Provider Name | John Leland Clements |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700907516 PECOS PAC ID: 0244355790 Enrollment ID: I20140612001741 |
| Provider Name | Myriam Loyo Martinez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922232263 PECOS PAC ID: 1557510096 Enrollment ID: I20140612001889 |
| Provider Name | David Robert Pettersson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639313273 PECOS PAC ID: 0345495115 Enrollment ID: I20140613000543 |
| Provider Name | Ida S. Khaki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275822371 PECOS PAC ID: 3577718170 Enrollment ID: I20140613002149 |
| Provider Name | Patricio Riquelme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023317492 PECOS PAC ID: 2961626866 Enrollment ID: I20140616002236 |
| Provider Name | Moira K Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255622494 PECOS PAC ID: 2860637048 Enrollment ID: I20140617002447 |
| Provider Name | Staci L. Colovos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366786261 PECOS PAC ID: 5092939744 Enrollment ID: I20140619000377 |
| Provider Name | Rebecca E Cantone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902191794 PECOS PAC ID: 4385868934 Enrollment ID: I20140620002075 |
| Provider Name | Leo Han |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982920393 PECOS PAC ID: 3375767932 Enrollment ID: I20140623000267 |
| Provider Name | Angela Y Douglas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831482694 PECOS PAC ID: 4486809977 Enrollment ID: I20140626001372 |
| Provider Name | David H Zonies |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558573907 PECOS PAC ID: 6103002043 Enrollment ID: I20140627000438 |
| Provider Name | Christopher Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811160468 PECOS PAC ID: 2668520289 Enrollment ID: I20140627002106 |
| Provider Name | Amanda Jo Hanks Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043470057 PECOS PAC ID: 3274788815 Enrollment ID: I20140630001964 |
| Provider Name | Elizabeth Fialkowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659497709 PECOS PAC ID: 5193940450 Enrollment ID: I20140701000938 |
| Provider Name | Juan Piantino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588866586 PECOS PAC ID: 7315162435 Enrollment ID: I20140703001778 |
| Provider Name | David A Kube |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801853338 PECOS PAC ID: 7810184744 Enrollment ID: I20140707002153 |
| Provider Name | Christina Trevino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437161494 PECOS PAC ID: 6103850896 Enrollment ID: I20140708002127 |
| Provider Name | Brian K. Jordan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447457205 PECOS PAC ID: 7719165752 Enrollment ID: I20140708002553 |
| Provider Name | Emmanuelle Pare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528099579 PECOS PAC ID: 7810152691 Enrollment ID: I20140709000401 |
| Provider Name | Ambar Faridi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831325976 PECOS PAC ID: 6608011440 Enrollment ID: I20140709002737 |
| Provider Name | Masahiro Horikawa |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538587118 PECOS PAC ID: 9436374147 Enrollment ID: I20140711001578 |
| Provider Name | Stephanie K Cramer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578889218 PECOS PAC ID: 5092960757 Enrollment ID: I20140711002173 |
| Provider Name | Laurel K Hallock Koppelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942623764 PECOS PAC ID: 5395960033 Enrollment ID: I20140714000426 |
| Provider Name | Jacqueline M. Brady |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356585889 PECOS PAC ID: 1658526280 Enrollment ID: I20140715002249 |
| Provider Name | Afshan A. Nanji |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134381718 PECOS PAC ID: 9133376361 Enrollment ID: I20140722002544 |
| Provider Name | Sean B Orenstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053518944 PECOS PAC ID: 1850517657 Enrollment ID: I20140731001850 |
| Provider Name | Ami Bear |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568787711 PECOS PAC ID: 8921124702 Enrollment ID: I20140808000519 |
| Provider Name | Alexander Guimaraes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194791764 PECOS PAC ID: 3577533413 Enrollment ID: I20140811000518 |
| Provider Name | Dmitry Dukhovny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346435153 PECOS PAC ID: 9032240155 Enrollment ID: I20140811001206 |
| Provider Name | Neisha A D'souza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083856249 PECOS PAC ID: 9830344647 Enrollment ID: I20140812000400 |
| Provider Name | Cydni N Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437303443 PECOS PAC ID: 6406088418 Enrollment ID: I20140815000949 |
| Provider Name | Karen J Brasel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073564423 PECOS PAC ID: 7517052343 Enrollment ID: I20140902001739 |
| Provider Name | Irving Shen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396836268 PECOS PAC ID: 6002818630 Enrollment ID: I20140910000036 |
| Provider Name | Christina Sayama |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801031851 PECOS PAC ID: 8729229836 Enrollment ID: I20140922000544 |
| Provider Name | Daniel R. Clayburgh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194984260 PECOS PAC ID: 5496900029 Enrollment ID: I20140924001882 |
| Provider Name | Susanne W Duvall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629478235 PECOS PAC ID: 5991924987 Enrollment ID: I20140924002444 |
| Provider Name | Tanja Epley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336119635 PECOS PAC ID: 9436212230 Enrollment ID: I20140925000324 |
| Provider Name | Christine S. Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497999767 PECOS PAC ID: 0749415925 Enrollment ID: I20140930000622 |
| Provider Name | Elizabeth Claire Yiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598165318 PECOS PAC ID: 9830319581 Enrollment ID: I20141001002304 |
| Provider Name | Jessica Lynn Bordley |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902121890 PECOS PAC ID: 8022263813 Enrollment ID: I20141002000630 |
| Provider Name | Sandra Vancalcar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790832152 PECOS PAC ID: 2668692252 Enrollment ID: I20141002000762 |
| Provider Name | Stephanie E Dukhovny |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801054531 PECOS PAC ID: 5597889808 Enrollment ID: I20141002002193 |
| Provider Name | Louise Louise Marasco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295137693 PECOS PAC ID: 2062641913 Enrollment ID: I20141003002302 |
| Provider Name | Michael J Hendricks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619294386 PECOS PAC ID: 7517103807 Enrollment ID: I20141016000290 |
| Provider Name | Allison R Loh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013234442 PECOS PAC ID: 2466673322 Enrollment ID: I20141020000696 |
| Provider Name | Suzanne Kavet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760685739 PECOS PAC ID: 8325269616 Enrollment ID: I20141030001497 |
| Provider Name | Enjae Jung |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376762849 PECOS PAC ID: 2668601105 Enrollment ID: I20141104000401 |
| Provider Name | Renee Carisio Farber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700855517 PECOS PAC ID: 2264525666 Enrollment ID: I20141105001124 |
| Provider Name | Svetlana Kotova |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588827232 PECOS PAC ID: 2567609209 Enrollment ID: I20141126000877 |
| Provider Name | Jennifer L Barton |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306015995 PECOS PAC ID: 8022084078 Enrollment ID: I20141126001145 |
| Provider Name | Brigit A Hatch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144511056 PECOS PAC ID: 8527213446 Enrollment ID: I20141209001123 |
| Provider Name | Gregory N Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356317150 PECOS PAC ID: 2365344157 Enrollment ID: I20141216002375 |
| Provider Name | Steven Z Kassakian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326368184 PECOS PAC ID: 8527297373 Enrollment ID: I20141230002131 |
| Provider Name | Jennifer G Jagger Kaeser |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215109335 PECOS PAC ID: 0547443574 Enrollment ID: I20150105000006 |
| Provider Name | Aura Petcu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982009643 PECOS PAC ID: 7719201193 Enrollment ID: I20150112001771 |
| Provider Name | Laura D Works |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730111485 PECOS PAC ID: 5193728657 Enrollment ID: I20150116001209 |
| Provider Name | Deborah Duran-snell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497738868 PECOS PAC ID: 8224352471 Enrollment ID: I20150119000786 |
| Provider Name | Rebecca D. Marshall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477787646 PECOS PAC ID: 2769610112 Enrollment ID: I20150129000369 |
| Provider Name | Kavita V Bhavsar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720216765 PECOS PAC ID: 1456675123 Enrollment ID: I20150129000583 |
| Provider Name | Rinathia Hachmon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043608847 PECOS PAC ID: 9830414473 Enrollment ID: I20150202002224 |
| Provider Name | Monique M Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659692747 PECOS PAC ID: 7416177092 Enrollment ID: I20150206001157 |
| Provider Name | Trang K Huynh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518086065 PECOS PAC ID: 4284704990 Enrollment ID: I20150225001097 |
| Provider Name | Kathleen M Medwar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972892693 PECOS PAC ID: 2062675978 Enrollment ID: I20150302000036 |
| Provider Name | Jordan Graeme |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235415498 PECOS PAC ID: 3678729423 Enrollment ID: I20150317002916 |
| Provider Name | Nicholas B Kinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841688421 PECOS PAC ID: 1052638632 Enrollment ID: I20150318002494 |
| Provider Name | Ronald F. Pfeiffer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982695342 PECOS PAC ID: 3375735277 Enrollment ID: I20150323000358 |
| Provider Name | Kathryn Felmet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609849884 PECOS PAC ID: 5193791465 Enrollment ID: I20150407000024 |
| Provider Name | Garrett K Zoeller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255532669 PECOS PAC ID: 9537393467 Enrollment ID: I20150506000221 |
| Provider Name | Matthew G Mccaskill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033347349 PECOS PAC ID: 1254559388 Enrollment ID: I20150508002170 |
| Provider Name | Anthony M. Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346506565 PECOS PAC ID: 8123273307 Enrollment ID: I20150519001552 |
| Provider Name | Ramon Francisco Barajas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952622300 PECOS PAC ID: 0143451765 Enrollment ID: I20150522000289 |
| Provider Name | Philipp Raess |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336382407 PECOS PAC ID: 4284875485 Enrollment ID: I20150522000929 |
| Provider Name | Kristin E. Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538425012 PECOS PAC ID: 4385899566 Enrollment ID: I20150522001638 |
| Provider Name | Leah M Wilson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134486780 PECOS PAC ID: 6800031345 Enrollment ID: I20150601002253 |
| Provider Name | Rita Marie Lahlou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669738712 PECOS PAC ID: 4486809662 Enrollment ID: I20150602000544 |
| Provider Name | Matthew H Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245596048 PECOS PAC ID: 8527212828 Enrollment ID: I20150602001021 |
| Provider Name | Matthew Noble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588922082 PECOS PAC ID: 6709031529 Enrollment ID: I20150603002778 |
| Provider Name | Ross P Martini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265721351 PECOS PAC ID: 0547415275 Enrollment ID: I20150605002614 |
| Provider Name | Kathleen Drago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265721047 PECOS PAC ID: 2668627225 Enrollment ID: I20150608002706 |
| Provider Name | Ryan C Schenning |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1730313578 PECOS PAC ID: 8325293954 Enrollment ID: I20150612001598 |
| Provider Name | Jason Kroening-roche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649546839 PECOS PAC ID: 1951556133 Enrollment ID: I20150615000020 |
| Provider Name | Emily H Waterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356608541 PECOS PAC ID: 5395990949 Enrollment ID: I20150616000784 |
| Provider Name | Erin C Maynard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528133402 PECOS PAC ID: 7012194293 Enrollment ID: I20150618000101 |
| Provider Name | Amanda S. Bruegl |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700080785 PECOS PAC ID: 0547400319 Enrollment ID: I20150622002222 |
| Provider Name | Amy Valent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861665127 PECOS PAC ID: 7012155211 Enrollment ID: I20150623000550 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20150623001219 |
| Provider Name | Amanda Bryant |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932593720 PECOS PAC ID: 9830400274 Enrollment ID: I20150625001700 |
| Provider Name | Lia D Ernst |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154629939 PECOS PAC ID: 4284945676 Enrollment ID: I20150626000383 |
| Provider Name | Kathleen T Oldread |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225273204 PECOS PAC ID: 6709198088 Enrollment ID: I20150629001818 |
| Provider Name | Astrid S. Platteau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629204938 PECOS PAC ID: 3173778016 Enrollment ID: I20150629002667 |
| Provider Name | Cherrie Abraham |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649658766 PECOS PAC ID: 7214249549 Enrollment ID: I20150630000224 |
| Provider Name | Tracy Funk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053536268 PECOS PAC ID: 1759415235 Enrollment ID: I20150630000502 |
| Provider Name | Erin Comer Burns |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447493473 PECOS PAC ID: 5193970846 Enrollment ID: I20150630003164 |
| Provider Name | Amanda M. Ecker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699918300 PECOS PAC ID: 0840439501 Enrollment ID: I20150701002677 |
| Provider Name | Reem Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003109935 PECOS PAC ID: 0446562417 Enrollment ID: I20150706000005 |
| Provider Name | Marcel Curlin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134204936 PECOS PAC ID: 6709962244 Enrollment ID: I20150706001344 |
| Provider Name | Whitney Black |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659490183 PECOS PAC ID: 9638314024 Enrollment ID: I20150706002527 |
| Provider Name | Ximena A. Levander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801152830 PECOS PAC ID: 4981928579 Enrollment ID: I20150707000004 |
| Provider Name | Jesse J. Keller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326334285 PECOS PAC ID: 1052623766 Enrollment ID: I20150709001489 |
| Provider Name | Ryan P Kopp |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578769907 PECOS PAC ID: 3779702998 Enrollment ID: I20150710002646 |
| Provider Name | Katherine Au |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184913642 PECOS PAC ID: 0143468686 Enrollment ID: I20150710002670 |
| Provider Name | Nathalie I. Lunden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013221936 PECOS PAC ID: 3870710411 Enrollment ID: I20150713001602 |
| Provider Name | Skye Mayo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1134274830 PECOS PAC ID: 3971751330 Enrollment ID: I20150713001919 |
| Provider Name | Clifford Lin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558748210 PECOS PAC ID: 6709199243 Enrollment ID: I20150713002952 |
| Provider Name | Sara Schwanke Khilji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700013299 PECOS PAC ID: 5991967663 Enrollment ID: I20150715000029 |
| Provider Name | Caleb Charles Rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558686394 PECOS PAC ID: 2769625995 Enrollment ID: I20150717001069 |
| Provider Name | Jennifer Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023214533 PECOS PAC ID: 9931343019 Enrollment ID: I20150728004368 |
| Provider Name | Brian Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588981625 PECOS PAC ID: 6305091117 Enrollment ID: I20150729008845 |
| Provider Name | Meredith Kato |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619117694 PECOS PAC ID: 7719291996 Enrollment ID: I20150731015920 |
| Provider Name | George Mount |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740254200 PECOS PAC ID: 3274720321 Enrollment ID: I20150803001067 |
| Provider Name | Brandice T Durkan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154649382 PECOS PAC ID: 4587824438 Enrollment ID: I20150804003568 |
| Provider Name | Sophia May Lichenstein-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164727764 PECOS PAC ID: 0244415354 Enrollment ID: I20150805008034 |
| Provider Name | Abigail Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558498980 PECOS PAC ID: 2860542719 Enrollment ID: I20150806010627 |
| Provider Name | Omar Nazir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912140419 PECOS PAC ID: 0749409225 Enrollment ID: I20150818005615 |
| Provider Name | Emily A. Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619267200 PECOS PAC ID: 3173760212 Enrollment ID: I20150821014772 |
| Provider Name | Jen-jane Liu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447447537 PECOS PAC ID: 8820238678 Enrollment ID: I20150821014838 |
| Provider Name | Ryan Li |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114193448 PECOS PAC ID: 4587814520 Enrollment ID: I20150826001848 |
| Provider Name | Sophia Bornstein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639498561 PECOS PAC ID: 3577718295 Enrollment ID: I20150826002712 |
| Provider Name | Karen Vice Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750722443 PECOS PAC ID: 2769798321 Enrollment ID: I20150827003285 |
| Provider Name | Lourdes Quintanilla-dieck |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528293545 PECOS PAC ID: 3870748429 Enrollment ID: I20150828001460 |
| Provider Name | Jennifer Ann Ham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568759801 PECOS PAC ID: 8123269297 Enrollment ID: I20150904002349 |
| Provider Name | Brian T Garvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558604694 PECOS PAC ID: 2567603079 Enrollment ID: I20150905000055 |
| Provider Name | Polly C Molden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023430238 PECOS PAC ID: 2365759693 Enrollment ID: I20150917002775 |
| Provider Name | Hannah Sanford-keller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700284213 PECOS PAC ID: 9436466463 Enrollment ID: I20150923001532 |
| Provider Name | Toy Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093095242 PECOS PAC ID: 7911159843 Enrollment ID: I20151006001323 |
| Provider Name | Leah C Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346536604 PECOS PAC ID: 8123272580 Enrollment ID: I20151014003108 |
| Provider Name | Ryanne Mayersak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194927558 PECOS PAC ID: 7810089083 Enrollment ID: I20151026001494 |
| Provider Name | Ty Weingard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811215163 PECOS PAC ID: 5294851770 Enrollment ID: I20151106002284 |
| Provider Name | Ying Wu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265662894 PECOS PAC ID: 1153621420 Enrollment ID: I20151118002955 |
| Provider Name | Wojciech Wiszniewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700025681 PECOS PAC ID: 6800061557 Enrollment ID: I20151130001179 |
| Provider Name | Ryan Ivie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710204250 PECOS PAC ID: 8527369602 Enrollment ID: I20151214002518 |
| Provider Name | Dalia Ivekich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417329160 PECOS PAC ID: 8426359506 Enrollment ID: I20151214002578 |
| Provider Name | Diana G. Glidden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952563819 PECOS PAC ID: 4587723465 Enrollment ID: I20160108000596 |
| Provider Name | Philip Comerford Mann |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568605731 PECOS PAC ID: 1759515513 Enrollment ID: I20160113001585 |
| Provider Name | Juliette Preston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548402811 PECOS PAC ID: 2062654809 Enrollment ID: I20160119001386 |
| Provider Name | Kyle Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831505213 PECOS PAC ID: 0345543153 Enrollment ID: I20160127002139 |
| Provider Name | Alanna Powell Braun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639454523 PECOS PAC ID: 1658674361 Enrollment ID: I20160129000135 |
| Provider Name | Sacha Krieg |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1821281791 PECOS PAC ID: 3971698861 Enrollment ID: I20160211001359 |
| Provider Name | Elena D Ghetie |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396926093 PECOS PAC ID: 3577720499 Enrollment ID: I20160219002128 |
| Provider Name | Brandon Lujan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093722258 PECOS PAC ID: 1355347212 Enrollment ID: I20160225000294 |
| Provider Name | Jennifer Erkenbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285099267 PECOS PAC ID: 4385940253 Enrollment ID: I20160303000754 |
| Provider Name | Jaime Aranda-michel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093704959 PECOS PAC ID: 3779479886 Enrollment ID: I20160308002025 |
| Provider Name | Erik Brodt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891917597 PECOS PAC ID: 8325189905 Enrollment ID: I20160315000764 |
| Provider Name | Alex G. Ortega Loayza |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790946903 PECOS PAC ID: 6204057961 Enrollment ID: I20160328000598 |
| Provider Name | Michael J Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033475793 PECOS PAC ID: 2163667866 Enrollment ID: I20160408000936 |
| Provider Name | Sandy Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992963011 PECOS PAC ID: 6002958386 Enrollment ID: I20160414002188 |
| Provider Name | Yoon-jae Cho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083804181 PECOS PAC ID: 8628116852 Enrollment ID: I20160421002064 |
| Provider Name | Amanda St John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598129496 PECOS PAC ID: 8820397888 Enrollment ID: I20160427000239 |
| Provider Name | Jesse J Liu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659514396 PECOS PAC ID: 4587819362 Enrollment ID: I20160503000418 |
| Provider Name | Kyle K Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265725766 PECOS PAC ID: 5294980934 Enrollment ID: I20160505000470 |
| Provider Name | David Sheridan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912223215 PECOS PAC ID: 0143475749 Enrollment ID: I20160506000798 |
| Provider Name | Bailey Pope |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942644232 PECOS PAC ID: 5991931651 Enrollment ID: I20160512002052 |
| Provider Name | Alyssa Colwill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821350901 PECOS PAC ID: 3072819176 Enrollment ID: I20160513001818 |
| Provider Name | Andrew Natonson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043565211 PECOS PAC ID: 4385943646 Enrollment ID: I20160518000935 |
| Provider Name | Kelsey M Conklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801255120 PECOS PAC ID: 0840589651 Enrollment ID: I20160518001305 |
| Provider Name | Richard W. Moberly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063632073 PECOS PAC ID: 1456402650 Enrollment ID: I20160526000880 |
| Provider Name | Jens Berli |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649581562 PECOS PAC ID: 2567612500 Enrollment ID: I20160608002159 |
| Provider Name | Allison Empey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639512981 PECOS PAC ID: 4486889326 Enrollment ID: I20160613002348 |
| Provider Name | Ruth A Duffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790843142 PECOS PAC ID: 5294026621 Enrollment ID: I20160615001220 |
| Provider Name | Kellie Littlefield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477896736 PECOS PAC ID: 0840431466 Enrollment ID: I20160615002220 |
| Provider Name | Afaf Azar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174883565 PECOS PAC ID: 8921231671 Enrollment ID: I20160621001808 |
| Provider Name | James Lim |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1760617914 PECOS PAC ID: 9436461845 Enrollment ID: I20160622000105 |
| Provider Name | Tamara Atkinson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316106586 PECOS PAC ID: 3870748601 Enrollment ID: I20160624000760 |
| Provider Name | Daniel Albert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801862388 PECOS PAC ID: 4789715996 Enrollment ID: I20160624000981 |
| Provider Name | Catherine Chau Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760817035 PECOS PAC ID: 6800187667 Enrollment ID: I20160624001937 |
| Provider Name | Megan Furnari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003159757 PECOS PAC ID: 4284925066 Enrollment ID: I20160627000303 |
| Provider Name | Michael M Woll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104857770 PECOS PAC ID: 7618132614 Enrollment ID: I20160704000000 |
| Provider Name | Sara A Funatake |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144678814 PECOS PAC ID: 4981996303 Enrollment ID: I20160706000166 |
| Provider Name | Thomas Gibson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902196249 PECOS PAC ID: 9638322787 Enrollment ID: I20160706002753 |
| Provider Name | Jamie T Rabot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851527329 PECOS PAC ID: 2163714320 Enrollment ID: I20160707002287 |
| Provider Name | Christopher B. Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952733032 PECOS PAC ID: 2062642796 Enrollment ID: I20160708001024 |
