| Cchs Pmri | |
|
3506 Kennett Pike, Pmri, Wilmington, DE 19807-3019 | |
| (302) 661-3000 | |
| (302) 661-3470 |
| Full Name | Cchs Pmri |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 3506 Kennett Pike, Wilmington, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770568107 | NPI | - | NPPES |
| 1770568107 | Medicaid | DE |
| Provider Name | Maria E Soler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689652414 PECOS PAC ID: 6103729363 Enrollment ID: I20040127001045 |
| Provider Name | Heather Bittner-fagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013995059 PECOS PAC ID: 1850294026 Enrollment ID: I20040127001096 |
| Provider Name | John A Donnelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821064064 PECOS PAC ID: 7911800610 Enrollment ID: I20040129001110 |
| Provider Name | Ari Daniel Abel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932153293 PECOS PAC ID: 4385537240 Enrollment ID: I20040204000767 |
| Provider Name | Hung Q Dam |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1053374181 PECOS PAC ID: 2264325935 Enrollment ID: I20040205000942 |
| Provider Name | Jamil Khatri |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427008622 PECOS PAC ID: 8022903756 Enrollment ID: I20040220000145 |
| Provider Name | Pavni Patel |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1457323362 PECOS PAC ID: 2466348099 Enrollment ID: I20040223000331 |
| Provider Name | Mandip Singh Gakhal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558320234 PECOS PAC ID: 6901792928 Enrollment ID: I20040226000289 |
| Provider Name | Xiang S Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134188840 PECOS PAC ID: 2668368580 Enrollment ID: I20040226000349 |
| Provider Name | Carol A Tavani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053386441 PECOS PAC ID: 0042106718 Enrollment ID: I20040227000656 |
| Provider Name | Edward F Ewen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336271436 PECOS PAC ID: 0749178440 Enrollment ID: I20040305000131 |
| Provider Name | John J Kelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659303634 PECOS PAC ID: 6800784299 Enrollment ID: I20040308000787 |
| Provider Name | Mark E Zweben |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720067077 PECOS PAC ID: 4183512353 Enrollment ID: I20040309000564 |
| Provider Name | Janine M Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164400289 PECOS PAC ID: 2860484151 Enrollment ID: I20040330000474 |
| Provider Name | Kirsten A Hauer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922100023 PECOS PAC ID: 0648262956 Enrollment ID: I20040330000571 |
| Provider Name | David Meyer Cohen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306907902 PECOS PAC ID: 5193717411 Enrollment ID: I20040330000656 |
| Provider Name | Alberto Iaia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336108026 PECOS PAC ID: 4082609300 Enrollment ID: I20040416000861 |
| Provider Name | Carlos Flores |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235199365 PECOS PAC ID: 9931194271 Enrollment ID: I20040416001010 |
| Provider Name | John L Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750341780 PECOS PAC ID: 3971598145 Enrollment ID: I20040416001285 |
| Provider Name | Vincenzo Scotto D Antuono |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811962855 PECOS PAC ID: 7618963513 Enrollment ID: I20040424000417 |
| Provider Name | Neeta P Milasincic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972682722 PECOS PAC ID: 4981691250 Enrollment ID: I20040428000970 |
| Provider Name | Piamsook Angkeow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568439461 PECOS PAC ID: 8022005222 Enrollment ID: I20040429000188 |
| Provider Name | Masood A Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740268010 PECOS PAC ID: 3274522669 Enrollment ID: I20040511000256 |
| Provider Name | Arlene J Smalls |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790760593 PECOS PAC ID: 8628068756 Enrollment ID: I20040512001178 |
| Provider Name | Michael A Dignazio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386603165 PECOS PAC ID: 6406847383 Enrollment ID: I20040519001537 |
| Provider Name | Muhammad Haq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437150125 PECOS PAC ID: 4981685807 Enrollment ID: I20040526001559 |
| Provider Name | Helen Chang-deguzman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710989926 PECOS PAC ID: 9931180718 Enrollment ID: I20040527000281 |
| Provider Name | Alan L Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598741100 PECOS PAC ID: 5991786592 Enrollment ID: I20040528000699 |
| Provider Name | Kert F Anzilotti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982663753 PECOS PAC ID: 3173504594 Enrollment ID: I20040601000115 |
| Provider Name | Christopher Zebley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780663955 PECOS PAC ID: 5597740001 Enrollment ID: I20040621000164 |
| Provider Name | Warren G Butt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427129436 PECOS PAC ID: 7416851415 Enrollment ID: I20040708001316 |
| Provider Name | Anthony E Munson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659323921 PECOS PAC ID: 9436139755 Enrollment ID: I20040726000508 |
| Provider Name | Sandeep K Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972577005 PECOS PAC ID: 8224928874 Enrollment ID: I20040729000653 |
| Provider Name | Jeffrey Henderer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730173410 PECOS PAC ID: 5092786129 Enrollment ID: I20040803000989 |
| Provider Name | Heather Focht Dealy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265424170 PECOS PAC ID: 0941272447 Enrollment ID: I20040806000133 |
| Provider Name | Cheryl Ann Lonabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659468114 PECOS PAC ID: 1254305584 Enrollment ID: I20040823001325 |
| Provider Name | Anthony Charles Sciscione |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447341920 PECOS PAC ID: 7315912995 Enrollment ID: I20040827000377 |
| Provider Name | Alexander M Jacobson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639199169 PECOS PAC ID: 3173590114 Enrollment ID: I20040910000533 |
| Provider Name | Erwin D Suh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881636173 PECOS PAC ID: 5294702098 Enrollment ID: I20040913000105 |
| Provider Name | David M Fink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255338844 PECOS PAC ID: 6709853054 Enrollment ID: I20040916000137 |
| Provider Name | Heather Farley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952389769 PECOS PAC ID: 7113986266 Enrollment ID: I20041005001113 |
| Provider Name | Robin Jean Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598730723 PECOS PAC ID: 9739073586 Enrollment ID: I20041021000059 |
| Provider Name | Carlos Emilio Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588682884 PECOS PAC ID: 9537135538 Enrollment ID: I20041023000207 |
| Provider Name | Camille Goodspeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689673337 PECOS PAC ID: 0143282509 Enrollment ID: I20041028000930 |
| Provider Name | Jason Nace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477531275 PECOS PAC ID: 1355304056 Enrollment ID: I20041104000196 |
| Provider Name | Kenneth L Nukuna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932189123 PECOS PAC ID: 8628963469 Enrollment ID: I20041110000960 |
| Provider Name | Jon C Yeargan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184698201 PECOS PAC ID: 7517928351 Enrollment ID: I20041110001031 |
| Provider Name | Jeffry T Zern |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639143514 PECOS PAC ID: 4789649294 Enrollment ID: I20041124000067 |
| Provider Name | Jacqueline Holt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104885813 PECOS PAC ID: 4587621636 Enrollment ID: I20041210000290 |
| Provider Name | Ramaz Metreveli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457350159 PECOS PAC ID: 8628035250 Enrollment ID: I20041220001070 |
| Provider Name | Hummayun Ismail |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962422469 PECOS PAC ID: 7214986918 Enrollment ID: I20050120000356 |
| Provider Name | George D Giannoukos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750313995 PECOS PAC ID: 7517917339 Enrollment ID: I20050128000309 |
| Provider Name | Donald S Collins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679522122 PECOS PAC ID: 1254381098 Enrollment ID: I20050128000495 |
| Provider Name | James Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295713006 PECOS PAC ID: 6103876909 Enrollment ID: I20050129000012 |
| Provider Name | Shanthi P Shakamuri |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1174559371 PECOS PAC ID: 6800847021 Enrollment ID: I20050204000622 |
| Provider Name | Kris E Conde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891754669 PECOS PAC ID: 1254382104 Enrollment ID: I20050208000616 |
| Provider Name | Babak Vakili |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184705501 PECOS PAC ID: 7618935719 Enrollment ID: I20050225000129 |
| Provider Name | Vivek Varma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043314362 PECOS PAC ID: 4688632706 Enrollment ID: I20050311000159 |
| Provider Name | Patricia Ann Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225131915 PECOS PAC ID: 3274589288 Enrollment ID: I20050323000473 |
| Provider Name | William C Egan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508916909 PECOS PAC ID: 8921054941 Enrollment ID: I20050323000526 |
| Provider Name | Suresh Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003886326 PECOS PAC ID: 7618923376 Enrollment ID: I20050324001150 |
| Provider Name | Wolfgang Ak Radtke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841382686 PECOS PAC ID: 0648226340 Enrollment ID: I20050325000138 |
| Provider Name | Carolyn O Ianni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427156769 PECOS PAC ID: 3173561198 Enrollment ID: I20050420000988 |
| Provider Name | Catherine Donahue Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124099973 PECOS PAC ID: 6002882008 Enrollment ID: I20050426000582 |
| Provider Name | Kirsten M Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477635332 PECOS PAC ID: 1254376858 Enrollment ID: I20050623000923 |
| Provider Name | Brian E Burgess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013995828 PECOS PAC ID: 1951347665 Enrollment ID: I20050705000362 |
| Provider Name | Daniel J Elliott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467541524 PECOS PAC ID: 8426085754 Enrollment ID: I20050719000651 |
| Provider Name | Rachel W Heinle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205924495 PECOS PAC ID: 1850328964 Enrollment ID: I20050720000706 |
| Provider Name | Raafat Z Abdel Misih |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821088048 PECOS PAC ID: 8729015243 Enrollment ID: I20050726000668 |
| Provider Name | Yvonne H Ting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316925134 PECOS PAC ID: 8628006806 Enrollment ID: I20050728001272 |
| Provider Name | Jane W Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609854470 PECOS PAC ID: 0446288625 Enrollment ID: I20050728001274 |
| Provider Name | John M Otto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992783716 PECOS PAC ID: 1951339019 Enrollment ID: I20050729000718 |
| Provider Name | Elizabeth A Jackovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982682886 PECOS PAC ID: 7012945199 Enrollment ID: I20050729000831 |
| Provider Name | Allen R Friedland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306823471 PECOS PAC ID: 2860420940 Enrollment ID: I20050729000894 |
| Provider Name | Tony A. Bianchetta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407827249 PECOS PAC ID: 0840228920 Enrollment ID: I20050729000909 |
| Provider Name | Mary M. Kobak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790763696 PECOS PAC ID: 6103854294 Enrollment ID: I20050729000925 |
| Provider Name | Stephen Menaldino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487632204 PECOS PAC ID: 9739117730 Enrollment ID: I20050801000543 |
| Provider Name | Mark Borowsky |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871570044 PECOS PAC ID: 1951363001 Enrollment ID: I20050808000920 |
| Provider Name | Joseph J Bennett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619967841 PECOS PAC ID: 7911936695 Enrollment ID: I20050812000211 |
| Provider Name | Cynthia C Wiles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083681050 PECOS PAC ID: 5698705325 Enrollment ID: I20050812000725 |
| Provider Name | Michelle K Ritona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720183411 PECOS PAC ID: 7214967553 Enrollment ID: I20050817000112 |
| Provider Name | Sangeeta D Bhattacharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912984287 PECOS PAC ID: 8325078504 Enrollment ID: I20050817000552 |
| Provider Name | Seyedmehdi Jadali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184682890 PECOS PAC ID: 6709818305 Enrollment ID: I20050902000691 |
| Provider Name | Alfred A Fletcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962489377 PECOS PAC ID: 9739111774 Enrollment ID: I20050909000859 |
| Provider Name | Katherine A Sahm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649201849 PECOS PAC ID: 1951333798 Enrollment ID: I20050910000160 |
| Provider Name | Stephen Cole Eppes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689765976 PECOS PAC ID: 1153310958 Enrollment ID: I20050915000200 |
| Provider Name | Carole A Guy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659318921 PECOS PAC ID: 9335173038 Enrollment ID: I20050922000249 |
| Provider Name | Alexander Kirifides |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184642134 PECOS PAC ID: 7719911049 Enrollment ID: I20050926000387 |
| Provider Name | Martha O Henley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144384249 PECOS PAC ID: 6406881994 Enrollment ID: I20051004000371 |
| Provider Name | Stefanie N Marshall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184691156 PECOS PAC ID: 8628000189 Enrollment ID: I20051019000695 |
| Provider Name | Mihir Thacker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801988654 PECOS PAC ID: 7315963949 Enrollment ID: I20051021000723 |
| Provider Name | Joseph C Pennington |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932102647 PECOS PAC ID: 5698755676 Enrollment ID: I20051108000779 |
| Provider Name | Ashish B Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649247487 PECOS PAC ID: 5890713879 Enrollment ID: I20051108000804 |
| Provider Name | Gilbert A Leidig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902835770 PECOS PAC ID: 9638197627 Enrollment ID: I20051108000879 |
| Provider Name | Brian H Sarter |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851323745 PECOS PAC ID: 2163440157 Enrollment ID: I20051108000895 |
| Provider Name | Robin A Horn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609842608 PECOS PAC ID: 7911967674 Enrollment ID: I20051108000960 |
| Provider Name | Kevin M Boyle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487620571 PECOS PAC ID: 4789602798 Enrollment ID: I20051108000994 |
| Provider Name | Gaetano N Pastore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952333858 PECOS PAC ID: 8921026824 Enrollment ID: I20051109000703 |
| Provider Name | Anthony W Clay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649202573 PECOS PAC ID: 1254359151 Enrollment ID: I20051109000735 |
| Provider Name | Anthony B Furey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700853603 PECOS PAC ID: 5496773301 Enrollment ID: I20051109000776 |
| Provider Name | Vincent Marmo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548249980 PECOS PAC ID: 1052303013 Enrollment ID: I20051109000873 |
| Provider Name | Qing Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235109000 PECOS PAC ID: 1254359920 Enrollment ID: I20051110000896 |
| Provider Name | Barry S Denenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821065293 PECOS PAC ID: 4385663871 Enrollment ID: I20051114001025 |
| Provider Name | Michael E Stillabower |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548237472 PECOS PAC ID: 3274552773 Enrollment ID: I20051114001053 |
| Provider Name | Anthony D Alfieri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184604274 PECOS PAC ID: 6507858560 Enrollment ID: I20051115000846 |
| Provider Name | Ronald L Lewis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790751741 PECOS PAC ID: 4284653502 Enrollment ID: I20051116000452 |
| Provider Name | Arthur W Colbourn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386611416 PECOS PAC ID: 2961422639 Enrollment ID: I20051128000442 |
| Provider Name | Thomas K Evans |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992818421 PECOS PAC ID: 6406883099 Enrollment ID: I20051128000500 |
| Provider Name | Farid M Moosavy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376594150 PECOS PAC ID: 3173575578 Enrollment ID: I20051129000320 |
| Provider Name | Randall W Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811957970 PECOS PAC ID: 7618990060 Enrollment ID: I20060111000781 |
| Provider Name | Linen J Pok |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710906730 PECOS PAC ID: 5597789529 Enrollment ID: I20060118000058 |
| Provider Name | Andrew J Glick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356399935 PECOS PAC ID: 1456365766 Enrollment ID: I20060125000948 |
| Provider Name | Bruce N Benge |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558319145 PECOS PAC ID: 7911911227 Enrollment ID: I20060125000958 |
| Provider Name | Thomas J Desperito |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265536353 PECOS PAC ID: 8729092036 Enrollment ID: I20060125000967 |
| Provider Name | Haynes B Cates |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639273907 PECOS PAC ID: 0648284950 Enrollment ID: I20060125000973 |
| Provider Name | Michael R Lobis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275582934 PECOS PAC ID: 3072565084 Enrollment ID: I20060125000979 |
