| Valley Physician Enterprise, Inc | |
|
1870 Amherst St Winchester VA 22601 | |
| (540) 536-0110 | |
| Not Available |
| Full Name | Valley Physician Enterprise, Inc |
|---|---|
| Speciality | Surgery |
| Location | 1870 Amherst St, Winchester, Virginia |
| Authorized Official Name and Position | Renee Nevada Johnson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5405360103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Physician Enterprise, Inc 220 Campus Blvd Ste 100 Winchester VA 22601-2888 Ph: (540) 536-5100 | Valley Physician Enterprise, Inc 1870 Amherst St Winchester VA 22601 Ph: (540) 536-0110 |
| NPI Number | 1538316203 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 12/03/2019 |
| Medicare PECOS PAC ID | 9931268091 |
|---|---|
| Medicare Enrollment ID | O20081104000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538316203 | NPI | - | NPPES |
| Provider Name | James A Salata |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871553446 PECOS PAC ID: 7911811591 Enrollment ID: I20031118000293 |
| Provider Name | Trisha B Nashed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124084041 PECOS PAC ID: 5991695363 Enrollment ID: I20040318000878 |
| Provider Name | Mark Odell Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275505026 PECOS PAC ID: 0648267369 Enrollment ID: I20040426001770 |
| Provider Name | Gregory G Stanford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922092964 PECOS PAC ID: 3870581895 Enrollment ID: I20040506000099 |
| Provider Name | Patrick G Northcraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982684676 PECOS PAC ID: 9931190592 Enrollment ID: I20040521000538 |
| Provider Name | James Roger Sluss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245261783 PECOS PAC ID: 2163405283 Enrollment ID: I20040610000420 |
| Provider Name | David K Harry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114913811 PECOS PAC ID: 5890779359 Enrollment ID: I20040614001449 |
| Provider Name | David E Magarik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932196474 PECOS PAC ID: 1052395522 Enrollment ID: I20040614001485 |
| Provider Name | Joseph W Poe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467448183 PECOS PAC ID: 3971587320 Enrollment ID: I20040615000394 |
| Provider Name | Ronald George Repasky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154317873 PECOS PAC ID: 1951385319 Enrollment ID: I20040615000485 |
| Provider Name | David M Snow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477541977 PECOS PAC ID: 2668456922 Enrollment ID: I20040615000586 |
| Provider Name | Curtis Thwing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134117799 PECOS PAC ID: 2567446834 Enrollment ID: I20040615000685 |
| Provider Name | Joan A Von Arras |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427046028 PECOS PAC ID: 5193709483 Enrollment ID: I20040615000772 |
| Provider Name | Blake H Watts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245228840 PECOS PAC ID: 2466436761 Enrollment ID: I20040615000810 |
| Provider Name | Kyle W Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326036922 PECOS PAC ID: 1153305206 Enrollment ID: I20040616000192 |
| Provider Name | John W Warner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881795821 PECOS PAC ID: 6305823105 Enrollment ID: I20040630000444 |
| Provider Name | Michael Joseph Poss |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1053391250 PECOS PAC ID: 8022097633 Enrollment ID: I20040716000987 |
| Provider Name | Nance A Lovelace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447216163 PECOS PAC ID: 7416928023 Enrollment ID: I20040805000317 |
| Provider Name | Audrea H Wynn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164409504 PECOS PAC ID: 1850365008 Enrollment ID: I20040823001510 |
| Provider Name | Kimberly H Salata |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285603456 PECOS PAC ID: 6709847650 Enrollment ID: I20041023000043 |
| Provider Name | Lakuma R Mogili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265491310 PECOS PAC ID: 1951363894 Enrollment ID: I20041102000788 |
| Provider Name | Elizabeth A Hoebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235166174 PECOS PAC ID: 3870558497 Enrollment ID: I20041123000707 |
| Provider Name | Dorthe S Brandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730173394 PECOS PAC ID: 6002718392 Enrollment ID: I20041222000127 |
| Provider Name | Paul D Lyons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083656250 PECOS PAC ID: 1355383027 Enrollment ID: I20050524000618 |
| Provider Name | Madhur D Solanki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174585046 PECOS PAC ID: 5799720207 Enrollment ID: I20050624000775 |
| Provider Name | Richard J Rizzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811984545 PECOS PAC ID: 1658316948 Enrollment ID: I20050627001297 |
| Provider Name | Jason T Call |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528021862 PECOS PAC ID: 0244276558 Enrollment ID: I20050707000872 |
| Provider Name | Ingrid C Iwanow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689769416 PECOS PAC ID: 5092732735 Enrollment ID: I20051101000436 |
| Provider Name | Russell W Campbell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104880160 PECOS PAC ID: 7618920380 Enrollment ID: I20060109001085 |
| Provider Name | Timothy K Bowers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801843271 PECOS PAC ID: 4981611431 Enrollment ID: I20060308000818 |
| Provider Name | Barbara J Walter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326066630 PECOS PAC ID: 0446263875 Enrollment ID: I20060801000117 |
| Provider Name | Dorotha C Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164459483 PECOS PAC ID: 6406850999 Enrollment ID: I20060914000648 |
| Provider Name | Mary F Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174562383 PECOS PAC ID: 4183629058 Enrollment ID: I20060927000414 |
| Provider Name | Jeffrey Scott Lessar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194726521 PECOS PAC ID: 7315974722 Enrollment ID: I20061020000093 |
| Provider Name | Anita Minghini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114911187 PECOS PAC ID: 7517967870 Enrollment ID: I20070110000434 |
| Provider Name | Troy M Glembot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639164858 PECOS PAC ID: 3577564079 Enrollment ID: I20070126000039 |
| Provider Name | James S Wiedower |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144215609 PECOS PAC ID: 9830190339 Enrollment ID: I20070126000057 |
| Provider Name | Elisabeth Cardwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437158631 PECOS PAC ID: 3274635925 Enrollment ID: I20070227000036 |