| Provider Name | Michael Alexander Lane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942568969 PECOS PAC ID: 9234428244 Enrollment ID: I20160712002998 |
| Provider Name | Wannasiri Lapcharoensap |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700104353 PECOS PAC ID: 7719279454 Enrollment ID: I20160715001889 |
| Provider Name | Reid Thompson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659662377 PECOS PAC ID: 5799077434 Enrollment ID: I20160715001990 |
| Provider Name | Albert Chi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285802009 PECOS PAC ID: 3173649159 Enrollment ID: I20160719000286 |
| Provider Name | Rachel Castelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265879142 PECOS PAC ID: 9133427800 Enrollment ID: I20160719000847 |
| Provider Name | Jacqueline Bernard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710924709 PECOS PAC ID: 7618970872 Enrollment ID: I20160720000379 |
| Provider Name | Kevin Piro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689917130 PECOS PAC ID: 2567696859 Enrollment ID: I20160720000442 |
| Provider Name | Brooke Harkness |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659721280 PECOS PAC ID: 2961795539 Enrollment ID: I20160720001814 |
| Provider Name | Kenneth Gundle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144544032 PECOS PAC ID: 1951626589 Enrollment ID: I20160725000432 |
| Provider Name | John-paul Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750759593 PECOS PAC ID: 3971896051 Enrollment ID: I20160727000915 |
| Provider Name | Jessica Leonard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982921672 PECOS PAC ID: 3577709864 Enrollment ID: I20160802000937 |
| Provider Name | Casey Seideman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942439005 PECOS PAC ID: 6103120803 Enrollment ID: I20160802001602 |
| Provider Name | Julia F Shellhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629219308 PECOS PAC ID: 0941354401 Enrollment ID: I20160802002419 |
| Provider Name | Nima Nabavizadeh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538453741 PECOS PAC ID: 4587819123 Enrollment ID: I20160802002662 |
| Provider Name | Shashima Nakahara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437474103 PECOS PAC ID: 4880830256 Enrollment ID: I20160803001210 |
| Provider Name | Antwon Tramaine Chavis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932442217 PECOS PAC ID: 5193951697 Enrollment ID: I20160803003065 |
| Provider Name | Eric A Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881836724 PECOS PAC ID: 4587810080 Enrollment ID: I20160804002517 |
| Provider Name | Keenan Yanit-mitchum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982962163 PECOS PAC ID: 1850525015 Enrollment ID: I20160805001217 |
| Provider Name | Melinda Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386818862 PECOS PAC ID: 9739332891 Enrollment ID: I20160809002490 |
| Provider Name | Nizar Chahin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225015761 PECOS PAC ID: 7012085103 Enrollment ID: I20160809002790 |
| Provider Name | Jennifer Stahl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295893568 PECOS PAC ID: 6002100336 Enrollment ID: I20160810000854 |
| Provider Name | Thomas Veeder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225398118 PECOS PAC ID: 2668766890 Enrollment ID: I20160810001156 |
| Provider Name | Anna Hunter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952439267 PECOS PAC ID: 4789854720 Enrollment ID: I20160811001772 |
| Provider Name | Marissa Kellogg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063642973 PECOS PAC ID: 8224283924 Enrollment ID: I20160812000868 |
| Provider Name | Jonathan L. Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437492295 PECOS PAC ID: 6507083565 Enrollment ID: I20160817002555 |
| Provider Name | Frank A Santoli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639272073 PECOS PAC ID: 1759445604 Enrollment ID: I20160818002035 |
| Provider Name | Pikulkaew Dachsangvorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891015939 PECOS PAC ID: 3870733025 Enrollment ID: I20160818002402 |
| Provider Name | Nathaniel James Gebhard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306109392 PECOS PAC ID: 7810282860 Enrollment ID: I20160830000713 |
| Provider Name | Thomas Derek Kowalik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023307899 PECOS PAC ID: 8224282579 Enrollment ID: I20160831002603 |
| Provider Name | Sara Taub |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497011076 PECOS PAC ID: 4183869936 Enrollment ID: I20160907000973 |
| Provider Name | Krysta D Schlis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982809729 PECOS PAC ID: 2860592565 Enrollment ID: I20160913001083 |
| Provider Name | Andrea Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720374531 PECOS PAC ID: 1254649593 Enrollment ID: I20160913001238 |
| Provider Name | Gurleen Dhami |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235422023 PECOS PAC ID: 0648596379 Enrollment ID: I20160914002501 |
| Provider Name | Teri Greiling |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609168913 PECOS PAC ID: 5294054102 Enrollment ID: I20160921001204 |
| Provider Name | Sandy Christiansen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407112832 PECOS PAC ID: 1052623220 Enrollment ID: I20160921001885 |
| Provider Name | Asha A Jetmalani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639597941 PECOS PAC ID: 1850518739 Enrollment ID: I20160921002387 |
| Provider Name | Arjun K Chagarlamudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568699932 PECOS PAC ID: 4587954847 Enrollment ID: I20160922001234 |
| Provider Name | Luke Strnad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063733392 PECOS PAC ID: 5395986137 Enrollment ID: I20160923001314 |
| Provider Name | Rupali Avasare |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265676324 PECOS PAC ID: 7911163241 Enrollment ID: I20160924000453 |
| Provider Name | Wahiba Hind Wahiba Rahmouni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275792236 PECOS PAC ID: 1951600329 Enrollment ID: I20160926001402 |
| Provider Name | Kara Detwiller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639313307 PECOS PAC ID: 0143465104 Enrollment ID: I20160927002078 |
| Provider Name | Firas Zahr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568637049 PECOS PAC ID: 8628253671 Enrollment ID: I20160927002240 |
| Provider Name | Khanh Nguyen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821202458 PECOS PAC ID: 1355664830 Enrollment ID: I20160928002562 |
| Provider Name | Janelle M Potts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992153365 PECOS PAC ID: 6204123466 Enrollment ID: I20161003001205 |
| Provider Name | Yael Raz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235104720 PECOS PAC ID: 4587796941 Enrollment ID: I20161020002026 |
| Provider Name | Angela L Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932474301 PECOS PAC ID: 0749433167 Enrollment ID: I20161020002379 |
| Provider Name | Benjamin Vazquez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093918658 PECOS PAC ID: 2567537624 Enrollment ID: I20161021000520 |
| Provider Name | Yanan Shang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174674006 PECOS PAC ID: 7719150846 Enrollment ID: I20161027002089 |
| Provider Name | Leah B Baruch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407292592 PECOS PAC ID: 3577883701 Enrollment ID: I20161031002606 |
| Provider Name | Fern Hemmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487966289 PECOS PAC ID: 0547549834 Enrollment ID: I20161109000080 |
| Provider Name | Hetal Choxi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912261132 PECOS PAC ID: 0749593259 Enrollment ID: I20161109002306 |
| Provider Name | Jamie Rubin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821383043 PECOS PAC ID: 9335393289 Enrollment ID: I20161116002414 |
| Provider Name | Roula Zahr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598076515 PECOS PAC ID: 3577706654 Enrollment ID: I20161117001065 |
| Provider Name | Michelle C Welborn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821257718 PECOS PAC ID: 4082838321 Enrollment ID: I20161205001058 |
| Provider Name | Angelynn Kitzerow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629528278 PECOS PAC ID: 9830479427 Enrollment ID: I20161219001124 |
| Provider Name | Jina Makadia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548558117 PECOS PAC ID: 9234410812 Enrollment ID: I20161220001684 |
| Provider Name | Jessica Jurkovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881144962 PECOS PAC ID: 1153602503 Enrollment ID: I20161227001046 |
| Provider Name | Jessica Beeghly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780826917 PECOS PAC ID: 1850673427 Enrollment ID: I20170117001725 |
| Provider Name | Talia Buchsbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326479783 PECOS PAC ID: 9638300619 Enrollment ID: I20170120000427 |
| Provider Name | Ellie Sukerman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538492673 PECOS PAC ID: 8729389002 Enrollment ID: I20170123001387 |
| Provider Name | Shehzad Rehman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164628608 PECOS PAC ID: 3779653316 Enrollment ID: I20170201001568 |
| Provider Name | Ansley Hill |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407390206 PECOS PAC ID: 8224312921 Enrollment ID: I20170224000227 |
| Provider Name | Colin A Gershon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023316452 PECOS PAC ID: 9133391212 Enrollment ID: I20170322001192 |
| Provider Name | Terri Boyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528391273 PECOS PAC ID: 8820134869 Enrollment ID: I20170323001736 |
| Provider Name | Gillian C Lam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306166038 PECOS PAC ID: 9436433547 Enrollment ID: I20170329002758 |
| Provider Name | Jacob Luty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184967200 PECOS PAC ID: 7618103110 Enrollment ID: I20170503001700 |
| Provider Name | Patricia Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902934086 PECOS PAC ID: 1254618531 Enrollment ID: I20170516001159 |
| Provider Name | Nancy Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831409804 PECOS PAC ID: 6406025527 Enrollment ID: I20170523000927 |
| Provider Name | Anna Solotskaya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528485919 PECOS PAC ID: 9234439464 Enrollment ID: I20170523001893 |
| Provider Name | Ladawna Gievers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093004541 PECOS PAC ID: 2668627266 Enrollment ID: I20170523002186 |
| Provider Name | Yunjing Fang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437415858 PECOS PAC ID: 0042438947 Enrollment ID: I20170523002538 |
| Provider Name | Nadine Mallak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982046868 PECOS PAC ID: 2860635174 Enrollment ID: I20170523002708 |
| Provider Name | Dawn M. Brohard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578930038 PECOS PAC ID: 8426325382 Enrollment ID: I20170524000913 |
| Provider Name | Julianna Desmarais |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194014530 PECOS PAC ID: 7012149156 Enrollment ID: I20170524001054 |
| Provider Name | Tyler J Paradis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003159096 PECOS PAC ID: 0345481974 Enrollment ID: I20170526001689 |
| Provider Name | Nora J Doty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902125271 PECOS PAC ID: 4284855404 Enrollment ID: I20170530000177 |
| Provider Name | Katie Alton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831494087 PECOS PAC ID: 5294027991 Enrollment ID: I20170530002400 |
| Provider Name | Andrea Rose Diulio-nakamura |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174069884 PECOS PAC ID: 0648547315 Enrollment ID: I20170531000464 |
| Provider Name | Briana N Ketterer Revoal |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841617164 PECOS PAC ID: 2466678149 Enrollment ID: I20170531001654 |
| Provider Name | Alison Small |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003176942 PECOS PAC ID: 3173814118 Enrollment ID: I20170606001545 |
| Provider Name | Bryson Hicks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538571492 PECOS PAC ID: 4587951462 Enrollment ID: I20170606001909 |
| Provider Name | Marcia A Friedman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255607545 PECOS PAC ID: 9739497389 Enrollment ID: I20170607000522 |
| Provider Name | Matthew Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194067413 PECOS PAC ID: 3173764776 Enrollment ID: I20170609002094 |
| Provider Name | Sara M Fahey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659423309 PECOS PAC ID: 3173565017 Enrollment ID: I20170613002807 |
| Provider Name | Kathryn Schwarzenberger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245349190 PECOS PAC ID: 9638174592 Enrollment ID: I20170614001788 |
| Provider Name | Amariek Jane Jensen De La Cruz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023309440 PECOS PAC ID: 2264687060 Enrollment ID: I20170614002108 |
| Provider Name | Catherine Caruso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538588967 PECOS PAC ID: 3577781137 Enrollment ID: I20170615001444 |
| Provider Name | Jennifer Willingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972589976 PECOS PAC ID: 6406806728 Enrollment ID: I20170619002456 |
| Provider Name | Rebecca Silbermann |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629187299 PECOS PAC ID: 5193818375 Enrollment ID: I20170620002877 |
| Provider Name | Jill Kaspar Baird |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326381500 PECOS PAC ID: 9335373323 Enrollment ID: I20170621002615 |
| Provider Name | Ian Fields |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518209840 PECOS PAC ID: 3971894924 Enrollment ID: I20170622001935 |
| Provider Name | Leila Zuo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073958948 PECOS PAC ID: 7315215985 Enrollment ID: I20170622002596 |
| Provider Name | Oliver B Padgett |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568729614 PECOS PAC ID: 0840445342 Enrollment ID: I20170622002725 |
| Provider Name | Adrienne R. Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710323647 PECOS PAC ID: 9739400391 Enrollment ID: I20170628001504 |
| Provider Name | Sahar Taqui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063798049 PECOS PAC ID: 0749402238 Enrollment ID: I20170628002261 |
| Provider Name | Bridget Lee |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679726947 PECOS PAC ID: 9436386620 Enrollment ID: I20170629002731 |
| Provider Name | Jeffrey C Robinson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053587816 PECOS PAC ID: 4880872977 Enrollment ID: I20170630002141 |
| Provider Name | Kelly Vranas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548422124 PECOS PAC ID: 7113296302 Enrollment ID: I20170630002449 |
| Provider Name | Lindsey Wooliscroft |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184063232 PECOS PAC ID: 2961771100 Enrollment ID: I20170703001467 |
| Provider Name | Karen Saks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306136502 PECOS PAC ID: 5597910091 Enrollment ID: I20170703001583 |
| Provider Name | Ashley Gardner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730421991 PECOS PAC ID: 8820239304 Enrollment ID: I20170703001899 |
| Provider Name | Alycia W Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568807410 PECOS PAC ID: 1658685029 Enrollment ID: I20170704000000 |
| Provider Name | Robert Rope |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720377039 PECOS PAC ID: 2062666365 Enrollment ID: I20170705001420 |
| Provider Name | Nicole Andeen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841556271 PECOS PAC ID: 2769798537 Enrollment ID: I20170710002138 |
| Provider Name | Kaveh Sharzehi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770786378 PECOS PAC ID: 1254594468 Enrollment ID: I20170710002817 |
| Provider Name | Iva Juric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003239120 PECOS PAC ID: 5395014161 Enrollment ID: I20170711000617 |
| Provider Name | Jillian Sanford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891038832 PECOS PAC ID: 5092956623 Enrollment ID: I20170711001019 |
| Provider Name | Castigliano M Bhamidipati |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992968887 PECOS PAC ID: 5890008007 Enrollment ID: I20170713001086 |
| Provider Name | Elizabeth Silbermann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811337645 PECOS PAC ID: 7416186630 Enrollment ID: I20170713002792 |
| Provider Name | Hillary Chisholm Stiefel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912340357 PECOS PAC ID: 9436378114 Enrollment ID: I20170720001026 |
| Provider Name | Madeline Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083058275 PECOS PAC ID: 8123398203 Enrollment ID: I20170721003031 |
| Provider Name | Kimberly L Imbesi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003252065 PECOS PAC ID: 6800193301 Enrollment ID: I20170726000280 |
| Provider Name | Steven Mansoor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154556827 PECOS PAC ID: 5294980991 Enrollment ID: I20170728002727 |
| Provider Name | Karim Afzal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982769204 PECOS PAC ID: 1254622491 Enrollment ID: I20170728002902 |
| Provider Name | Lucy Cho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790049302 PECOS PAC ID: 2668784059 Enrollment ID: I20170728003180 |
| Provider Name | Mathew Geltzeiler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457677478 PECOS PAC ID: 0446405211 Enrollment ID: I20170801002011 |
| Provider Name | Ratna Bitra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619347606 PECOS PAC ID: 1052681806 Enrollment ID: I20170801002863 |
| Provider Name | Amy C Hermesch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720220841 PECOS PAC ID: 4486898194 Enrollment ID: I20170801003377 |
| Provider Name | Elena Varlamov |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669731204 PECOS PAC ID: 3274840640 Enrollment ID: I20170802001050 |
| Provider Name | Ryan Norton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295172419 PECOS PAC ID: 6709100084 Enrollment ID: I20170802001298 |
| Provider Name | Lori Cardwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235496944 PECOS PAC ID: 2769629732 Enrollment ID: I20170803002157 |
| Provider Name | Barry Hansford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043448186 PECOS PAC ID: 9234355843 Enrollment ID: I20170804001459 |
| Provider Name | Anil Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497172530 PECOS PAC ID: 1951529650 Enrollment ID: I20170804002131 |
| Provider Name | Allison Jaye Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861735110 PECOS PAC ID: 7517101363 Enrollment ID: I20170804002201 |
| Provider Name | Aiyin Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629305131 PECOS PAC ID: 2264697911 Enrollment ID: I20170804002678 |
| Provider Name | Josiah Orina |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629206578 PECOS PAC ID: 6800083817 Enrollment ID: I20170808003565 |
| Provider Name | Gabriel Andeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720343296 PECOS PAC ID: 1850526161 Enrollment ID: I20170809004330 |
| Provider Name | Timothy Siegel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619931870 PECOS PAC ID: 7719020577 Enrollment ID: I20170810001029 |
| Provider Name | Angelo Lipira |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891019428 PECOS PAC ID: 1759699416 Enrollment ID: I20170814001114 |
| Provider Name | Sujeet Govindan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194045872 PECOS PAC ID: 3870710932 Enrollment ID: I20170814002021 |
| Provider Name | Byron A Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831477983 PECOS PAC ID: 9133384753 Enrollment ID: I20170815002274 |
| Provider Name | Robert Macauley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881746899 PECOS PAC ID: 6608951603 Enrollment ID: I20170815002631 |
| Provider Name | Philip Yun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487916730 PECOS PAC ID: 5991092629 Enrollment ID: I20170815003380 |
| Provider Name | Delaram Safarpour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285946533 PECOS PAC ID: 1052683646 Enrollment ID: I20170816003119 |
| Provider Name | Kelsey Richardson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477852259 PECOS PAC ID: 5890010250 Enrollment ID: I20170817001490 |
| Provider Name | Kristina K Leinwand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760775225 PECOS PAC ID: 7012220429 Enrollment ID: I20170825002759 |
| Provider Name | Kate Gustafson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578707451 PECOS PAC ID: 7810142601 Enrollment ID: I20170825003195 |
| Provider Name | Laurel Hoffmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861810731 PECOS PAC ID: 0749408201 Enrollment ID: I20170825003210 |
| Provider Name | Joanna Wiszniewska |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114276060 PECOS PAC ID: 4880967546 Enrollment ID: I20170831002962 |
| Provider Name | Lanceford Chong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821001736 PECOS PAC ID: 6002899986 Enrollment ID: I20170901001308 |
| Provider Name | Raeesa Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003221409 PECOS PAC ID: 1658696570 Enrollment ID: I20170905003085 |
| Provider Name | Fouad Otaki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013229996 PECOS PAC ID: 8426349614 Enrollment ID: I20170907003101 |
| Provider Name | Monica Sikka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679685143 PECOS PAC ID: 1658371059 Enrollment ID: I20170907003498 |
| Provider Name | Sarah S Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417204041 PECOS PAC ID: 7911270228 Enrollment ID: I20170908001210 |
| Provider Name | Levanto Gershon Schachter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093031668 PECOS PAC ID: 4880836469 Enrollment ID: I20170908002128 |
| Provider Name | Richard Kellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497040836 PECOS PAC ID: 1052633443 Enrollment ID: I20170908002574 |
| Provider Name | Anita Khut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770016644 PECOS PAC ID: 0446523435 Enrollment ID: I20170914000210 |
| Provider Name | Stephanie G. Wood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326272261 PECOS PAC ID: 0042523672 Enrollment ID: I20170918001662 |
| Provider Name | Michelle Ellen Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770037764 PECOS PAC ID: 2769756493 Enrollment ID: I20170919004164 |
| Provider Name | Daniel J Bouton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386934388 PECOS PAC ID: 0143469270 Enrollment ID: I20170925001705 |
| Provider Name | Cory V Carlston |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1003121849 PECOS PAC ID: 0648492447 Enrollment ID: I20170927004671 |
| Provider Name | Katie H Stowers |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114241775 PECOS PAC ID: 3779724315 Enrollment ID: I20170928003088 |
| Provider Name | Jeanette Johnstone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841715018 PECOS PAC ID: 1254606304 Enrollment ID: I20170929001008 |
| Provider Name | Amrita Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407144439 PECOS PAC ID: 4587892542 Enrollment ID: I20171006001042 |
| Provider Name | Kamalika Roy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700134517 PECOS PAC ID: 5395047179 Enrollment ID: I20171006001312 |
| Provider Name | Mackenzie R Cook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497070486 PECOS PAC ID: 1153566807 Enrollment ID: I20171009003434 |
| Provider Name | Malissa Warren |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831100940 PECOS PAC ID: 4486929882 Enrollment ID: I20171011002339 |
| Provider Name | Jill Weaver Welshans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073037990 PECOS PAC ID: 5597030791 Enrollment ID: I20171012003574 |
| Provider Name | Ryan E Morin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770837791 PECOS PAC ID: 7618122102 Enrollment ID: I20171020002955 |
| Provider Name | Kathryn O Fuchs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962796946 PECOS PAC ID: 2567768625 Enrollment ID: I20171023002432 |
| Provider Name | Sarah Kuppenbender Kong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013434646 PECOS PAC ID: 3577839067 Enrollment ID: I20171027002643 |
| Provider Name | Andrea Margit Stroud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083848972 PECOS PAC ID: 5698910743 Enrollment ID: I20171101001577 |
| Provider Name | Elizabeth Marie Portelance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962807917 PECOS PAC ID: 1850600743 Enrollment ID: I20171103002328 |
| Provider Name | Benjamin Orwoll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255659801 PECOS PAC ID: 6204122039 Enrollment ID: I20171107003206 |
| Provider Name | Amani D Politano |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326207739 PECOS PAC ID: 2062641640 Enrollment ID: I20171120001839 |
| Provider Name | Mohamed Refaat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053607457 PECOS PAC ID: 1557591625 Enrollment ID: I20171129000688 |
| Provider Name | Catherine Lm Kent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992116099 PECOS PAC ID: 7315168713 Enrollment ID: I20171205003128 |
| Provider Name | Meganne E Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700933173 PECOS PAC ID: 4385821768 Enrollment ID: I20171206000306 |
| Provider Name | Kenneth G Bensch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750694675 PECOS PAC ID: 9133369663 Enrollment ID: I20171207003149 |
| Provider Name | Erik Supratik Mittra |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1841472537 PECOS PAC ID: 2062562945 Enrollment ID: I20171208002330 |
| Provider Name | Aaron Shams Helminski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720309545 PECOS PAC ID: 3274769070 Enrollment ID: I20171211002369 |