| Provider Name | David J Cozzolino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144278722 PECOS PAC ID: 4183638497 Enrollment ID: I20060125000987 |
| Provider Name | Thomas P Lehman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245335553 PECOS PAC ID: 6800800111 Enrollment ID: I20060125001001 |
| Provider Name | Dana L Newswanger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295713014 PECOS PAC ID: 6800800020 Enrollment ID: I20060126000780 |
| Provider Name | Nana Ankomah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194795443 PECOS PAC ID: 7517910961 Enrollment ID: I20060224000194 |
| Provider Name | Louis E Bartoshesky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104917483 PECOS PAC ID: 6608882618 Enrollment ID: I20060301000107 |
| Provider Name | Reza Daugherty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184716938 PECOS PAC ID: 7719921352 Enrollment ID: I20060328000385 |
| Provider Name | Priyanka Dixit-patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760536262 PECOS PAC ID: 3870502875 Enrollment ID: I20060419000810 |
| Provider Name | Helen Mccullough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811928989 PECOS PAC ID: 6800709528 Enrollment ID: I20060425000376 |
| Provider Name | Shakaib S Qureshi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821063108 PECOS PAC ID: 7517924137 Enrollment ID: I20060428000430 |
| Provider Name | Vinay R Hosmane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326018631 PECOS PAC ID: 1759392731 Enrollment ID: I20060505000790 |
| Provider Name | John A Defrate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346266863 PECOS PAC ID: 8527082924 Enrollment ID: I20060508000915 |
| Provider Name | Michael K Brosman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720032832 PECOS PAC ID: 0547234882 Enrollment ID: I20060530000262 |
| Provider Name | Vinay K Gheyi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992758908 PECOS PAC ID: 2062425515 Enrollment ID: I20060728000301 |
| Provider Name | Kathiresan Suppiah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851340392 PECOS PAC ID: 7214930262 Enrollment ID: I20060814000243 |
| Provider Name | Michael K Banbury |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1891723581 PECOS PAC ID: 7618970518 Enrollment ID: I20060815000211 |
| Provider Name | Paul J Alfieri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821032327 PECOS PAC ID: 3678527876 Enrollment ID: I20060824000175 |
| Provider Name | Kathy H Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659309086 PECOS PAC ID: 4688678915 Enrollment ID: I20060829000347 |
| Provider Name | Roger Kerzner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255385589 PECOS PAC ID: 3072517804 Enrollment ID: I20060908000139 |
| Provider Name | Scott M Reich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285664201 PECOS PAC ID: 7214932672 Enrollment ID: I20060919000309 |
| Provider Name | Jayshree Tailor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659315976 PECOS PAC ID: 2860447927 Enrollment ID: I20060921000502 |
| Provider Name | Mark F Mendell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710994827 PECOS PAC ID: 6507862174 Enrollment ID: I20061005000122 |
| Provider Name | Patrick Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427006683 PECOS PAC ID: 5597761767 Enrollment ID: I20061011000247 |
| Provider Name | Prakash Seshadri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134144330 PECOS PAC ID: 2365407103 Enrollment ID: I20061011000282 |
| Provider Name | Ina I. Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437146180 PECOS PAC ID: 2668476490 Enrollment ID: I20061102000314 |
| Provider Name | Lisa Maxwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316978786 PECOS PAC ID: 5799782876 Enrollment ID: I20061102000402 |
| Provider Name | James A Piacentine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386681260 PECOS PAC ID: 4587665211 Enrollment ID: I20070124000253 |
| Provider Name | Elizabeth M Zadzielski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922101039 PECOS PAC ID: 9032179197 Enrollment ID: I20070125000035 |
| Provider Name | Alan Micklin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477582518 PECOS PAC ID: 7214938752 Enrollment ID: I20070125000240 |
| Provider Name | Rhonda A Gill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881611341 PECOS PAC ID: 2860493103 Enrollment ID: I20070129000711 |
| Provider Name | Gagan K Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326027186 PECOS PAC ID: 9931131927 Enrollment ID: I20070201000536 |
| Provider Name | Omar A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811938491 PECOS PAC ID: 6800809062 Enrollment ID: I20070208000413 |
| Provider Name | Vinay Maheshwari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932156668 PECOS PAC ID: 5597792606 Enrollment ID: I20070212000519 |
| Provider Name | Eva Geracimos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750344784 PECOS PAC ID: 4981606449 Enrollment ID: I20070213000162 |
| Provider Name | Jonathan Mcghee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801991120 PECOS PAC ID: 8426050998 Enrollment ID: I20070213000269 |
| Provider Name | Stephen M Blumberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396709440 PECOS PAC ID: 5890897110 Enrollment ID: I20070216000322 |
| Provider Name | Ray Blackwell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033200084 PECOS PAC ID: 0143322354 Enrollment ID: I20070219000397 |
| Provider Name | Sidney J Swanson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922118462 PECOS PAC ID: 4486756467 Enrollment ID: I20070221000563 |
| Provider Name | David J Polidori |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487742706 PECOS PAC ID: 9931201951 Enrollment ID: I20070222000209 |
| Provider Name | Timothy Y Shiuh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720030117 PECOS PAC ID: 2860594652 Enrollment ID: I20070226000327 |
| Provider Name | Amanda H Wardwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013944115 PECOS PAC ID: 9335241033 Enrollment ID: I20070227000552 |
| Provider Name | James I Tikellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811952153 PECOS PAC ID: 3274635875 Enrollment ID: I20070228000651 |
| Provider Name | Fernando M Garzia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306896360 PECOS PAC ID: 7113989971 Enrollment ID: I20070306000132 |
| Provider Name | Jeffrey R. Boyd |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255498366 PECOS PAC ID: 1456454735 Enrollment ID: I20070306000590 |
| Provider Name | Jennifer Hess Barlow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699786442 PECOS PAC ID: 5991808164 Enrollment ID: I20070307000630 |
| Provider Name | Brett E Herb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134287568 PECOS PAC ID: 5890898068 Enrollment ID: I20070307000645 |
| Provider Name | Kathleen K Salati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841352754 PECOS PAC ID: 3274636451 Enrollment ID: I20070308000058 |
| Provider Name | Mariann Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871534453 PECOS PAC ID: 8426002700 Enrollment ID: I20070308000496 |
| Provider Name | Kelly S Eschbach |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295797124 PECOS PAC ID: 5890898746 Enrollment ID: I20070313000544 |
| Provider Name | Enrica Arnaudo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144271354 PECOS PAC ID: 4688626963 Enrollment ID: I20070328000181 |
| Provider Name | Stuart Septimus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205844248 PECOS PAC ID: 9830293992 Enrollment ID: I20070329000140 |
| Provider Name | Selvam J Mascarenhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326075698 PECOS PAC ID: 8224132295 Enrollment ID: I20070330000454 |
| Provider Name | Julie K Garey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396706404 PECOS PAC ID: 9537265996 Enrollment ID: I20070504000296 |
| Provider Name | Nicole L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780704460 PECOS PAC ID: 3476651290 Enrollment ID: I20070601000319 |
| Provider Name | Ghazala T Farooqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790834422 PECOS PAC ID: 6305944133 Enrollment ID: I20070601000425 |
| Provider Name | Azita R Moosavy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013086560 PECOS PAC ID: 9638277957 Enrollment ID: I20070611000619 |
| Provider Name | Cecil C Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184793606 PECOS PAC ID: 2163521170 Enrollment ID: I20070615000243 |
| Provider Name | Joseph B Bryer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619904331 PECOS PAC ID: 8921107723 Enrollment ID: I20070619000717 |
| Provider Name | Terry L Horton |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1013072156 PECOS PAC ID: 5597782755 Enrollment ID: I20070626000120 |
| Provider Name | Cara J Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518185008 PECOS PAC ID: 6800995069 Enrollment ID: I20070628000504 |
| Provider Name | Sarah S Schenck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619916616 PECOS PAC ID: 9335245695 Enrollment ID: I20070703000417 |
| Provider Name | Ralph P Ierardi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477648160 PECOS PAC ID: 0648255372 Enrollment ID: I20070711000181 |
| Provider Name | Barbara J Albani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063572519 PECOS PAC ID: 7214038520 Enrollment ID: I20070730000806 |
| Provider Name | Janice Tildon-burton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265509228 PECOS PAC ID: 7315048600 Enrollment ID: I20070731000476 |
| Provider Name | Richard B Bounds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396834669 PECOS PAC ID: 5597764589 Enrollment ID: I20070807000381 |
| Provider Name | Eli Zeserson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700947108 PECOS PAC ID: 6305937285 Enrollment ID: I20070807000389 |
| Provider Name | Frederic T Harad |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821101312 PECOS PAC ID: 6709838709 Enrollment ID: I20070831000147 |
| Provider Name | William J Schickler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740292176 PECOS PAC ID: 0547295669 Enrollment ID: I20070831000250 |
| Provider Name | Megan E O'hara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851414973 PECOS PAC ID: 9537252820 Enrollment ID: I20070831000317 |
| Provider Name | Marci L Drees |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700971827 PECOS PAC ID: 3779564042 Enrollment ID: I20070906000831 |
| Provider Name | Mary M Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265418073 PECOS PAC ID: 6305837956 Enrollment ID: I20070910000261 |
| Provider Name | Erik S Marshall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144223850 PECOS PAC ID: 1153301130 Enrollment ID: I20070913000166 |
| Provider Name | George R Zlupko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548249444 PECOS PAC ID: 3173617651 Enrollment ID: I20070913000845 |
| Provider Name | Leo Burns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083692792 PECOS PAC ID: 6608960182 Enrollment ID: I20070913000871 |
| Provider Name | Sonya N Tuerff |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548373046 PECOS PAC ID: 1052404217 Enrollment ID: I20070922000258 |
| Provider Name | Devaguptapu Rao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235142142 PECOS PAC ID: 8921033846 Enrollment ID: I20071003000268 |
| Provider Name | Patricia J Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982685038 PECOS PAC ID: 2062507262 Enrollment ID: I20071003000354 |
| Provider Name | Karen A Rockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386857274 PECOS PAC ID: 4385730084 Enrollment ID: I20071010000770 |
| Provider Name | Albert A Rizzo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245283316 PECOS PAC ID: 6103737374 Enrollment ID: I20071012000617 |
| Provider Name | Nikolay Mindadze |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447305107 PECOS PAC ID: 5799873717 Enrollment ID: I20071108000450 |
| Provider Name | Richard A Fischer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609828425 PECOS PAC ID: 4981654654 Enrollment ID: I20071109000418 |
| Provider Name | Shveta R Singh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154450906 PECOS PAC ID: 8426146028 Enrollment ID: I20071115000274 |
| Provider Name | Wasif A Qureshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861619975 PECOS PAC ID: 8123117322 Enrollment ID: I20071210000662 |
| Provider Name | John M Uveges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205816907 PECOS PAC ID: 2567552938 Enrollment ID: I20071221000386 |
| Provider Name | Mark D Cipolle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609883289 PECOS PAC ID: 8628060688 Enrollment ID: I20080104000211 |
| Provider Name | Jennifer A Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255512059 PECOS PAC ID: 8820178221 Enrollment ID: I20080110000073 |
| Provider Name | Deanna L Benner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831379403 PECOS PAC ID: 6901986306 Enrollment ID: I20080110000078 |
| Provider Name | Gloria S Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740348986 PECOS PAC ID: 1850471277 Enrollment ID: I20080110000211 |
| Provider Name | Amy S Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013978535 PECOS PAC ID: 4082795521 Enrollment ID: I20080122000738 |
| Provider Name | Karen J Antell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346288230 PECOS PAC ID: 1355238916 Enrollment ID: I20080123000146 |
| Provider Name | John H O Neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265445233 PECOS PAC ID: 9638105257 Enrollment ID: I20080305000512 |
| Provider Name | Joseph P Loughran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659358232 PECOS PAC ID: 1254416639 Enrollment ID: I20080310000304 |
| Provider Name | Clifton H Hunt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336216399 PECOS PAC ID: 1951396191 Enrollment ID: I20080310000424 |
| Provider Name | Anthony A Vasile |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821071820 PECOS PAC ID: 3274618640 Enrollment ID: I20080310000431 |
| Provider Name | Timothy J Hennessy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528045119 PECOS PAC ID: 0042396848 Enrollment ID: I20080319000317 |
| Provider Name | James P Loughran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932186525 PECOS PAC ID: 5496831299 Enrollment ID: I20080319000321 |
| Provider Name | Irena O Stolar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194896928 PECOS PAC ID: 8426134610 Enrollment ID: I20080328000178 |
| Provider Name | Patricia M Curtin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790867661 PECOS PAC ID: 2668559634 Enrollment ID: I20080402000163 |
| Provider Name | Cynthia Heldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679550750 PECOS PAC ID: 2668559410 Enrollment ID: I20080404000144 |
| Provider Name | Bruce M Boman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275556516 PECOS PAC ID: 5294786133 Enrollment ID: I20080404000668 |
| Provider Name | Eric W Schwarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053398461 PECOS PAC ID: 2163500042 Enrollment ID: I20080417000108 |
| Provider Name | M.james Lenhard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245218148 PECOS PAC ID: 1153409065 Enrollment ID: I20080417000374 |
| Provider Name | David E Driban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003892423 PECOS PAC ID: 8426136342 Enrollment ID: I20080417000456 |
| Provider Name | Leila P Getto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942345202 PECOS PAC ID: 4284713405 Enrollment ID: I20080429000813 |
| Provider Name | David A Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609851930 PECOS PAC ID: 1658450390 Enrollment ID: I20080506000469 |
| Provider Name | Matthew J Burday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215907738 PECOS PAC ID: 6608955299 Enrollment ID: I20080507000616 |
| Provider Name | Elizabeth S Sushereba |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649237918 PECOS PAC ID: 2567531890 Enrollment ID: I20080513000344 |
| Provider Name | Janet M Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043290638 PECOS PAC ID: 2668541830 Enrollment ID: I20080514000833 |
| Provider Name | Stephen J Kushner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134104805 PECOS PAC ID: 1355438037 Enrollment ID: I20080516000119 |
| Provider Name | Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083690929 PECOS PAC ID: 1355411778 Enrollment ID: I20080528000298 |
| Provider Name | Howard B Goldstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043316912 PECOS PAC ID: 3375575442 Enrollment ID: I20080606000327 |
| Provider Name | John J Goodill |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710937123 PECOS PAC ID: 2062582729 Enrollment ID: I20080606000381 |
| Provider Name | Shirley A Brogley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831397900 PECOS PAC ID: 0244300929 Enrollment ID: I20080606000590 |
| Provider Name | Charles R Mulligan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255465571 PECOS PAC ID: 2163592858 Enrollment ID: I20080606000703 |
| Provider Name | Gordon Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194703918 PECOS PAC ID: 3779653480 Enrollment ID: I20080607000084 |
| Provider Name | Moses Hochman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528045093 PECOS PAC ID: 2961572433 Enrollment ID: I20080610000544 |
| Provider Name | Mark D Jones |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366492746 PECOS PAC ID: 8921179441 Enrollment ID: I20080611000197 |
| Provider Name | Carolyn Glazer-hockstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881694156 PECOS PAC ID: 0749219202 Enrollment ID: I20080703000451 |
| Provider Name | Malik Javed Gilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780618702 PECOS PAC ID: 9234200155 Enrollment ID: I20080707000470 |