| Provider Name | Melissa A Lafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871672543 PECOS PAC ID: 7012019441 Enrollment ID: I20070302000345 |
| Provider Name | Debra Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235208471 PECOS PAC ID: 2466556113 Enrollment ID: I20070405000204 |
| Provider Name | Thomas M Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144272931 PECOS PAC ID: 7911909692 Enrollment ID: I20070502000530 |
| Provider Name | Gordon K Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649238437 PECOS PAC ID: 6002818788 Enrollment ID: I20070503000037 |
| Provider Name | Lee A Selznick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104945997 PECOS PAC ID: 0446357362 Enrollment ID: I20070529000366 |
| Provider Name | Erik N. Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588647556 PECOS PAC ID: 9032189360 Enrollment ID: I20070619000642 |
| Provider Name | Thomas W Oliver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801997838 PECOS PAC ID: 3577654896 Enrollment ID: I20070801000157 |
| Provider Name | Kevin A Hicks |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427106624 PECOS PAC ID: 4981795226 Enrollment ID: I20070801000339 |
| Provider Name | Michael Hoffman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902907942 PECOS PAC ID: 1456442003 Enrollment ID: I20070810000346 |
| Provider Name | Qaisar Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346322823 PECOS PAC ID: 6709978117 Enrollment ID: I20070815000243 |
| Provider Name | Jacqueline A Garringer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730113028 PECOS PAC ID: 3870685803 Enrollment ID: I20070822001232 |
| Provider Name | James Forrest Calland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538195227 PECOS PAC ID: 1456356195 Enrollment ID: I20070829000844 |
| Provider Name | Christy A Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942491865 PECOS PAC ID: 0749376598 Enrollment ID: I20071010000197 |
| Provider Name | Sherif Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093818213 PECOS PAC ID: 4880655174 Enrollment ID: I20071115000351 |
| Provider Name | Patrick M Capone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407836299 PECOS PAC ID: 6103823950 Enrollment ID: I20080104000336 |
| Provider Name | James P Earls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679591689 PECOS PAC ID: 5698779064 Enrollment ID: I20080402000046 |
| Provider Name | Robert Meltvedt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043263148 PECOS PAC ID: 4688751720 Enrollment ID: I20080414000368 |
| Provider Name | John Pulizzi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144212820 PECOS PAC ID: 5890865406 Enrollment ID: I20080609000022 |
| Provider Name | James B Chadduck |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952381741 PECOS PAC ID: 4284704750 Enrollment ID: I20080610000583 |
| Provider Name | Charles E Hyre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811964406 PECOS PAC ID: 0244203701 Enrollment ID: I20080624000334 |
| Provider Name | Adam L Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467574459 PECOS PAC ID: 7719050921 Enrollment ID: I20080722000276 |
| Provider Name | Melanie D Mattson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609839091 PECOS PAC ID: 3779526264 Enrollment ID: I20080801000139 |
| Provider Name | James D Brown |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255394649 PECOS PAC ID: 7315035938 Enrollment ID: I20080801000207 |
| Provider Name | Allan Harold Fergus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770563561 PECOS PAC ID: 8426122722 Enrollment ID: I20080805000456 |
| Provider Name | Patrick D Ireland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164402368 PECOS PAC ID: 1153495452 Enrollment ID: I20080805000473 |
| Provider Name | Manish J Lakhani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043485964 PECOS PAC ID: 5597839811 Enrollment ID: I20080805000573 |
| Provider Name | John Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710958566 PECOS PAC ID: 7810805728 Enrollment ID: I20080814000209 |
| Provider Name | Julie B Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194705889 PECOS PAC ID: 0143395749 Enrollment ID: I20080815000600 |
| Provider Name | George N Stergis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851365076 PECOS PAC ID: 1153498928 Enrollment ID: I20080919000218 |
| Provider Name | Suzanne M Stevens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275519654 PECOS PAC ID: 6002984572 Enrollment ID: I20081010000237 |
| Provider Name | Donna M Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669520722 PECOS PAC ID: 0244334902 Enrollment ID: I20081030000830 |
| Provider Name | Crystl D Willison |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205897915 PECOS PAC ID: 3971497371 Enrollment ID: I20081121000521 |
| Provider Name | Amanda Leigh Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114171469 PECOS PAC ID: 3274695283 Enrollment ID: I20081230000333 |
| Provider Name | James E Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528002698 PECOS PAC ID: 7517960313 Enrollment ID: I20090630000116 |
| Provider Name | Jorge L Posadas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356588545 PECOS PAC ID: 8527111277 Enrollment ID: I20090729000229 |
| Provider Name | Andrea Kittrell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972500270 PECOS PAC ID: 0042365801 Enrollment ID: I20090831000121 |
| Provider Name | Anne K Kassira |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174780951 PECOS PAC ID: 6204982028 Enrollment ID: I20090921000346 |
| Provider Name | Thomas Bouder |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043203318 PECOS PAC ID: 4183617343 Enrollment ID: I20090930000609 |
| Provider Name | Neil W Crowe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992775902 PECOS PAC ID: 0941340913 Enrollment ID: I20091223000127 |
| Provider Name | Anne M Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013970573 PECOS PAC ID: 2466593215 Enrollment ID: I20091231000054 |
| Provider Name | Nancye D Lutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407183379 PECOS PAC ID: 9234270695 Enrollment ID: I20100107000058 |
| Provider Name | Frank H Reuling |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538193206 PECOS PAC ID: 6507957685 Enrollment ID: I20100107000640 |
| Provider Name | Randolph H Renzi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275512550 PECOS PAC ID: 9931002458 Enrollment ID: I20100303001111 |
| Provider Name | Neal Streater Gaither |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003811563 PECOS PAC ID: 4981507407 Enrollment ID: I20100315000807 |
| Provider Name | Loretta A Boyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194715045 PECOS PAC ID: 5890873996 Enrollment ID: I20100324000171 |