| Provider Name | Matthew Duncan Wood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518232958 PECOS PAC ID: 7113212507 Enrollment ID: I20171212000783 |
| Provider Name | Tess Heyerman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851803183 PECOS PAC ID: 9133487424 Enrollment ID: I20171214000529 |
| Provider Name | Molly M Daughety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124361472 PECOS PAC ID: 7416186333 Enrollment ID: I20171228001474 |
| Provider Name | Andrew Munson Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912332289 PECOS PAC ID: 4385903657 Enrollment ID: I20180111002181 |
| Provider Name | Aravind Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255742466 PECOS PAC ID: 3375809080 Enrollment ID: I20180118001601 |
| Provider Name | Kevin P Sargeant |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003901331 PECOS PAC ID: 4981874971 Enrollment ID: I20180118001782 |
| Provider Name | Bishoy Magdy Zakhary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790959989 PECOS PAC ID: 7113151028 Enrollment ID: I20180119001408 |
| Provider Name | Lindsay M W Mchugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245601533 PECOS PAC ID: 3779884705 Enrollment ID: I20180122000327 |
| Provider Name | Alan Labrum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043652431 PECOS PAC ID: 3577797919 Enrollment ID: I20180122003123 |
| Provider Name | Timothy Gebhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396198628 PECOS PAC ID: 5092074997 Enrollment ID: I20180123001844 |
| Provider Name | Lauren E Mutrie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083875066 PECOS PAC ID: 4587800495 Enrollment ID: I20180124002231 |
| Provider Name | Rogelio Luis Lugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124532981 PECOS PAC ID: 4486914090 Enrollment ID: I20180130001832 |
| Provider Name | Jennifer Shatzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457866121 PECOS PAC ID: 3870853443 Enrollment ID: I20180131001122 |
| Provider Name | Kristin Smith Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720593197 PECOS PAC ID: 7618237074 Enrollment ID: I20180201003069 |
| Provider Name | Bethany Tara Samuelson Bannow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619267556 PECOS PAC ID: 0345566857 Enrollment ID: I20180208003086 |
| Provider Name | Amy C Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902012180 PECOS PAC ID: 5597935262 Enrollment ID: I20180212002053 |
| Provider Name | Stephen James Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033646484 PECOS PAC ID: 6800156803 Enrollment ID: I20180213001940 |
| Provider Name | Dekey Yangzom Lhewa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518166438 PECOS PAC ID: 9830479310 Enrollment ID: I20180215000918 |
| Provider Name | Benjamin W Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346257698 PECOS PAC ID: 2860545688 Enrollment ID: I20180326002894 |
| Provider Name | Emmanuel Dwomoh-tweneboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124529243 PECOS PAC ID: 1951664762 Enrollment ID: I20180409002163 |
| Provider Name | Olivia M Kroening-roche |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013060656 PECOS PAC ID: 2163673294 Enrollment ID: I20180424002154 |
| Provider Name | Jenna Wheeler Stapleton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720284938 PECOS PAC ID: 5395009443 Enrollment ID: I20180426000799 |
| Provider Name | Samantha Paramore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598201477 PECOS PAC ID: 0042574824 Enrollment ID: I20180502001330 |
| Provider Name | John Hitchings Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447426077 PECOS PAC ID: 6103142401 Enrollment ID: I20180508002772 |
| Provider Name | Ran Ran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427492537 PECOS PAC ID: 4587805189 Enrollment ID: I20180514000433 |
| Provider Name | Curtis A Lachowiez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194110585 PECOS PAC ID: 6709193600 Enrollment ID: I20180514000754 |
| Provider Name | William Edward Karle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932441185 PECOS PAC ID: 1456615681 Enrollment ID: I20180515002961 |
| Provider Name | Jessica Reid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447615315 PECOS PAC ID: 5496019622 Enrollment ID: I20180515003256 |
| Provider Name | Joshua Paul Nickerson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932261906 PECOS PAC ID: 7113198524 Enrollment ID: I20180516000826 |
| Provider Name | Rajan P Kulkarni |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902040777 PECOS PAC ID: 9133348139 Enrollment ID: I20180516001172 |
| Provider Name | Reyhaneh Maryam Akhavein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699064063 PECOS PAC ID: 5799922837 Enrollment ID: I20180516001770 |
| Provider Name | Brian W Goldner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730459363 PECOS PAC ID: 6608001045 Enrollment ID: I20180516002321 |
| Provider Name | Jaryd Yee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245674506 PECOS PAC ID: 1951666148 Enrollment ID: I20180516002900 |
| Provider Name | Nicholas D Boespflug |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497140909 PECOS PAC ID: 2668789728 Enrollment ID: I20180516002994 |
| Provider Name | Sara Ayako Mayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407241037 PECOS PAC ID: 4688960735 Enrollment ID: I20180517000462 |
| Provider Name | William Walsh Thomas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417393216 PECOS PAC ID: 8224393319 Enrollment ID: I20180518001855 |
| Provider Name | Monica P. Saladik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265872923 PECOS PAC ID: 5193032837 Enrollment ID: I20180518001912 |
| Provider Name | Katrina Winsnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750657318 PECOS PAC ID: 3072821479 Enrollment ID: I20180518002066 |
| Provider Name | Sudhir Isharwal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649582735 PECOS PAC ID: 7012147093 Enrollment ID: I20180521000371 |
| Provider Name | Andrew James Thomas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922340579 PECOS PAC ID: 5496975799 Enrollment ID: I20180521002267 |
| Provider Name | Suvi Neukam |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1376939876 PECOS PAC ID: 7416264049 Enrollment ID: I20180523001715 |
| Provider Name | William M Dougherty |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174968440 PECOS PAC ID: 3870720550 Enrollment ID: I20180524000407 |
| Provider Name | Leslie Jay Starkey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215256391 PECOS PAC ID: 7719242460 Enrollment ID: I20180529003048 |
| Provider Name | Andrew Treister |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518385293 PECOS PAC ID: 4688939374 Enrollment ID: I20180530001679 |
| Provider Name | Jessica Leila Stachyra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265875082 PECOS PAC ID: 5395019566 Enrollment ID: I20180601000898 |
| Provider Name | Brandon C Maughan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285862383 PECOS PAC ID: 6709027188 Enrollment ID: I20180604000266 |
| Provider Name | Shushan Rana |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487091260 PECOS PAC ID: 4486888294 Enrollment ID: I20180606000488 |
| Provider Name | Jennifer Nicole Saultz |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1437441557 PECOS PAC ID: 4486895265 Enrollment ID: I20180612002923 |
| Provider Name | Jonathan Ryan Floriani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043552540 PECOS PAC ID: 3678792702 Enrollment ID: I20180615002132 |
| Provider Name | Garrett Russell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669883443 PECOS PAC ID: 3274888151 Enrollment ID: I20180618001061 |
| Provider Name | Daniel R Seifer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407110356 PECOS PAC ID: 9739497322 Enrollment ID: I20180621000589 |
| Provider Name | Eric Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750705182 PECOS PAC ID: 2062721426 Enrollment ID: I20180622002436 |
| Provider Name | Sylvia Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598182586 PECOS PAC ID: 8628382702 Enrollment ID: I20180625000690 |
| Provider Name | Nathan Paul Wilkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548394802 PECOS PAC ID: 2365487329 Enrollment ID: I20180625001568 |
| Provider Name | Norma Vestal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285093591 PECOS PAC ID: 8527313089 Enrollment ID: I20180625001726 |
| Provider Name | Aaron Thomas Trimble |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932498862 PECOS PAC ID: 1557590304 Enrollment ID: I20180625003729 |
| Provider Name | Chelsea Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033470646 PECOS PAC ID: 1254686678 Enrollment ID: I20180626000805 |
| Provider Name | Joseph James Shatzel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144589268 PECOS PAC ID: 0749599298 Enrollment ID: I20180627001794 |
| Provider Name | Adel Kardosh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235400177 PECOS PAC ID: 0345596771 Enrollment ID: I20180627002116 |
| Provider Name | Joshua M Walker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962848655 PECOS PAC ID: 5698900504 Enrollment ID: I20180628001355 |
| Provider Name | Zachary Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427476480 PECOS PAC ID: 9335366350 Enrollment ID: I20180628002866 |
| Provider Name | Megan Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467795369 PECOS PAC ID: 5890099782 Enrollment ID: I20180628003594 |
| Provider Name | Anne Stone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063531432 PECOS PAC ID: 0941388342 Enrollment ID: I20180712002578 |
| Provider Name | Harsh Golwala |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265743686 PECOS PAC ID: 1254688765 Enrollment ID: I20180716000192 |
| Provider Name | Aaron Grossberg |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164775334 PECOS PAC ID: 2365677283 Enrollment ID: I20180716000554 |
| Provider Name | Shilpi Garg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932463486 PECOS PAC ID: 6305141706 Enrollment ID: I20180719003494 |
| Provider Name | David R. Nagarkatti-gude |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417374695 PECOS PAC ID: 9638398373 Enrollment ID: I20180723001043 |
| Provider Name | Madiha Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780064766 PECOS PAC ID: 5991018996 Enrollment ID: I20180724003157 |
| Provider Name | Laura K Byerly |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568726024 PECOS PAC ID: 3274787775 Enrollment ID: I20180731003522 |
| Provider Name | Karen J Gibbins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457581688 PECOS PAC ID: 2668614611 Enrollment ID: I20180809001023 |
| Provider Name | Lokesh Kumar Yadav |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205217999 PECOS PAC ID: 2860773207 Enrollment ID: I20180809005029 |
| Provider Name | Reena Singh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811287550 PECOS PAC ID: 9335449859 Enrollment ID: I20180815003412 |
| Provider Name | Elizabeth Berry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538588504 PECOS PAC ID: 2769786755 Enrollment ID: I20180817001688 |
| Provider Name | Caitlin Colleen Citti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114293990 PECOS PAC ID: 1355650284 Enrollment ID: I20180817002602 |
| Provider Name | Ryland Kagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104183888 PECOS PAC ID: 9931353299 Enrollment ID: I20180820003434 |
| Provider Name | Terry Shih |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629206818 PECOS PAC ID: 5991012478 Enrollment ID: I20180820003701 |
| Provider Name | Tomas Antonio Lazo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952644684 PECOS PAC ID: 1153563796 Enrollment ID: I20180821001316 |
| Provider Name | Leah Beth Kalin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144648882 PECOS PAC ID: 9830316553 Enrollment ID: I20180821002061 |
| Provider Name | Merina Thomas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811251820 PECOS PAC ID: 1254631567 Enrollment ID: I20180822001442 |
| Provider Name | Mark Anthony Sofia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912261496 PECOS PAC ID: 7012131840 Enrollment ID: I20180822003030 |
| Provider Name | Zachary Mark Working |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790051084 PECOS PAC ID: 9638302037 Enrollment ID: I20180823000503 |
| Provider Name | Nii O Koney |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1649536301 PECOS PAC ID: 0345519252 Enrollment ID: I20180827003354 |
| Provider Name | Tyler Tate |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235405150 PECOS PAC ID: 1658687348 Enrollment ID: I20180829004369 |
| Provider Name | Yalini Vigneswaran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285916403 PECOS PAC ID: 8022311786 Enrollment ID: I20180829004557 |
| Provider Name | Jane Babiarz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447646088 PECOS PAC ID: 7810205267 Enrollment ID: I20180830001876 |
| Provider Name | Karen Joanne Bos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447561014 PECOS PAC ID: 0840455440 Enrollment ID: I20180912001806 |
| Provider Name | Aimee L Pierce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043484801 PECOS PAC ID: 9133398498 Enrollment ID: I20180914002815 |
| Provider Name | Thuy Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164702585 PECOS PAC ID: 3476823642 Enrollment ID: I20180917001377 |
| Provider Name | Leo J Daab |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245274851 PECOS PAC ID: 9739317728 Enrollment ID: I20180917001727 |
| Provider Name | Elizabeth Rose Shih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306007307 PECOS PAC ID: 7416127444 Enrollment ID: I20180919001896 |
| Provider Name | Shyam Joshi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1114364247 PECOS PAC ID: 8820215296 Enrollment ID: I20180925000739 |
| Provider Name | Whitney W Roper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609294362 PECOS PAC ID: 7416174818 Enrollment ID: I20181003001920 |
| Provider Name | Heather K Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457633836 PECOS PAC ID: 7113189242 Enrollment ID: I20181009000236 |
| Provider Name | Monica J Gulley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447547807 PECOS PAC ID: 4688984669 Enrollment ID: I20181011000881 |
| Provider Name | Kimberly Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780968784 PECOS PAC ID: 8921083171 Enrollment ID: I20181015002674 |
| Provider Name | Winnie Y Liu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427391101 PECOS PAC ID: 3072756279 Enrollment ID: I20181022001511 |
| Provider Name | Heidi Noel Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720565856 PECOS PAC ID: 2961755889 Enrollment ID: I20181023002355 |
| Provider Name | Diana Lynn Clapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497231534 PECOS PAC ID: 2769735695 Enrollment ID: I20181023002486 |
| Provider Name | Jane Mingjia Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659714004 PECOS PAC ID: 6800183203 Enrollment ID: I20181024002382 |
| Provider Name | Amira N Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861794414 PECOS PAC ID: 0648422873 Enrollment ID: I20181025002296 |
| Provider Name | Lindsay Megan Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336405042 PECOS PAC ID: 7618111204 Enrollment ID: I20181026000541 |
| Provider Name | Hunter Poarch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568880219 PECOS PAC ID: 1557581303 Enrollment ID: I20181026001470 |
| Provider Name | Emily P Whitfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972700755 PECOS PAC ID: 9739357393 Enrollment ID: I20181114000386 |
| Provider Name | Misha Rose Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063850881 PECOS PAC ID: 3577889765 Enrollment ID: I20181114002207 |
| Provider Name | Christine M Woolsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184149437 PECOS PAC ID: 0941554661 Enrollment ID: I20181116000160 |
| Provider Name | Richard David Stutzman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295831816 PECOS PAC ID: 9638390487 Enrollment ID: I20181116002570 |
| Provider Name | David C Woodland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841424306 PECOS PAC ID: 2062795610 Enrollment ID: I20181126003527 |
| Provider Name | Amber Christine Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093038762 PECOS PAC ID: 6002943982 Enrollment ID: I20181207001958 |
| Provider Name | Jeffrey David Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023552114 PECOS PAC ID: 1254613870 Enrollment ID: I20181207002482 |
| Provider Name | Stephen Ki Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689917700 PECOS PAC ID: 5193010296 Enrollment ID: I20181212000210 |
| Provider Name | Machya Spelletich-pecoraro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740794072 PECOS PAC ID: 3779828546 Enrollment ID: I20181226000209 |
| Provider Name | Brian Jhinhyung Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164840377 PECOS PAC ID: 8325265812 Enrollment ID: I20181228001933 |
| Provider Name | Paria Zarrinnegar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922341064 PECOS PAC ID: 8325272826 Enrollment ID: I20190103000576 |
| Provider Name | Abby M Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811397979 PECOS PAC ID: 9436472339 Enrollment ID: I20190104000654 |
| Provider Name | Henry Chinghsin Lin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710133657 PECOS PAC ID: 6800030396 Enrollment ID: I20190104000690 |
| Provider Name | Amanda Lee Staudt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245717933 PECOS PAC ID: 7810233202 Enrollment ID: I20190104002605 |
| Provider Name | Rosemarie Mannino |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649392135 PECOS PAC ID: 8426375247 Enrollment ID: I20190107000940 |
| Provider Name | Kushma S Govindappa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205139862 PECOS PAC ID: 9830435031 Enrollment ID: I20190109000768 |
| Provider Name | Tasneem Abbas Shikary |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003105867 PECOS PAC ID: 8426296732 Enrollment ID: I20190118001833 |
| Provider Name | Wendy Kay Herrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831613884 PECOS PAC ID: 8921345935 Enrollment ID: I20190129003807 |
| Provider Name | Nathan Hantke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265883151 PECOS PAC ID: 1052659505 Enrollment ID: I20190208001172 |
| Provider Name | Jaime Wildman Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629334180 PECOS PAC ID: 9537471966 Enrollment ID: I20190208001611 |
| Provider Name | Sarah Sperry Mcconville |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811254063 PECOS PAC ID: 5395977011 Enrollment ID: I20190208002011 |
| Provider Name | Chara Elaine Rydzak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407176076 PECOS PAC ID: 0345553442 Enrollment ID: I20190222001661 |
| Provider Name | Katherine O Spira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346601754 PECOS PAC ID: 2668760737 Enrollment ID: I20190225000128 |
| Provider Name | Ryan Leroy Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114495017 PECOS PAC ID: 0042559452 Enrollment ID: I20190301001574 |
| Provider Name | Priscilla Kim Codiga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629009402 PECOS PAC ID: 7315926979 Enrollment ID: I20190301002403 |
| Provider Name | Kellie Renee Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679090757 PECOS PAC ID: 9537408828 Enrollment ID: I20190304002717 |
| Provider Name | Erica Koltenuk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003307158 PECOS PAC ID: 5294074415 Enrollment ID: I20190306002160 |
| Provider Name | Gabriel Kleinman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336430743 PECOS PAC ID: 4385938216 Enrollment ID: I20190319001701 |
| Provider Name | Julie Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447728746 PECOS PAC ID: 0749520393 Enrollment ID: I20190319002106 |
| Provider Name | Sharon A Kubik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033138946 PECOS PAC ID: 2264458181 Enrollment ID: I20190320000482 |
| Provider Name | Derek Galligan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235405317 PECOS PAC ID: 7618261843 Enrollment ID: I20190320000797 |
| Provider Name | Kelsey Lander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700397114 PECOS PAC ID: 5092074310 Enrollment ID: I20190321000438 |
| Provider Name | Caroline Zeller |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821445743 PECOS PAC ID: 6901193523 Enrollment ID: I20190326002222 |
| Provider Name | Brian Tanner Brinkerhoff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144596552 PECOS PAC ID: 5890940894 Enrollment ID: I20190327000879 |
| Provider Name | Erica L Smith Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790161727 PECOS PAC ID: 6507175262 Enrollment ID: I20190403002807 |
| Provider Name | Rachel Emma Bendroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922578301 PECOS PAC ID: 3072855972 Enrollment ID: I20190424002564 |
| Provider Name | Claudine Monique Bohun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790983625 PECOS PAC ID: 5799930624 Enrollment ID: I20190509000163 |
| Provider Name | Andrea J Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437174489 PECOS PAC ID: 1759350556 Enrollment ID: I20190524001493 |
| Provider Name | Lisa S Yarborough |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881894376 PECOS PAC ID: 3375876675 Enrollment ID: I20190530003092 |
| Provider Name | Russell Gordon Davidson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407143373 PECOS PAC ID: 6204139215 Enrollment ID: I20190531002172 |
| Provider Name | Natalie Anne Lanocha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700248903 PECOS PAC ID: 3375838204 Enrollment ID: I20190603001171 |
| Provider Name | Michael Paul Petrovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982099032 PECOS PAC ID: 0840547345 Enrollment ID: I20190603001185 |
| Provider Name | Patricia Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558723460 PECOS PAC ID: 2365738325 Enrollment ID: I20190603002593 |
| Provider Name | Mary K Nordling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164417689 PECOS PAC ID: 2466411095 Enrollment ID: I20190603002882 |
| Provider Name | Matthew Robert Neth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174918478 PECOS PAC ID: 8628399169 Enrollment ID: I20190603002952 |
| Provider Name | Jonathan Edward Karademos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245692870 PECOS PAC ID: 2961791900 Enrollment ID: I20190604000189 |
| Provider Name | Shaalini Ramanadhan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255719258 PECOS PAC ID: 0840507273 Enrollment ID: I20190604000480 |
| Provider Name | Hayley Baines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861750655 PECOS PAC ID: 1355652371 Enrollment ID: I20190604002645 |
| Provider Name | Charles Craig Rudy |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588097117 PECOS PAC ID: 7810283355 Enrollment ID: I20190604003038 |
| Provider Name | Kathryn Hagen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124446042 PECOS PAC ID: 7416174297 Enrollment ID: I20190605001197 |
| Provider Name | Laura Elizabeth Chess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730507500 PECOS PAC ID: 1153635362 Enrollment ID: I20190605001503 |
| Provider Name | Lauren N Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417341652 PECOS PAC ID: 0941517353 Enrollment ID: I20190607001028 |
| Provider Name | Karen Ta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073907978 PECOS PAC ID: 0547593428 Enrollment ID: I20190607001241 |
| Provider Name | John Avery Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336501584 PECOS PAC ID: 1658668504 Enrollment ID: I20190607001490 |
| Provider Name | Olabisi Sanusi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457617201 PECOS PAC ID: 6305129180 Enrollment ID: I20190607002169 |
| Provider Name | Tyson K Travis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447660451 PECOS PAC ID: 1052638020 Enrollment ID: I20190607002224 |
| Provider Name | David Allen Yam |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649495896 PECOS PAC ID: 8123143369 Enrollment ID: I20190610001456 |
| Provider Name | Rachel Elizabeth Culmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770024804 PECOS PAC ID: 7618200486 Enrollment ID: I20190610002639 |
| Provider Name | Kristin Dudzic |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508327388 PECOS PAC ID: 4284967845 Enrollment ID: I20190613000886 |
| Provider Name | Matthew J Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437554235 PECOS PAC ID: 0244557130 Enrollment ID: I20190613001649 |
| Provider Name | Christopher Warren Hollen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205215191 PECOS PAC ID: 4587997176 Enrollment ID: I20190613002165 |
| Provider Name | Lee Neilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760877013 PECOS PAC ID: 7810220324 Enrollment ID: I20190614000236 |
| Provider Name | Sarang Biel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073925426 PECOS PAC ID: 7517274004 Enrollment ID: I20190614001183 |
| Provider Name | Julie Dhossche |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023403284 PECOS PAC ID: 2062714306 Enrollment ID: I20190617000621 |
| Provider Name | Aimee D Kohn |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093892648 PECOS PAC ID: 5890705610 Enrollment ID: I20190618001665 |
| Provider Name | James A Bishara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821127283 PECOS PAC ID: 8426123654 Enrollment ID: I20190621001191 |
| Provider Name | Emily H Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083974182 PECOS PAC ID: 6002120755 Enrollment ID: I20190621001645 |
| Provider Name | Sara Beth Cichowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912199134 PECOS PAC ID: 9335319680 Enrollment ID: I20190621001673 |