| Provider Name | Jennifer Boy Merriman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215073127 PECOS PAC ID: 4688747751 Enrollment ID: I20080723000075 |
| Provider Name | Emily J Penman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003838806 PECOS PAC ID: 0143393900 Enrollment ID: I20080728000090 |
| Provider Name | Amy B Wachter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679747323 PECOS PAC ID: 3375617194 Enrollment ID: I20080728000625 |
| Provider Name | Diana Dickson-witmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932189131 PECOS PAC ID: 2769556919 Enrollment ID: I20080806000083 |
| Provider Name | Patricia Juma Munda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053371385 PECOS PAC ID: 7810062684 Enrollment ID: I20080814000122 |
| Provider Name | Susan M Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366605511 PECOS PAC ID: 9133294887 Enrollment ID: I20080815000093 |
| Provider Name | Julia Ann Mattson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285603241 PECOS PAC ID: 7214969583 Enrollment ID: I20080828000547 |
| Provider Name | Alfred E Bacon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902967508 PECOS PAC ID: 9638195886 Enrollment ID: I20080904000286 |
| Provider Name | Daniel Brian Maloney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407047038 PECOS PAC ID: 7113012550 Enrollment ID: I20080904000302 |
| Provider Name | Mark G Cadungog |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1154476190 PECOS PAC ID: 3577630623 Enrollment ID: I20080916000282 |
| Provider Name | Edmondo Jovan Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932322054 PECOS PAC ID: 3072680073 Enrollment ID: I20080917000137 |
| Provider Name | Nancy Lasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679572390 PECOS PAC ID: 6103993456 Enrollment ID: I20080929000196 |
| Provider Name | Jason Nomura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427193994 PECOS PAC ID: 1052488301 Enrollment ID: I20080929000254 |
| Provider Name | Bryan Seiff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720013113 PECOS PAC ID: 7214932425 Enrollment ID: I20081001000431 |
| Provider Name | James E D Amour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700884061 PECOS PAC ID: 7810977154 Enrollment ID: I20081006000007 |
| Provider Name | Poorwa I Kenkre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962409029 PECOS PAC ID: 8527136324 Enrollment ID: I20081007000340 |
| Provider Name | David C Larned |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316938970 PECOS PAC ID: 1658449384 Enrollment ID: I20081008000638 |
| Provider Name | Adrian Quesadas-rojas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467589622 PECOS PAC ID: 8729156286 Enrollment ID: I20081010000177 |
| Provider Name | Velma P Scantlebury |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487608667 PECOS PAC ID: 5496741423 Enrollment ID: I20081016000409 |
| Provider Name | Victoria Mawn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932108305 PECOS PAC ID: 1254415243 Enrollment ID: I20081104000609 |
| Provider Name | Randi J Lapoint |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538103429 PECOS PAC ID: 8426052481 Enrollment ID: I20081107000516 |
| Provider Name | Michael G Benninghoff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366562605 PECOS PAC ID: 6709771314 Enrollment ID: I20081114000027 |
| Provider Name | Deborah K Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043423049 PECOS PAC ID: 5597825075 Enrollment ID: I20081114000195 |
| Provider Name | Julianne C Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396742839 PECOS PAC ID: 5698835080 Enrollment ID: I20081114000365 |
| Provider Name | James T Hopkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912900630 PECOS PAC ID: 4880674860 Enrollment ID: I20081119000245 |
| Provider Name | Jo K Melson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417122714 PECOS PAC ID: 4587724562 Enrollment ID: I20081120000506 |
| Provider Name | Kunal P Bhagat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023080520 PECOS PAC ID: 0042371312 Enrollment ID: I20081204000641 |
| Provider Name | Michael B Cooksey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487692653 PECOS PAC ID: 1557422623 Enrollment ID: I20081208000300 |
| Provider Name | Margot Latrese Savoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760535256 PECOS PAC ID: 1951331958 Enrollment ID: I20081212000143 |
| Provider Name | Daniel A Leung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740375690 PECOS PAC ID: 0547240939 Enrollment ID: I20090106000275 |
| Provider Name | Lorraine A Nowakowski-grier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427264811 PECOS PAC ID: 3577625557 Enrollment ID: I20090127000508 |
| Provider Name | Mona Chaudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508984659 PECOS PAC ID: 3375607922 Enrollment ID: I20090127000586 |
| Provider Name | James E Ruether |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154391928 PECOS PAC ID: 4789748013 Enrollment ID: I20090130000297 |
| Provider Name | Leslie C Verucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275531873 PECOS PAC ID: 5597829200 Enrollment ID: I20090219000171 |
| Provider Name | Thomas E Lajudice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760649875 PECOS PAC ID: 7113083114 Enrollment ID: I20090226000517 |
| Provider Name | Caroline Conard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356328587 PECOS PAC ID: 0749346328 Enrollment ID: I20090305000613 |
| Provider Name | George Kimbiris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265491955 PECOS PAC ID: 5395801922 Enrollment ID: I20090306000271 |
| Provider Name | Edward R Sobel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215937230 PECOS PAC ID: 9234218181 Enrollment ID: I20090310000246 |
| Provider Name | Ellen K.m Soire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780861427 PECOS PAC ID: 3971660424 Enrollment ID: I20090327000068 |
| Provider Name | Mary T Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164667200 PECOS PAC ID: 7315095353 Enrollment ID: I20090501000253 |
| Provider Name | Christina L Dimarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578703914 PECOS PAC ID: 9537218540 Enrollment ID: I20090522000063 |
| Provider Name | Scott D Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588890990 PECOS PAC ID: 5890846372 Enrollment ID: I20090623000372 |
| Provider Name | Matthew K Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477538791 PECOS PAC ID: 7012068448 Enrollment ID: I20090625000235 |
| Provider Name | Christopher A Bowens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487657102 PECOS PAC ID: 7517947591 Enrollment ID: I20090625000429 |
| Provider Name | Douglas J Lavenburg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649238635 PECOS PAC ID: 1052308640 Enrollment ID: I20090629000306 |
| Provider Name | Kevin M Bradley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053309096 PECOS PAC ID: 7719952464 Enrollment ID: I20090713000077 |
| Provider Name | Michaelene M Baker Urban |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518192640 PECOS PAC ID: 1456403922 Enrollment ID: I20090714000345 |
| Provider Name | Thomas C Mueller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831141118 PECOS PAC ID: 9133179815 Enrollment ID: I20090715000724 |
| Provider Name | Felix C Vergara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891713202 PECOS PAC ID: 2466541107 Enrollment ID: I20090716000655 |
| Provider Name | Joseph M Deutsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568596039 PECOS PAC ID: 2365595543 Enrollment ID: I20090805000655 |
| Provider Name | John B Townsend |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982656245 PECOS PAC ID: 6709836471 Enrollment ID: I20090806000113 |
| Provider Name | Stacy A Lourie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366577132 PECOS PAC ID: 8325098395 Enrollment ID: I20090818000747 |
| Provider Name | Vaishali S Vora |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497874440 PECOS PAC ID: 8426102641 Enrollment ID: I20090821000261 |
| Provider Name | Carolyn G Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326277823 PECOS PAC ID: 9133274145 Enrollment ID: I20090827000076 |
| Provider Name | Kevin A Copeland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265563571 PECOS PAC ID: 2365597390 Enrollment ID: I20090827000243 |
| Provider Name | Boris Reznikov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720242365 PECOS PAC ID: 5092860627 Enrollment ID: I20090903000658 |
| Provider Name | Michael J Carunchio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881646164 PECOS PAC ID: 3072563741 Enrollment ID: I20090904000343 |
| Provider Name | Gretchen Eh Makai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083772461 PECOS PAC ID: 2264525898 Enrollment ID: I20090914000285 |
| Provider Name | Sajini S Varghese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427196641 PECOS PAC ID: 9436231727 Enrollment ID: I20091002000071 |
| Provider Name | Lanny Edelsohn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174574305 PECOS PAC ID: 0345290011 Enrollment ID: I20091022000686 |
| Provider Name | Debra L Delaney |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699908558 PECOS PAC ID: 4789722455 Enrollment ID: I20091118000096 |
| Provider Name | Neil S Kalin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861499303 PECOS PAC ID: 5597802033 Enrollment ID: I20091118000288 |
| Provider Name | Deborah A Hassler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245297324 PECOS PAC ID: 5890894638 Enrollment ID: I20091202000454 |
| Provider Name | Michael Bayard Vincent |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700994209 PECOS PAC ID: 2961574900 Enrollment ID: I20091216000078 |
| Provider Name | Stefan S O Connor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023089489 PECOS PAC ID: 2264572312 Enrollment ID: I20091221000467 |
| Provider Name | John F Decarli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063404044 PECOS PAC ID: 7214076223 Enrollment ID: I20091222000226 |
| Provider Name | Jessica M Casale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942533427 PECOS PAC ID: 9436291077 Enrollment ID: I20100121000015 |
| Provider Name | Tabassum Salam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326026147 PECOS PAC ID: 5890837322 Enrollment ID: I20100122000082 |
| Provider Name | Beth D Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689651747 PECOS PAC ID: 7618019779 Enrollment ID: I20100127000832 |
| Provider Name | Gary Gerace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861463531 PECOS PAC ID: 0143363028 Enrollment ID: I20100201000097 |
| Provider Name | David Wayne Lipscomb |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942432281 PECOS PAC ID: 6305989179 Enrollment ID: I20100202000155 |
| Provider Name | Mark A Lottes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447224654 PECOS PAC ID: 2769582949 Enrollment ID: I20100203000713 |
| Provider Name | Rooparani M Bhat |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164405361 PECOS PAC ID: 0345383923 Enrollment ID: I20100204000296 |
| Provider Name | Nicholas J Petrelli |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1629058201 PECOS PAC ID: 9739223868 Enrollment ID: I20100212000463 |
| Provider Name | Stephen J. Duggan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225014871 PECOS PAC ID: 0941344089 Enrollment ID: I20100212000529 |
| Provider Name | Elizabeth Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659600039 PECOS PAC ID: 1850435090 Enrollment ID: I20100225000571 |
| Provider Name | John R Tiffany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649256355 PECOS PAC ID: 1557406659 Enrollment ID: I20100301000318 |
| Provider Name | Margaret Keenan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447235197 PECOS PAC ID: 9335284439 Enrollment ID: I20100301000364 |
| Provider Name | Lawrence Yurow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134340672 PECOS PAC ID: 1850436726 Enrollment ID: I20100303000269 |
| Provider Name | Donna Mower-wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922079631 PECOS PAC ID: 3274678073 Enrollment ID: I20100304000442 |
| Provider Name | Gerard J Fulda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346225075 PECOS PAC ID: 6507901329 Enrollment ID: I20100304000607 |
| Provider Name | Frederick A Giberson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245215979 PECOS PAC ID: 5193860880 Enrollment ID: I20100305000348 |
| Provider Name | Marilynn A Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538147673 PECOS PAC ID: 7517002033 Enrollment ID: I20100308000572 |
| Provider Name | Colleen A Deturk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801873062 PECOS PAC ID: 1254466196 Enrollment ID: I20100317000975 |
| Provider Name | Ross Megargel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184602997 PECOS PAC ID: 0648305094 Enrollment ID: I20100324000306 |
| Provider Name | Andrew J Doorey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568438430 PECOS PAC ID: 3779515952 Enrollment ID: I20100406000459 |
| Provider Name | Thomas G Hilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912983339 PECOS PAC ID: 2264569656 Enrollment ID: I20100415000712 |
| Provider Name | Neelambari B Kerkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336303023 PECOS PAC ID: 9032287263 Enrollment ID: I20100419000154 |
| Provider Name | Frederick Joseph Denstman |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1538197769 PECOS PAC ID: 8426000431 Enrollment ID: I20100423000128 |
| Provider Name | Donald S Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417934589 PECOS PAC ID: 3577690387 Enrollment ID: I20100428000292 |
| Provider Name | David J York |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376528034 PECOS PAC ID: 1153458864 Enrollment ID: I20100428000363 |
| Provider Name | Henry L Weiner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821064775 PECOS PAC ID: 8527134899 Enrollment ID: I20100503000073 |
| Provider Name | Steven A Terranova |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841248432 PECOS PAC ID: 2163436478 Enrollment ID: I20100506000368 |
| Provider Name | Karen Louise Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275863870 PECOS PAC ID: 4385772698 Enrollment ID: I20100506000885 |
| Provider Name | Leigh Sibert |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1386749901 PECOS PAC ID: 4981733383 Enrollment ID: I20100524000401 |
| Provider Name | Raymond E Miller |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205802188 PECOS PAC ID: 0446318976 Enrollment ID: I20100525000657 |
| Provider Name | Karen J Lytle-glover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336168459 PECOS PAC ID: 8325177090 Enrollment ID: I20100526000611 |
| Provider Name | Paul K Davis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255301552 PECOS PAC ID: 4486783578 Enrollment ID: I20100528000012 |
| Provider Name | Stewart G Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306841010 PECOS PAC ID: 2163443920 Enrollment ID: I20100602000075 |
| Provider Name | Elizabeth E Strab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902030828 PECOS PAC ID: 0941339741 Enrollment ID: I20100603000108 |
| Provider Name | Mwazhuwa L Kuretu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881633220 PECOS PAC ID: 8921137738 Enrollment ID: I20100603000265 |
| Provider Name | Jennifer A Hardt Burchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922322536 PECOS PAC ID: 2567592272 Enrollment ID: I20100607000435 |
| Provider Name | Lisa A Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932430436 PECOS PAC ID: 1850422379 Enrollment ID: I20100628000628 |
| Provider Name | David Schuler Grubbs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497732705 PECOS PAC ID: 6709815855 Enrollment ID: I20100630000022 |
| Provider Name | Christian Coletti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821133257 PECOS PAC ID: 2365573698 Enrollment ID: I20100630000038 |
| Provider Name | Valerie J Rebmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598083370 PECOS PAC ID: 9335270610 Enrollment ID: I20100630000586 |
| Provider Name | Erin M Kavanaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619188851 PECOS PAC ID: 0446381495 Enrollment ID: I20100708000461 |
| Provider Name | David M Bercaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814241 PECOS PAC ID: 5294867214 Enrollment ID: I20100709000328 |
| Provider Name | Christopher A Demauro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912115783 PECOS PAC ID: 0244362135 Enrollment ID: I20100712000484 |
| Provider Name | Irene P Raisis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538128244 PECOS PAC ID: 1951433754 Enrollment ID: I20100714000491 |
| Provider Name | Carey Ann Nathan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1609802172 PECOS PAC ID: 2062464993 Enrollment ID: I20100715000021 |
| Provider Name | Lawrence G Narun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740256692 PECOS PAC ID: 1951463827 Enrollment ID: I20100722000797 |
| Provider Name | John Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063489169 PECOS PAC ID: 4082746243 Enrollment ID: I20100723000271 |
| Provider Name | Andrew M Barrett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306899059 PECOS PAC ID: 6800854159 Enrollment ID: I20100811000403 |
| Provider Name | Martha A Hosford Skapof |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457301657 PECOS PAC ID: 1759435464 Enrollment ID: I20100825000889 |
| Provider Name | Jason M Silversteen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174783237 PECOS PAC ID: 9335264506 Enrollment ID: I20100910000606 |
| Provider Name | Jenna Fredette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902967235 PECOS PAC ID: 3678698701 Enrollment ID: I20100914000165 |