| Provider Name | Paul J Ulich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396739314 PECOS PAC ID: 7618055716 Enrollment ID: I20100324000346 |
| Provider Name | Stuart P Childress |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558329342 PECOS PAC ID: 3375545056 Enrollment ID: I20100324000503 |
| Provider Name | Jeffrey A Skiles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114906542 PECOS PAC ID: 9537239827 Enrollment ID: I20100330000532 |
| Provider Name | Daniel Burton Reese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770562050 PECOS PAC ID: 7719057009 Enrollment ID: I20100330000783 |
| Provider Name | Shyama Rosenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497720098 PECOS PAC ID: 1456357979 Enrollment ID: I20100513000745 |
| Provider Name | Maria J Laplante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811145253 PECOS PAC ID: 2264579549 Enrollment ID: I20100610000672 |
| Provider Name | Jennifer L Rohrbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952622367 PECOS PAC ID: 4082730353 Enrollment ID: I20100923000717 |
| Provider Name | Robert J Foust |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801880489 PECOS PAC ID: 8628052701 Enrollment ID: I20101019001472 |
| Provider Name | Jessica P Byrd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639175391 PECOS PAC ID: 7214941830 Enrollment ID: I20101026000319 |
| Provider Name | Kumar R. Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497893614 PECOS PAC ID: 8729273420 Enrollment ID: I20101108000767 |
| Provider Name | Patricia A Daly |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144387770 PECOS PAC ID: 8921104282 Enrollment ID: I20101206001221 |
| Provider Name | Julie C Costin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497058531 PECOS PAC ID: 1557545894 Enrollment ID: I20110411000379 |
| Provider Name | Brandon J Barrett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629283692 PECOS PAC ID: 7517142615 Enrollment ID: I20110505000515 |
| Provider Name | Tamara D Spriggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265637953 PECOS PAC ID: 8820283666 Enrollment ID: I20111027000997 |
| Provider Name | Terral C Goode |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396902870 PECOS PAC ID: 1658538970 Enrollment ID: I20120127000949 |
| Provider Name | Edward R Kofsky |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811978125 PECOS PAC ID: 0648443309 Enrollment ID: I20120127000965 |
| Provider Name | Thomas P Keenan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164456307 PECOS PAC ID: 3375616428 Enrollment ID: I20120202000504 |
| Provider Name | Mary D Catlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467740324 PECOS PAC ID: 5193986354 Enrollment ID: I20120416000016 |
| Provider Name | Patrick L Wagner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811154610 PECOS PAC ID: 9335272749 Enrollment ID: I20120611000684 |
| Provider Name | Kumar Bahl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093978934 PECOS PAC ID: 4981748225 Enrollment ID: I20120717000004 |
| Provider Name | John C Henry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740205822 PECOS PAC ID: 8921039561 Enrollment ID: I20120718000174 |
| Provider Name | Angela L Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093072225 PECOS PAC ID: 3173789054 Enrollment ID: I20120720000304 |
| Provider Name | Andrew K Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679777478 PECOS PAC ID: 6204083827 Enrollment ID: I20120904000207 |
| Provider Name | Susan S Warriner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043565229 PECOS PAC ID: 0244488773 Enrollment ID: I20120907000170 |
| Provider Name | Noel S Ashcraft |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1902099864 PECOS PAC ID: 8628964673 Enrollment ID: I20120911000250 |
| Provider Name | Kenneth G Mason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336174705 PECOS PAC ID: 1355499781 Enrollment ID: I20121009000402 |
| Provider Name | Sandra K Meisinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891045639 PECOS PAC ID: 9234381062 Enrollment ID: I20121130000367 |
| Provider Name | Robin L Rider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043292212 PECOS PAC ID: 0446436992 Enrollment ID: I20130102000202 |
| Provider Name | Dawnya R Finerfrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508123365 PECOS PAC ID: 8729233945 Enrollment ID: I20130219000241 |
| Provider Name | Nandita Subedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730411026 PECOS PAC ID: 0749435519 Enrollment ID: I20130227000582 |
| Provider Name | Ayorinde Akinrinlola |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346421856 PECOS PAC ID: 1557507407 Enrollment ID: I20130419000004 |
| Provider Name | Ambi G Zeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932457033 PECOS PAC ID: 7113163999 Enrollment ID: I20130424000139 |
| Provider Name | Cara G Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184067183 PECOS PAC ID: 4688814056 Enrollment ID: I20130708000421 |
| Provider Name | Lakaren Deann Rickman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104166578 PECOS PAC ID: 5395985220 Enrollment ID: I20130717000277 |
| Provider Name | Prema M Pamireddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144466079 PECOS PAC ID: 6608017413 Enrollment ID: I20130720000032 |
| Provider Name | Brendan J Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225276793 PECOS PAC ID: 5193959377 Enrollment ID: I20131001000075 |
| Provider Name | Anthony V Caggiano |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790797421 PECOS PAC ID: 7911993852 Enrollment ID: I20140117001583 |
| Provider Name | Amanda L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821427493 PECOS PAC ID: 6709014780 Enrollment ID: I20140121001187 |
| Provider Name | Jo Ellen Cartmell |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114957248 PECOS PAC ID: 8628264769 Enrollment ID: I20140321001700 |
| Provider Name | Ruth Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043632664 PECOS PAC ID: 0840423380 Enrollment ID: I20140507001280 |
| Provider Name | Racheal A Valcour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083030191 PECOS PAC ID: 5597989962 Enrollment ID: I20140605001181 |
| Provider Name | Kelly L Wooten Pilson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427252782 PECOS PAC ID: 7113975426 Enrollment ID: I20140611000805 |
| Provider Name | Julian E Martinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134344716 PECOS PAC ID: 5395836274 Enrollment ID: I20140703002080 |
| Provider Name | Jeffrey M Feit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326036054 PECOS PAC ID: 5597829051 Enrollment ID: I20140721001942 |