| Provider Name | Nikolai Schnittke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073926531 PECOS PAC ID: 9335368497 Enrollment ID: I20190621002676 |
| Provider Name | Lauren Scott Talman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598184657 PECOS PAC ID: 6103045000 Enrollment ID: I20190623000027 |
| Provider Name | Ladonna L Robey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497261689 PECOS PAC ID: 2860726924 Enrollment ID: I20190624000530 |
| Provider Name | Johannes Karl-friedrich Steiner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205084605 PECOS PAC ID: 9739307943 Enrollment ID: I20190624000674 |
| Provider Name | Bradley Buchheit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144648312 PECOS PAC ID: 6305065988 Enrollment ID: I20190624001059 |
| Provider Name | Amie Leaverton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740675123 PECOS PAC ID: 8325357411 Enrollment ID: I20190624002725 |
| Provider Name | Matthew Benjamin Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760773964 PECOS PAC ID: 0749514867 Enrollment ID: I20190624002836 |
| Provider Name | Luke Ivan Masha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154687622 PECOS PAC ID: 0244462968 Enrollment ID: I20190625002348 |
| Provider Name | Ahmad Mohammad Amin Masri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154693182 PECOS PAC ID: 7315208964 Enrollment ID: I20190626000713 |
| Provider Name | Emerson Y Chen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134564610 PECOS PAC ID: 4981994480 Enrollment ID: I20190626002638 |
| Provider Name | Annie Kwok Hung |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730422015 PECOS PAC ID: 7214237601 Enrollment ID: I20190626003905 |
| Provider Name | Ittai Bushlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689017048 PECOS PAC ID: 0244471860 Enrollment ID: I20190703002153 |
| Provider Name | Nalini Anne Colaco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447518923 PECOS PAC ID: 5193005866 Enrollment ID: I20190709002519 |
| Provider Name | Emily Anne Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215322862 PECOS PAC ID: 7911216874 Enrollment ID: I20190709002522 |
| Provider Name | Yee-shiuan Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932559416 PECOS PAC ID: 8224304399 Enrollment ID: I20190709002770 |
| Provider Name | Gurion Lantz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972949253 PECOS PAC ID: 7517109531 Enrollment ID: I20190710000976 |
| Provider Name | Manoj P Rai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477936466 PECOS PAC ID: 0648505800 Enrollment ID: I20190710001210 |
| Provider Name | Marc Michael Delrosario Lim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073956991 PECOS PAC ID: 3678823275 Enrollment ID: I20190710002453 |
| Provider Name | Lauren Mary Sigman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235585357 PECOS PAC ID: 1557616109 Enrollment ID: I20190710002963 |
| Provider Name | Malin Grady Friess |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609866292 PECOS PAC ID: 0446335467 Enrollment ID: I20190711000806 |
| Provider Name | Teodora Nikolaeva Bochnakova |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1780020008 PECOS PAC ID: 7719242916 Enrollment ID: I20190711001872 |
| Provider Name | Emily Amos Edwards |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184067076 PECOS PAC ID: 8729313788 Enrollment ID: I20190712000831 |
| Provider Name | Sherie Gause |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275876997 PECOS PAC ID: 9436376472 Enrollment ID: I20190712001069 |
| Provider Name | Rachel Patten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649627365 PECOS PAC ID: 4082949912 Enrollment ID: I20190715000551 |
| Provider Name | Jyoti Chouhan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962847673 PECOS PAC ID: 9032467428 Enrollment ID: I20190716002108 |
| Provider Name | Jeramy Richard Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932594066 PECOS PAC ID: 6204143308 Enrollment ID: I20190717002773 |
| Provider Name | Lindsay Stone |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1700145505 PECOS PAC ID: 7618122359 Enrollment ID: I20190730001374 |
| Provider Name | Sanjog Bastola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922459064 PECOS PAC ID: 4981996253 Enrollment ID: I20190731004037 |
| Provider Name | Caroline Mf Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902217813 PECOS PAC ID: 1456576826 Enrollment ID: I20190802002906 |
| Provider Name | David I Daikh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740363654 PECOS PAC ID: 7517242605 Enrollment ID: I20190807000819 |
| Provider Name | Kristen Elizabeth Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821554692 PECOS PAC ID: 3971830423 Enrollment ID: I20190807001168 |
| Provider Name | Amy Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588026793 PECOS PAC ID: 6406195551 Enrollment ID: I20190808001110 |
| Provider Name | David Poulsen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346685633 PECOS PAC ID: 7012285513 Enrollment ID: I20190809001064 |
| Provider Name | Patrick Joseph Worth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932499928 PECOS PAC ID: 4486899325 Enrollment ID: I20190813000337 |
| Provider Name | Phylicia Danielle Yorgure |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649537853 PECOS PAC ID: 1557502192 Enrollment ID: I20190813002168 |
| Provider Name | Ethan Beckley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184064842 PECOS PAC ID: 9032425491 Enrollment ID: I20190814001593 |
| Provider Name | Arnab Mitra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003175464 PECOS PAC ID: 8527282797 Enrollment ID: I20190815000748 |
| Provider Name | Jessica Xinyao Yu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659664589 PECOS PAC ID: 8921224528 Enrollment ID: I20190816002321 |
| Provider Name | Nicolas A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528441318 PECOS PAC ID: 5193025005 Enrollment ID: I20190820000544 |
| Provider Name | Chelsea Pyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033526496 PECOS PAC ID: 7911216650 Enrollment ID: I20190820000775 |
| Provider Name | James Houston Beckwith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093164386 PECOS PAC ID: 1759656887 Enrollment ID: I20190820001015 |
| Provider Name | Mary Carroll Francis Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184003279 PECOS PAC ID: 3779890611 Enrollment ID: I20190820002285 |
| Provider Name | Daniel Joseph Crowder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902149958 PECOS PAC ID: 8123336294 Enrollment ID: I20190822003657 |
| Provider Name | Scott E Rewinkel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104245968 PECOS PAC ID: 3173742194 Enrollment ID: I20190823001648 |
| Provider Name | Olivia Marie Lucero |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417334582 PECOS PAC ID: 9335427491 Enrollment ID: I20190823003394 |
| Provider Name | Melinda G Nix |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821275066 PECOS PAC ID: 2466536115 Enrollment ID: I20190828003070 |
| Provider Name | Tyler Yates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649699711 PECOS PAC ID: 0446588446 Enrollment ID: I20190829001860 |
| Provider Name | Veronica Rita Hocker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548509300 PECOS PAC ID: 8224367925 Enrollment ID: I20190905001623 |
| Provider Name | Jordan Roderick Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255770285 PECOS PAC ID: 3577780212 Enrollment ID: I20190910003054 |
| Provider Name | Sarah Skog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386021772 PECOS PAC ID: 2466760111 Enrollment ID: I20190911002900 |
| Provider Name | Kathleen Coy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366861387 PECOS PAC ID: 9335478635 Enrollment ID: I20190912000211 |
| Provider Name | Elizabeth Ann Hourihan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710998810 PECOS PAC ID: 3779681176 Enrollment ID: I20190912003425 |
| Provider Name | Erin Conner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275976755 PECOS PAC ID: 0345594503 Enrollment ID: I20190913000834 |
| Provider Name | Lori Kathryn Howell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992955090 PECOS PAC ID: 6204053259 Enrollment ID: I20190913001628 |
| Provider Name | Hans Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801236567 PECOS PAC ID: 2769790575 Enrollment ID: I20190916000806 |
| Provider Name | Chris Allen Unterseher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780805176 PECOS PAC ID: 2062536212 Enrollment ID: I20190916001340 |
| Provider Name | Geolani W Dy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710243951 PECOS PAC ID: 9335456193 Enrollment ID: I20190916003430 |
| Provider Name | Amelia Dawn Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992168231 PECOS PAC ID: 0042500894 Enrollment ID: I20190917002417 |
| Provider Name | Mair C. Marsiglio Jetmalani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336525252 PECOS PAC ID: 8022347012 Enrollment ID: I20190917002984 |
| Provider Name | Marie Martinelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720353055 PECOS PAC ID: 8325378359 Enrollment ID: I20190918000750 |
| Provider Name | Lara Chamberlain Atwater |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366718116 PECOS PAC ID: 9335397975 Enrollment ID: I20190918000759 |
| Provider Name | Apurva Pandey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023351137 PECOS PAC ID: 7810293727 Enrollment ID: I20190918001304 |
| Provider Name | Sangeeta Kalsi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760869689 PECOS PAC ID: 6800126699 Enrollment ID: I20190920001071 |
| Provider Name | Artur Riddle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689093817 PECOS PAC ID: 1759611593 Enrollment ID: I20190923000358 |
| Provider Name | Daniel Patrick Nicoli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518384791 PECOS PAC ID: 8921225608 Enrollment ID: I20190924002316 |
| Provider Name | Pari Faraji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538401088 PECOS PAC ID: 7618105875 Enrollment ID: I20191017000541 |
| Provider Name | Kaitlin Ann Greene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861735763 PECOS PAC ID: 2365794179 Enrollment ID: I20191017002987 |
| Provider Name | Marya E Leahy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598056715 PECOS PAC ID: 8921390899 Enrollment ID: I20191018000230 |
| Provider Name | Hillary Md Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942699897 PECOS PAC ID: 2860783545 Enrollment ID: I20191018000288 |
| Provider Name | Helena Franco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619339538 PECOS PAC ID: 3870824006 Enrollment ID: I20191018001722 |
| Provider Name | Jennifer Lea Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760779953 PECOS PAC ID: 4880832864 Enrollment ID: I20191018002023 |
| Provider Name | Sydney Elizabeth Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750788113 PECOS PAC ID: 1153615414 Enrollment ID: I20191021000775 |
| Provider Name | Angelo Mario De Mattos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619984812 PECOS PAC ID: 4981671682 Enrollment ID: I20191021003544 |
| Provider Name | Stefanie A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013191303 PECOS PAC ID: 2163754284 Enrollment ID: I20191022003885 |
| Provider Name | Arpita P Gandhi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225329246 PECOS PAC ID: 7810229473 Enrollment ID: I20191031000241 |
| Provider Name | Dominique Dantes Laron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164789079 PECOS PAC ID: 9335432798 Enrollment ID: I20191104001766 |
| Provider Name | Jillian Harrison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235789033 PECOS PAC ID: 6406288232 Enrollment ID: I20191118000944 |
| Provider Name | Lars Grosse-wortmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588210157 PECOS PAC ID: 9133551633 Enrollment ID: I20191122000006 |
| Provider Name | David L Rutlen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881646560 PECOS PAC ID: 1557259132 Enrollment ID: I20191122000016 |
| Provider Name | Amanda D Ball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003116112 PECOS PAC ID: 7618112137 Enrollment ID: I20191122001593 |
| Provider Name | Kalin Burkhardt Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629446927 PECOS PAC ID: 8527349836 Enrollment ID: I20191202000718 |
| Provider Name | Emily Justusson Riddle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457767584 PECOS PAC ID: 1355568999 Enrollment ID: I20191209000623 |
| Provider Name | Alexander Michael Witkowski |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588212989 PECOS PAC ID: 7517390131 Enrollment ID: I20191211002664 |
| Provider Name | Kyle J Gobeil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134777444 PECOS PAC ID: 4385077924 Enrollment ID: I20191212000050 |
| Provider Name | Lisa Pusateri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851948442 PECOS PAC ID: 0345673802 Enrollment ID: I20191214000102 |
| Provider Name | Hannah Oh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770994527 PECOS PAC ID: 5698109080 Enrollment ID: I20191217002642 |
| Provider Name | Emily Stahl Mollenkopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356842207 PECOS PAC ID: 0345674164 Enrollment ID: I20200102000676 |
| Provider Name | John Robert Warner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346684784 PECOS PAC ID: 7012342355 Enrollment ID: I20200115001469 |
| Provider Name | Danielle Moyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033761119 PECOS PAC ID: 3779918933 Enrollment ID: I20200115002796 |
| Provider Name | Callie Marie Schlosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972033058 PECOS PAC ID: 6901176577 Enrollment ID: I20200120000164 |
| Provider Name | Patricia Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386061331 PECOS PAC ID: 7719104553 Enrollment ID: I20200120000383 |
| Provider Name | Andrew Corcoran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881837458 PECOS PAC ID: 9931345931 Enrollment ID: I20200128003226 |
| Provider Name | Dana Dharmakaya Colgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912398561 PECOS PAC ID: 0042646630 Enrollment ID: I20200129002635 |
| Provider Name | Travis Rice-stitt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295020477 PECOS PAC ID: 3476711284 Enrollment ID: I20200130000909 |
| Provider Name | Kristine Melissa Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093359283 PECOS PAC ID: 6800222449 Enrollment ID: I20200130001527 |
| Provider Name | Morgan Lisner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134412794 PECOS PAC ID: 6002131323 Enrollment ID: I20200130001718 |
| Provider Name | Brenda Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548555451 PECOS PAC ID: 7315251600 Enrollment ID: I20200224001496 |
| Provider Name | Carly Bendzans |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083002158 PECOS PAC ID: 3173806957 Enrollment ID: I20200226000533 |
| Provider Name | Diane Osborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205039641 PECOS PAC ID: 6608969654 Enrollment ID: I20200312002096 |
| Provider Name | Amber Hjorth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225686140 PECOS PAC ID: 6406188192 Enrollment ID: I20200319001249 |
| Provider Name | Jean Hannon Mullins-padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588207666 PECOS PAC ID: 2062840325 Enrollment ID: I20200319001951 |
| Provider Name | Eric Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851483432 PECOS PAC ID: 9830150218 Enrollment ID: I20200319002883 |
| Provider Name | Sarah Scofield Atkins Dykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184149759 PECOS PAC ID: 6709215742 Enrollment ID: I20200326002587 |
| Provider Name | Thomas L Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790201598 PECOS PAC ID: 2668747510 Enrollment ID: I20200327000475 |
| Provider Name | Deborah Meyers |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1568648954 PECOS PAC ID: 2567548613 Enrollment ID: I20200403002669 |
| Provider Name | Zheyan Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417342098 PECOS PAC ID: 1759685639 Enrollment ID: I20200406000218 |
| Provider Name | Emery Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871869362 PECOS PAC ID: 5395053854 Enrollment ID: I20200406000397 |
| Provider Name | Angela-tu Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053654988 PECOS PAC ID: 9335381995 Enrollment ID: I20200408004303 |
| Provider Name | Matthew Stephen Correia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245693712 PECOS PAC ID: 5799114922 Enrollment ID: I20200408004473 |
| Provider Name | Rasha Nakhleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821378241 PECOS PAC ID: 0840515599 Enrollment ID: I20200416001165 |
| Provider Name | Robert Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386176188 PECOS PAC ID: 2163794421 Enrollment ID: I20200416002371 |
| Provider Name | Amelia Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023566148 PECOS PAC ID: 0143501924 Enrollment ID: I20200421001744 |
| Provider Name | Sarah Viall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780931956 PECOS PAC ID: 7315196177 Enrollment ID: I20200421002709 |
| Provider Name | Mary Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316914203 PECOS PAC ID: 5193706844 Enrollment ID: I20200422002590 |
| Provider Name | Nancy Puzziferri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831157585 PECOS PAC ID: 5294784609 Enrollment ID: I20200423000698 |
| Provider Name | Heather Shank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063823292 PECOS PAC ID: 6901236462 Enrollment ID: I20200423002228 |
| Provider Name | Jaclyn Thiessen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376962068 PECOS PAC ID: 5092023176 Enrollment ID: I20200505001908 |
| Provider Name | Rachel K. Bolognone |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407163017 PECOS PAC ID: 2466883483 Enrollment ID: I20200507000929 |
| Provider Name | Joshua Lupton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760872147 PECOS PAC ID: 2163795139 Enrollment ID: I20200508001229 |
| Provider Name | Kelsi Manley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821520883 PECOS PAC ID: 3779856877 Enrollment ID: I20200508001282 |
| Provider Name | Dong-wouk Park |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548600372 PECOS PAC ID: 8921225723 Enrollment ID: I20200508002486 |
| Provider Name | Robert Eil |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1124349634 PECOS PAC ID: 0446495113 Enrollment ID: I20200508002769 |
| Provider Name | Courtney M Temple |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164953220 PECOS PAC ID: 7517230576 Enrollment ID: I20200511000367 |
| Provider Name | Steven Mcgaughey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255771671 PECOS PAC ID: 3779877154 Enrollment ID: I20200511000487 |
| Provider Name | Joel Burnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114458817 PECOS PAC ID: 4789956798 Enrollment ID: I20200511001242 |
| Provider Name | Haley E Manella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104280171 PECOS PAC ID: 6709217466 Enrollment ID: I20200513000086 |
| Provider Name | Travis Philipp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073947719 PECOS PAC ID: 9133346851 Enrollment ID: I20200515001255 |
| Provider Name | Katherine Breithaupt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215459599 PECOS PAC ID: 1456782770 Enrollment ID: I20200520001535 |
| Provider Name | Rebecca Leah Pryor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215488812 PECOS PAC ID: 4082035357 Enrollment ID: I20200522002256 |
| Provider Name | Brenna Yard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689863011 PECOS PAC ID: 6800046087 Enrollment ID: I20200526000719 |
| Provider Name | Paula Tran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720617798 PECOS PAC ID: 6002237179 Enrollment ID: I20200527001768 |
| Provider Name | Shivaani Kummar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053612341 PECOS PAC ID: 6406172816 Enrollment ID: I20200527002052 |
| Provider Name | Karen Anstey |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1457791261 PECOS PAC ID: 2567714611 Enrollment ID: I20200527002064 |
| Provider Name | James Anstey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548600356 PECOS PAC ID: 8022363928 Enrollment ID: I20200527002733 |
| Provider Name | Jessica Grant |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659633592 PECOS PAC ID: 0244651347 Enrollment ID: I20200527003061 |
| Provider Name | Rachna Rani Mamidi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255862660 PECOS PAC ID: 2163794181 Enrollment ID: I20200528001436 |
| Provider Name | Kellyn Bellsmith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801242573 PECOS PAC ID: 5092006130 Enrollment ID: I20200529001407 |
| Provider Name | Lindsay Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508098393 PECOS PAC ID: 5991841942 Enrollment ID: I20200601002992 |
| Provider Name | Wei Xie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477896975 PECOS PAC ID: 4385065150 Enrollment ID: I20200603000162 |
| Provider Name | Leonardo A Campos |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629339155 PECOS PAC ID: 7315166774 Enrollment ID: I20200615000716 |
| Provider Name | Angela Villamagna |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821482068 PECOS PAC ID: 1153639281 Enrollment ID: I20200617002914 |
| Provider Name | Suzanne L. Bauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851455414 PECOS PAC ID: 5799107876 Enrollment ID: I20200618000211 |
| Provider Name | Marvin C Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730718768 PECOS PAC ID: 5294157236 Enrollment ID: I20200622001809 |
| Provider Name | Jennifer Elise Lane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649711821 PECOS PAC ID: 6608140611 Enrollment ID: I20200624001931 |
| Provider Name | Mitzi Donabel A Go |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437302494 PECOS PAC ID: 5193993590 Enrollment ID: I20200626001982 |
| Provider Name | Sven Olson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851718860 PECOS PAC ID: 1759507668 Enrollment ID: I20200629003017 |
| Provider Name | Elizabeth Sara Rubin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619339900 PECOS PAC ID: 4183046618 Enrollment ID: I20200629003560 |
| Provider Name | Jenna Emerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457791154 PECOS PAC ID: 3678879129 Enrollment ID: I20200629003793 |
| Provider Name | Kimberly Trieschmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164823019 PECOS PAC ID: 2961824420 Enrollment ID: I20200630000687 |
| Provider Name | Melanie Hakar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538555149 PECOS PAC ID: 4385926187 Enrollment ID: I20200630001583 |
| Provider Name | Sylvia Doan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770990236 PECOS PAC ID: 0143522037 Enrollment ID: I20200630002943 |
| Provider Name | Jenna N Otter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295116671 PECOS PAC ID: 2668765181 Enrollment ID: I20200701000599 |
| Provider Name | Sunhee Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720478852 PECOS PAC ID: 1557620390 Enrollment ID: I20200701002165 |
| Provider Name | Tatiana Hoyos Gomez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265850762 PECOS PAC ID: 2961719323 Enrollment ID: I20200702000533 |
| Provider Name | Erin L Foster |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962858324 PECOS PAC ID: 4486927282 Enrollment ID: I20200702000943 |
| Provider Name | Andrew S Phelps |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568620821 PECOS PAC ID: 0244493195 Enrollment ID: I20200710001083 |
| Provider Name | Monica Therese Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881195196 PECOS PAC ID: 5193148070 Enrollment ID: I20200710001126 |
| Provider Name | Brian Jinwoo Park |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376961896 PECOS PAC ID: 9335446830 Enrollment ID: I20200715002683 |
| Provider Name | Amanda Kristi Dieu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174146716 PECOS PAC ID: 3072937697 Enrollment ID: I20200715002976 |
| Provider Name | Lorne Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588907398 PECOS PAC ID: 9436442258 Enrollment ID: I20200715003071 |
| Provider Name | Emily Marcella Seery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851948772 PECOS PAC ID: 8921433509 Enrollment ID: I20200716000004 |
| Provider Name | Ian Metzler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508200346 PECOS PAC ID: 1153614029 Enrollment ID: I20200716003104 |
| Provider Name | Evan Shalen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275950362 PECOS PAC ID: 7517257181 Enrollment ID: I20200716003267 |
| Provider Name | Jesse Winer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326295122 PECOS PAC ID: 1759505381 Enrollment ID: I20200716003374 |
| Provider Name | Wesley Yu |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1609244086 PECOS PAC ID: 0042588154 Enrollment ID: I20200716003764 |
| Provider Name | Theodore Braun |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750708202 PECOS PAC ID: 5890010763 Enrollment ID: I20200717000447 |
| Provider Name | Michael Kilbourne |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235442682 PECOS PAC ID: 2466631171 Enrollment ID: I20200717002494 |
| Provider Name | Samuel Cross-knorr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982053864 PECOS PAC ID: 3375878515 Enrollment ID: I20200717002704 |
| Provider Name | Ryland Stucke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922419688 PECOS PAC ID: 8820398738 Enrollment ID: I20200717002745 |
| Provider Name | Kimberly Kripps |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1720407166 PECOS PAC ID: 0244517407 Enrollment ID: I20200720000054 |
| Provider Name | Hunter Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306377627 PECOS PAC ID: 6901179407 Enrollment ID: I20200720001470 |