| Provider Name | Jennifer Mink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063614972 PECOS PAC ID: 4688700719 Enrollment ID: I20100916001142 |
| Provider Name | Brian Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578541389 PECOS PAC ID: 5799977088 Enrollment ID: I20101005000614 |
| Provider Name | Christopher Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477531184 PECOS PAC ID: 7416149703 Enrollment ID: I20101005000617 |
| Provider Name | Robert A Rosenbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982678876 PECOS PAC ID: 2365634383 Enrollment ID: I20101008001033 |
| Provider Name | Thomas A Sweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114905924 PECOS PAC ID: 9739248774 Enrollment ID: I20101011000661 |
| Provider Name | Steven Kushner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306824107 PECOS PAC ID: 4082806989 Enrollment ID: I20101011000854 |
| Provider Name | Paul Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003894817 PECOS PAC ID: 3779776398 Enrollment ID: I20101014001433 |
| Provider Name | John F. Madden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669450318 PECOS PAC ID: 8820281470 Enrollment ID: I20101015000268 |
| Provider Name | Gary A Beste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588683619 PECOS PAC ID: 0648358689 Enrollment ID: I20101015001251 |
| Provider Name | Elizabeth H Muth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326292491 PECOS PAC ID: 9032302062 Enrollment ID: I20101021001188 |
| Provider Name | Dorothy Dixon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124099593 PECOS PAC ID: 9335332378 Enrollment ID: I20101021001299 |
| Provider Name | Daniel J Meara |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851500789 PECOS PAC ID: 1658564612 Enrollment ID: I20101022000043 |
| Provider Name | Ramya Varadarajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144450271 PECOS PAC ID: 7810012382 Enrollment ID: I20101025001290 |
| Provider Name | Christopher Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366413742 PECOS PAC ID: 4385838069 Enrollment ID: I20101027000902 |
| Provider Name | Vanita B Dharan Jain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992924344 PECOS PAC ID: 8527252121 Enrollment ID: I20101027001231 |
| Provider Name | Sheelmohan S Sachdev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699794727 PECOS PAC ID: 5092893032 Enrollment ID: I20101029000106 |
| Provider Name | Angelo Grillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891773602 PECOS PAC ID: 1759575137 Enrollment ID: I20101029000616 |
| Provider Name | Timothy O Donnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770502809 PECOS PAC ID: 4183702129 Enrollment ID: I20101101001440 |
| Provider Name | Julia L Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528120136 PECOS PAC ID: 6709811334 Enrollment ID: I20101104000441 |
| Provider Name | Howard Levy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629038773 PECOS PAC ID: 4587858394 Enrollment ID: I20101104001400 |
| Provider Name | Emily K Saks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982760872 PECOS PAC ID: 2567657117 Enrollment ID: I20101109001314 |
| Provider Name | Mark S Trochimowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447257498 PECOS PAC ID: 4587624382 Enrollment ID: I20101115000722 |
| Provider Name | Gaynel D Fontaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700056223 PECOS PAC ID: 7214123173 Enrollment ID: I20101118000498 |
| Provider Name | Michael W Lankiewicz |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1982717930 PECOS PAC ID: 2961698915 Enrollment ID: I20101202000330 |
| Provider Name | Paula C Ko |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942216320 PECOS PAC ID: 6305922352 Enrollment ID: I20101207000445 |
| Provider Name | Ragu P Sanjeev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245428960 PECOS PAC ID: 3971693680 Enrollment ID: I20101210001027 |
| Provider Name | Susan A Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376599845 PECOS PAC ID: 6002003381 Enrollment ID: I20101213000701 |
| Provider Name | Audrey J Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114239142 PECOS PAC ID: 1658568886 Enrollment ID: I20101214000308 |
| Provider Name | Karla M Barone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356660591 PECOS PAC ID: 8022205228 Enrollment ID: I20101214001055 |
| Provider Name | Heike Kuehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598841306 PECOS PAC ID: 2567650997 Enrollment ID: I20101229000196 |
| Provider Name | Joseph Theodore West |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881697589 PECOS PAC ID: 2163402140 Enrollment ID: I20110110000626 |
| Provider Name | Sudhakar R Satti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679773881 PECOS PAC ID: 9537230586 Enrollment ID: I20110113000559 |
| Provider Name | Madeline Burgos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245563964 PECOS PAC ID: 3375722663 Enrollment ID: I20110119000217 |
| Provider Name | Catherine G Earnest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609816388 PECOS PAC ID: 9234286923 Enrollment ID: I20110128000305 |
| Provider Name | Susan L Chudzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063415651 PECOS PAC ID: 9638358146 Enrollment ID: I20110128000640 |
| Provider Name | Dennis R Witmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477533677 PECOS PAC ID: 1658338215 Enrollment ID: I20110131000774 |
| Provider Name | James S Ley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376652396 PECOS PAC ID: 2062692411 Enrollment ID: I20110202000580 |
| Provider Name | Harry A Lebowitz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922051127 PECOS PAC ID: 2365400611 Enrollment ID: I20110210000062 |
| Provider Name | Frank B Sarlo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770544223 PECOS PAC ID: 0547441784 Enrollment ID: I20110222000635 |
| Provider Name | Cynthia Y Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023200318 PECOS PAC ID: 4486836913 Enrollment ID: I20110304000442 |
| Provider Name | William Morris Chasanov |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104028919 PECOS PAC ID: 0547443988 Enrollment ID: I20110323000408 |
| Provider Name | Adaeze Udezue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457412736 PECOS PAC ID: 1355320573 Enrollment ID: I20110324000027 |
| Provider Name | Muhammad Arif |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154393510 PECOS PAC ID: 8628054947 Enrollment ID: I20110325000134 |
| Provider Name | Regina L Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073707857 PECOS PAC ID: 8527133586 Enrollment ID: I20110328000519 |
| Provider Name | Margaret R. Chou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902880651 PECOS PAC ID: 1557425345 Enrollment ID: I20110414000114 |
| Provider Name | Kathy E Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003126764 PECOS PAC ID: 1052596798 Enrollment ID: I20110425000137 |
| Provider Name | William Covell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336222017 PECOS PAC ID: 8325934086 Enrollment ID: I20110505000784 |
| Provider Name | Rosemary Szczechowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295025146 PECOS PAC ID: 5799961637 Enrollment ID: I20110511000138 |
| Provider Name | Wayne H Dunn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669472114 PECOS PAC ID: 5799728861 Enrollment ID: I20110518000682 |
| Provider Name | William M Kirby |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265438360 PECOS PAC ID: 4284713132 Enrollment ID: I20110527000556 |
| Provider Name | Robert Bradley Slease |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1649275124 PECOS PAC ID: 0547349490 Enrollment ID: I20110602000734 |
| Provider Name | Cynthia Ellen Flynn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336145861 PECOS PAC ID: 6901985852 Enrollment ID: I20110606000696 |
| Provider Name | Scott William Hall |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1013913292 PECOS PAC ID: 7012096969 Enrollment ID: I20110606000700 |
| Provider Name | David C Bauman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518944784 PECOS PAC ID: 6901828029 Enrollment ID: I20110609000453 |
| Provider Name | Nazia Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053629972 PECOS PAC ID: 5799962288 Enrollment ID: I20110609000693 |
| Provider Name | Anuradha Amara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790919009 PECOS PAC ID: 2365585759 Enrollment ID: I20110613000044 |
| Provider Name | Mary Virginia Iacocca |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689670119 PECOS PAC ID: 2466531314 Enrollment ID: I20110616000628 |
| Provider Name | Shabbir A Naqvi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093927642 PECOS PAC ID: 9032397757 Enrollment ID: I20110629000134 |
| Provider Name | Kathleen F Eldridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487856613 PECOS PAC ID: 1456539097 Enrollment ID: I20110629000455 |
| Provider Name | Minchul F Shin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598979544 PECOS PAC ID: 9739211368 Enrollment ID: I20110707000193 |
| Provider Name | Lee Anne Brighton Powell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1366753162 PECOS PAC ID: 2365610052 Enrollment ID: I20110725000348 |
| Provider Name | Vamshi K Kaveti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700021045 PECOS PAC ID: 4183892698 Enrollment ID: I20110727000253 |
| Provider Name | Kristina Stransky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033386636 PECOS PAC ID: 1355519885 Enrollment ID: I20110727000376 |
| Provider Name | Andra Mirela Popescu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952519118 PECOS PAC ID: 8527237932 Enrollment ID: I20110801000526 |
| Provider Name | Julie Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851584320 PECOS PAC ID: 2264626274 Enrollment ID: I20110804000145 |
| Provider Name | Sandra A Weiss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922032689 PECOS PAC ID: 0244409266 Enrollment ID: I20110809000483 |
| Provider Name | Casey L Bedder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548478704 PECOS PAC ID: 4981873742 Enrollment ID: I20110811000579 |
| Provider Name | Dawn Hirokawa |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194927764 PECOS PAC ID: 1052581105 Enrollment ID: I20110826000481 |
| Provider Name | Sharath Kharidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871760843 PECOS PAC ID: 9234309352 Enrollment ID: I20110829000486 |
| Provider Name | Stephanie D Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710267174 PECOS PAC ID: 8729259361 Enrollment ID: I20110912000605 |
| Provider Name | Gregg Zoarski |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215929948 PECOS PAC ID: 3173536810 Enrollment ID: I20110912000753 |
| Provider Name | Annie E Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548540503 PECOS PAC ID: 5395916373 Enrollment ID: I20110923000013 |
| Provider Name | Sajid Noor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316113632 PECOS PAC ID: 9032381959 Enrollment ID: I20111018000568 |
| Provider Name | Ajeetpal S Hans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114194891 PECOS PAC ID: 4789864612 Enrollment ID: I20111025000172 |
| Provider Name | William P Mazur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518250828 PECOS PAC ID: 7810160587 Enrollment ID: I20111026000289 |
| Provider Name | Bradley C Bley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003944406 PECOS PAC ID: 0446425458 Enrollment ID: I20111202000116 |
| Provider Name | Courtney Guerrieri |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255524336 PECOS PAC ID: 2062681026 Enrollment ID: I20111221000336 |
| Provider Name | Samuel C Nwogu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598889438 PECOS PAC ID: 9537335765 Enrollment ID: I20120110000235 |
| Provider Name | Seema B. Dattani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447427471 PECOS PAC ID: 9638346026 Enrollment ID: I20120126000214 |
| Provider Name | Gabrielle S Marlow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477533156 PECOS PAC ID: 5799942884 Enrollment ID: I20120201000214 |
| Provider Name | Roshni Guerry |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801808308 PECOS PAC ID: 0941467807 Enrollment ID: I20120203000340 |
| Provider Name | Kathleen H Willey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821097114 PECOS PAC ID: 2466489125 Enrollment ID: I20120208000170 |
| Provider Name | Jamie L Rapacciuolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467611772 PECOS PAC ID: 0244404440 Enrollment ID: I20120209000211 |
| Provider Name | Diana Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356673743 PECOS PAC ID: 4981731338 Enrollment ID: I20120209000213 |
| Provider Name | Linsey D Odonnell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1295937027 PECOS PAC ID: 2264610997 Enrollment ID: I20120210000452 |
| Provider Name | Erin Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659407450 PECOS PAC ID: 3971797259 Enrollment ID: I20120216000186 |
| Provider Name | Dorothy M Moore |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063419349 PECOS PAC ID: 3072787126 Enrollment ID: I20120306000126 |
| Provider Name | Vani Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679723258 PECOS PAC ID: 4981768637 Enrollment ID: I20120307000121 |
| Provider Name | Jose S Picazo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689661928 PECOS PAC ID: 2264691187 Enrollment ID: I20120315000129 |
| Provider Name | Kalleen S Barham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649485053 PECOS PAC ID: 0143480202 Enrollment ID: I20120327000635 |
| Provider Name | Frank P Malinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033180799 PECOS PAC ID: 5395905400 Enrollment ID: I20120328000108 |
| Provider Name | Diane Bohner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538144266 PECOS PAC ID: 8325208325 Enrollment ID: I20120329000096 |
| Provider Name | Jason Ari Kaplan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275589459 PECOS PAC ID: 2466432422 Enrollment ID: I20120329000254 |
| Provider Name | Mohammed Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982769394 PECOS PAC ID: 3375648256 Enrollment ID: I20120405000042 |
| Provider Name | Valerie A West |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427134667 PECOS PAC ID: 8325209901 Enrollment ID: I20120406000242 |
| Provider Name | Brooke L Jacob |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528332871 PECOS PAC ID: 2062673437 Enrollment ID: I20120411000389 |
| Provider Name | Michelle D Pelton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801163332 PECOS PAC ID: 7214199777 Enrollment ID: I20120427000571 |
| Provider Name | Temidayo Olurin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093710691 PECOS PAC ID: 1557523800 Enrollment ID: I20120502000359 |
| Provider Name | Susan M Pugliese |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154368462 PECOS PAC ID: 2062589401 Enrollment ID: I20120525000113 |
| Provider Name | Matthew S Rubino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932301801 PECOS PAC ID: 3072776152 Enrollment ID: I20120530000364 |
| Provider Name | Bradley J Sandella |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1184751042 PECOS PAC ID: 1355534793 Enrollment ID: I20120606000398 |
| Provider Name | Christa R Fistler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770608887 PECOS PAC ID: 4981766615 Enrollment ID: I20120607000334 |
| Provider Name | Stephen Koczirka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659505717 PECOS PAC ID: 0143484824 Enrollment ID: I20120608000170 |
| Provider Name | Lindsay A. Ashkenase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033343900 PECOS PAC ID: 8628232113 Enrollment ID: I20120613000446 |
| Provider Name | Christopher Rogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457322026 PECOS PAC ID: 8426213398 Enrollment ID: I20120626000613 |
| Provider Name | Beth Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578798617 PECOS PAC ID: 8123283017 Enrollment ID: I20120627000099 |
| Provider Name | Pauline S Cousineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538426424 PECOS PAC ID: 8628231826 Enrollment ID: I20120629000185 |
| Provider Name | Matthew L Barrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316077266 PECOS PAC ID: 3870758626 Enrollment ID: I20120629000398 |
| Provider Name | Eric M Russell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013243401 PECOS PAC ID: 0840455481 Enrollment ID: I20120703000564 |
| Provider Name | Mithil J Gajera |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962732412 PECOS PAC ID: 0446415962 Enrollment ID: I20120709000542 |
| Provider Name | Jonathan M Raser-schramm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003019498 PECOS PAC ID: 7618130956 Enrollment ID: I20120713000250 |
| Provider Name | Michael T Vest |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336293257 PECOS PAC ID: 9638356413 Enrollment ID: I20120723000152 |
| Provider Name | Arayel Osborne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508090697 PECOS PAC ID: 4688839913 Enrollment ID: I20120802000060 |
| Provider Name | Barbara E Harrison Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184820458 PECOS PAC ID: 1153413885 Enrollment ID: I20120802000075 |
| Provider Name | Huijun Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487813838 PECOS PAC ID: 7214184662 Enrollment ID: I20120821000062 |
| Provider Name | Raymond E Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124167515 PECOS PAC ID: 0840447199 Enrollment ID: I20120822000140 |
| Provider Name | Jennifer B Brettler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235363110 PECOS PAC ID: 3173770971 Enrollment ID: I20120830000233 |
| Provider Name | Jessica D Apel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699941989 PECOS PAC ID: 9436307881 Enrollment ID: I20120911000035 |
| Provider Name | Sofia F Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598953986 PECOS PAC ID: 6608042163 Enrollment ID: I20120914000128 |