| Provider Name | Jennifer R Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750469334 PECOS PAC ID: 6204826845 Enrollment ID: I20140814001033 |
| Provider Name | Sarah E Chrisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497169684 PECOS PAC ID: 7911124854 Enrollment ID: I20140815002083 |
| Provider Name | Christopher Mark Nieman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518948777 PECOS PAC ID: 2668563511 Enrollment ID: I20140818002728 |
| Provider Name | Mesfin R Shibeshi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275706269 PECOS PAC ID: 3375786783 Enrollment ID: I20140828001078 |
| Provider Name | Lin M Riccio |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942468350 PECOS PAC ID: 3577792381 Enrollment ID: I20141020001427 |
| Provider Name | Susan Copsetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649672494 PECOS PAC ID: 1850613969 Enrollment ID: I20141201000227 |
| Provider Name | Kent P Vanbuecken |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437195377 PECOS PAC ID: 6002706132 Enrollment ID: I20141201001270 |
| Provider Name | Jaclyn K Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518363712 PECOS PAC ID: 5799001459 Enrollment ID: I20150225000019 |
| Provider Name | Wendy J Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851789606 PECOS PAC ID: 0648596015 Enrollment ID: I20150302000985 |
| Provider Name | Jack Hsu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114956430 PECOS PAC ID: 6901993450 Enrollment ID: I20150311000604 |
| Provider Name | Jennifer Carter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952507097 PECOS PAC ID: 9638330772 Enrollment ID: I20150326000214 |
| Provider Name | Jennifer Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225428220 PECOS PAC ID: 9638496730 Enrollment ID: I20150331000459 |
| Provider Name | Todd Anthony Wichman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437265717 PECOS PAC ID: 0840418539 Enrollment ID: I20150625002204 |
| Provider Name | Roberta R Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285614685 PECOS PAC ID: 8022100817 Enrollment ID: I20150707000361 |
| Provider Name | Michael Rolen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730316118 PECOS PAC ID: 8022330893 Enrollment ID: I20150713002602 |
| Provider Name | Richard Bruce Ashby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912982273 PECOS PAC ID: 7315020328 Enrollment ID: I20150806012811 |
| Provider Name | Harvinder S Jagait |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1700029188 PECOS PAC ID: 4082920038 Enrollment ID: I20150904001938 |
| Provider Name | Michael Yuzefovich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003014986 PECOS PAC ID: 1254483290 Enrollment ID: I20150923000561 |
| Provider Name | Phillip Lee Van |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639330533 PECOS PAC ID: 9335380161 Enrollment ID: I20151012000341 |
| Provider Name | Donna Marie Munsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043578867 PECOS PAC ID: 7416190210 Enrollment ID: I20151102000599 |
| Provider Name | Omar Ali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972527059 PECOS PAC ID: 5799750626 Enrollment ID: I20151118002099 |
| Provider Name | Shalini Rohini Reddy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053432856 PECOS PAC ID: 7315031929 Enrollment ID: I20151221001665 |
| Provider Name | Basel Ramlawi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1265692479 PECOS PAC ID: 7810062692 Enrollment ID: I20160122000233 |
| Provider Name | Daniel V Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184841470 PECOS PAC ID: 2365610003 Enrollment ID: I20160210002310 |
| Provider Name | Janice D Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407212541 PECOS PAC ID: 8224332200 Enrollment ID: I20160211001873 |
| Provider Name | Robin L Luttrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629442470 PECOS PAC ID: 7315241122 Enrollment ID: I20160215001044 |
| Provider Name | James Tretter |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629079371 PECOS PAC ID: 5991601262 Enrollment ID: I20160308002479 |
| Provider Name | Lauren Mies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922302330 PECOS PAC ID: 0749570513 Enrollment ID: I20160607000998 |
| Provider Name | Rabia Arshad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710927702 PECOS PAC ID: 1658372933 Enrollment ID: I20160613001852 |
| Provider Name | Craig L Louisy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457553364 PECOS PAC ID: 0648366401 Enrollment ID: I20160627002303 |
| Provider Name | Cathy Anne Custer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689602245 PECOS PAC ID: 8123242401 Enrollment ID: I20160720001001 |
| Provider Name | Sarah E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942611231 PECOS PAC ID: 0547486870 Enrollment ID: I20160804002283 |
| Provider Name | David B Essaff |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558627083 PECOS PAC ID: 6406140961 Enrollment ID: I20160805000347 |
| Provider Name | Crystal Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992150684 PECOS PAC ID: 1254625643 Enrollment ID: I20160808002039 |
| Provider Name | Natalie Raney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114384237 PECOS PAC ID: 6608161880 Enrollment ID: I20160826001753 |
| Provider Name | Duncan Ben Davidson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285045534 PECOS PAC ID: 0840586525 Enrollment ID: I20160906002238 |
| Provider Name | Nicholas A Perry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982845350 PECOS PAC ID: 4880835636 Enrollment ID: I20160907002810 |
| Provider Name | Frehiwot Derbew Temesgen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134414667 PECOS PAC ID: 5193011260 Enrollment ID: I20160916000014 |
| Provider Name | Devin C Flaherty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255564068 PECOS PAC ID: 5294023784 Enrollment ID: I20161017001539 |
| Provider Name | Stephen Edward Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013122464 PECOS PAC ID: 5496800161 Enrollment ID: I20161019003195 |
| Provider Name | Hannah Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730317900 PECOS PAC ID: 5294013025 Enrollment ID: I20161031000880 |
| Provider Name | Matthew Borkon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972650778 PECOS PAC ID: 8426297524 Enrollment ID: I20161121001726 |
| Provider Name | Skyler T Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538619473 PECOS PAC ID: 3476833427 Enrollment ID: I20161208000658 |
| Provider Name | Heather Marie Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275075400 PECOS PAC ID: 0244510113 Enrollment ID: I20161212000511 |
| Provider Name | Grace B Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457461014 PECOS PAC ID: 2961493796 Enrollment ID: I20170113000797 |