| Provider Name | Gregory D Scott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568802379 PECOS PAC ID: 4183048499 Enrollment ID: I20200720003492 |
| Provider Name | Patrick Evers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194090456 PECOS PAC ID: 5799006359 Enrollment ID: I20200722003908 |
| Provider Name | Won Hyung Ryu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043872492 PECOS PAC ID: 3274860283 Enrollment ID: I20200723001737 |
| Provider Name | Amanda Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659786358 PECOS PAC ID: 9133498553 Enrollment ID: I20200723002125 |
| Provider Name | Annavi Baghel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134502180 PECOS PAC ID: 1052610201 Enrollment ID: I20200723002522 |
| Provider Name | Onyekachi Ogbonna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992090112 PECOS PAC ID: 3375853435 Enrollment ID: I20200724000489 |
| Provider Name | Jos'lyn Iman Woodard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063855641 PECOS PAC ID: 0749534758 Enrollment ID: I20200724001502 |
| Provider Name | Sarah Hecht |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801239108 PECOS PAC ID: 8123253341 Enrollment ID: I20200727002708 |
| Provider Name | Mandie Wiebers Jensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548689250 PECOS PAC ID: 5597983411 Enrollment ID: I20200727002712 |
| Provider Name | Travis Redd |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518351451 PECOS PAC ID: 1052621067 Enrollment ID: I20200728001119 |
| Provider Name | Kelly Collins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831489442 PECOS PAC ID: 5092039867 Enrollment ID: I20200728003493 |
| Provider Name | Mengyu Zhou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669925269 PECOS PAC ID: 7315272655 Enrollment ID: I20200730001213 |
| Provider Name | Vanderlene Kung |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932541414 PECOS PAC ID: 5193148443 Enrollment ID: I20200810001688 |
| Provider Name | Kristin Thompson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326493966 PECOS PAC ID: 9931533122 Enrollment ID: I20200810002778 |
| Provider Name | Shewit Giovanni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134533581 PECOS PAC ID: 8022233055 Enrollment ID: I20200812002789 |
| Provider Name | Dia Hazra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912438953 PECOS PAC ID: 0749558724 Enrollment ID: I20200812002903 |
| Provider Name | Christopher Connelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629369756 PECOS PAC ID: 5991941296 Enrollment ID: I20200813000124 |
| Provider Name | Abbie Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952644817 PECOS PAC ID: 2466693072 Enrollment ID: I20200813001751 |
| Provider Name | Kalaiselvi Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043768351 PECOS PAC ID: 5991078115 Enrollment ID: I20200813002778 |
| Provider Name | Vahagn Nikolian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255692323 PECOS PAC ID: 5799091005 Enrollment ID: I20200817000009 |
| Provider Name | Paul Nefedov |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487017075 PECOS PAC ID: 5496027450 Enrollment ID: I20200820002081 |
| Provider Name | Manida Wungjiranirun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376982421 PECOS PAC ID: 5991014201 Enrollment ID: I20200820003271 |
| Provider Name | Salman Hirani |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225410541 PECOS PAC ID: 2062838915 Enrollment ID: I20200821002515 |
| Provider Name | Jason Webb |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1619142023 PECOS PAC ID: 1456517820 Enrollment ID: I20200824000566 |
| Provider Name | Grace Tan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619389020 PECOS PAC ID: 8325262991 Enrollment ID: I20200824001658 |
| Provider Name | Melissa Logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598128928 PECOS PAC ID: 0345536066 Enrollment ID: I20200825003854 |
| Provider Name | Alexis E Croucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134742539 PECOS PAC ID: 1254758972 Enrollment ID: I20200826002706 |
| Provider Name | Katharine Frissora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669814711 PECOS PAC ID: 2365676889 Enrollment ID: I20200827000568 |
| Provider Name | Caleb Schmid |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164834354 PECOS PAC ID: 8729204698 Enrollment ID: I20200828001822 |
| Provider Name | Catherine L Hough |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952481921 PECOS PAC ID: 1557269776 Enrollment ID: I20200907000019 |
| Provider Name | Srini Vasan Mukundan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033476650 PECOS PAC ID: 8022263763 Enrollment ID: I20200908000921 |
| Provider Name | Nicolas Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144844184 PECOS PAC ID: 3779901566 Enrollment ID: I20200910001560 |
| Provider Name | Jessica Van Auken |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477919728 PECOS PAC ID: 7214355510 Enrollment ID: I20200918001166 |
| Provider Name | Mariann Drucker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144273046 PECOS PAC ID: 2769665413 Enrollment ID: I20200922001344 |
| Provider Name | Liana Schweiger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841553500 PECOS PAC ID: 6204143555 Enrollment ID: I20201009002182 |
| Provider Name | Ronan Thomas Swords |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1720216401 PECOS PAC ID: 1951455328 Enrollment ID: I20201014002838 |
| Provider Name | Morgan L Schiller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396279246 PECOS PAC ID: 4284905688 Enrollment ID: I20201014003152 |
| Provider Name | James Z Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386177277 PECOS PAC ID: 2668740465 Enrollment ID: I20201014003651 |
| Provider Name | Conrad Macon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215203252 PECOS PAC ID: 3577860774 Enrollment ID: I20201015000843 |
| Provider Name | Sarah Manning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982233722 PECOS PAC ID: 7810317690 Enrollment ID: I20201015003262 |
| Provider Name | Maria Palazeti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962865238 PECOS PAC ID: 7113213836 Enrollment ID: I20201020002816 |
| Provider Name | Nael Aldweib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710242615 PECOS PAC ID: 9931487915 Enrollment ID: I20201020002920 |
| Provider Name | Flavio Rocha |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1609938778 PECOS PAC ID: 3072784727 Enrollment ID: I20201029001711 |
| Provider Name | Sara Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598931826 PECOS PAC ID: 1658781778 Enrollment ID: I20201030002346 |
| Provider Name | Heather Hoops |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609219781 PECOS PAC ID: 3870736358 Enrollment ID: I20201104002406 |
| Provider Name | Melissa D Adair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023590197 PECOS PAC ID: 1052652500 Enrollment ID: I20201111000608 |
| Provider Name | Charles Edward Carriere |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518462944 PECOS PAC ID: 0042621997 Enrollment ID: I20201124002791 |
| Provider Name | Neesha R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417248725 PECOS PAC ID: 6406089127 Enrollment ID: I20201125001839 |
| Provider Name | Ruchi Thanawala |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992979645 PECOS PAC ID: 0941522304 Enrollment ID: I20201125002289 |
| Provider Name | Tanya Aylward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326488149 PECOS PAC ID: 9830446897 Enrollment ID: I20201210001870 |
| Provider Name | Mollie Ann Suits |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821627266 PECOS PAC ID: 9638581721 Enrollment ID: I20201214002972 |
| Provider Name | Pamela Jean St Clair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346859907 PECOS PAC ID: 7911319793 Enrollment ID: I20201221000378 |
| Provider Name | Jacklyn Stellway Beard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659711604 PECOS PAC ID: 4183036999 Enrollment ID: I20201221001894 |
| Provider Name | Alieh Zamany |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083191803 PECOS PAC ID: 9234542325 Enrollment ID: I20210111000528 |
| Provider Name | David German |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093058513 PECOS PAC ID: 4284869652 Enrollment ID: I20210111001003 |
| Provider Name | Jessica M Weiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922619915 PECOS PAC ID: 9830502863 Enrollment ID: I20210111002770 |
| Provider Name | Susan Grover Colasurdo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376602292 PECOS PAC ID: 9335553874 Enrollment ID: I20210125002815 |
| Provider Name | Sarah Jamieson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477157428 PECOS PAC ID: 6709290059 Enrollment ID: I20210127001281 |
| Provider Name | Noriyuki Y Murakami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306134721 PECOS PAC ID: 3971732801 Enrollment ID: I20210201001079 |
| Provider Name | Colleen M Sabella |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1295112175 PECOS PAC ID: 6608114160 Enrollment ID: I20210203001325 |
| Provider Name | Stephen Njoroge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790139723 PECOS PAC ID: 8022304765 Enrollment ID: I20210203001344 |
| Provider Name | Eizaburo Sasatomi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730381666 PECOS PAC ID: 2466552542 Enrollment ID: I20210203001746 |
| Provider Name | Raju Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114218070 PECOS PAC ID: 2264726868 Enrollment ID: I20210204001425 |
| Provider Name | Carmen Moore Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497163612 PECOS PAC ID: 9931422318 Enrollment ID: I20210208002176 |
| Provider Name | Stuart Zeltzer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780046326 PECOS PAC ID: 3173818242 Enrollment ID: I20210211000862 |
| Provider Name | Rebecca J Riggs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801136502 PECOS PAC ID: 2668781626 Enrollment ID: I20210211002785 |
| Provider Name | Laisio Saephan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588000806 PECOS PAC ID: 3577978931 Enrollment ID: I20210216003171 |
| Provider Name | Nathan David Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518593847 PECOS PAC ID: 3577978725 Enrollment ID: I20210219002366 |
| Provider Name | Justin E Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205269081 PECOS PAC ID: 8527318765 Enrollment ID: I20210225001534 |
| Provider Name | Caitlin Bump |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760774376 PECOS PAC ID: 9931414299 Enrollment ID: I20210315002010 |
| Provider Name | Chloe Isabel Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124615653 PECOS PAC ID: 4981011624 Enrollment ID: I20210325001616 |
| Provider Name | Grace J Mcbride |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316260433 PECOS PAC ID: 0547677122 Enrollment ID: I20210326000620 |
| Provider Name | Hagen F Kennecke |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578090270 PECOS PAC ID: 5395014559 Enrollment ID: I20210408000647 |
| Provider Name | Sabrina M Bowers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093098964 PECOS PAC ID: 3274945787 Enrollment ID: I20210410000025 |
| Provider Name | Andrew Chon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447519541 PECOS PAC ID: 8325269004 Enrollment ID: I20210410000075 |
| Provider Name | Abigail Liberty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801337050 PECOS PAC ID: 9436423472 Enrollment ID: I20210422002698 |
| Provider Name | Jared Chiarchiaro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962644328 PECOS PAC ID: 4688814262 Enrollment ID: I20210423001380 |
| Provider Name | Jack J Tian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669907911 PECOS PAC ID: 9537578588 Enrollment ID: I20210504002700 |
| Provider Name | Aluko Hope |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982862876 PECOS PAC ID: 9234313610 Enrollment ID: I20210505001448 |
| Provider Name | Aaron Silver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306293352 PECOS PAC ID: 6103190467 Enrollment ID: I20210505002190 |
| Provider Name | Charles Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952834327 PECOS PAC ID: 1052680717 Enrollment ID: I20210505002524 |
| Provider Name | Proleta Datta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326393695 PECOS PAC ID: 7719279090 Enrollment ID: I20210506001851 |
| Provider Name | Gagandeep Choudhary |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1487094157 PECOS PAC ID: 2264700046 Enrollment ID: I20210506001909 |
| Provider Name | Laura Lynn Waagmeester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699115410 PECOS PAC ID: 5092022129 Enrollment ID: I20210506002273 |
| Provider Name | Anson Wilks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275914426 PECOS PAC ID: 9537473350 Enrollment ID: I20210506002276 |
| Provider Name | Elisa Boden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932167400 PECOS PAC ID: 7810169208 Enrollment ID: I20210507002109 |
| Provider Name | Laura Miller-smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629243084 PECOS PAC ID: 1557681954 Enrollment ID: I20210511002879 |
| Provider Name | Jacqueline Bohn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104357540 PECOS PAC ID: 2062785165 Enrollment ID: I20210512001475 |
| Provider Name | Alexandra Sokolova |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902223084 PECOS PAC ID: 4486921848 Enrollment ID: I20210514001312 |
| Provider Name | Claire Christina Ford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366948622 PECOS PAC ID: 3779834361 Enrollment ID: I20210524000399 |
| Provider Name | Jordan Wackett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538656657 PECOS PAC ID: 3577813625 Enrollment ID: I20210525001566 |
| Provider Name | Qi Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043446842 PECOS PAC ID: 9133465727 Enrollment ID: I20210526002967 |
| Provider Name | Cara Varley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104266915 PECOS PAC ID: 3577858166 Enrollment ID: I20210602002829 |
| Provider Name | Patsy Chenpanas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083101042 PECOS PAC ID: 4183023559 Enrollment ID: I20210604002251 |
| Provider Name | Rahul D'mello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578099941 PECOS PAC ID: 5799054342 Enrollment ID: I20210608001040 |
| Provider Name | William Richard Wurster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598269391 PECOS PAC ID: 6901157643 Enrollment ID: I20210609002472 |
| Provider Name | Daniel Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780070581 PECOS PAC ID: 5698006856 Enrollment ID: I20210609003119 |
| Provider Name | Monica Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619324340 PECOS PAC ID: 4082906888 Enrollment ID: I20210610001476 |
| Provider Name | Benjamin S Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447608781 PECOS PAC ID: 0143644716 Enrollment ID: I20210610002649 |
| Provider Name | Suwen Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669811444 PECOS PAC ID: 9436559549 Enrollment ID: I20210610003435 |
| Provider Name | Katherine Cavallo Hom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750776084 PECOS PAC ID: 1254755804 Enrollment ID: I20210614000098 |
| Provider Name | Amanda Redfern |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184047417 PECOS PAC ID: 4082907282 Enrollment ID: I20210616001672 |
| Provider Name | Ruby Hoang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770976623 PECOS PAC ID: 7911250774 Enrollment ID: I20210621000894 |
| Provider Name | Mary Christine Brooks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942790886 PECOS PAC ID: 2264833748 Enrollment ID: I20210622003790 |
| Provider Name | Saket Sanghai |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265864474 PECOS PAC ID: 1759670359 Enrollment ID: I20210623000807 |
| Provider Name | Samara Levine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861998643 PECOS PAC ID: 6800142886 Enrollment ID: I20210623000953 |
| Provider Name | Patrick Anthony Hogan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235634619 PECOS PAC ID: 0042561557 Enrollment ID: I20210623001019 |
| Provider Name | Matthew O'brien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417210998 PECOS PAC ID: 8729211438 Enrollment ID: I20210623001179 |
| Provider Name | Michael Regner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780028555 PECOS PAC ID: 0143464248 Enrollment ID: I20210623002628 |
| Provider Name | Alexis Bridges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497287833 PECOS PAC ID: 5698028009 Enrollment ID: I20210623003198 |
| Provider Name | Jil Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174763064 PECOS PAC ID: 7810041167 Enrollment ID: I20210623003819 |
| Provider Name | Ashley Benson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467870295 PECOS PAC ID: 1254640782 Enrollment ID: I20210623004007 |
| Provider Name | Jane Lanusse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912287871 PECOS PAC ID: 2961761341 Enrollment ID: I20210623004037 |
| Provider Name | Kathryn Mcgonigle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1417042854 PECOS PAC ID: 1850332081 Enrollment ID: I20210624000000 |
| Provider Name | Yaowaree Leavell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457745648 PECOS PAC ID: 7517271802 Enrollment ID: I20210624001330 |
| Provider Name | Daniel Hoover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174064315 PECOS PAC ID: 2860765088 Enrollment ID: I20210624002932 |
| Provider Name | Amanda Schmitz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114365111 PECOS PAC ID: 1153722095 Enrollment ID: I20210629001908 |
| Provider Name | Vishnu Manoranjan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235667320 PECOS PAC ID: 5991075954 Enrollment ID: I20210629001958 |
| Provider Name | Todd Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952763740 PECOS PAC ID: 1254627722 Enrollment ID: I20210630001951 |
| Provider Name | Michael Vega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174979165 PECOS PAC ID: 5698066637 Enrollment ID: I20210701003368 |
| Provider Name | Adrienne Bonham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700963121 PECOS PAC ID: 7012957459 Enrollment ID: I20210706003564 |
| Provider Name | Cara Levin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285166728 PECOS PAC ID: 4183997976 Enrollment ID: I20210709001764 |
| Provider Name | Andrew James Giustini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750700290 PECOS PAC ID: 5193058295 Enrollment ID: I20210709001994 |
| Provider Name | Robin Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558795542 PECOS PAC ID: 7012260664 Enrollment ID: I20210709002662 |
| Provider Name | Christina Djabiras |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881128080 PECOS PAC ID: 4486919651 Enrollment ID: I20210712002985 |
| Provider Name | Alexander E Domingo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528590494 PECOS PAC ID: 4385071406 Enrollment ID: I20210713002290 |
| Provider Name | Patrick Demartino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306224704 PECOS PAC ID: 3072865781 Enrollment ID: I20210716001580 |
| Provider Name | Salil Rajayer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780082263 PECOS PAC ID: 5799063756 Enrollment ID: I20210716001641 |
| Provider Name | Lauren A. Nicola-ducey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164956488 PECOS PAC ID: 4385997766 Enrollment ID: I20210719002850 |
| Provider Name | Molly Siegel Kornfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457885758 PECOS PAC ID: 8123390028 Enrollment ID: I20210720002056 |
| Provider Name | Holly A Fay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932756707 PECOS PAC ID: 1355773979 Enrollment ID: I20210720003730 |
| Provider Name | Nhat Quang Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457937880 PECOS PAC ID: 2264835750 Enrollment ID: I20210721001625 |
| Provider Name | Wayne Kang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457858169 PECOS PAC ID: 1254682743 Enrollment ID: I20210721002580 |
| Provider Name | Katherine Barton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841633468 PECOS PAC ID: 1557663929 Enrollment ID: I20210721002797 |
| Provider Name | Krishna H Bandi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508257916 PECOS PAC ID: 3476851726 Enrollment ID: I20210721003066 |
| Provider Name | Max Perelman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831523828 PECOS PAC ID: 4981970464 Enrollment ID: I20210721003136 |
| Provider Name | Erik Wolfswinkel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205209137 PECOS PAC ID: 0749575884 Enrollment ID: I20210722002496 |
| Provider Name | Shira Saperstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699204826 PECOS PAC ID: 6800164781 Enrollment ID: I20210722002699 |
| Provider Name | Katherine Putnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518492933 PECOS PAC ID: 2769757558 Enrollment ID: I20210722003506 |
| Provider Name | James Monroe Wright |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417391012 PECOS PAC ID: 2567883838 Enrollment ID: I20210723001664 |
| Provider Name | Christina Wright |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164867529 PECOS PAC ID: 8426312448 Enrollment ID: I20210726002163 |
| Provider Name | Jacqueline Wong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043609712 PECOS PAC ID: 2365748993 Enrollment ID: I20210727002198 |
| Provider Name | Guillaume Pegna |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841670361 PECOS PAC ID: 4284947581 Enrollment ID: I20210727002676 |
| Provider Name | Erin Oelklaus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336656297 PECOS PAC ID: 2062746571 Enrollment ID: I20210728003646 |
| Provider Name | Davin Ashraf |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316332935 PECOS PAC ID: 7214261114 Enrollment ID: I20210804002025 |
| Provider Name | Catherine Colaianni |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427307644 PECOS PAC ID: 7719293505 Enrollment ID: I20210804004119 |
| Provider Name | Eric Roeland |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194909630 PECOS PAC ID: 3678620713 Enrollment ID: I20210804004274 |
| Provider Name | Amy Tubay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548202658 PECOS PAC ID: 6406854074 Enrollment ID: I20210804004351 |
| Provider Name | Sandy Fang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750590949 PECOS PAC ID: 8325296668 Enrollment ID: I20210805000216 |
| Provider Name | Natalie Krane |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003201807 PECOS PAC ID: 5092021345 Enrollment ID: I20210805001269 |
| Provider Name | Raphael C Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831410349 PECOS PAC ID: 0042524225 Enrollment ID: I20210805001535 |
| Provider Name | Linda Peng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164953725 PECOS PAC ID: 3072885037 Enrollment ID: I20210805001720 |
| Provider Name | Adi Shafir |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285097279 PECOS PAC ID: 9931495462 Enrollment ID: I20210805002075 |
| Provider Name | Marshall Strother |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073931150 PECOS PAC ID: 4486953528 Enrollment ID: I20210810002628 |
| Provider Name | Blair Peters |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871147876 PECOS PAC ID: 1658775846 Enrollment ID: I20210810003236 |
| Provider Name | Wei Han Fang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700090396 PECOS PAC ID: 1759482474 Enrollment ID: I20210818001569 |
| Provider Name | Tanay Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982929840 PECOS PAC ID: 9830481084 Enrollment ID: I20210818003977 |
| Provider Name | William Michael Vanderlind |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821475740 PECOS PAC ID: 4486059862 Enrollment ID: I20210823003136 |
| Provider Name | John Arnold Davis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437684750 PECOS PAC ID: 8426482563 Enrollment ID: I20210823003150 |
| Provider Name | En-haw Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427507458 PECOS PAC ID: 2860763737 Enrollment ID: I20210824001689 |
| Provider Name | Aryan Sarparast |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184157927 PECOS PAC ID: 2163795261 Enrollment ID: I20210824002182 |
| Provider Name | Keri Koszela |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881011088 PECOS PAC ID: 6305060823 Enrollment ID: I20210826002527 |
| Provider Name | Michael Cosimini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396175931 PECOS PAC ID: 9739304460 Enrollment ID: I20210826003218 |
| Provider Name | Alison Chiang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154740033 PECOS PAC ID: 3274800867 Enrollment ID: I20210827000856 |
| Provider Name | Peter Dennis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770826224 PECOS PAC ID: 1850526088 Enrollment ID: I20210827001257 |
| Provider Name | Gregory A Cote |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962591156 PECOS PAC ID: 9234108549 Enrollment ID: I20210830001447 |
| Provider Name | Daniel Hillman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528453180 PECOS PAC ID: 9537468244 Enrollment ID: I20210901003888 |
| Provider Name | Jacki D Dinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598201303 PECOS PAC ID: 9931481819 Enrollment ID: I20210907002557 |
| Provider Name | Margaret Ellen Overstreet |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497377089 PECOS PAC ID: 0244641678 Enrollment ID: I20210907002784 |
| Provider Name | Charlene Lai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598177172 PECOS PAC ID: 4183841638 Enrollment ID: I20210908000694 |
| Provider Name | Sidhartha O Tavri |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1851566269 PECOS PAC ID: 5698993236 Enrollment ID: I20210908004023 |