| Provider Name | Sandra Patricia Medinilla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396027991 PECOS PAC ID: 5496903577 Enrollment ID: I20120914000192 |
| Provider Name | Luis Cardenas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093033482 PECOS PAC ID: 5294983300 Enrollment ID: I20120914000462 |
| Provider Name | Cheryl A Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144262288 PECOS PAC ID: 6103015623 Enrollment ID: I20121008000407 |
| Provider Name | Hamid Deliri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801834833 PECOS PAC ID: 7911004239 Enrollment ID: I20121009000526 |
| Provider Name | Grace Y Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427210186 PECOS PAC ID: 1052473964 Enrollment ID: I20121015000074 |
| Provider Name | Demetrios J Agriantonis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063577005 PECOS PAC ID: 5991955338 Enrollment ID: I20121022000312 |
| Provider Name | Trina B Haywood |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598919144 PECOS PAC ID: 3577715424 Enrollment ID: I20121129000047 |
| Provider Name | Arneice Ritchie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215243811 PECOS PAC ID: 2365694783 Enrollment ID: I20121212000102 |
| Provider Name | Heather E Ragozine-bush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265666200 PECOS PAC ID: 1153573191 Enrollment ID: I20121220000234 |
| Provider Name | Brian T Nam |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275509937 PECOS PAC ID: 5193744571 Enrollment ID: I20130114000104 |
| Provider Name | Sara C Gavenonis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073662243 PECOS PAC ID: 9436240033 Enrollment ID: I20130129000211 |
| Provider Name | Samson Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518163773 PECOS PAC ID: 1557524261 Enrollment ID: I20130129000395 |
| Provider Name | Michaelene M Baker Urban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518192640 PECOS PAC ID: 1456403922 Enrollment ID: I20130201000487 |
| Provider Name | Geetanjali Chatterjee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003155623 PECOS PAC ID: 5799920948 Enrollment ID: I20130319000019 |
| Provider Name | Anuj Parikh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366482465 PECOS PAC ID: 5496787616 Enrollment ID: I20130328000136 |
| Provider Name | Jason B Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457372963 PECOS PAC ID: 7416914189 Enrollment ID: I20130418000330 |
| Provider Name | Sharmila S Johnson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1407196447 PECOS PAC ID: 0749426294 Enrollment ID: I20130429000438 |
| Provider Name | Lauren E Czech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184919755 PECOS PAC ID: 6608013834 Enrollment ID: I20130508000120 |
| Provider Name | Jennifer Osei Afriyie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942545587 PECOS PAC ID: 3173760758 Enrollment ID: I20130520000542 |
| Provider Name | Yuanyuan Zhang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144546961 PECOS PAC ID: 0941448161 Enrollment ID: I20130530000150 |
| Provider Name | Emily Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881038578 PECOS PAC ID: 5092953141 Enrollment ID: I20130530000565 |
| Provider Name | Jeffrey M Guarino |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1588898597 PECOS PAC ID: 4082854591 Enrollment ID: I20130705000236 |
| Provider Name | Kelly M Frick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588984819 PECOS PAC ID: 9739328931 Enrollment ID: I20130708000080 |
| Provider Name | Lindsay Dormer Robinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669714838 PECOS PAC ID: 5294975645 Enrollment ID: I20130708000228 |
| Provider Name | Jenia Jenab-wolcott |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619039260 PECOS PAC ID: 9830297571 Enrollment ID: I20130709000561 |
| Provider Name | Kathryn Groner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346560687 PECOS PAC ID: 5294709432 Enrollment ID: I20130716000038 |
| Provider Name | Rejy Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649506692 PECOS PAC ID: 3779724455 Enrollment ID: I20130723000124 |
| Provider Name | Sonia Adnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790915593 PECOS PAC ID: 6305087917 Enrollment ID: I20130724000562 |
| Provider Name | Fedele J Depalma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952549610 PECOS PAC ID: 9638334352 Enrollment ID: I20130725000555 |
| Provider Name | Nicole M Heap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235575614 PECOS PAC ID: 6406097625 Enrollment ID: I20130730000553 |
| Provider Name | Avinash Chandra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013190651 PECOS PAC ID: 7810138039 Enrollment ID: I20130730000602 |
| Provider Name | Shilpa R Kauta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649434283 PECOS PAC ID: 2062677610 Enrollment ID: I20130802000203 |
| Provider Name | Stefanie Golebiewski Manchin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700106051 PECOS PAC ID: 3870735855 Enrollment ID: I20130805000667 |
| Provider Name | Varadarajan Subbiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083879985 PECOS PAC ID: 8224186812 Enrollment ID: I20130808000385 |
| Provider Name | Melissa D Morgan-gouveia |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023278694 PECOS PAC ID: 0941456305 Enrollment ID: I20130812000515 |
| Provider Name | Subramanian Gnanaguruparan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396058533 PECOS PAC ID: 0941442248 Enrollment ID: I20130816000155 |
| Provider Name | Alison L Potter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407014095 PECOS PAC ID: 9638311772 Enrollment ID: I20130820000309 |
| Provider Name | Constance Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609845718 PECOS PAC ID: 7315180353 Enrollment ID: I20130823000609 |
| Provider Name | Jennifer Mcelveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720254824 PECOS PAC ID: 4789716721 Enrollment ID: I20130827000072 |
| Provider Name | Peter Arthur Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902126493 PECOS PAC ID: 2668612144 Enrollment ID: I20130828000056 |
| Provider Name | Mychal Lynn Anderson Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164658621 PECOS PAC ID: 8820236532 Enrollment ID: I20130829000061 |
| Provider Name | Eric Haas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093028961 PECOS PAC ID: 2264627025 Enrollment ID: I20130829000066 |
| Provider Name | Salila Shen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740613223 PECOS PAC ID: 3375777378 Enrollment ID: I20131007000346 |
| Provider Name | Lynnae H Duffalo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881857761 PECOS PAC ID: 5799839361 Enrollment ID: I20131011000366 |
| Provider Name | Molly T Sandrian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407086812 PECOS PAC ID: 8325282221 Enrollment ID: I20131011000754 |
| Provider Name | Toni Ann Mcmillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649604927 PECOS PAC ID: 8820223167 Enrollment ID: I20131023000186 |
| Provider Name | Yoav J Tal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043531403 PECOS PAC ID: 4587899109 Enrollment ID: I20131106001045 |
| Provider Name | Christy L Dolinay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336465772 PECOS PAC ID: 1557507266 Enrollment ID: I20131112001756 |
| Provider Name | Malina R Spirito |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972848182 PECOS PAC ID: 0648407114 Enrollment ID: I20131210000008 |
| Provider Name | Mary Ellen Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255451092 PECOS PAC ID: 7810124021 Enrollment ID: I20131216000055 |
| Provider Name | Eileen M Gabrielli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995926 PECOS PAC ID: 2365679081 Enrollment ID: I20131228000027 |
| Provider Name | Patrick Eckert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417178104 PECOS PAC ID: 8022181809 Enrollment ID: I20140217000105 |
| Provider Name | Nicole Stipo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942411582 PECOS PAC ID: 8022198621 Enrollment ID: I20140220000256 |
| Provider Name | Julia Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215362421 PECOS PAC ID: 5496985707 Enrollment ID: I20140306001915 |
| Provider Name | Aruna Muthukumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790035459 PECOS PAC ID: 3173753183 Enrollment ID: I20140312001490 |
| Provider Name | Teresa D Pepe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851445159 PECOS PAC ID: 3678704590 Enrollment ID: I20140318001204 |
| Provider Name | Jorge L Liporaci Lucena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740542372 PECOS PAC ID: 3375774755 Enrollment ID: I20140327002090 |
| Provider Name | Danielle M Press |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063685485 PECOS PAC ID: 0749445088 Enrollment ID: I20140403000242 |
| Provider Name | Neil Gambill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609950534 PECOS PAC ID: 6608008453 Enrollment ID: I20140410000996 |
| Provider Name | Nadia Arshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497073175 PECOS PAC ID: 9931331501 Enrollment ID: I20140414000882 |
| Provider Name | Jean Fatima Ryals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811164510 PECOS PAC ID: 1850523473 Enrollment ID: I20140415000211 |
| Provider Name | Amanda L Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154746832 PECOS PAC ID: 3971736224 Enrollment ID: I20140512002017 |
| Provider Name | Antoinette M Ducrest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174549927 PECOS PAC ID: 0840275616 Enrollment ID: I20140613000878 |
| Provider Name | Michael J Spina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194927160 PECOS PAC ID: 6406095702 Enrollment ID: I20140616000556 |
| Provider Name | Teresa Elizabeth Hills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952517211 PECOS PAC ID: 6709000482 Enrollment ID: I20140619001924 |
| Provider Name | Bryan R Franck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447427489 PECOS PAC ID: 0547485799 Enrollment ID: I20140702002028 |
| Provider Name | Antony L Innasimuthu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104080639 PECOS PAC ID: 9234354275 Enrollment ID: I20140707000599 |
| Provider Name | Jessica C Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477795433 PECOS PAC ID: 8820213895 Enrollment ID: I20140707001514 |
| Provider Name | Pritiben B Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285063602 PECOS PAC ID: 7012132939 Enrollment ID: I20140710000088 |
| Provider Name | Leroi S Hicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083665806 PECOS PAC ID: 3274588769 Enrollment ID: I20140717001974 |
| Provider Name | Anand Kenia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891990719 PECOS PAC ID: 0446473417 Enrollment ID: I20140718000911 |
| Provider Name | Jennifer N Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689834137 PECOS PAC ID: 4981820362 Enrollment ID: I20140721000603 |
| Provider Name | Christopher S Karam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477866986 PECOS PAC ID: 7618193053 Enrollment ID: I20140722000077 |
| Provider Name | Michael Hewitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972743607 PECOS PAC ID: 6103066972 Enrollment ID: I20140722001858 |
| Provider Name | Christopher J Grilli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134395445 PECOS PAC ID: 7012149867 Enrollment ID: I20140722002011 |
| Provider Name | Brenda D Nardozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043621121 PECOS PAC ID: 8729204086 Enrollment ID: I20140723000206 |
| Provider Name | Justin Stowens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194015685 PECOS PAC ID: 0446482525 Enrollment ID: I20140729001786 |
| Provider Name | Gina M Facciolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346532017 PECOS PAC ID: 3870731193 Enrollment ID: I20140731000984 |
| Provider Name | Ellen C Finney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548494305 PECOS PAC ID: 8729211396 Enrollment ID: I20140731001202 |
| Provider Name | Anuja Mohla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144510108 PECOS PAC ID: 4587881206 Enrollment ID: I20140804001391 |
| Provider Name | Lauren J Foy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710207394 PECOS PAC ID: 8426295130 Enrollment ID: I20140807000435 |
| Provider Name | Lauren Nicole Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346530896 PECOS PAC ID: 2769614866 Enrollment ID: I20140808001231 |
| Provider Name | Leon Z Shao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760640684 PECOS PAC ID: 0547483018 Enrollment ID: I20140818000494 |
| Provider Name | Peter M Santoro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447484415 PECOS PAC ID: 7911140983 Enrollment ID: I20140819000654 |
| Provider Name | J Daniel Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265666325 PECOS PAC ID: 0547491052 Enrollment ID: I20140826001917 |
| Provider Name | Christopher Biedrzycki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609167022 PECOS PAC ID: 0840418786 Enrollment ID: I20140905001555 |
| Provider Name | Stephanie A Klair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750797635 PECOS PAC ID: 8820217714 Enrollment ID: I20140908001404 |
| Provider Name | Yadira Velazquez - Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720326242 PECOS PAC ID: 5092956532 Enrollment ID: I20140908001437 |
| Provider Name | Linda J Lang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275504748 PECOS PAC ID: 3779646013 Enrollment ID: I20140909000975 |
| Provider Name | Gaurav Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588978118 PECOS PAC ID: 0446479505 Enrollment ID: I20140923000204 |
| Provider Name | Matthew J Fagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538184791 PECOS PAC ID: 0143291286 Enrollment ID: I20140925000627 |
| Provider Name | Krista M Haun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770902280 PECOS PAC ID: 0648490557 Enrollment ID: I20140926001996 |
| Provider Name | Elisabeth G Bradley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477991750 PECOS PAC ID: 0042430829 Enrollment ID: I20140929001982 |
| Provider Name | Keyma S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851710164 PECOS PAC ID: 2769602457 Enrollment ID: I20141001000114 |
| Provider Name | Carmen M Tirlea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518278894 PECOS PAC ID: 6406084920 Enrollment ID: I20141001001306 |
| Provider Name | Daniela M Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629485081 PECOS PAC ID: 6406076835 Enrollment ID: I20141006001999 |
| Provider Name | Thinesh Sivapatham |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942401013 PECOS PAC ID: 9931387297 Enrollment ID: I20141007000950 |
| Provider Name | Craig A Laing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629343108 PECOS PAC ID: 0143441253 Enrollment ID: I20141014001714 |
| Provider Name | Sharon P Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336540657 PECOS PAC ID: 0042431637 Enrollment ID: I20141023002436 |
| Provider Name | Kathryn Maureen Maclaughlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114244209 PECOS PAC ID: 4183845795 Enrollment ID: I20141024000407 |
| Provider Name | Margaret A Guest |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700830148 PECOS PAC ID: 6002869526 Enrollment ID: I20141111001710 |
| Provider Name | Tea Ramishvili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295005767 PECOS PAC ID: 4082865449 Enrollment ID: I20141120000889 |
| Provider Name | Matthew S Keller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194931907 PECOS PAC ID: 7810049004 Enrollment ID: I20141121000465 |
| Provider Name | Terina D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528461845 PECOS PAC ID: 5890017198 Enrollment ID: I20141121001852 |
| Provider Name | Jasmine R Hilliard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104177237 PECOS PAC ID: 3779805973 Enrollment ID: I20141125000492 |
| Provider Name | Susan C Felicia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992109425 PECOS PAC ID: 1456673664 Enrollment ID: I20141125000658 |
| Provider Name | Katie Jeanne Mansur |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316907728 PECOS PAC ID: 4587986799 Enrollment ID: I20141125000832 |
| Provider Name | Zoe Belcher-timme |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851793335 PECOS PAC ID: 8123340395 Enrollment ID: I20141126000258 |
| Provider Name | Carol A Deputy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639458243 PECOS PAC ID: 0244552602 Enrollment ID: I20141215000878 |
| Provider Name | Kathleen Kamen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740540004 PECOS PAC ID: 0749502110 Enrollment ID: I20141215001090 |
| Provider Name | Glenda E Albizu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306072947 PECOS PAC ID: 7012166788 Enrollment ID: I20141217001065 |
| Provider Name | Latonya Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649675620 PECOS PAC ID: 4486977584 Enrollment ID: I20141222001007 |
| Provider Name | Audrey A Forka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780087213 PECOS PAC ID: 0648593855 Enrollment ID: I20141223000799 |
| Provider Name | Tiffany L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518363563 PECOS PAC ID: 6608199559 Enrollment ID: I20141229000673 |
| Provider Name | Kristen Koechert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427454206 PECOS PAC ID: 8022331974 Enrollment ID: I20141229000772 |
| Provider Name | Michelle L Drew |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174764062 PECOS PAC ID: 4981831062 Enrollment ID: I20150225001129 |
| Provider Name | Emmanuella N Olaiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174872220 PECOS PAC ID: 4587813605 Enrollment ID: I20150226002222 |