| Provider Name | Raju B Century |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700039245 PECOS PAC ID: 7315084415 Enrollment ID: I20170621000472 |
| Provider Name | Elias S Ashame |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790978344 PECOS PAC ID: 5698854453 Enrollment ID: I20170711001054 |
| Provider Name | Kiarash Jahed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063736858 PECOS PAC ID: 4385800945 Enrollment ID: I20170727001664 |
| Provider Name | John T English |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639439789 PECOS PAC ID: 0840561502 Enrollment ID: I20170731000923 |
| Provider Name | April Michele Bowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376952002 PECOS PAC ID: 4789805615 Enrollment ID: I20170803002407 |
| Provider Name | Sairah Bashir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366624231 PECOS PAC ID: 3577744945 Enrollment ID: I20170821001118 |
| Provider Name | Emmanuel Ekanem |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407274327 PECOS PAC ID: 5991078784 Enrollment ID: I20170912003218 |
| Provider Name | Saif Al-najafi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932330230 PECOS PAC ID: 0143515882 Enrollment ID: I20171005002796 |
| Provider Name | Arthur S Ticknor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104997774 PECOS PAC ID: 0941269864 Enrollment ID: I20171028000390 |
| Provider Name | Mohammed Albugeaey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154637056 PECOS PAC ID: 6204122971 Enrollment ID: I20171110000038 |
| Provider Name | Christine Papierniak Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154830586 PECOS PAC ID: 0042577744 Enrollment ID: I20171205003468 |
| Provider Name | Erik Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447689088 PECOS PAC ID: 2062707912 Enrollment ID: I20171206003210 |
| Provider Name | Jennifer M Purdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215446760 PECOS PAC ID: 3375534548 Enrollment ID: I20180109000832 |
| Provider Name | Prashanta Koirala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437368180 PECOS PAC ID: 0749473858 Enrollment ID: I20180110000388 |
| Provider Name | Tracey Hoefler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952831448 PECOS PAC ID: 8820357700 Enrollment ID: I20180123000689 |
| Provider Name | Timothy Chester Gajewski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962517581 PECOS PAC ID: 7810880713 Enrollment ID: I20180125002000 |
| Provider Name | Kimberly Leslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942563044 PECOS PAC ID: 5890055594 Enrollment ID: I20180126001703 |
| Provider Name | Kelley Marie Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144749326 PECOS PAC ID: 2860754298 Enrollment ID: I20180326000032 |
| Provider Name | Fadi Makari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992958961 PECOS PAC ID: 3072755388 Enrollment ID: I20180410001474 |
| Provider Name | Brandy M Millay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548664360 PECOS PAC ID: 1658694336 Enrollment ID: I20180420000055 |
| Provider Name | Krystal Denise James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801395447 PECOS PAC ID: 4688938590 Enrollment ID: I20180501000844 |
| Provider Name | Sharara Kazimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871093450 PECOS PAC ID: 8224393285 Enrollment ID: I20180523001231 |
| Provider Name | Matthew Tyler Lisk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992016844 PECOS PAC ID: 2961643143 Enrollment ID: I20180612001001 |
| Provider Name | Kacie Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497244404 PECOS PAC ID: 7113275348 Enrollment ID: I20180806000244 |
| Provider Name | Rodolfo Jose Oviedo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376795955 PECOS PAC ID: 7618115908 Enrollment ID: I20180807003685 |
| Provider Name | Olufunmilola M Ogbonlowo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174926679 PECOS PAC ID: 4385993138 Enrollment ID: I20180828000936 |
| Provider Name | Fiona E Seager |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275970428 PECOS PAC ID: 2769617026 Enrollment ID: I20180905003144 |
| Provider Name | Zachary T Hollis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104142744 PECOS PAC ID: 1951535848 Enrollment ID: I20181001000904 |
| Provider Name | William Conrad Dressler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912946955 PECOS PAC ID: 3173597663 Enrollment ID: I20181017002954 |
| Provider Name | Lawrence Sann |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558628677 PECOS PAC ID: 1254605462 Enrollment ID: I20181106000051 |
| Provider Name | Dabney Wisecarver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619459732 PECOS PAC ID: 5496099335 Enrollment ID: I20181204003218 |
| Provider Name | Darryl Adrian Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245711084 PECOS PAC ID: 9436494804 Enrollment ID: I20181213002012 |
| Provider Name | Robert James Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427576297 PECOS PAC ID: 9931137627 Enrollment ID: I20190123002973 |
| Provider Name | Ansley Madeline Tolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316412141 PECOS PAC ID: 5799022992 Enrollment ID: I20190125002094 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20190326001941 |
| Provider Name | Anthony Mark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629128947 PECOS PAC ID: 8325360829 Enrollment ID: I20190510001178 |
| Provider Name | Wayne B Batchelor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639172885 PECOS PAC ID: 3072516343 Enrollment ID: I20190529003314 |
| Provider Name | James T Dingess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396230793 PECOS PAC ID: 6103166855 Enrollment ID: I20190606000706 |
| Provider Name | Iyad Sabbagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851338206 PECOS PAC ID: 1355330549 Enrollment ID: I20190619000549 |
| Provider Name | Christopher M Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639598592 PECOS PAC ID: 7416177233 Enrollment ID: I20190626003489 |
| Provider Name | Norman F Woodlief |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184616989 PECOS PAC ID: 5890785000 Enrollment ID: I20190723000055 |
| Provider Name | Hampton A Crimm |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548498736 PECOS PAC ID: 7416173505 Enrollment ID: I20190729000089 |
| Provider Name | Edward Lam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184002669 PECOS PAC ID: 9830483353 Enrollment ID: I20190807003695 |
| Provider Name | Victoria Jane Whitlow Lyness |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841637782 PECOS PAC ID: 8729220777 Enrollment ID: I20190812002889 |