| Provider Name | Shelley Ilene Mccargar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558857193 PECOS PAC ID: 8729484191 Enrollment ID: I20210909003140 |
| Provider Name | Ryan Michael Nesbit Deane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245764075 PECOS PAC ID: 8729312715 Enrollment ID: I20210910001555 |
| Provider Name | Kara Elise Walter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467727776 PECOS PAC ID: 4587988167 Enrollment ID: I20210910001943 |
| Provider Name | David Carsten |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548222003 PECOS PAC ID: 3971553058 Enrollment ID: I20210920002159 |
| Provider Name | Kinsley Anne Hubel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366853814 PECOS PAC ID: 3678970506 Enrollment ID: I20210920003571 |
| Provider Name | Cathleen Aislinn Turnage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629448386 PECOS PAC ID: 3971900820 Enrollment ID: I20210921000604 |
| Provider Name | Lynn Sun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922460195 PECOS PAC ID: 7911260427 Enrollment ID: I20210921000628 |
| Provider Name | Srinivasa Chandra |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538303144 PECOS PAC ID: 9537309216 Enrollment ID: I20210922001450 |
| Provider Name | Alia Qureshi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487950507 PECOS PAC ID: 1355664798 Enrollment ID: I20210922001593 |
| Provider Name | Camilla P Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225689722 PECOS PAC ID: 0840697413 Enrollment ID: I20210923003226 |
| Provider Name | Thomas I Jones |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629047196 PECOS PAC ID: 1153349386 Enrollment ID: I20210929001761 |
| Provider Name | Ryan D Tweet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942590344 PECOS PAC ID: 0941607154 Enrollment ID: I20210930000066 |
| Provider Name | Anna K Hoenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740851336 PECOS PAC ID: 8921406166 Enrollment ID: I20211001002025 |
| Provider Name | Elizabeth Dalton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972750735 PECOS PAC ID: 0547316705 Enrollment ID: I20211004000942 |
| Provider Name | Rebecca Soderlind Rice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699294330 PECOS PAC ID: 5991071573 Enrollment ID: I20211005001536 |
| Provider Name | Sophie Cain Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518494004 PECOS PAC ID: 4880011592 Enrollment ID: I20211005003054 |
| Provider Name | Matthew Kivel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316392574 PECOS PAC ID: 9830597418 Enrollment ID: I20211012002624 |
| Provider Name | Mortuma J.t Murry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831767441 PECOS PAC ID: 3173921764 Enrollment ID: I20211012003239 |
| Provider Name | Dorianne B Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922469006 PECOS PAC ID: 2466850896 Enrollment ID: I20211014002322 |
| Provider Name | Christopher George Suciu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942754411 PECOS PAC ID: 9032507132 Enrollment ID: I20211021003110 |
| Provider Name | Melissa Hershman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538579651 PECOS PAC ID: 4082959168 Enrollment ID: I20211025001463 |
| Provider Name | Lesley Everett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528420841 PECOS PAC ID: 5193142669 Enrollment ID: I20211025001871 |
| Provider Name | Kimberly A Mckenna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669805321 PECOS PAC ID: 0840563623 Enrollment ID: I20211027000796 |
| Provider Name | Payton E Heilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205328457 PECOS PAC ID: 7214289867 Enrollment ID: I20211028001018 |
| Provider Name | Amy M Sprague |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629030598 PECOS PAC ID: 6204882673 Enrollment ID: I20211104002260 |
| Provider Name | Keith B Quencer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1760643290 PECOS PAC ID: 2264690841 Enrollment ID: I20211104002884 |
| Provider Name | Gwendolyn Okeefe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477505105 PECOS PAC ID: 2163474214 Enrollment ID: I20211111001332 |
| Provider Name | Claire S Kaufman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356630073 PECOS PAC ID: 1456620665 Enrollment ID: I20211124000858 |
| Provider Name | Yasmin Essaji |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578185898 PECOS PAC ID: 6709298912 Enrollment ID: I20211214003084 |
| Provider Name | Dawn Delight Macready-santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669800207 PECOS PAC ID: 0446641831 Enrollment ID: I20211218000090 |
| Provider Name | Yoshio Otaki |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871769380 PECOS PAC ID: 8729102322 Enrollment ID: I20211221000937 |
| Provider Name | Lauren Lamina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023771425 PECOS PAC ID: 1951792142 Enrollment ID: I20211223000272 |
| Provider Name | Laura Sliwoski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386017424 PECOS PAC ID: 7214329812 Enrollment ID: I20220111001405 |
| Provider Name | Kara Ester Flores San Joaquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700312410 PECOS PAC ID: 3678811809 Enrollment ID: I20220114001454 |
| Provider Name | Elizabeth Espinoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043429657 PECOS PAC ID: 0446596654 Enrollment ID: I20220118002493 |
| Provider Name | Ozlen Saglam |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780845008 PECOS PAC ID: 3072674944 Enrollment ID: I20220119000427 |
| Provider Name | Stacey Ann Damazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619562170 PECOS PAC ID: 2567854730 Enrollment ID: I20220120000314 |
| Provider Name | Li Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962067645 PECOS PAC ID: 4587990387 Enrollment ID: I20220124002419 |
| Provider Name | Hirofumi Yoshida |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770061467 PECOS PAC ID: 0244576106 Enrollment ID: I20220127002256 |
| Provider Name | Geoffery W.p. Clover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972504314 PECOS PAC ID: 7810950862 Enrollment ID: I20220131000381 |
| Provider Name | Eve Teeter-balin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861902389 PECOS PAC ID: 0042555187 Enrollment ID: I20220131000629 |
| Provider Name | Ivana Jankovic |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508248956 PECOS PAC ID: 3274841879 Enrollment ID: I20220201000965 |
| Provider Name | Shea-marie Schrater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245791136 PECOS PAC ID: 2163757246 Enrollment ID: I20220221001293 |
| Provider Name | Ravneet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841647443 PECOS PAC ID: 3577855972 Enrollment ID: I20220303001629 |
| Provider Name | Angela M Liberatore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851308415 PECOS PAC ID: 6103120779 Enrollment ID: I20220307000535 |
| Provider Name | Moses Chibuzo Azubuike |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700232105 PECOS PAC ID: 8729353156 Enrollment ID: I20220314001929 |
| Provider Name | Kendyl Bree Garrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194380998 PECOS PAC ID: 3476948944 Enrollment ID: I20220318001836 |
| Provider Name | Holly Houston |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801119136 PECOS PAC ID: 4688841281 Enrollment ID: I20220322001750 |
| Provider Name | Mikel T Matto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003107699 PECOS PAC ID: 2769783869 Enrollment ID: I20220322002322 |
| Provider Name | Brian Mau |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548794845 PECOS PAC ID: 2062769243 Enrollment ID: I20220329001951 |
| Provider Name | Shannon Alexis Nichols |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801564398 PECOS PAC ID: 8426444126 Enrollment ID: I20220406000450 |
| Provider Name | Jacqueline L Try |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447355359 PECOS PAC ID: 5799715777 Enrollment ID: I20220407000502 |
| Provider Name | Brian Pellatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821522954 PECOS PAC ID: 5698044030 Enrollment ID: I20220408001819 |
| Provider Name | Courtney Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104358720 PECOS PAC ID: 5294007373 Enrollment ID: I20220411001528 |
| Provider Name | Matthew Hudkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700272549 PECOS PAC ID: 7810244381 Enrollment ID: I20220421001863 |
| Provider Name | Samantha Banks Kaiser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619468972 PECOS PAC ID: 6901293893 Enrollment ID: I20220422002016 |
| Provider Name | Rachel L Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538818208 PECOS PAC ID: 0547657249 Enrollment ID: I20220427002930 |
| Provider Name | Kristin Giroux |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467823849 PECOS PAC ID: 1456650290 Enrollment ID: I20220428002201 |
| Provider Name | Raluca Mccallum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902330079 PECOS PAC ID: 7911339122 Enrollment ID: I20220429001513 |
| Provider Name | Cara Shina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063850220 PECOS PAC ID: 6305071200 Enrollment ID: I20220429001555 |
| Provider Name | Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639632581 PECOS PAC ID: 3274862990 Enrollment ID: I20220429002134 |
| Provider Name | Katherine J Park |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376886606 PECOS PAC ID: 6103160619 Enrollment ID: I20220502002253 |
| Provider Name | Kelly Block |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740786631 PECOS PAC ID: 4688061187 Enrollment ID: I20220502002362 |
| Provider Name | Michelle Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063946408 PECOS PAC ID: 0042583494 Enrollment ID: I20220503002370 |
| Provider Name | Emma Cassidy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124522172 PECOS PAC ID: 4587911813 Enrollment ID: I20220504000679 |
| Provider Name | Parker Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255864070 PECOS PAC ID: 2567736507 Enrollment ID: I20220504002097 |
| Provider Name | Sandy Hsiang Yu Chiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255747697 PECOS PAC ID: 8224255831 Enrollment ID: I20220504002344 |
| Provider Name | Desiree West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942968946 PECOS PAC ID: 4385031491 Enrollment ID: I20220505000990 |
| Provider Name | Sara Yang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225569163 PECOS PAC ID: 8527334655 Enrollment ID: I20220505001445 |
| Provider Name | Molly C Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538592100 PECOS PAC ID: 1759658305 Enrollment ID: I20220505001449 |
| Provider Name | Nicole Cairns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235633280 PECOS PAC ID: 3678824000 Enrollment ID: I20220505001536 |
| Provider Name | Chenara Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891107223 PECOS PAC ID: 9032485206 Enrollment ID: I20220509000017 |
| Provider Name | Monica Llado Farrulla |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1336567445 PECOS PAC ID: 8022375427 Enrollment ID: I20220509001419 |
| Provider Name | Carolyn Fox |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1023479920 PECOS PAC ID: 5890024236 Enrollment ID: I20220509002175 |
| Provider Name | Shazib Haq |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346813904 PECOS PAC ID: 2062899107 Enrollment ID: I20220511002144 |
| Provider Name | Ross Harrison |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1841610920 PECOS PAC ID: 4981911864 Enrollment ID: I20220511002278 |
| Provider Name | Devlynne Ondusko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932561610 PECOS PAC ID: 1254629520 Enrollment ID: I20220512000852 |
| Provider Name | Andrew Arndt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851851687 PECOS PAC ID: 3476882283 Enrollment ID: I20220517001219 |
| Provider Name | Eilee Wah Zhu |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740792019 PECOS PAC ID: 5597024638 Enrollment ID: I20220517001596 |
| Provider Name | Scott Monroe Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669719662 PECOS PAC ID: 2062899859 Enrollment ID: I20220517001600 |
| Provider Name | Sabrina Schmitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932427325 PECOS PAC ID: 1759501695 Enrollment ID: I20220517003250 |
| Provider Name | Nataly Raviv |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134513625 PECOS PAC ID: 1153666086 Enrollment ID: I20220520000129 |
| Provider Name | Ryan D Meek |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1275923146 PECOS PAC ID: 6305110891 Enrollment ID: I20220526000072 |
| Provider Name | Peter A Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083019574 PECOS PAC ID: 1052738986 Enrollment ID: I20220606001519 |
| Provider Name | Daniel Cleary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164833570 PECOS PAC ID: 5799077442 Enrollment ID: I20220608001199 |
| Provider Name | Gillian Rae Paton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306490040 PECOS PAC ID: 5698153344 Enrollment ID: I20220608001444 |
| Provider Name | Eric B Mcclellan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184912784 PECOS PAC ID: 7810209723 Enrollment ID: I20220611000206 |
| Provider Name | Kyle Paulk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861984460 PECOS PAC ID: 0941553622 Enrollment ID: I20220614001895 |
| Provider Name | Grace Lambert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942762653 PECOS PAC ID: 4486989704 Enrollment ID: I20220617000619 |
| Provider Name | Casey Luce |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396101945 PECOS PAC ID: 5597036947 Enrollment ID: I20220624001721 |
| Provider Name | Zachary Adam Kroeger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760989602 PECOS PAC ID: 3577942366 Enrollment ID: I20220624001875 |
| Provider Name | Heather De Anda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689056103 PECOS PAC ID: 7911211891 Enrollment ID: I20220624001944 |
| Provider Name | Marissa Luck Bonus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215431960 PECOS PAC ID: 3173867884 Enrollment ID: I20220624002504 |
| Provider Name | Noah Hornick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184094955 PECOS PAC ID: 8527311018 Enrollment ID: I20220627000384 |
| Provider Name | Graham Dekeyser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720440522 PECOS PAC ID: 5092071654 Enrollment ID: I20220627002081 |
| Provider Name | Becky Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164849865 PECOS PAC ID: 8820221096 Enrollment ID: I20220627002165 |
| Provider Name | Samy Chettat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063904555 PECOS PAC ID: 1557609138 Enrollment ID: I20220627002185 |
| Provider Name | Annessa Kernberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881089944 PECOS PAC ID: 9931417888 Enrollment ID: I20220627002575 |
| Provider Name | Carolina Garcia Garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528557717 PECOS PAC ID: 8224431234 Enrollment ID: I20220627002663 |
| Provider Name | Casey Williamson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437683570 PECOS PAC ID: 8820477516 Enrollment ID: I20220627003027 |
| Provider Name | Julia Tasset |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235628595 PECOS PAC ID: 6709131113 Enrollment ID: I20220627003298 |
| Provider Name | Scott Sorge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093211765 PECOS PAC ID: 8921487570 Enrollment ID: I20220628001653 |
| Provider Name | Liang Cheng |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770070955 PECOS PAC ID: 2769731207 Enrollment ID: I20220628001726 |
| Provider Name | Allison Bradee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235589466 PECOS PAC ID: 9436444791 Enrollment ID: I20220628002283 |
| Provider Name | Sebastian Obrzut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083714398 PECOS PAC ID: 5092781393 Enrollment ID: I20220628003827 |
| Provider Name | Allison Simpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962964577 PECOS PAC ID: 9335476985 Enrollment ID: I20220629003232 |
| Provider Name | Neel Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598119349 PECOS PAC ID: 3870866262 Enrollment ID: I20220629003275 |
| Provider Name | Jeffrey Marbach |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215290895 PECOS PAC ID: 6204068323 Enrollment ID: I20220630002119 |
| Provider Name | Anatoliy Vlasenko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083174924 PECOS PAC ID: 3173851813 Enrollment ID: I20220630002637 |
| Provider Name | Benjamin Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447602362 PECOS PAC ID: 3971898552 Enrollment ID: I20220707000513 |
| Provider Name | Tiffany Odell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295145878 PECOS PAC ID: 4789085598 Enrollment ID: I20220707003069 |
| Provider Name | Mark Joseph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740242320 PECOS PAC ID: 1951320993 Enrollment ID: I20220707003740 |
| Provider Name | Irina Cassimatis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194119172 PECOS PAC ID: 3870872476 Enrollment ID: I20220713002392 |
| Provider Name | Tanaya Shree |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1861768269 PECOS PAC ID: 2365855517 Enrollment ID: I20220713002952 |
| Provider Name | John L Fletcher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134566037 PECOS PAC ID: 4082095682 Enrollment ID: I20220713002979 |
| Provider Name | Nilan Schnure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518490721 PECOS PAC ID: 4183043375 Enrollment ID: I20220713003302 |
| Provider Name | Jay Gantz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629459300 PECOS PAC ID: 8123332814 Enrollment ID: I20220714003730 |
| Provider Name | Stefan Mammele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760902126 PECOS PAC ID: 4082024518 Enrollment ID: I20220714003790 |
| Provider Name | Christopher Scott Reigeluth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437513306 PECOS PAC ID: 5799166088 Enrollment ID: I20220718002878 |
| Provider Name | Yoon-jin Kim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1407210461 PECOS PAC ID: 2466856661 Enrollment ID: I20220719000392 |
| Provider Name | Faraz Ghoddusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982051561 PECOS PAC ID: 7719272087 Enrollment ID: I20220719003756 |
| Provider Name | Anushi Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356782999 PECOS PAC ID: 2163664426 Enrollment ID: I20220729002666 |
| Provider Name | Melissa Anne Nash |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265176663 PECOS PAC ID: 6709268287 Enrollment ID: I20220729002937 |
| Provider Name | Eleasa Sokolski |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1871954701 PECOS PAC ID: 6103187448 Enrollment ID: I20220801001114 |
| Provider Name | Alison O'neill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326409236 PECOS PAC ID: 7012205131 Enrollment ID: I20220801002468 |
| Provider Name | Whitney Elg-salsman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386005296 PECOS PAC ID: 2769778828 Enrollment ID: I20220802000456 |
| Provider Name | Emily Jonica |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700272291 PECOS PAC ID: 5395052567 Enrollment ID: I20220802000488 |
| Provider Name | Alexandra Zimmer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548496573 PECOS PAC ID: 9830482751 Enrollment ID: I20220802001265 |
| Provider Name | Jessica Jou |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255745055 PECOS PAC ID: 0143570226 Enrollment ID: I20220802002976 |
| Provider Name | Sarah Erter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528490471 PECOS PAC ID: 1355571639 Enrollment ID: I20220803001283 |
| Provider Name | Kelvin Ng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396279014 PECOS PAC ID: 0749551216 Enrollment ID: I20220803001769 |
| Provider Name | Edward N Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679863930 PECOS PAC ID: 2567697170 Enrollment ID: I20220803001873 |
| Provider Name | Isabel Vanderslice |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386137784 PECOS PAC ID: 8022366046 Enrollment ID: I20220803002424 |
| Provider Name | Allison Marie Nye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780046599 PECOS PAC ID: 1951783273 Enrollment ID: I20220803002525 |
| Provider Name | Jacquelyn Knapp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477916955 PECOS PAC ID: 4587950316 Enrollment ID: I20220803002924 |
| Provider Name | Benjamin Levin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790975837 PECOS PAC ID: 6305931296 Enrollment ID: I20220803003774 |
| Provider Name | Duncan Ramsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598152670 PECOS PAC ID: 8820305949 Enrollment ID: I20220804001391 |
| Provider Name | Robert G Mealer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003157504 PECOS PAC ID: 1153549118 Enrollment ID: I20220804001518 |
| Provider Name | Patrick Sheppard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497129357 PECOS PAC ID: 3072847839 Enrollment ID: I20220808002647 |
| Provider Name | Erika Jane Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386279198 PECOS PAC ID: 5991187981 Enrollment ID: I20220808002922 |
| Provider Name | Jennifer Raybin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205911948 PECOS PAC ID: 7810961760 Enrollment ID: I20220809000883 |
| Provider Name | Brian Crosland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164802104 PECOS PAC ID: 0042568362 Enrollment ID: I20220809004071 |
| Provider Name | Danielle Prentice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881072056 PECOS PAC ID: 8123355971 Enrollment ID: I20220811000780 |
| Provider Name | Katherine Lyons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154764504 PECOS PAC ID: 6800167610 Enrollment ID: I20220811002821 |
| Provider Name | Rebecca Lee Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518464619 PECOS PAC ID: 6204187917 Enrollment ID: I20220811003918 |
| Provider Name | Rhusheet Pranav Patel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851755060 PECOS PAC ID: 9032461389 Enrollment ID: I20220812002884 |
| Provider Name | Daniel Furlong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083060859 PECOS PAC ID: 7214331354 Enrollment ID: I20220817001191 |
| Provider Name | Julia Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780154815 PECOS PAC ID: 1153668900 Enrollment ID: I20220817002783 |
| Provider Name | Tina Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790349884 PECOS PAC ID: 2163805540 Enrollment ID: I20220817002981 |
| Provider Name | James Michael Winer |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1598260663 PECOS PAC ID: 6507104486 Enrollment ID: I20220817003155 |
| Provider Name | Albert Shan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972967826 PECOS PAC ID: 6709123862 Enrollment ID: I20220817003676 |
| Provider Name | Poornima Ramanan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902138985 PECOS PAC ID: 9133364714 Enrollment ID: I20220817004050 |
| Provider Name | Beth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801205430 PECOS PAC ID: 6507086022 Enrollment ID: I20220818000390 |
| Provider Name | Peter Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376784314 PECOS PAC ID: 9133346067 Enrollment ID: I20220818001734 |
| Provider Name | Alexandra Bolognese |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356609374 PECOS PAC ID: 7012268881 Enrollment ID: I20220818002387 |
| Provider Name | Da Pan Jin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821355835 PECOS PAC ID: 4284852203 Enrollment ID: I20220818003170 |
| Provider Name | Jennifer March |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730556002 PECOS PAC ID: 3678846623 Enrollment ID: I20220819002193 |
| Provider Name | Gina Marie Ferrero |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962923086 PECOS PAC ID: 9335522523 Enrollment ID: I20220822001320 |
| Provider Name | Allison Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114406071 PECOS PAC ID: 0143654236 Enrollment ID: I20220828000083 |
| Provider Name | Victoria Horea Shihadah |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821722091 PECOS PAC ID: 8628452349 Enrollment ID: I20220830002400 |
| Provider Name | Kevin Munson O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295345767 PECOS PAC ID: 6305220963 Enrollment ID: I20220831000048 |
| Provider Name | Seth Crockett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437178183 PECOS PAC ID: 3072517499 Enrollment ID: I20220831000834 |
| Provider Name | Irene Foley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922495258 PECOS PAC ID: 7517272107 Enrollment ID: I20220831002749 |
| Provider Name | Christopher Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558776062 PECOS PAC ID: 4486874831 Enrollment ID: I20220901001989 |
| Provider Name | Stephanie K. Crawford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033367644 PECOS PAC ID: 9638553886 Enrollment ID: I20220907001823 |
| Provider Name | Caitlin Sawyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992368369 PECOS PAC ID: 0840520417 Enrollment ID: I20220907001943 |
| Provider Name | Sarah Heitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184246951 PECOS PAC ID: 9638562903 Enrollment ID: I20220907002316 |
| Provider Name | Gregory Steven Sjostrand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346721792 PECOS PAC ID: 6406230671 Enrollment ID: I20220907002616 |
| Provider Name | Maggie L Likes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730194689 PECOS PAC ID: 7214938117 Enrollment ID: I20220907002751 |
| Provider Name | Christopher Pexton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861808073 PECOS PAC ID: 3577881408 Enrollment ID: I20220908002199 |
| Provider Name | Madeleine A Drusin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881048544 PECOS PAC ID: 2062750698 Enrollment ID: I20220908003600 |