| Provider Name | Stephanie A Evans Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437547668 PECOS PAC ID: 4385960533 Enrollment ID: I20150305000728 |
| Provider Name | Anthony W Gannon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376754002 PECOS PAC ID: 0446315246 Enrollment ID: I20150305000774 |
| Provider Name | George N Spyropoulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043258791 PECOS PAC ID: 3779756317 Enrollment ID: I20150309001036 |
| Provider Name | Kashif Nadeem Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760682025 PECOS PAC ID: 0941486500 Enrollment ID: I20150310001972 |
| Provider Name | Audrey A Sernyak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922096494 PECOS PAC ID: 6204821119 Enrollment ID: I20150312000935 |
| Provider Name | Brian J Pahlow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972693349 PECOS PAC ID: 8628970514 Enrollment ID: I20150316000545 |
| Provider Name | Elizabeth L Lombino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568750008 PECOS PAC ID: 6002133311 Enrollment ID: I20150326000221 |
| Provider Name | Sowmya K Kenia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174857601 PECOS PAC ID: 9335370774 Enrollment ID: I20150407001545 |
| Provider Name | Justin E Devotta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730476128 PECOS PAC ID: 0345568721 Enrollment ID: I20150415000681 |
| Provider Name | Danielle N Dallas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083010490 PECOS PAC ID: 3971822891 Enrollment ID: I20150427002278 |
| Provider Name | Jennifer B Entrekin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619369378 PECOS PAC ID: 2769701259 Enrollment ID: I20150505001549 |
| Provider Name | Kathryn Hook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184012783 PECOS PAC ID: 7719206150 Enrollment ID: I20150506000450 |
| Provider Name | Jasmin M Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346564952 PECOS PAC ID: 7517141302 Enrollment ID: I20150515000459 |
| Provider Name | Sarah Meng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194958751 PECOS PAC ID: 9931347267 Enrollment ID: I20150527001039 |
| Provider Name | David D Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316239551 PECOS PAC ID: 4981845435 Enrollment ID: I20150529000408 |
| Provider Name | Amanda Zettle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477949378 PECOS PAC ID: 1850612011 Enrollment ID: I20150601000839 |
| Provider Name | Hyon Ju Park |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083810048 PECOS PAC ID: 6608019518 Enrollment ID: I20150602000625 |
| Provider Name | Nicole M Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528493384 PECOS PAC ID: 9335460328 Enrollment ID: I20150602002534 |
| Provider Name | Adetokunbo S Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356728232 PECOS PAC ID: 0345551628 Enrollment ID: I20150615000093 |
| Provider Name | Haroon M Raja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710118229 PECOS PAC ID: 7810115730 Enrollment ID: I20150623001353 |
| Provider Name | Phoebe J Holmes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689991663 PECOS PAC ID: 5294967303 Enrollment ID: I20150707001523 |
| Provider Name | Mohammed M Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811121858 PECOS PAC ID: 7810128238 Enrollment ID: I20150710001212 |
| Provider Name | Lauren M Cooksey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104183987 PECOS PAC ID: 7911132881 Enrollment ID: I20150713002945 |
| Provider Name | Tiffany B Shapiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831124858 PECOS PAC ID: 2860406220 Enrollment ID: I20150715001914 |
| Provider Name | Samata K Mcclure |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184939670 PECOS PAC ID: 0143460907 Enrollment ID: I20150721001200 |
| Provider Name | Shaun B Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831464130 PECOS PAC ID: 3971735408 Enrollment ID: I20150722006109 |
| Provider Name | Maureen L Mercante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457732547 PECOS PAC ID: 1850605437 Enrollment ID: I20150728004048 |
| Provider Name | Himani R Divatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639463235 PECOS PAC ID: 1052553450 Enrollment ID: I20150729009380 |
| Provider Name | Giovanna Uzelac |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902190390 PECOS PAC ID: 3476772849 Enrollment ID: I20150731015055 |
| Provider Name | Christopher D Batchelor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417215468 PECOS PAC ID: 2163661828 Enrollment ID: I20150806009816 |
| Provider Name | Mohammed Murtaza Kamal Chaudry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538361506 PECOS PAC ID: 5092029678 Enrollment ID: I20150811003645 |
| Provider Name | Robert Hsu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245523570 PECOS PAC ID: 7113142571 Enrollment ID: I20150811004113 |
| Provider Name | Caitlin A Halbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528292257 PECOS PAC ID: 5496998445 Enrollment ID: I20150812006398 |
| Provider Name | Stephanie Jean |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1548468259 PECOS PAC ID: 9638397169 Enrollment ID: I20150819008451 |
| Provider Name | Madhumathi Gunasekaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275723793 PECOS PAC ID: 8224203625 Enrollment ID: I20150821013298 |
| Provider Name | Sajjad Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235301276 PECOS PAC ID: 8628121969 Enrollment ID: I20150821014062 |
| Provider Name | Christopher Ryan Mitchell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124274105 PECOS PAC ID: 3870648694 Enrollment ID: I20150826001851 |
| Provider Name | Terri Huynh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801188040 PECOS PAC ID: 7719291590 Enrollment ID: I20150902000867 |
| Provider Name | Debora A Devuono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487037149 PECOS PAC ID: 1456667369 Enrollment ID: I20150908001538 |
| Provider Name | Brian William Toussaint |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295969616 PECOS PAC ID: 3678712320 Enrollment ID: I20150908002248 |
| Provider Name | Deborah Ann Kahal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821227315 PECOS PAC ID: 2860658820 Enrollment ID: I20150914000537 |
| Provider Name | Kaveeta Vinaya Kumar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487787420 PECOS PAC ID: 5799829008 Enrollment ID: I20150918000941 |
| Provider Name | Neil J Wimmer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821153065 PECOS PAC ID: 2466622741 Enrollment ID: I20150918001716 |
| Provider Name | James Ellison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144226630 PECOS PAC ID: 4789649161 Enrollment ID: I20150922001183 |
| Provider Name | Christopher Anthony Milburn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609037985 PECOS PAC ID: 6800042987 Enrollment ID: I20150923002508 |
| Provider Name | Monica L Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275917684 PECOS PAC ID: 5496063141 Enrollment ID: I20150930001779 |
| Provider Name | Elizabeth J Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528389855 PECOS PAC ID: 7315181435 Enrollment ID: I20151001000987 |
| Provider Name | Jackie Joe Lindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477920296 PECOS PAC ID: 2365750403 Enrollment ID: I20151009000054 |
| Provider Name | Waimei Amy Tai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316149206 PECOS PAC ID: 8729241815 Enrollment ID: I20151020000054 |
| Provider Name | Maryah Mansoor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659684777 PECOS PAC ID: 4981827656 Enrollment ID: I20151022002518 |
| Provider Name | Parham Moftakhar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750600532 PECOS PAC ID: 0345426094 Enrollment ID: I20151027002509 |
| Provider Name | Lois M Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760888655 PECOS PAC ID: 4284944497 Enrollment ID: I20151029002706 |
| Provider Name | Rabia M Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013275817 PECOS PAC ID: 9830409002 Enrollment ID: I20151030002108 |
| Provider Name | Kirk N Garratt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306803630 PECOS PAC ID: 4587565239 Enrollment ID: I20151102000293 |
| Provider Name | Veronica Mahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538473657 PECOS PAC ID: 0547572109 Enrollment ID: I20151102000315 |
| Provider Name | Tabassum F Ali |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225267362 PECOS PAC ID: 4688818891 Enrollment ID: I20151105001132 |
| Provider Name | Alyssa R Atanacio |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831569854 PECOS PAC ID: 0941510655 Enrollment ID: I20151110000454 |
| Provider Name | Joanne M Ilustre |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750545661 PECOS PAC ID: 1759561061 Enrollment ID: I20151110003113 |
| Provider Name | Nicole Laporte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114241049 PECOS PAC ID: 0749595593 Enrollment ID: I20151112001383 |
| Provider Name | Molly A Bergamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548664592 PECOS PAC ID: 3072837699 Enrollment ID: I20151116000733 |
| Provider Name | Cherie L Demerchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982945275 PECOS PAC ID: 6800196007 Enrollment ID: I20151119001170 |
| Provider Name | Lynsey E Brandt |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790848331 PECOS PAC ID: 8224106679 Enrollment ID: I20151207000481 |
| Provider Name | Stephanie M Koterwas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730551086 PECOS PAC ID: 7719288943 Enrollment ID: I20151214000719 |
| Provider Name | Mary K Bogush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467824821 PECOS PAC ID: 7416259668 Enrollment ID: I20160106000243 |
| Provider Name | Sarah M Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659744845 PECOS PAC ID: 7911209077 Enrollment ID: I20160106000977 |
| Provider Name | Ashley Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194199000 PECOS PAC ID: 5395047344 Enrollment ID: I20160107001120 |
| Provider Name | Debra Lamoureux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396828570 PECOS PAC ID: 4284674342 Enrollment ID: I20160114001628 |
| Provider Name | Samuel Putnam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023066404 PECOS PAC ID: 5991699522 Enrollment ID: I20160120002511 |
| Provider Name | Meredith Santinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861781106 PECOS PAC ID: 6507169646 Enrollment ID: I20160122000860 |
| Provider Name | Lindsey M Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215228515 PECOS PAC ID: 5991009680 Enrollment ID: I20160201000026 |
| Provider Name | Alexander E Swift |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215901392 PECOS PAC ID: 1456370410 Enrollment ID: I20160201000221 |
| Provider Name | Irene Swift |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275796120 PECOS PAC ID: 4880862887 Enrollment ID: I20160201000655 |
| Provider Name | Audrey Anne Merriam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477873131 PECOS PAC ID: 3971742164 Enrollment ID: I20160209000431 |
| Provider Name | Stacie R Holdinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649636101 PECOS PAC ID: 7618271800 Enrollment ID: I20160209001089 |
| Provider Name | Sarah M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659756203 PECOS PAC ID: 7719294016 Enrollment ID: I20160211000195 |
| Provider Name | Jessica J Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548632110 PECOS PAC ID: 6800190679 Enrollment ID: I20160216000020 |
| Provider Name | Eileen Czerwinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386002798 PECOS PAC ID: 5496050866 Enrollment ID: I20160223000823 |
| Provider Name | Matthew Man |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891954731 PECOS PAC ID: 5799800819 Enrollment ID: I20160224000532 |
| Provider Name | Nancy M Devereux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174681209 PECOS PAC ID: 5890974364 Enrollment ID: I20160302000132 |
| Provider Name | Dagmara M Pychynski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366671679 PECOS PAC ID: 8426296104 Enrollment ID: I20160307000078 |
| Provider Name | Maryruth L Nich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063879393 PECOS PAC ID: 5395041768 Enrollment ID: I20160310001503 |
| Provider Name | Dana L Schade |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073807988 PECOS PAC ID: 9739352691 Enrollment ID: I20160331002207 |
| Provider Name | Sheri Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265833354 PECOS PAC ID: 9638476773 Enrollment ID: I20160405000128 |
| Provider Name | Nirmol Mary Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992063515 PECOS PAC ID: 0840410270 Enrollment ID: I20160426000245 |
| Provider Name | Deniz Eker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386635068 PECOS PAC ID: 5294637880 Enrollment ID: I20160505000653 |
| Provider Name | Sahila Feroz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841504529 PECOS PAC ID: 1951521426 Enrollment ID: I20160509001253 |
| Provider Name | Chelsea Hulme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992170682 PECOS PAC ID: 1759685647 Enrollment ID: I20160516000399 |
| Provider Name | Jeremy Berberian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831432426 PECOS PAC ID: 0749570794 Enrollment ID: I20160602001740 |
| Provider Name | Emily Granitto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861835548 PECOS PAC ID: 8729219340 Enrollment ID: I20160602002067 |
| Provider Name | Gregory Wanner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689609661 PECOS PAC ID: 9537164272 Enrollment ID: I20160603000172 |
| Provider Name | Diana Cer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225261746 PECOS PAC ID: 0547493132 Enrollment ID: I20160610000080 |
| Provider Name | Dianne C Holleran |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639524580 PECOS PAC ID: 0446541940 Enrollment ID: I20160613002257 |
| Provider Name | Amita P Vasoya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992785406 PECOS PAC ID: 4981749058 Enrollment ID: I20160614000391 |
| Provider Name | Denise E Kohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891016440 PECOS PAC ID: 1052550639 Enrollment ID: I20160614000894 |
| Provider Name | Justin P Martello |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255622676 PECOS PAC ID: 5991003139 Enrollment ID: I20160614001007 |
| Provider Name | Vishesh Agarwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609163971 PECOS PAC ID: 6204127764 Enrollment ID: I20160614001581 |
| Provider Name | Ismael A Matus |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538118070 PECOS PAC ID: 1052323060 Enrollment ID: I20160614001669 |
| Provider Name | Kenneth Trzepkowski |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699736140 PECOS PAC ID: 2860681996 Enrollment ID: I20160622000434 |
| Provider Name | Adeyoyin R Esaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003270927 PECOS PAC ID: 8527359546 Enrollment ID: I20160622002515 |
| Provider Name | Kimberly P Gannon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831482165 PECOS PAC ID: 8527359371 Enrollment ID: I20160624001571 |
| Provider Name | Kathleen Corry Effler |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326332339 PECOS PAC ID: 1355632142 Enrollment ID: I20160627000658 |
| Provider Name | Jaclyn A Limberakis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851735385 PECOS PAC ID: 1557592961 Enrollment ID: I20160628000185 |
| Provider Name | Julie E Morley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164877825 PECOS PAC ID: 3577854132 Enrollment ID: I20160629000825 |
| Provider Name | Gregory Tiesi |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1942464003 PECOS PAC ID: 7315239811 Enrollment ID: I20160701000276 |
| Provider Name | Melissa Garvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275982050 PECOS PAC ID: 3678865706 Enrollment ID: I20160712000100 |
| Provider Name | Kimberly W Vignola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356718001 PECOS PAC ID: 2062704810 Enrollment ID: I20160714001552 |
| Provider Name | Valerie Ann Cohen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013209378 PECOS PAC ID: 6305079344 Enrollment ID: I20160714001960 |
| Provider Name | Rahmah Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780039651 PECOS PAC ID: 7416240999 Enrollment ID: I20160720002484 |
| Provider Name | Justin Eisenman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457593063 PECOS PAC ID: 8022260363 Enrollment ID: I20160725002500 |
| Provider Name | Kelly M Ruhstaller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386878254 PECOS PAC ID: 3072806124 Enrollment ID: I20160727000065 |
| Provider Name | Irina Gault Phillips |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1568623684 PECOS PAC ID: 9133353220 Enrollment ID: I20160727001544 |
| Provider Name | Elaine G Turochy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952757874 PECOS PAC ID: 3971897422 Enrollment ID: I20160808000239 |
| Provider Name | Caroline K Snowberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427492776 PECOS PAC ID: 0749411288 Enrollment ID: I20160815000961 |
| Provider Name | Kimberly Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982044699 PECOS PAC ID: 4385946615 Enrollment ID: I20160817000969 |
| Provider Name | Michael J Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356785661 PECOS PAC ID: 3072745959 Enrollment ID: I20160817001378 |
| Provider Name | Lauren Kanter Applebaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386806909 PECOS PAC ID: 3375796097 Enrollment ID: I20160818001544 |
| Provider Name | Prakash Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053561498 PECOS PAC ID: 0547453284 Enrollment ID: I20160818001732 |
| Provider Name | Deepa Bhanot |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184936890 PECOS PAC ID: 0547416927 Enrollment ID: I20160822000940 |