| Provider Name | James Laredo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750380911 PECOS PAC ID: 2264404060 Enrollment ID: I20190924001699 |
| Provider Name | Lindsey Ann Spishak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326517558 PECOS PAC ID: 5799016697 Enrollment ID: I20191008000207 |
| Provider Name | Allyson Weck Rinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306403654 PECOS PAC ID: 1355672908 Enrollment ID: I20191011001055 |
| Provider Name | Valerie M Plant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700147212 PECOS PAC ID: 4284954231 Enrollment ID: I20191021003517 |
| Provider Name | Rachel Wynne Ziemke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205484722 PECOS PAC ID: 2062744329 Enrollment ID: I20191106001119 |
| Provider Name | Alexander Michael Johnston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356785604 PECOS PAC ID: 6800185232 Enrollment ID: I20191111002729 |
| Provider Name | Iuliana Kiliment |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104138254 PECOS PAC ID: 7810135233 Enrollment ID: I20191119001715 |
| Provider Name | Rehan Waheed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093096778 PECOS PAC ID: 1759674070 Enrollment ID: I20200108000699 |
| Provider Name | Angela D Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023286010 PECOS PAC ID: 9436378650 Enrollment ID: I20200311001022 |
| Provider Name | Mavis Agyeiwaah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902218944 PECOS PAC ID: 8628374659 Enrollment ID: I20200311002804 |
| Provider Name | Anne Maria Riser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174163562 PECOS PAC ID: 6204266315 Enrollment ID: I20200413003073 |
| Provider Name | David J Lecronier |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033536461 PECOS PAC ID: 0941519789 Enrollment ID: I20200421001940 |
| Provider Name | Meagan M Faraone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386279883 PECOS PAC ID: 7315377868 Enrollment ID: I20200423002007 |
| Provider Name | David J Salvetti |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013354786 PECOS PAC ID: 4789015751 Enrollment ID: I20200506001664 |
| Provider Name | Kevin Edmond Crutchfield |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578680914 PECOS PAC ID: 9830290428 Enrollment ID: I20200518003074 |
| Provider Name | John D Price |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205254679 PECOS PAC ID: 9931409505 Enrollment ID: I20200615000015 |
| Provider Name | Daniel Hynes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902248826 PECOS PAC ID: 3577851872 Enrollment ID: I20200617001371 |
| Provider Name | Idean Amirjazil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356756795 PECOS PAC ID: 8224398961 Enrollment ID: I20200617003389 |
| Provider Name | Salaam Sadi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215370531 PECOS PAC ID: 5092042234 Enrollment ID: I20200619001269 |
| Provider Name | Brittany E Courtney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649896796 PECOS PAC ID: 6709201452 Enrollment ID: I20200729001331 |
| Provider Name | Bessie Raines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023588449 PECOS PAC ID: 2365776770 Enrollment ID: I20200803000316 |
| Provider Name | Ashley M Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457987489 PECOS PAC ID: 6608291018 Enrollment ID: I20200808000137 |
| Provider Name | Habibullah Ziayee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457610792 PECOS PAC ID: 1052656543 Enrollment ID: I20200903001678 |
| Provider Name | Swetha Penmasta Alluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679991095 PECOS PAC ID: 7012334188 Enrollment ID: I20200903001813 |
| Provider Name | Daniel C Hobbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922418185 PECOS PAC ID: 9335363233 Enrollment ID: I20200903001961 |
| Provider Name | Moska Kazimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205460078 PECOS PAC ID: 5597183004 Enrollment ID: I20200916000011 |
| Provider Name | Nupur Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417375940 PECOS PAC ID: 8729379938 Enrollment ID: I20200917001591 |
| Provider Name | Karin E Byers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174595805 PECOS PAC ID: 3274729736 Enrollment ID: I20200924002620 |
| Provider Name | Linda Nabha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558520601 PECOS PAC ID: 9537303995 Enrollment ID: I20201014002605 |
| Provider Name | Sowmya Nanjappa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942565403 PECOS PAC ID: 4981825379 Enrollment ID: I20201016000363 |
| Provider Name | Christian O Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881985695 PECOS PAC ID: 5193027704 Enrollment ID: I20201027001453 |
| Provider Name | Peter Joseph Salvatore Volpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477970309 PECOS PAC ID: 5092083964 Enrollment ID: I20201110002376 |
| Provider Name | Suzanne J Templer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093903163 PECOS PAC ID: 5698844215 Enrollment ID: I20201111001973 |
| Provider Name | Andrew D Mccarthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033210430 PECOS PAC ID: 5193726610 Enrollment ID: I20201112001232 |
| Provider Name | Sarah Welsh Burgdorf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801213780 PECOS PAC ID: 5193053346 Enrollment ID: I20201202002057 |
| Provider Name | Neel B Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912162819 PECOS PAC ID: 6103971379 Enrollment ID: I20201202002601 |
| Provider Name | Julia Zefirova |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346472933 PECOS PAC ID: 0840455424 Enrollment ID: I20201203001008 |
| Provider Name | Stephanie E Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013422682 PECOS PAC ID: 4688934185 Enrollment ID: I20201216001102 |
| Provider Name | Mark H Kumar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114929395 PECOS PAC ID: 7719954254 Enrollment ID: I20201217000693 |
| Provider Name | Alex Marshal Trzebucki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114269594 PECOS PAC ID: 9739471533 Enrollment ID: I20210106001159 |
| Provider Name | Shanza Khan Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619355229 PECOS PAC ID: 8123337953 Enrollment ID: I20210122001658 |
| Provider Name | James Keck Vankirk |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1548375199 PECOS PAC ID: 1456341890 Enrollment ID: I20210122002396 |
| Provider Name | Matthew J Mayuiers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033452644 PECOS PAC ID: 4385946672 Enrollment ID: I20210201001392 |
| Provider Name | Rocco Richards |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679912729 PECOS PAC ID: 5890045355 Enrollment ID: I20210212000726 |