| Provider Name | Kevin M Duff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295720969 PECOS PAC ID: 0143278457 Enrollment ID: I20220914003826 |
| Provider Name | Canary Yen Hoang Ly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871130419 PECOS PAC ID: 5395120968 Enrollment ID: I20220917000626 |
| Provider Name | Jonathan Kark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902225386 PECOS PAC ID: 3779808936 Enrollment ID: I20220920002527 |
| Provider Name | Ishak Sameer Elkhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871099895 PECOS PAC ID: 2860742327 Enrollment ID: I20220922003266 |
| Provider Name | James Jae-hyung Yoo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306296066 PECOS PAC ID: 2961798426 Enrollment ID: I20220923000930 |
| Provider Name | Ilia Fong |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982028973 PECOS PAC ID: 9537545744 Enrollment ID: I20220926001179 |
| Provider Name | Christa Nicole Dodson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508396003 PECOS PAC ID: 8628454725 Enrollment ID: I20220927001777 |
| Provider Name | Divya Sood |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1447697446 PECOS PAC ID: 7315230232 Enrollment ID: I20220927003131 |
| Provider Name | Maureen Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497019897 PECOS PAC ID: 2466670161 Enrollment ID: I20220928001947 |
| Provider Name | Ashley Victoria Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215358585 PECOS PAC ID: 4789986860 Enrollment ID: I20221003001843 |
| Provider Name | Adam Burgess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588020911 PECOS PAC ID: 1052605219 Enrollment ID: I20221003002535 |
| Provider Name | Shanna Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063901882 PECOS PAC ID: 2567848195 Enrollment ID: I20221004003450 |
| Provider Name | Cristian Valenzuela |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1902198153 PECOS PAC ID: 0648601286 Enrollment ID: I20221004003495 |
| Provider Name | Scott Boynton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487065777 PECOS PAC ID: 3173800752 Enrollment ID: I20221005000458 |
| Provider Name | Erik Manuel Richmond |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1861604555 PECOS PAC ID: 6002104122 Enrollment ID: I20221006001305 |
| Provider Name | Amanda Neve |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235613621 PECOS PAC ID: 4284060658 Enrollment ID: I20221006001635 |
| Provider Name | Anne Mancini Buckmaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164855649 PECOS PAC ID: 4082965108 Enrollment ID: I20221006002020 |
| Provider Name | Sherilyn Destefano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033616602 PECOS PAC ID: 0244663391 Enrollment ID: I20221007001384 |
| Provider Name | Chelsey Lynn Wilhite |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902425556 PECOS PAC ID: 1850777210 Enrollment ID: I20221007002442 |
| Provider Name | Lily A Uzzaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558968594 PECOS PAC ID: 6204212665 Enrollment ID: I20221007002524 |
| Provider Name | Ricco Cory Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205435997 PECOS PAC ID: 6103202429 Enrollment ID: I20221010002285 |
| Provider Name | Mariah J Racicot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205332517 PECOS PAC ID: 2163778044 Enrollment ID: I20221011002639 |
| Provider Name | Maylee Hsu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467588111 PECOS PAC ID: 6002282365 Enrollment ID: I20221012001587 |
| Provider Name | Christopher R Shaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730610338 PECOS PAC ID: 3476823790 Enrollment ID: I20221012001789 |
| Provider Name | Jacy A. Stauffer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699974014 PECOS PAC ID: 1658672613 Enrollment ID: I20221014002228 |
| Provider Name | Stephen Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154527604 PECOS PAC ID: 6608045620 Enrollment ID: I20221018000266 |
| Provider Name | Rachel Kirsten Greene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720699739 PECOS PAC ID: 8022484682 Enrollment ID: I20221021002526 |
| Provider Name | Dennis Andresovitch Barbon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427510700 PECOS PAC ID: 4880004084 Enrollment ID: I20221024000939 |
| Provider Name | Vanessa Marie Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932820842 PECOS PAC ID: 1052787652 Enrollment ID: I20221024001135 |
| Provider Name | Christopher Koprowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811423700 PECOS PAC ID: 8123401437 Enrollment ID: I20221025000921 |
| Provider Name | Mariel Berry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235585241 PECOS PAC ID: 1658747019 Enrollment ID: I20221026002269 |
| Provider Name | Julie Cheng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891107710 PECOS PAC ID: 6800210683 Enrollment ID: I20221028001486 |
| Provider Name | Patrick Lyons |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619231040 PECOS PAC ID: 3274766183 Enrollment ID: I20221031002227 |
| Provider Name | Benjamin James Dossetter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346709664 PECOS PAC ID: 9739422692 Enrollment ID: I20221107002957 |
| Provider Name | Lubna A. Hammoudeh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427530765 PECOS PAC ID: 2264783273 Enrollment ID: I20221108001454 |
| Provider Name | Emily Elizabeth Griffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902224546 PECOS PAC ID: 1658597505 Enrollment ID: I20221110002001 |
| Provider Name | Cynthia Song |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609265115 PECOS PAC ID: 4284002775 Enrollment ID: I20221114002528 |
| Provider Name | Ramata Kazadi Adebawo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386818656 PECOS PAC ID: 6406224989 Enrollment ID: I20221115002538 |
| Provider Name | Christine Elisabeth Kolwitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386171098 PECOS PAC ID: 5092183400 Enrollment ID: I20221116000456 |
| Provider Name | Supreetha Gubbala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144781162 PECOS PAC ID: 3072840826 Enrollment ID: I20221116002617 |
| Provider Name | Robin Katherine Vest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255828406 PECOS PAC ID: 1052663762 Enrollment ID: I20221117001835 |
| Provider Name | Zouyan Lu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669796140 PECOS PAC ID: 8123257656 Enrollment ID: I20221118000612 |
| Provider Name | Molly Andreason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831518687 PECOS PAC ID: 5496971186 Enrollment ID: I20221121002317 |
| Provider Name | Sepehr Tehrani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316361538 PECOS PAC ID: 8628497377 Enrollment ID: I20221122002334 |
| Provider Name | Rachel Laursen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033615505 PECOS PAC ID: 6103177548 Enrollment ID: I20221122003644 |
| Provider Name | Xinran M Xiang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720469133 PECOS PAC ID: 5597077206 Enrollment ID: I20221130003671 |
| Provider Name | Marla Patrice Rhem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700266640 PECOS PAC ID: 6305136854 Enrollment ID: I20221203000149 |
| Provider Name | Cynthia Rose Mccullough |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871958017 PECOS PAC ID: 2163891664 Enrollment ID: I20221205002531 |
| Provider Name | Kimberly Suzanne Ryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396240073 PECOS PAC ID: 7719237320 Enrollment ID: I20221205002600 |
| Provider Name | Jaimie Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942857248 PECOS PAC ID: 7911376371 Enrollment ID: I20221207002616 |
| Provider Name | Camelia Forton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124420252 PECOS PAC ID: 8628329083 Enrollment ID: I20221208001979 |
| Provider Name | Gregory Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003159252 PECOS PAC ID: 1951657956 Enrollment ID: I20221209002269 |
| Provider Name | Haley Hostetler |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1982022265 PECOS PAC ID: 5193141232 Enrollment ID: I20221218000000 |
| Provider Name | Scott Werden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659554624 PECOS PAC ID: 0143255562 Enrollment ID: I20221220000916 |
| Provider Name | Scott P Landreth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558859900 PECOS PAC ID: 9234488339 Enrollment ID: I20221223000397 |
| Provider Name | Susan Kay Kritz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700501541 PECOS PAC ID: 4981074366 Enrollment ID: I20221229000377 |
| Provider Name | Jacob Henry Nelson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568920882 PECOS PAC ID: 4587034988 Enrollment ID: I20221229001476 |
| Provider Name | Ethan Kimball |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407484934 PECOS PAC ID: 7618390873 Enrollment ID: I20230110001973 |
| Provider Name | Brittany Claire Mcadams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154882033 PECOS PAC ID: 2668700295 Enrollment ID: I20230111002513 |
| Provider Name | Bernadette Rakszawski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730595927 PECOS PAC ID: 9032528518 Enrollment ID: I20230112002680 |
| Provider Name | Sherene Shalhub |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639288541 PECOS PAC ID: 2365698198 Enrollment ID: I20230116000644 |
| Provider Name | Kristina Wakeman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518385707 PECOS PAC ID: 2365752524 Enrollment ID: I20230124001713 |
| Provider Name | Ananda Mikael Clothier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467075846 PECOS PAC ID: 4183095490 Enrollment ID: I20230125000623 |
| Provider Name | Emily Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659985463 PECOS PAC ID: 9436520665 Enrollment ID: I20230125001783 |
| Provider Name | Caitlin Christine Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689394215 PECOS PAC ID: 7416329222 Enrollment ID: I20230203001630 |
| Provider Name | Yifan Zhang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104347442 PECOS PAC ID: 6103298542 Enrollment ID: I20230210001054 |
| Provider Name | Obert Xu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275160004 PECOS PAC ID: 9638592892 Enrollment ID: I20230214000454 |
| Provider Name | Brandan Ray Sheets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578273397 PECOS PAC ID: 2264804384 Enrollment ID: I20230217000749 |
| Provider Name | Alexandra Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245541879 PECOS PAC ID: 0840662938 Enrollment ID: I20230220000708 |
| Provider Name | Jacob Dewees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679201404 PECOS PAC ID: 3274918867 Enrollment ID: I20230220001264 |
| Provider Name | Ella Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467436873 PECOS PAC ID: 7810099876 Enrollment ID: I20230220002075 |
| Provider Name | Stacey Marie Mermigos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700598927 PECOS PAC ID: 9931571916 Enrollment ID: I20230221002404 |
| Provider Name | Heather Ruff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710246608 PECOS PAC ID: 3678845690 Enrollment ID: I20230222000645 |
| Provider Name | Jesse Ross Day |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689103806 PECOS PAC ID: 1658649256 Enrollment ID: I20230223001539 |
| Provider Name | Haley Marie Atherton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114207909 PECOS PAC ID: 1153794730 Enrollment ID: I20230301001780 |
| Provider Name | Keith P Cross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528105194 PECOS PAC ID: 3375632409 Enrollment ID: I20230302003051 |
| Provider Name | Sarai Ortiz-bucio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063079887 PECOS PAC ID: 6800269911 Enrollment ID: I20230309002609 |
| Provider Name | Lesleann Hayward Story |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174029011 PECOS PAC ID: 1658622261 Enrollment ID: I20230309002754 |
| Provider Name | Pavan Parikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427312891 PECOS PAC ID: 9436475449 Enrollment ID: I20230310000504 |
| Provider Name | Nawal Qneibi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427508449 PECOS PAC ID: 8224391404 Enrollment ID: I20230310001177 |
| Provider Name | Elizabeth Susan Gary |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215308796 PECOS PAC ID: 8820344500 Enrollment ID: I20230313000791 |
| Provider Name | Steven Edward Schmitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558492140 PECOS PAC ID: 7012381130 Enrollment ID: I20230313000956 |
| Provider Name | Eliza Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780295980 PECOS PAC ID: 7911326137 Enrollment ID: I20230320000973 |
| Provider Name | Shirelle Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144797085 PECOS PAC ID: 2769728005 Enrollment ID: I20230405001328 |
| Provider Name | Diana Aiken |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700380946 PECOS PAC ID: 4981957917 Enrollment ID: I20230413000960 |
| Provider Name | Erick M Rivera-grana |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396232591 PECOS PAC ID: 8921489972 Enrollment ID: I20230413002336 |
| Provider Name | Brian Lane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568442184 PECOS PAC ID: 6103892450 Enrollment ID: I20230418002666 |
| Provider Name | Julia Palmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821445750 PECOS PAC ID: 2860743226 Enrollment ID: I20230419000467 |
| Provider Name | Sajan Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336776855 PECOS PAC ID: 3577986900 Enrollment ID: I20230419000917 |
| Provider Name | Sonesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184121212 PECOS PAC ID: 1850724196 Enrollment ID: I20230501001748 |
| Provider Name | Antonya Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679061279 PECOS PAC ID: 6002168432 Enrollment ID: I20230502001779 |
| Provider Name | John L Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740816693 PECOS PAC ID: 2365865649 Enrollment ID: I20230502002145 |
| Provider Name | Aniqa Azim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942670542 PECOS PAC ID: 0446580708 Enrollment ID: I20230504001826 |
| Provider Name | Carlee Beckler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104453232 PECOS PAC ID: 8325461775 Enrollment ID: I20230505001610 |
| Provider Name | Ryan Neil Hellums |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912404856 PECOS PAC ID: 5294190773 Enrollment ID: I20230505001852 |
| Provider Name | Adam Hanif |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033679451 PECOS PAC ID: 5193059889 Enrollment ID: I20230505002036 |
| Provider Name | Hannah Carey-brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841884756 PECOS PAC ID: 9638544091 Enrollment ID: I20230509000606 |
| Provider Name | Clinton Kolseth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598392045 PECOS PAC ID: 6709209851 Enrollment ID: I20230509000648 |
| Provider Name | Emily Lauren Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356874689 PECOS PAC ID: 2365710332 Enrollment ID: I20230509001755 |
| Provider Name | Julia Cambron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063031292 PECOS PAC ID: 0446670939 Enrollment ID: I20230511001167 |
| Provider Name | Kelsey Hundley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881057636 PECOS PAC ID: 6103119599 Enrollment ID: I20230511001732 |
| Provider Name | Kaahukane Leite-ah Yo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154950897 PECOS PAC ID: 7416339270 Enrollment ID: I20230511002040 |
| Provider Name | Jay Ashok Pandav |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174046650 PECOS PAC ID: 3870959190 Enrollment ID: I20230511002090 |
| Provider Name | Julia Saltalamacchia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407350473 PECOS PAC ID: 9032460118 Enrollment ID: I20230511002349 |
| Provider Name | Trevor Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770846016 PECOS PAC ID: 8820356199 Enrollment ID: I20230511002388 |
| Provider Name | Josh Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972973832 PECOS PAC ID: 6507222833 Enrollment ID: I20230511002661 |
| Provider Name | Helen Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316441090 PECOS PAC ID: 2062878317 Enrollment ID: I20230511003643 |
| Provider Name | Heather Christianson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033644539 PECOS PAC ID: 4183958846 Enrollment ID: I20230515002143 |
| Provider Name | Vinay Gidwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295078491 PECOS PAC ID: 8123328580 Enrollment ID: I20230515002357 |
| Provider Name | Colleen Patricia Cowdery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932736055 PECOS PAC ID: 6204292360 Enrollment ID: I20230515002723 |
| Provider Name | Tomas Cordova |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881127918 PECOS PAC ID: 7911278395 Enrollment ID: I20230517001651 |
| Provider Name | Veronica Krull |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184116253 PECOS PAC ID: 3577818186 Enrollment ID: I20230517001784 |
| Provider Name | Harish Dharmarajan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457849671 PECOS PAC ID: 6507113941 Enrollment ID: I20230518000800 |
| Provider Name | Bethany Collins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447781133 PECOS PAC ID: 5698047587 Enrollment ID: I20230518001216 |
| Provider Name | Wesley Washington Yim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457988537 PECOS PAC ID: 6002272986 Enrollment ID: I20230518002397 |
| Provider Name | Chidubem G Ugwueze |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1841714029 PECOS PAC ID: 1658617899 Enrollment ID: I20230519000439 |
| Provider Name | Andrew Lane |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891257747 PECOS PAC ID: 7517395890 Enrollment ID: I20230519001970 |
| Provider Name | Tariq Almerey |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1083118509 PECOS PAC ID: 3072869650 Enrollment ID: I20230519002429 |
| Provider Name | Anna Winston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689293532 PECOS PAC ID: 0840605358 Enrollment ID: I20230519002734 |
| Provider Name | Arinea Salas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669001400 PECOS PAC ID: 0446673651 Enrollment ID: I20230522000057 |
| Provider Name | Christina Low Kapalu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144600131 PECOS PAC ID: 2264740828 Enrollment ID: I20230522001164 |
| Provider Name | Paul Mitchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104455203 PECOS PAC ID: 3678996956 Enrollment ID: I20230522001277 |
| Provider Name | Marissa Chloe Palmor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528626389 PECOS PAC ID: 5395101109 Enrollment ID: I20230522001662 |
| Provider Name | Peter Fong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215217781 PECOS PAC ID: 5294085411 Enrollment ID: I20230523001509 |
| Provider Name | Peter Du |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891286159 PECOS PAC ID: 0840541587 Enrollment ID: I20230523001746 |
| Provider Name | Skylar Trott |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558866327 PECOS PAC ID: 3678803525 Enrollment ID: I20230523001755 |
| Provider Name | Taylor Janae Friesen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558968669 PECOS PAC ID: 1759747462 Enrollment ID: I20230523002050 |
| Provider Name | Jodiey Bondurant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104369917 PECOS PAC ID: 2466713110 Enrollment ID: I20230523003173 |
| Provider Name | Matthew Edward Biron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356847768 PECOS PAC ID: 6507117033 Enrollment ID: I20230523003225 |
| Provider Name | Aaron Tompkins Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336778380 PECOS PAC ID: 4385067693 Enrollment ID: I20230524000439 |
| Provider Name | Jessica E Decker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649835422 PECOS PAC ID: 2062744832 Enrollment ID: I20230524002087 |
| Provider Name | Celeste Arden Swain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225598964 PECOS PAC ID: 4183080781 Enrollment ID: I20230524003223 |
| Provider Name | Naga Praneeth Raja |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043508757 PECOS PAC ID: 0648422436 Enrollment ID: I20230525002310 |
| Provider Name | Shahrzad Sharafi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003308586 PECOS PAC ID: 8224384870 Enrollment ID: I20230526001691 |
| Provider Name | Gurmit Singh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912497884 PECOS PAC ID: 2860745023 Enrollment ID: I20230531002431 |
| Provider Name | Gaelen Stanford-moore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891284014 PECOS PAC ID: 2264844372 Enrollment ID: I20230601000416 |
| Provider Name | Wooin Ahn |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366608267 PECOS PAC ID: 3072771377 Enrollment ID: I20230605001407 |
| Provider Name | Marielle Mahan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487115010 PECOS PAC ID: 5294192365 Enrollment ID: I20230605002405 |
| Provider Name | Joanna Odenthal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255960761 PECOS PAC ID: 4688097967 Enrollment ID: I20230606001159 |
| Provider Name | Daniel John Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245791417 PECOS PAC ID: 0446585459 Enrollment ID: I20230607000314 |
| Provider Name | John Yonge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841636941 PECOS PAC ID: 3779977855 Enrollment ID: I20230607001133 |
| Provider Name | Katherine C Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578233169 PECOS PAC ID: 3577921154 Enrollment ID: I20230614003264 |
| Provider Name | Kristin Prewitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225532971 PECOS PAC ID: 0547512238 Enrollment ID: I20230616000214 |
| Provider Name | Jacob Perlman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073177002 PECOS PAC ID: 8820323918 Enrollment ID: I20230616001017 |
| Provider Name | Chandralekha Ashangari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437682176 PECOS PAC ID: 1052681046 Enrollment ID: I20230619001610 |
| Provider Name | Michelle Beam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750944880 PECOS PAC ID: 0244635043 Enrollment ID: I20230621003141 |
| Provider Name | Andrea Tham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669976809 PECOS PAC ID: 7810328994 Enrollment ID: I20230627001805 |
| Provider Name | Stephanie Egge |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336671866 PECOS PAC ID: 5799167847 Enrollment ID: I20230627002543 |
| Provider Name | Sarah Connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043687429 PECOS PAC ID: 3476912171 Enrollment ID: I20230628003176 |
| Provider Name | Rebecca Raven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992332589 PECOS PAC ID: 5092127829 Enrollment ID: I20230630001124 |
| Provider Name | Brigette Lynn Cole |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639631757 PECOS PAC ID: 3375902893 Enrollment ID: I20230630002322 |
| Provider Name | Nicholas Chang Bene |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1033630819 PECOS PAC ID: 9931568102 Enrollment ID: I20230706001415 |
| Provider Name | Lucas Mcduffie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710269261 PECOS PAC ID: 6709024920 Enrollment ID: I20230706001558 |
| Provider Name | Shawdon S Molavi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1366805137 PECOS PAC ID: 4981969326 Enrollment ID: I20230706003227 |
| Provider Name | Constance W Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619036993 PECOS PAC ID: 2769610591 Enrollment ID: I20230710001845 |
| Provider Name | Jacqueline Hirschey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649731373 PECOS PAC ID: 3870952708 Enrollment ID: I20230710002464 |
| Provider Name | Jonathan Krasinkiewicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295260016 PECOS PAC ID: 0840569125 Enrollment ID: I20230711001011 |
| Provider Name | Oluwadamilare O Ajayi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063948487 PECOS PAC ID: 1557632262 Enrollment ID: I20230711001067 |
| Provider Name | Michael Heath |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437670338 PECOS PAC ID: 5890119234 Enrollment ID: I20230711001156 |
| Provider Name | Luyuan Li |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891143301 PECOS PAC ID: 8426349184 Enrollment ID: I20230711004425 |
| Provider Name | Jason Blanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497224513 PECOS PAC ID: 7416371935 Enrollment ID: I20230712002008 |
| Provider Name | Eric Ryan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750873238 PECOS PAC ID: 1052667581 Enrollment ID: I20230712002349 |
| Provider Name | Petter Overton Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669905550 PECOS PAC ID: 1456687128 Enrollment ID: I20230712003242 |
| Provider Name | Tiffany Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245694934 PECOS PAC ID: 4981996626 Enrollment ID: I20230712003415 |
| Provider Name | Taylor Stuart Campbell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760048987 PECOS PAC ID: 2567861982 Enrollment ID: I20230714000393 |
| Provider Name | Laszlo Szidonya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972064764 PECOS PAC ID: 8628486750 Enrollment ID: I20230720002461 |
| Provider Name | Marco Colasurdo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992392179 PECOS PAC ID: 6406239888 Enrollment ID: I20230720003646 |
| Provider Name | Bindesh Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700499555 PECOS PAC ID: 7214355114 Enrollment ID: I20230721002601 |
| Provider Name | Hannah Canter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538696786 PECOS PAC ID: 2668897893 Enrollment ID: I20230721002647 |
| Provider Name | Gregory Versteeg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891299426 PECOS PAC ID: 7810232493 Enrollment ID: I20230721002708 |
| Provider Name | Brittany Salgado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063100956 PECOS PAC ID: 1153781125 Enrollment ID: I20230721003025 |