| Provider Name | Raymond H Green |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477686905 PECOS PAC ID: 7517146509 Enrollment ID: I20160824000827 |
| Provider Name | Sourin Banerji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346443140 PECOS PAC ID: 4688749435 Enrollment ID: I20160829000530 |
| Provider Name | Mona G Yezdani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831416510 PECOS PAC ID: 2769795509 Enrollment ID: I20160906000028 |
| Provider Name | Alicia K Ely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902249428 PECOS PAC ID: 8921224254 Enrollment ID: I20160907000747 |
| Provider Name | Shoheb A Farooqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457671000 PECOS PAC ID: 3375859689 Enrollment ID: I20160909000395 |
| Provider Name | Ashley Panicker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306282660 PECOS PAC ID: 2062708365 Enrollment ID: I20160913002004 |
| Provider Name | Adeyinka O Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922450378 PECOS PAC ID: 0446546642 Enrollment ID: I20160915000217 |
| Provider Name | Eric W Halpern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528402369 PECOS PAC ID: 4880827997 Enrollment ID: I20160916000172 |
| Provider Name | Marina Zeltser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912343708 PECOS PAC ID: 7012208127 Enrollment ID: I20160916001781 |
| Provider Name | Apar Bains |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730528803 PECOS PAC ID: 1052552957 Enrollment ID: I20160921000128 |
| Provider Name | Kelly Anne Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811332703 PECOS PAC ID: 4385968965 Enrollment ID: I20160921001151 |
| Provider Name | Gregory A Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164402970 PECOS PAC ID: 6103812102 Enrollment ID: I20160922002020 |
| Provider Name | Bernadette E Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811366636 PECOS PAC ID: 2264720309 Enrollment ID: I20161005002283 |
| Provider Name | Adrienne E Abrenica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376948000 PECOS PAC ID: 0446572952 Enrollment ID: I20161006002366 |
| Provider Name | Anna B Filip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427283035 PECOS PAC ID: 3375794993 Enrollment ID: I20161014000655 |
| Provider Name | Mayoora Muthu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881033660 PECOS PAC ID: 1658670468 Enrollment ID: I20161021000205 |
| Provider Name | John R Pollard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932131265 PECOS PAC ID: 6608890371 Enrollment ID: I20161025001803 |
| Provider Name | Tara Hood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851602601 PECOS PAC ID: 0446491039 Enrollment ID: I20161031000955 |
| Provider Name | Mindy S Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376091322 PECOS PAC ID: 2961780408 Enrollment ID: I20161103000890 |
| Provider Name | Davi Lue Achu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477006864 PECOS PAC ID: 7719265180 Enrollment ID: I20161107000646 |
| Provider Name | Mustafa A Mufti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619263787 PECOS PAC ID: 1850679234 Enrollment ID: I20161107000872 |
| Provider Name | Jason Palopoli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053625632 PECOS PAC ID: 0042536203 Enrollment ID: I20161109000908 |
| Provider Name | Adrienne B Neithardt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376504134 PECOS PAC ID: 8527347723 Enrollment ID: I20161110001627 |
| Provider Name | Emelia Argyropoulos Bachman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932375078 PECOS PAC ID: 9133408289 Enrollment ID: I20161114001993 |
| Provider Name | Franjo Siric |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1033461595 PECOS PAC ID: 1456585850 Enrollment ID: I20161122002106 |
| Provider Name | Parinaz B Baradaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699752071 PECOS PAC ID: 3476518101 Enrollment ID: I20161123000734 |
| Provider Name | Alyssa M Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487102646 PECOS PAC ID: 3173802691 Enrollment ID: I20161128000087 |
| Provider Name | Katherine Hladky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013044189 PECOS PAC ID: 7810095833 Enrollment ID: I20161205000508 |
| Provider Name | Cristina A Vardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558565564 PECOS PAC ID: 7416973474 Enrollment ID: I20161206000748 |
| Provider Name | Jennifer M Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184172348 PECOS PAC ID: 6507146511 Enrollment ID: I20161209000109 |
| Provider Name | Jaime C Giraldo Arango |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558568303 PECOS PAC ID: 8022280593 Enrollment ID: I20161212001470 |
| Provider Name | Bonnie L Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972053619 PECOS PAC ID: 9436439023 Enrollment ID: I20161219000878 |
| Provider Name | Cheryl J Grant |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821530197 PECOS PAC ID: 4183905268 Enrollment ID: I20170104000055 |
| Provider Name | Julie A Kieliszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831580521 PECOS PAC ID: 1456655000 Enrollment ID: I20170104000290 |
| Provider Name | Chaney Goodner Stewman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1932333820 PECOS PAC ID: 8224251921 Enrollment ID: I20170111001468 |
| Provider Name | Aileen Mcelhaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730622044 PECOS PAC ID: 4587946231 Enrollment ID: I20170113000040 |
| Provider Name | Cristinel Coconcea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891711404 PECOS PAC ID: 2961448550 Enrollment ID: I20170113001750 |
| Provider Name | Parth M Viroja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639416019 PECOS PAC ID: 1850681990 Enrollment ID: I20170117001899 |
| Provider Name | Nealanjon P Das |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528163649 PECOS PAC ID: 5597949883 Enrollment ID: I20170120000022 |
| Provider Name | Tiffany D Whary |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912449554 PECOS PAC ID: 5496037665 Enrollment ID: I20170124000204 |
| Provider Name | Priyal R Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144513235 PECOS PAC ID: 6204056377 Enrollment ID: I20170207001560 |
| Provider Name | Jason L Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346474301 PECOS PAC ID: 4880859404 Enrollment ID: I20170220000147 |
| Provider Name | Melissa Vanneerden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629520119 PECOS PAC ID: 4789968371 Enrollment ID: I20170227001594 |
| Provider Name | Ariel G Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689080889 PECOS PAC ID: 3375865447 Enrollment ID: I20170327001423 |
| Provider Name | Peachy Tabangin Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386182517 PECOS PAC ID: 3779869763 Enrollment ID: I20170405001121 |
| Provider Name | Alice Ely |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659817617 PECOS PAC ID: 2567748429 Enrollment ID: I20170410000372 |
| Provider Name | Kimberly Wanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235678087 PECOS PAC ID: 7315223872 Enrollment ID: I20170418000043 |
| Provider Name | Alana Coppol Disabatino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336688662 PECOS PAC ID: 3678859139 Enrollment ID: I20170418000120 |
| Provider Name | Ashley T Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194270678 PECOS PAC ID: 3870870439 Enrollment ID: I20170509000078 |
| Provider Name | Andrew Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164780979 PECOS PAC ID: 7911132287 Enrollment ID: I20170511001960 |
| Provider Name | Andrea L Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790176113 PECOS PAC ID: 7618244682 Enrollment ID: I20170522002762 |
| Provider Name | Shannon M Virtue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629517990 PECOS PAC ID: 4385911171 Enrollment ID: I20170526001175 |
| Provider Name | Linda Spotts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891163416 PECOS PAC ID: 7517235955 Enrollment ID: I20170608000135 |
| Provider Name | Megan Ryan Kerstetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811438484 PECOS PAC ID: 5294004743 Enrollment ID: I20170627001795 |
| Provider Name | Steven J Larrimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225565070 PECOS PAC ID: 4587933650 Enrollment ID: I20170705001479 |
| Provider Name | Stephanie B Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477741296 PECOS PAC ID: 7719034438 Enrollment ID: I20170706002458 |
| Provider Name | Vishal R Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205127172 PECOS PAC ID: 7214168533 Enrollment ID: I20170707001145 |
| Provider Name | Matthew Koterwas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376070854 PECOS PAC ID: 6204105844 Enrollment ID: I20170713000029 |
| Provider Name | Assaf Graif |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598051781 PECOS PAC ID: 0345472635 Enrollment ID: I20170713000967 |
| Provider Name | Soo Jung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104261809 PECOS PAC ID: 7315236932 Enrollment ID: I20170714000623 |
| Provider Name | Erica A Heilman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316380074 PECOS PAC ID: 5698907152 Enrollment ID: I20170718003282 |
| Provider Name | Roshan Y Modi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992096739 PECOS PAC ID: 8123323227 Enrollment ID: I20170724003072 |
| Provider Name | Jennifer P Rowland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891087029 PECOS PAC ID: 9234437963 Enrollment ID: I20170724003287 |
| Provider Name | Katherine Greco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649689571 PECOS PAC ID: 3274803093 Enrollment ID: I20170726002481 |
| Provider Name | Joseph S Handler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902858475 PECOS PAC ID: 1052361730 Enrollment ID: I20170726003372 |
| Provider Name | Matthew J Moon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063702603 PECOS PAC ID: 0648418798 Enrollment ID: I20170727001170 |
| Provider Name | Raja K S Malhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942528955 PECOS PAC ID: 2860626900 Enrollment ID: I20170727001766 |
| Provider Name | Anne H Warner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588985279 PECOS PAC ID: 3476844069 Enrollment ID: I20170731000380 |
| Provider Name | Christina Maria Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376981241 PECOS PAC ID: 2567751571 Enrollment ID: I20170803000660 |
| Provider Name | Melissa Ann Hackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619241072 PECOS PAC ID: 5991942120 Enrollment ID: I20170803001873 |
| Provider Name | Subani Maheshwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023364577 PECOS PAC ID: 4486943511 Enrollment ID: I20170807000668 |
| Provider Name | Stephen J Senichka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851659007 PECOS PAC ID: 2860707460 Enrollment ID: I20170807002362 |
| Provider Name | Avnish Dhamija |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538587100 PECOS PAC ID: 8921225889 Enrollment ID: I20170807003377 |
| Provider Name | Elizabeth K Clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194167734 PECOS PAC ID: 8527286699 Enrollment ID: I20170814000484 |
| Provider Name | Sheila Taylor |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609135508 PECOS PAC ID: 8921399692 Enrollment ID: I20170815003752 |
| Provider Name | Amanda J Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366886368 PECOS PAC ID: 2668604919 Enrollment ID: I20170817000046 |
| Provider Name | Jolomi T Ikomi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396911640 PECOS PAC ID: 7113065343 Enrollment ID: I20170817003682 |
| Provider Name | Marc J Laufgraben |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932146255 PECOS PAC ID: 6103800685 Enrollment ID: I20170821000340 |
| Provider Name | Evan Hawbaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811300627 PECOS PAC ID: 6709158900 Enrollment ID: I20170823002289 |
| Provider Name | Agatha Berger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609192988 PECOS PAC ID: 9739311192 Enrollment ID: I20170828004523 |
| Provider Name | Jeremy D Cristol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225458748 PECOS PAC ID: 4789801713 Enrollment ID: I20170829000886 |
| Provider Name | Richa Yadav |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285074542 PECOS PAC ID: 8325311285 Enrollment ID: I20170829002211 |
| Provider Name | Kawansi Newton Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376073502 PECOS PAC ID: 4486927043 Enrollment ID: I20170901000192 |
| Provider Name | Heather M Milea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104348796 PECOS PAC ID: 7810261419 Enrollment ID: I20170920002923 |
| Provider Name | Jason Weinberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942591201 PECOS PAC ID: 4082853361 Enrollment ID: I20170920003464 |
| Provider Name | Cathy A Dargitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932622784 PECOS PAC ID: 8325312770 Enrollment ID: I20170922002427 |
| Provider Name | Megan M Litkenhaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922430735 PECOS PAC ID: 6901170174 Enrollment ID: I20170927000908 |
| Provider Name | Alexandra Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821530825 PECOS PAC ID: 6800160094 Enrollment ID: I20170927001976 |
| Provider Name | Elizabeth Kaberle Jones |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851736631 PECOS PAC ID: 6204053077 Enrollment ID: I20171010002279 |
| Provider Name | Ashley Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548603707 PECOS PAC ID: 8426324385 Enrollment ID: I20171019002171 |
| Provider Name | Kathryn Sweeney El-amraoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982963443 PECOS PAC ID: 2961627807 Enrollment ID: I20171020003022 |
| Provider Name | Vrunda K Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154612018 PECOS PAC ID: 6406089515 Enrollment ID: I20171024001307 |
| Provider Name | Joyce Kokatt Varkey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912299892 PECOS PAC ID: 9133435068 Enrollment ID: I20171107000622 |
| Provider Name | Debra Ravert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568889616 PECOS PAC ID: 2163647041 Enrollment ID: I20171114002995 |
| Provider Name | Robert F Onyango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952827446 PECOS PAC ID: 0345506374 Enrollment ID: I20171114003347 |
| Provider Name | Farnaz A Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518035773 PECOS PAC ID: 6204933344 Enrollment ID: I20171116000470 |
| Provider Name | Jaclyn M Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366967523 PECOS PAC ID: 2860758281 Enrollment ID: I20171117000333 |
| Provider Name | Michael Moussouttas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912907197 PECOS PAC ID: 4284623885 Enrollment ID: I20171117001141 |
| Provider Name | Megan Merrill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831618172 PECOS PAC ID: 9739446162 Enrollment ID: I20171120002226 |
| Provider Name | Frank Amico |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497091904 PECOS PAC ID: 0941435812 Enrollment ID: I20171121000583 |
| Provider Name | Luis E Urrutia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922029859 PECOS PAC ID: 4183600729 Enrollment ID: I20171129000934 |
| Provider Name | Karen Ellis-brisbon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578073292 PECOS PAC ID: 0547527095 Enrollment ID: I20171208000446 |
| Provider Name | Tasha M Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760900666 PECOS PAC ID: 4688932833 Enrollment ID: I20171218002221 |
| Provider Name | Victoria A Varga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578072229 PECOS PAC ID: 3173881216 Enrollment ID: I20171220000379 |
| Provider Name | Katie H Rubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013433978 PECOS PAC ID: 4183982135 Enrollment ID: I20171220001027 |
| Provider Name | Walter Homsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386040392 PECOS PAC ID: 7012275688 Enrollment ID: I20180103002601 |
| Provider Name | Shaakira Lateefa Abdullah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073028189 PECOS PAC ID: 4183983687 Enrollment ID: I20180108002523 |
| Provider Name | Niya Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467516781 PECOS PAC ID: 1850613514 Enrollment ID: I20180116001718 |
| Provider Name | Victoria M Udealer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104336890 PECOS PAC ID: 6800155011 Enrollment ID: I20180116002114 |
| Provider Name | Sean M Bidic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730124256 PECOS PAC ID: 5597795138 Enrollment ID: I20180201003032 |
| Provider Name | John D Robb |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1962844621 PECOS PAC ID: 6901166180 Enrollment ID: I20180208000258 |
| Provider Name | Sara Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851319230 PECOS PAC ID: 7113911785 Enrollment ID: I20180214001335 |
| Provider Name | Aisha A Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831497601 PECOS PAC ID: 8224216189 Enrollment ID: I20180220002770 |
| Provider Name | Heather H Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881112787 PECOS PAC ID: 0648531319 Enrollment ID: I20180221002311 |
| Provider Name | Jodi L Kahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477060564 PECOS PAC ID: 6608137997 Enrollment ID: I20180301001183 |
| Provider Name | Patricia C Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073051819 PECOS PAC ID: 3577849470 Enrollment ID: I20180307002007 |
| Provider Name | Jayne Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174030217 PECOS PAC ID: 0648532341 Enrollment ID: I20180316000591 |
| Provider Name | Angela M Mcnulty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538674767 PECOS PAC ID: 2264794890 Enrollment ID: I20180320001495 |
| Provider Name | Matthew K Holden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295286029 PECOS PAC ID: 6507128881 Enrollment ID: I20180326003017 |