| Provider Name | Philip W Carrott |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821216664 PECOS PAC ID: 5597880286 Enrollment ID: I20210215000985 |
| Provider Name | Julia Cornett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679884738 PECOS PAC ID: 3779779251 Enrollment ID: I20210222000310 |
| Provider Name | Bettina M Knoll |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184766867 PECOS PAC ID: 4587752738 Enrollment ID: I20210315001209 |
| Provider Name | Gul Madison |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194844001 PECOS PAC ID: 6103094255 Enrollment ID: I20210402000355 |
| Provider Name | Christine Cho |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518225689 PECOS PAC ID: 0446569800 Enrollment ID: I20210402000413 |
| Provider Name | Nicole C White |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972897387 PECOS PAC ID: 7911122619 Enrollment ID: I20210419002322 |
| Provider Name | Ernesto Jimenez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851323463 PECOS PAC ID: 3274582168 Enrollment ID: I20210421001201 |
| Provider Name | Christopher D Scott |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487843223 PECOS PAC ID: 5799926523 Enrollment ID: I20210505000032 |
| Provider Name | Maureen V Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447518659 PECOS PAC ID: 4789976986 Enrollment ID: I20210602001263 |
| Provider Name | Sumeet K Lall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619395282 PECOS PAC ID: 1557627155 Enrollment ID: I20210617001433 |
| Provider Name | Sharon Lee Savinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184218174 PECOS PAC ID: 5890195333 Enrollment ID: I20210621001652 |
| Provider Name | Derek Pyland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659802882 PECOS PAC ID: 2668743691 Enrollment ID: I20210622001473 |
| Provider Name | Charlotte Pham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255710745 PECOS PAC ID: 8628302437 Enrollment ID: I20210629000415 |
| Provider Name | Jamie Dooley Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063089217 PECOS PAC ID: 0749681500 Enrollment ID: I20210630002208 |
| Provider Name | Emily Susan Reardon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912292400 PECOS PAC ID: 0143547257 Enrollment ID: I20210709001809 |
| Provider Name | Serene Shereef |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932315272 PECOS PAC ID: 9335397249 Enrollment ID: I20210713000584 |
| Provider Name | Jason A Kirkbride |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033451331 PECOS PAC ID: 1759635170 Enrollment ID: I20210826002295 |
| Provider Name | Andrew G Marthy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609230176 PECOS PAC ID: 7214273887 Enrollment ID: I20210916002351 |
| Provider Name | Maria Sophia S Villanueva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295058758 PECOS PAC ID: 4688808553 Enrollment ID: I20210929002953 |
| Provider Name | Peter David Allen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821331141 PECOS PAC ID: 8921423294 Enrollment ID: I20211001001708 |
| Provider Name | Kimberly Dawn Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982372447 PECOS PAC ID: 9032517594 Enrollment ID: I20211013003070 |
| Provider Name | Kelly Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528640414 PECOS PAC ID: 7911395280 Enrollment ID: I20211020000203 |
| Provider Name | Brandon J Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003243213 PECOS PAC ID: 9335433663 Enrollment ID: I20211021001955 |
| Provider Name | Jesse B Moskowitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619131125 PECOS PAC ID: 2567537954 Enrollment ID: I20211105001487 |
| Provider Name | Scottie Linette Withers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245902220 PECOS PAC ID: 2264822642 Enrollment ID: I20211126000045 |
| Provider Name | Neal S Topham |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386667087 PECOS PAC ID: 2769512839 Enrollment ID: I20211129002800 |
| Provider Name | Esther W Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841881620 PECOS PAC ID: 7416364013 Enrollment ID: I20211202000037 |
| Provider Name | Vance Y Sohn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649329319 PECOS PAC ID: 2062651821 Enrollment ID: I20220114001690 |
| Provider Name | Khaled M Abdalla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750811428 PECOS PAC ID: 5890188601 Enrollment ID: I20220131000473 |
| Provider Name | Jessica Ludwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689332645 PECOS PAC ID: 6305239005 Enrollment ID: I20220201001926 |
| Provider Name | Meghan Annette Whitlatch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841531035 PECOS PAC ID: 0143646562 Enrollment ID: I20220304000503 |
| Provider Name | Darah Kinzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730629809 PECOS PAC ID: 1153689849 Enrollment ID: I20220412002271 |
| Provider Name | Ioannis Karampelas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528216868 PECOS PAC ID: 5496031627 Enrollment ID: I20220420002685 |
| Provider Name | Joshua T Prickett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467751248 PECOS PAC ID: 9537135504 Enrollment ID: I20220525001919 |
| Provider Name | Joseph Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447491451 PECOS PAC ID: 1456535301 Enrollment ID: I20220603000534 |
| Provider Name | Raveen Chawla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003235227 PECOS PAC ID: 4082838008 Enrollment ID: I20220714001016 |
| Provider Name | Albert Wong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841429586 PECOS PAC ID: 8426276650 Enrollment ID: I20220716000444 |
| Provider Name | Gutej Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255852422 PECOS PAC ID: 1658603766 Enrollment ID: I20220729001535 |
| Provider Name | Ashley C Coffelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265162853 PECOS PAC ID: 5991187288 Enrollment ID: I20220803001393 |
| Provider Name | Rebecca M Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225761414 PECOS PAC ID: 8123400215 Enrollment ID: I20220805002335 |
| Provider Name | Matelin P Crosen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013363043 PECOS PAC ID: 3870885940 Enrollment ID: I20220809001047 |
| Provider Name | Todd L Teigeler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982016614 PECOS PAC ID: 9032336755 Enrollment ID: I20220815001161 |
| Provider Name | Adebayo Atanda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376939280 PECOS PAC ID: 7719276823 Enrollment ID: I20220817000685 |
| Provider Name | Aref A Bin Abdulhak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700132727 PECOS PAC ID: 5890008908 Enrollment ID: I20220822000095 |
| Provider Name | Robert E Reed |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962822304 PECOS PAC ID: 9032338959 Enrollment ID: I20220822000542 |