| Provider Name | Sintawat Wangsiricharoen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386931269 PECOS PAC ID: 1254688120 Enrollment ID: I20230721003172 |
| Provider Name | Mohamad Bittar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942615240 PECOS PAC ID: 6901021922 Enrollment ID: I20230721003226 |
| Provider Name | Andrew Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053838185 PECOS PAC ID: 9931437399 Enrollment ID: I20230724000246 |
| Provider Name | Don Hershelson Noel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659998482 PECOS PAC ID: 9830559830 Enrollment ID: I20230724000466 |
| Provider Name | Adrian Cois |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760019038 PECOS PAC ID: 8527487313 Enrollment ID: I20230724001049 |
| Provider Name | Ahmed M Gabr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649860511 PECOS PAC ID: 5799145603 Enrollment ID: I20230724001217 |
| Provider Name | Carl Post |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881190262 PECOS PAC ID: 2961733613 Enrollment ID: I20230724002573 |
| Provider Name | Chetan Vakkalagadda |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447781497 PECOS PAC ID: 3375817216 Enrollment ID: I20230724003235 |
| Provider Name | Bradley Petek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558891705 PECOS PAC ID: 0446523641 Enrollment ID: I20230725002606 |
| Provider Name | Lukas Streich |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538552203 PECOS PAC ID: 1759625122 Enrollment ID: I20230725002740 |
| Provider Name | Jessica Macdougall |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1407345283 PECOS PAC ID: 9436404381 Enrollment ID: I20230725003028 |
| Provider Name | Benjamin Moss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114458106 PECOS PAC ID: 4284044165 Enrollment ID: I20230725003302 |
| Provider Name | Yasmin Yousuf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871155796 PECOS PAC ID: 8527429315 Enrollment ID: I20230726001238 |
| Provider Name | Tae Yeon Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518462456 PECOS PAC ID: 4688925027 Enrollment ID: I20230802000530 |
| Provider Name | Fei Cai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134578594 PECOS PAC ID: 6204259351 Enrollment ID: I20230802001125 |
| Provider Name | Zack Dale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962906370 PECOS PAC ID: 4981954161 Enrollment ID: I20230802001963 |
| Provider Name | Nicholas Chakiryan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962897900 PECOS PAC ID: 1951619204 Enrollment ID: I20230802002376 |
| Provider Name | Abhushan Poudyal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497107189 PECOS PAC ID: 4385937960 Enrollment ID: I20230802002709 |
| Provider Name | Tomas Lucioni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851928048 PECOS PAC ID: 7719308949 Enrollment ID: I20230802004324 |
| Provider Name | Matthew Blackburn |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376076828 PECOS PAC ID: 1254792542 Enrollment ID: I20230802004350 |
| Provider Name | Ritchie Verma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760747695 PECOS PAC ID: 9739312935 Enrollment ID: I20230803000631 |
| Provider Name | Julie Doberne |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972969996 PECOS PAC ID: 3173815958 Enrollment ID: I20230803001992 |
| Provider Name | Julie Byler |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1346760691 PECOS PAC ID: 5597094094 Enrollment ID: I20230803002189 |
| Provider Name | Nikolaus Matsler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902338932 PECOS PAC ID: 9234534926 Enrollment ID: I20230803003144 |
| Provider Name | Sonam Santdasani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316634116 PECOS PAC ID: 9931560091 Enrollment ID: I20230804002825 |
| Provider Name | Herrick Keahi Mookini Horowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356802839 PECOS PAC ID: 9133580210 Enrollment ID: I20230804003607 |
| Provider Name | Celina Barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457782740 PECOS PAC ID: 4789815465 Enrollment ID: I20230808001429 |
| Provider Name | Julian P Ponsetto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427549187 PECOS PAC ID: 8426305160 Enrollment ID: I20230808003314 |
| Provider Name | Benjamin D Carr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790121374 PECOS PAC ID: 3971818824 Enrollment ID: I20230809001628 |
| Provider Name | Christopher Steven Zimmerman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295297653 PECOS PAC ID: 3870966948 Enrollment ID: I20230821002030 |
| Provider Name | Garrett Chatelain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710681812 PECOS PAC ID: 6002279015 Enrollment ID: I20230823003840 |
| Provider Name | Deyaaldeen Abu Reesh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073201521 PECOS PAC ID: 2163885104 Enrollment ID: I20230824000675 |
| Provider Name | Andrea Kachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831887975 PECOS PAC ID: 8224491279 Enrollment ID: I20230824000852 |
| Provider Name | Claudia Jessy Henriquez Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013530302 PECOS PAC ID: 6608239652 Enrollment ID: I20230824001185 |
| Provider Name | Laura Bliss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902347263 PECOS PAC ID: 5799148763 Enrollment ID: I20230824001794 |
| Provider Name | Haley Anna Szabo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477299873 PECOS PAC ID: 6002290764 Enrollment ID: I20230824002467 |
| Provider Name | Merin Jose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033697131 PECOS PAC ID: 0840691622 Enrollment ID: I20230824003677 |
| Provider Name | William Shimanek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053873067 PECOS PAC ID: 7618206137 Enrollment ID: I20230824003906 |
| Provider Name | Bisrat T Teweldemedhin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225657869 PECOS PAC ID: 8426411331 Enrollment ID: I20230824004069 |
| Provider Name | Katherine Leckrone Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730872854 PECOS PAC ID: 5294198149 Enrollment ID: I20230825001273 |
| Provider Name | Ronald Ng |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164957544 PECOS PAC ID: 9335410232 Enrollment ID: I20230825001332 |
| Provider Name | Stephanie Chu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1619401486 PECOS PAC ID: 1850717232 Enrollment ID: I20230828003072 |
| Provider Name | Oren Shaked |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609296763 PECOS PAC ID: 2668765330 Enrollment ID: I20230828003930 |
| Provider Name | Robin Stiller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083076715 PECOS PAC ID: 2062703689 Enrollment ID: I20230829000619 |
| Provider Name | Michael Gale |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356886782 PECOS PAC ID: 9436405594 Enrollment ID: I20230829000780 |
| Provider Name | Connor Pihl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891292264 PECOS PAC ID: 3274883160 Enrollment ID: I20230829002086 |
| Provider Name | Kyu Seo Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467985994 PECOS PAC ID: 4880054733 Enrollment ID: I20230829003420 |
| Provider Name | Sara Shimanek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306308325 PECOS PAC ID: 4688907983 Enrollment ID: I20230829003456 |
| Provider Name | Nathan Cutshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104489913 PECOS PAC ID: 7214260124 Enrollment ID: I20230829003530 |
| Provider Name | Jennifer Lynn Arbaugh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417424045 PECOS PAC ID: 5294198834 Enrollment ID: I20230829003592 |
| Provider Name | Chinmay Paranjape |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932633799 PECOS PAC ID: 9830476407 Enrollment ID: I20230830001264 |
| Provider Name | Miranda Merrill |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073946851 PECOS PAC ID: 9032401740 Enrollment ID: I20230830001442 |
| Provider Name | Christine Elizabeth Ren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871082917 PECOS PAC ID: 0143683763 Enrollment ID: I20230830001953 |
| Provider Name | Hobart Zhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174187033 PECOS PAC ID: 9830521897 Enrollment ID: I20230830002576 |
| Provider Name | Molly Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831502004 PECOS PAC ID: 4587881875 Enrollment ID: I20230830002605 |
| Provider Name | Valery Medina |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144924804 PECOS PAC ID: 6002279569 Enrollment ID: I20230830003720 |
| Provider Name | Amanda Chiapa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669913810 PECOS PAC ID: 7113337726 Enrollment ID: I20230905003109 |
| Provider Name | Jenna Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952832149 PECOS PAC ID: 6608148572 Enrollment ID: I20230907001478 |
| Provider Name | Natalie Lacey Zusman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750813523 PECOS PAC ID: 4587937537 Enrollment ID: I20230908003033 |
| Provider Name | Abdullah Khalid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811239981 PECOS PAC ID: 7113225624 Enrollment ID: I20230914000408 |
| Provider Name | Cheryl Stomberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003500661 PECOS PAC ID: 4082078399 Enrollment ID: I20230919002776 |
| Provider Name | Titas Banerjee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659807931 PECOS PAC ID: 8527311919 Enrollment ID: I20230920002371 |
| Provider Name | Zhuyi Sun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528449808 PECOS PAC ID: 7012224413 Enrollment ID: I20230926001652 |
| Provider Name | Bassel Obaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366693210 PECOS PAC ID: 3072779842 Enrollment ID: I20230926002210 |
| Provider Name | Julia Lindsay Boland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922637891 PECOS PAC ID: 6406200435 Enrollment ID: I20230927001334 |
| Provider Name | Nagapavani Kandagari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750906285 PECOS PAC ID: 0840644472 Enrollment ID: I20230929001916 |
| Provider Name | Barbara Lazio |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649389263 PECOS PAC ID: 3870549405 Enrollment ID: I20230929002717 |
| Provider Name | Katelyn Pavlat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790246486 PECOS PAC ID: 5890025779 Enrollment ID: I20230929002964 |
| Provider Name | James Davis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518088954 PECOS PAC ID: 8527223031 Enrollment ID: I20231003003241 |
| Provider Name | Corinne J Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073131462 PECOS PAC ID: 1850745290 Enrollment ID: I20231003003912 |
| Provider Name | Chelsea Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124580717 PECOS PAC ID: 8123360799 Enrollment ID: I20231005001664 |
| Provider Name | Caitlin M Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255724159 PECOS PAC ID: 4385913961 Enrollment ID: I20231006001376 |
| Provider Name | Laura Jan Rice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801429113 PECOS PAC ID: 8224469192 Enrollment ID: I20231012001655 |
| Provider Name | Carolyn Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366049777 PECOS PAC ID: 4880049501 Enrollment ID: I20231016000745 |
| Provider Name | Claire Mckinley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639520216 PECOS PAC ID: 6103119284 Enrollment ID: I20231027002465 |
| Provider Name | Anna Ringelberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780368746 PECOS PAC ID: 6901252832 Enrollment ID: I20231027002533 |
| Provider Name | Arundhati U. Headrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255607818 PECOS PAC ID: 7012209273 Enrollment ID: I20231027002776 |
| Provider Name | Hadi Farah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316367444 PECOS PAC ID: 7012210214 Enrollment ID: I20231030001133 |
| Provider Name | Adrian Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740671601 PECOS PAC ID: 2163733676 Enrollment ID: I20231030001552 |
| Provider Name | Cassandra Lian Hwa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932796067 PECOS PAC ID: 8224484076 Enrollment ID: I20231031000102 |
| Provider Name | Kimberly Ashley-chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053973131 PECOS PAC ID: 2668703208 Enrollment ID: I20231031000415 |
| Provider Name | Kylie Cassandra Boyd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346024494 PECOS PAC ID: 4284080094 Enrollment ID: I20231031002577 |
| Provider Name | Trevor Samuel Silva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083119903 PECOS PAC ID: 0244686905 Enrollment ID: I20231101000970 |
| Provider Name | Natalie Cassell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265850887 PECOS PAC ID: 1759626393 Enrollment ID: I20231101003216 |
| Provider Name | Elizabeth Tyning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043771975 PECOS PAC ID: 0345573838 Enrollment ID: I20231108000920 |
| Provider Name | Derek Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366821993 PECOS PAC ID: 3678835881 Enrollment ID: I20231108001258 |
| Provider Name | Tracey Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316108301 PECOS PAC ID: 8224190954 Enrollment ID: I20231108002272 |
| Provider Name | Kayleigh T Rogalski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295257855 PECOS PAC ID: 3072960004 Enrollment ID: I20231113000783 |
| Provider Name | Justin Ryan Smith |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780172957 PECOS PAC ID: 6507119633 Enrollment ID: I20231114003452 |
| Provider Name | Adele Kelly Preston |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093596017 PECOS PAC ID: 1052769973 Enrollment ID: I20231201002503 |
| Provider Name | Cynthia Ross Connais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285079194 PECOS PAC ID: 9537518345 Enrollment ID: I20231205002878 |
| Provider Name | Tristan Knight |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497195242 PECOS PAC ID: 6608165493 Enrollment ID: I20231218002259 |
| Provider Name | Alisa Y Newhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275169229 PECOS PAC ID: 6406205368 Enrollment ID: I20231218002295 |
| Provider Name | Abigail Horn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669191839 PECOS PAC ID: 3173907490 Enrollment ID: I20231218002347 |
| Provider Name | Laurel Eve Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588394886 PECOS PAC ID: 4486003365 Enrollment ID: I20231218003297 |
| Provider Name | Darcie Yee Gates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326650375 PECOS PAC ID: 5092165886 Enrollment ID: I20231219003782 |
| Provider Name | Elizabeth Tomczyk |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396277133 PECOS PAC ID: 7012367824 Enrollment ID: I20231220000344 |
| Provider Name | Sara Labarge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871264697 PECOS PAC ID: 8921458761 Enrollment ID: I20231220001563 |
| Provider Name | Hilary Gerber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346515806 PECOS PAC ID: 7618233610 Enrollment ID: I20231220003017 |
| Provider Name | Ariannette Yaniz Robledo Gomez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053809061 PECOS PAC ID: 5698125961 Enrollment ID: I20231228002463 |
| Provider Name | Catherine Polan Orzech |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093928095 PECOS PAC ID: 6901256056 Enrollment ID: I20240102001786 |
| Provider Name | Lindley Robert Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124177050 PECOS PAC ID: 5597115527 Enrollment ID: I20240103000950 |
| Provider Name | Vyshika M Willis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518446533 PECOS PAC ID: 4587015359 Enrollment ID: I20240105000673 |
| Provider Name | Jacob Hodge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811158256 PECOS PAC ID: 3072668193 Enrollment ID: I20240105001704 |
| Provider Name | Callie Harling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124629951 PECOS PAC ID: 3173974805 Enrollment ID: I20240108003201 |
| Provider Name | Remigio Roque |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609293778 PECOS PAC ID: 5799902508 Enrollment ID: I20240108005001 |
| Provider Name | Melinda Chacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417668617 PECOS PAC ID: 2264883792 Enrollment ID: I20240109004935 |
| Provider Name | Cynthia Gaboury |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063413276 PECOS PAC ID: 2264569607 Enrollment ID: I20240110001644 |
| Provider Name | Briana Nicole Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184139321 PECOS PAC ID: 6002267127 Enrollment ID: I20240112001361 |
| Provider Name | Sally Jean Vanmeter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437465432 PECOS PAC ID: 0042661167 Enrollment ID: I20240112001516 |
| Provider Name | Dalia Baadarani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518372671 PECOS PAC ID: 4789036898 Enrollment ID: I20240113000452 |
| Provider Name | Omar Kamal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255922340 PECOS PAC ID: 3870977986 Enrollment ID: I20240116000595 |
| Provider Name | Panagiota Stathopoulou |
|---|---|
| Provider Type | Practitioner - Periodontics |
| Provider Identifiers | NPI Number: 1922149293 PECOS PAC ID: 5092167049 Enrollment ID: I20240116001970 |
| Provider Name | Sheri Hamilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780128629 PECOS PAC ID: 0143672311 Enrollment ID: I20240123004830 |
| Provider Name | Annie Petrossian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619528312 PECOS PAC ID: 7911340062 Enrollment ID: I20240206003203 |
| Provider Name | Brenda Bonilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003342155 PECOS PAC ID: 2264875319 Enrollment ID: I20240206003320 |
| Provider Name | Carol Yacula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336691815 PECOS PAC ID: 4688957087 Enrollment ID: I20240206003351 |
| Provider Name | Marie Boller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215468459 PECOS PAC ID: 4981943768 Enrollment ID: I20240206003956 |
| Provider Name | Rachel Shin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841852522 PECOS PAC ID: 2264762046 Enrollment ID: I20240206004167 |
| Provider Name | John Herndon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518387398 PECOS PAC ID: 9931324209 Enrollment ID: I20240206004978 |
| Provider Name | Vesna-lea Ferrer |
|---|---|
| Provider Type | Practitioner - Orthodontics And Dentofacial Orthopedics |
| Provider Identifiers | NPI Number: 1700152659 PECOS PAC ID: 4486097383 Enrollment ID: I20240207003664 |
| Provider Name | Carly Nicole Lingenfelter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952794422 PECOS PAC ID: 1951647502 Enrollment ID: I20240210000550 |
| Provider Name | Danielle Alison Brouillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396453205 PECOS PAC ID: 0345684544 Enrollment ID: I20240215002217 |
| Provider Name | David Gallardo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114913282 PECOS PAC ID: 0244297141 Enrollment ID: I20240215002369 |
| Provider Name | Michaela Angelique Go |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245859206 PECOS PAC ID: 2567824485 Enrollment ID: I20240216002738 |
| Provider Name | Harish Krishnamoorthi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881005247 PECOS PAC ID: 1052643533 Enrollment ID: I20240228003593 |
| Provider Name | Yujung Kim Skibo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972870632 PECOS PAC ID: 9032372909 Enrollment ID: I20240305002461 |
| Provider Name | Gina-marie Barletta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417921131 PECOS PAC ID: 3870572142 Enrollment ID: I20240306003857 |
| Provider Name | Angela Jiang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780116301 PECOS PAC ID: 9133503089 Enrollment ID: I20240311000609 |
| Provider Name | Christina Lyn Totilas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750151163 PECOS PAC ID: 0446696678 Enrollment ID: I20240311002796 |
| Provider Name | Rachael Magsarili |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740051275 PECOS PAC ID: 4981040672 Enrollment ID: I20240316000536 |
| Provider Name | Christine Chung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952838518 PECOS PAC ID: 8325427370 Enrollment ID: I20240320003113 |
| Provider Name | Jignesh S Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477501351 PECOS PAC ID: 5890707624 Enrollment ID: I20240320004190 |
| Provider Name | Maya Ferdschneider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598241135 PECOS PAC ID: 7911344874 Enrollment ID: I20240327001814 |
| Provider Name | Lindsey Nowacki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649656455 PECOS PAC ID: 9638503162 Enrollment ID: I20240329002593 |
| Provider Name | Kristin Childress |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356608046 PECOS PAC ID: 0143588590 Enrollment ID: I20240409004502 |
| Provider Name | Laura Mcwhirter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891372215 PECOS PAC ID: 6709280993 Enrollment ID: I20240410002597 |
| Provider Name | Boone Rhinehart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093392219 PECOS PAC ID: 2365848348 Enrollment ID: I20240411003700 |
| Provider Name | Austen Yeager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467039545 PECOS PAC ID: 7911303987 Enrollment ID: I20240411004263 |
| Provider Name | Thomas Edward Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336361070 PECOS PAC ID: 1254770068 Enrollment ID: I20240412002059 |
| Provider Name | Marcela Riveros Angel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679798441 PECOS PAC ID: 2961673298 Enrollment ID: I20240412002235 |
| Provider Name | Rudi Zurbuchen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275153553 PECOS PAC ID: 3678996253 Enrollment ID: I20240412002379 |
| Provider Name | Matthew Fiala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245793397 PECOS PAC ID: 5294174413 Enrollment ID: I20240419001954 |
| Provider Name | Gail Stanton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184186785 PECOS PAC ID: 1153659552 Enrollment ID: I20240419002612 |
| Provider Name | Joshua Harrold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326445081 PECOS PAC ID: 1951612605 Enrollment ID: I20240429002454 |
| Provider Name | Amanda Christine Scully |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790216596 PECOS PAC ID: 4789024407 Enrollment ID: I20240429002630 |
| Provider Name | Alexa Malena Gilbert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801032339 PECOS PAC ID: 5698115319 Enrollment ID: I20240429002633 |
| Provider Name | David Allen Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639930779 PECOS PAC ID: 9830539576 Enrollment ID: I20240429003197 |
| Provider Name | Sabrena Ahmadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013465103 PECOS PAC ID: 9931450244 Enrollment ID: I20240429003361 |
| Provider Name | Sydney Landreth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588125033 PECOS PAC ID: 4789912486 Enrollment ID: I20240430001017 |
| Provider Name | Erynn Beeson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932739877 PECOS PAC ID: 4981000684 Enrollment ID: I20240430001479 |
| Provider Name | Shira Peress |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003492000 PECOS PAC ID: 6800290339 Enrollment ID: I20240430001888 |
| Provider Name | Hannah Zane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669938866 PECOS PAC ID: 8628472347 Enrollment ID: I20240501003965 |
| Provider Name | Margaret Brophy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952920225 PECOS PAC ID: 8729403159 Enrollment ID: I20240502003225 |
| Provider Name | Lauren Stumbras |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417418971 PECOS PAC ID: 4486995628 Enrollment ID: I20240503002032 |
| Provider Name | Kayva Crawford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396241824 PECOS PAC ID: 6800213547 Enrollment ID: I20240503003041 |
| Provider Name | Jason Chia Tse Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275039455 PECOS PAC ID: 7719212406 Enrollment ID: I20240506004495 |
| Provider Name | Michael P Shaughnessy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235767849 PECOS PAC ID: 3577988658 Enrollment ID: I20240507002926 |
| Provider Name | Daniel Brent Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558820605 PECOS PAC ID: 4981087046 Enrollment ID: I20240507004134 |
| Provider Name | Leah Sax |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326508144 PECOS PAC ID: 9032444245 Enrollment ID: I20240507004513 |
| Provider Name | Peter Debbaneh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326507625 PECOS PAC ID: 6204208226 Enrollment ID: I20240507004566 |
| Provider Name | Armaghan Soomro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003256157 PECOS PAC ID: 3375821473 Enrollment ID: I20240508002989 |
| Provider Name | Caitlyn Audrey Conley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427601392 PECOS PAC ID: 6002257599 Enrollment ID: I20240515001850 |
| Provider Name | Briana Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336769538 PECOS PAC ID: 7315369964 Enrollment ID: I20240515002693 |
| Provider Name | Taylor Smithey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891148904 PECOS PAC ID: 9133561020 Enrollment ID: I20240523001411 |
| Provider Name | Rodica Busui |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235211764 PECOS PAC ID: 9638062383 Enrollment ID: I20240531001482 |
| Provider Name | Sreenidhi Chintalapani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275110835 PECOS PAC ID: 0244631109 Enrollment ID: I20240604002143 |
| Provider Name | Adam Lipson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710416805 PECOS PAC ID: 4486924008 Enrollment ID: I20240607001082 |
| Provider Name | Amy Pohodich |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083235964 PECOS PAC ID: 6608298781 Enrollment ID: I20240612002315 |
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