| Provider Name | Megan E Neils |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417391897 PECOS PAC ID: 5395972236 Enrollment ID: I20220831004010 |
| Provider Name | Rebekah Scout Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952765018 PECOS PAC ID: 0042567588 Enrollment ID: I20220906002028 |
| Provider Name | Clay Michael Merritt |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1427464155 PECOS PAC ID: 2466842224 Enrollment ID: I20220916002088 |
| Provider Name | Peter B Letarte |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568579688 PECOS PAC ID: 6305160912 Enrollment ID: I20221014002645 |
| Provider Name | Rabea Khedimi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891043519 PECOS PAC ID: 4880900778 Enrollment ID: I20221017002111 |
| Provider Name | Devon N Hawkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407297187 PECOS PAC ID: 7517334972 Enrollment ID: I20221028000284 |
| Provider Name | Dimitrios Giannakidis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285963793 PECOS PAC ID: 6305061458 Enrollment ID: I20221101000974 |
| Provider Name | Zachary Andrew Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457791899 PECOS PAC ID: 2961802392 Enrollment ID: I20221229001012 |
| Provider Name | Charbel Simon Fawaz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487375440 PECOS PAC ID: 1557732146 Enrollment ID: I20230118001095 |
| Provider Name | Maria D Dehoyos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750752093 PECOS PAC ID: 0143552760 Enrollment ID: I20230208001678 |
| Provider Name | Sushma Manda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558524603 PECOS PAC ID: 7113051392 Enrollment ID: I20230222000156 |
| Provider Name | Jennifer L Viera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275897456 PECOS PAC ID: 8325462302 Enrollment ID: I20230515001568 |
| Provider Name | Yohannes Goite |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518317254 PECOS PAC ID: 2961779624 Enrollment ID: I20230626003007 |
| Provider Name | Gurpreet Sabar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780864306 PECOS PAC ID: 0143457549 Enrollment ID: I20230706000145 |
| Provider Name | Givi Basishvili |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326579848 PECOS PAC ID: 0648593269 Enrollment ID: I20230802003205 |
| Provider Name | Marsha C Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063542736 PECOS PAC ID: 7810087053 Enrollment ID: I20230807001997 |
| Provider Name | Arshia S Etesam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427411172 PECOS PAC ID: 1951711589 Enrollment ID: I20230901001136 |
| Provider Name | Wayne Tse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609222967 PECOS PAC ID: 0547554883 Enrollment ID: I20230925000169 |
| Provider Name | Percival O Buenaventura |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518939552 PECOS PAC ID: 0446295794 Enrollment ID: I20231003000768 |
| Provider Name | William A Brown |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699803940 PECOS PAC ID: 3870581523 Enrollment ID: I20231005001803 |
| Provider Name | Rebekah E Funkhouser |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114602364 PECOS PAC ID: 1254793524 Enrollment ID: I20231008000029 |
| Provider Name | Shaheen M Counts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972727063 PECOS PAC ID: 2769631266 Enrollment ID: I20231011000135 |
| Provider Name | Myo Pale Aye |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366705337 PECOS PAC ID: 0749540359 Enrollment ID: I20231101001280 |
| Provider Name | Kimberly Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457818759 PECOS PAC ID: 2365899358 Enrollment ID: I20231113003290 |
| Provider Name | James Eugene Fogartie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053359836 PECOS PAC ID: 9234027558 Enrollment ID: I20231115001367 |
| Provider Name | Cameron Paterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962865394 PECOS PAC ID: 2860840964 Enrollment ID: I20231130000783 |
| Provider Name | Stacy Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720866262 PECOS PAC ID: 3779933437 Enrollment ID: I20231221002414 |
| Provider Name | Douglas Kuo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881894285 PECOS PAC ID: 5698867596 Enrollment ID: I20240206005021 |
| Provider Name | Rachel Nicole Lonas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376314351 PECOS PAC ID: 6204270655 Enrollment ID: I20240214000767 |
| Provider Name | Scott C Silvestry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922028547 PECOS PAC ID: 0941197222 Enrollment ID: I20240216000392 |
| Provider Name | William C Hope |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144756743 PECOS PAC ID: 7113296112 Enrollment ID: I20240222000779 |
| Provider Name | Kenneth J Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841376910 PECOS PAC ID: 2769535673 Enrollment ID: I20240227000498 |
| Provider Name | Jamie P Loggins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346224003 PECOS PAC ID: 5193769347 Enrollment ID: I20240304000468 |
| Provider Name | Rizwan Ahmed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467728014 PECOS PAC ID: 8123276417 Enrollment ID: I20240319000387 |
| Provider Name | Jamielou Breckenridge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679010896 PECOS PAC ID: 1254699440 Enrollment ID: I20240424000034 |
| Provider Name | Jessica F Jeffers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922728112 PECOS PAC ID: 4789025115 Enrollment ID: I20240515003777 |
| Provider Name | Catherine Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669919320 PECOS PAC ID: 5991080194 Enrollment ID: I20240530003844 |
Pleasant Valley Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 S Pleasant Valley Rd, Winchester, VA 22601 Phone: 540-773-2516 Fax: 540-300-4563 | |
Shenandoah Smiles Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 W Jubal Early Dr, Suite 101, Winchester, VA 22601 Phone: 540-533-6369 | |
D. Eric Redmon, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 W Whitlock Ave, Winchester, VA 22601 Phone: 540-665-4432 | |
Dr. Heather H. Gibson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3111 Valley Ave Ste 112a, Winchester, VA 22601 Phone: 540-535-1046 Fax: 540-535-1048 | |
Benjamin L. Tolley, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 W Whitlock Ave, Winchester, VA 22601 Phone: 540-662-6466 Fax: 540-662-6695 | |
Westover Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Meadow Branch Ave, Winchester, VA 22601 Phone: 540-698-3384 Fax: 540-737-0060 | |
Rise Orthodontic Studio, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3119 Valley Ave Ste 110, Winchester, VA 22601 Phone: 847-533-1349 |