| Provider Name | Tony Francis |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1124275961 PECOS PAC ID: 5991086019 Enrollment ID: I20180418000358 |
| Provider Name | Jacob R Jellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518469261 PECOS PAC ID: 1355604471 Enrollment ID: I20180424000354 |
| Provider Name | Corina D Tennant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588898027 PECOS PAC ID: 0244474609 Enrollment ID: I20180425000606 |
| Provider Name | Ginger Cowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023079084 PECOS PAC ID: 9931147873 Enrollment ID: I20180430001793 |
| Provider Name | Myrna Malak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386146355 PECOS PAC ID: 6800150707 Enrollment ID: I20180501000020 |
| Provider Name | Hillary L Howrey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437678018 PECOS PAC ID: 8426312224 Enrollment ID: I20180502002242 |
| Provider Name | Colleen Patricia Debosier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578066676 PECOS PAC ID: 5395009716 Enrollment ID: I20180510000658 |
| Provider Name | Kelsey E Huntoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881198786 PECOS PAC ID: 8820352131 Enrollment ID: I20180514000073 |
| Provider Name | Rajivan Maniam |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1639460132 PECOS PAC ID: 0042526741 Enrollment ID: I20180521002698 |
| Provider Name | Caroline Marie Desanctis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053862243 PECOS PAC ID: 0648525428 Enrollment ID: I20180619002228 |
| Provider Name | Steven Todd Kramer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184990624 PECOS PAC ID: 0143517763 Enrollment ID: I20180620002719 |
| Provider Name | Stephen Meng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083974257 PECOS PAC ID: 2163741497 Enrollment ID: I20180628001514 |
| Provider Name | Jonathan David Talmud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063893394 PECOS PAC ID: 0244522076 Enrollment ID: I20180703002906 |
| Provider Name | Michael C Morton Wiedner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649614546 PECOS PAC ID: 5991938136 Enrollment ID: I20180705000195 |
| Provider Name | Sridhara Sastry Yaddanapudi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417270646 PECOS PAC ID: 6507172194 Enrollment ID: I20180710000827 |
| Provider Name | Rabia Hasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043568496 PECOS PAC ID: 2062651730 Enrollment ID: I20180718001356 |
| Provider Name | Katelyn A Fritzges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922428044 PECOS PAC ID: 9931326105 Enrollment ID: I20180719000902 |
| Provider Name | Elisabeth C Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306257266 PECOS PAC ID: 8123324332 Enrollment ID: I20180719002535 |
| Provider Name | Shannon E Pan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578982666 PECOS PAC ID: 1153548326 Enrollment ID: I20180726000179 |
| Provider Name | Linda A Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497087902 PECOS PAC ID: 4284801721 Enrollment ID: I20180726002593 |
| Provider Name | Daniel D Mast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104910140 PECOS PAC ID: 7810098506 Enrollment ID: I20180727000210 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20180730002185 |
| Provider Name | Nicole F Laslett |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1154716371 PECOS PAC ID: 9335450956 Enrollment ID: I20180730002593 |
| Provider Name | Theresa M Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235124306 PECOS PAC ID: 1254689078 Enrollment ID: I20180809004964 |
| Provider Name | Francis Squadrito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790166189 PECOS PAC ID: 5294028676 Enrollment ID: I20180809006044 |
| Provider Name | Peter Abdelmessieh |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1073803896 PECOS PAC ID: 4587945167 Enrollment ID: I20180809006219 |
| Provider Name | Johnita C Tiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083191076 PECOS PAC ID: 5597013292 Enrollment ID: I20180810002319 |
| Provider Name | Syam Prasad Mallampalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275727604 PECOS PAC ID: 3173715497 Enrollment ID: I20180815001832 |
| Provider Name | Evan Dodge Bilheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730576174 PECOS PAC ID: 3577874106 Enrollment ID: I20180817002281 |
| Provider Name | Ashley E Panichelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568858124 PECOS PAC ID: 2769797828 Enrollment ID: I20180821003854 |
| Provider Name | Lauren E Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013406883 PECOS PAC ID: 3375892581 Enrollment ID: I20180822000299 |
| Provider Name | Kathryn E Bowser |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730470741 PECOS PAC ID: 9436392594 Enrollment ID: I20180823002048 |
| Provider Name | James Nathan Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144563842 PECOS PAC ID: 0840580379 Enrollment ID: I20180828002235 |
| Provider Name | Shirline B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285111260 PECOS PAC ID: 1850468232 Enrollment ID: I20180913002607 |
| Provider Name | Rachel Bronsther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972941615 PECOS PAC ID: 2668762022 Enrollment ID: I20180920002207 |
| Provider Name | Keri L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881634459 PECOS PAC ID: 0446293989 Enrollment ID: I20180924000263 |
| Provider Name | Samantha M Hussnatter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003396367 PECOS PAC ID: 3577814888 Enrollment ID: I20180926001523 |
| Provider Name | Anthony R Tascone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972862936 PECOS PAC ID: 5890920797 Enrollment ID: I20180926001681 |
| Provider Name | Rebecca Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366672032 PECOS PAC ID: 6103965470 Enrollment ID: I20180926003646 |
| Provider Name | Amira L Kummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508346149 PECOS PAC ID: 2860743879 Enrollment ID: I20181001001372 |
| Provider Name | Latrina A Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942787965 PECOS PAC ID: 8527319516 Enrollment ID: I20181002001198 |
| Provider Name | Fawn Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154803492 PECOS PAC ID: 4981956992 Enrollment ID: I20181002002308 |
| Provider Name | Lindsay Bonnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376956508 PECOS PAC ID: 3173816659 Enrollment ID: I20181012001970 |
| Provider Name | Syed Ali Hamid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033496443 PECOS PAC ID: 6305084336 Enrollment ID: I20181022001374 |
| Provider Name | Mazen Pierre Kreidy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972741635 PECOS PAC ID: 7618165242 Enrollment ID: I20181024001963 |
| Provider Name | Ali Saeed Chaudhary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285925115 PECOS PAC ID: 4082832837 Enrollment ID: I20181106002869 |
| Provider Name | Anne M Decaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407336795 PECOS PAC ID: 2961756101 Enrollment ID: I20181107000884 |
| Provider Name | Beth Ann Marion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265917843 PECOS PAC ID: 4385998343 Enrollment ID: I20181112001108 |
| Provider Name | Julia Turner-shanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891274858 PECOS PAC ID: 7517211436 Enrollment ID: I20181113001438 |
| Provider Name | Wen Chi Kevin Tsai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558578740 PECOS PAC ID: 7719152172 Enrollment ID: I20181119000666 |
| Provider Name | Maimoona Inayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417189010 PECOS PAC ID: 7719133768 Enrollment ID: I20181207000402 |
| Provider Name | Jessie L Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407321482 PECOS PAC ID: 1355685983 Enrollment ID: I20181207000879 |
| Provider Name | John W Liang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720387764 PECOS PAC ID: 9335427400 Enrollment ID: I20181217002424 |
| Provider Name | Renee K Dixon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174748743 PECOS PAC ID: 8325132533 Enrollment ID: I20181228001713 |
| Provider Name | William May Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568726248 PECOS PAC ID: 9335468982 Enrollment ID: I20190102002907 |
| Provider Name | Robert Francis Bahnsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154697316 PECOS PAC ID: 0941599302 Enrollment ID: I20190103001877 |
| Provider Name | John Cheng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548688195 PECOS PAC ID: 0345539995 Enrollment ID: I20190108000162 |
| Provider Name | Regan H King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295187102 PECOS PAC ID: 5597059949 Enrollment ID: I20190115002544 |
| Provider Name | Morganne Castiglione |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336569094 PECOS PAC ID: 7416174743 Enrollment ID: I20190123003115 |
| Provider Name | Mary Grace Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316419518 PECOS PAC ID: 4789921701 Enrollment ID: I20190130000102 |
| Provider Name | Aimee Stumpo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013498880 PECOS PAC ID: 1052658986 Enrollment ID: I20190130000952 |
| Provider Name | Ashley Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497219455 PECOS PAC ID: 6406194596 Enrollment ID: I20190215000132 |
| Provider Name | Kelsey Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194293399 PECOS PAC ID: 0244579902 Enrollment ID: I20190225002679 |
| Provider Name | Diana M. Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629541347 PECOS PAC ID: 8426397324 Enrollment ID: I20190311000805 |
| Provider Name | Teresa Anne Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558444240 PECOS PAC ID: 6709127426 Enrollment ID: I20190408000433 |
| Provider Name | Sushma Kaveti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457631590 PECOS PAC ID: 6800021932 Enrollment ID: I20190415001540 |
| Provider Name | Kathleen Theresa Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932352002 PECOS PAC ID: 0648327965 Enrollment ID: I20190415002312 |
| Provider Name | George W L Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295292019 PECOS PAC ID: 8729329024 Enrollment ID: I20190415002886 |
| Provider Name | Stacey Dawn Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023502564 PECOS PAC ID: 7012268782 Enrollment ID: I20190423001424 |
| Provider Name | Meghan P Ericksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366901365 PECOS PAC ID: 2567704539 Enrollment ID: I20190424000735 |
| Provider Name | Jessica M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962961052 PECOS PAC ID: 7214279660 Enrollment ID: I20190503002156 |
| Provider Name | Dominic John Valentino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215088067 PECOS PAC ID: 1557263621 Enrollment ID: I20190509000834 |
| Provider Name | Courtney Elizabeth Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194209692 PECOS PAC ID: 9335151182 Enrollment ID: I20190521000531 |
| Provider Name | Cydney T. Teal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346290053 PECOS PAC ID: 2466506175 Enrollment ID: I20190531002228 |
| Provider Name | Narpinder Kaur Malhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659672574 PECOS PAC ID: 8921239492 Enrollment ID: I20190606000856 |
| Provider Name | Mia S Dorman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437481488 PECOS PAC ID: 3870827009 Enrollment ID: I20190621002641 |
| Provider Name | Dana Marchetto Beeson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689069809 PECOS PAC ID: 3971815762 Enrollment ID: I20190624000115 |
| Provider Name | Sandeep Devarapalli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356756142 PECOS PAC ID: 0648504712 Enrollment ID: I20190624001163 |
| Provider Name | Erin Amanda Fender |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982993812 PECOS PAC ID: 2860638152 Enrollment ID: I20190626003636 |
| Provider Name | Daniel Kreider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154784007 PECOS PAC ID: 8921390097 Enrollment ID: I20190701001545 |
| Provider Name | Cindy Lee Nevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790741619 PECOS PAC ID: 5294809638 Enrollment ID: I20190703000825 |
| Provider Name | Amanda Pope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528625902 PECOS PAC ID: 3274868740 Enrollment ID: I20190708000142 |
| Provider Name | Cassandra A Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801237649 PECOS PAC ID: 8123374162 Enrollment ID: I20190710001898 |
| Provider Name | Amanda Streeper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588224877 PECOS PAC ID: 1052646080 Enrollment ID: I20190715000317 |
| Provider Name | David Patrick Hanaway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558756635 PECOS PAC ID: 1951603794 Enrollment ID: I20190718003413 |
| Provider Name | Olivia Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285094532 PECOS PAC ID: 8921345968 Enrollment ID: I20190723000645 |
| Provider Name | Jennifer Creed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508109430 PECOS PAC ID: 0941579817 Enrollment ID: I20190725000301 |
| Provider Name | Hersh Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912345950 PECOS PAC ID: 8820395130 Enrollment ID: I20190725002166 |
| Provider Name | Elise C Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972860427 PECOS PAC ID: 3678717071 Enrollment ID: I20190727000194 |
| Provider Name | Susan B Roth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124054465 PECOS PAC ID: 1254510241 Enrollment ID: I20190729002966 |
| Provider Name | Heather H Lukk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992366355 PECOS PAC ID: 5597092296 Enrollment ID: I20190802001710 |
| Provider Name | Kelly E Mcnamara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306232525 PECOS PAC ID: 4789920455 Enrollment ID: I20190806002262 |
| Provider Name | Mahesh Polavarapu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164812889 PECOS PAC ID: 1850683202 Enrollment ID: I20190807000390 |
| Provider Name | Megan Marie Morsello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306301791 PECOS PAC ID: 0840527818 Enrollment ID: I20190814000435 |
| Provider Name | Dakota M Urban |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689094534 PECOS PAC ID: 3274750401 Enrollment ID: I20190814002277 |
| Provider Name | Rebecca Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497307367 PECOS PAC ID: 8729315684 Enrollment ID: I20190815000234 |
| Provider Name | Janika Inez Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255642930 PECOS PAC ID: 9133362593 Enrollment ID: I20190815001092 |
| Provider Name | Andrew Ryan Deitchman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225320427 PECOS PAC ID: 6204076250 Enrollment ID: I20190815001621 |
| Provider Name | Robert David Brown |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548689037 PECOS PAC ID: 7315274172 Enrollment ID: I20190816000823 |
| Provider Name | Steven Assalita |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184967937 PECOS PAC ID: 1850629536 Enrollment ID: I20190819002880 |
| Provider Name | Mohammad Umar Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750622924 PECOS PAC ID: 3779884473 Enrollment ID: I20190820000522 |
| Provider Name | Victoria L Shertel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730542036 PECOS PAC ID: 9537452032 Enrollment ID: I20190821001660 |
| Provider Name | Helen Hyejin Paik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851730360 PECOS PAC ID: 4981994605 Enrollment ID: I20190823000676 |
| Provider Name | Breighanna K Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477949816 PECOS PAC ID: 9234449422 Enrollment ID: I20190826003033 |
| Provider Name | Raafia Memon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144646738 PECOS PAC ID: 2961703657 Enrollment ID: I20190827002891 |
| Provider Name | Jennifer R Piaskowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821641838 PECOS PAC ID: 2567791353 Enrollment ID: I20190904000018 |
| Provider Name | Nicholas Rosenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750701793 PECOS PAC ID: 0547487712 Enrollment ID: I20190904002492 |
| Provider Name | Melvis E Ngalla-oluka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245598846 PECOS PAC ID: 1951630599 Enrollment ID: I20190909000172 |
| Provider Name | Vikram Shenoy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710397906 PECOS PAC ID: 5991002909 Enrollment ID: I20190909001599 |
| Provider Name | Gina Frances Riccardi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275951915 PECOS PAC ID: 2163722604 Enrollment ID: I20190910002949 |
| Provider Name | Karrie L Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265084131 PECOS PAC ID: 0749519049 Enrollment ID: I20190912000006 |
| Provider Name | Vanessa Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245624667 PECOS PAC ID: 7810293354 Enrollment ID: I20190912000515 |
| Provider Name | Tara Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558660779 PECOS PAC ID: 5597095471 Enrollment ID: I20190918002946 |
| Provider Name | Laura Kretz Mayover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922472620 PECOS PAC ID: 2365749900 Enrollment ID: I20190924000518 |
| Provider Name | Douglas Lienesch |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124129747 PECOS PAC ID: 5890746499 Enrollment ID: I20190925000077 |
| Provider Name | Stephanie A Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164659991 PECOS PAC ID: 6103073184 Enrollment ID: I20190925001271 |
| Provider Name | Sharon J Lucey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801444864 PECOS PAC ID: 6608106034 Enrollment ID: I20190926002364 |
| Provider Name | Mingwei Ni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306161872 PECOS PAC ID: 8729390083 Enrollment ID: I20190930000346 |
| Provider Name | Marshala Rynette Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770872970 PECOS PAC ID: 1052641263 Enrollment ID: I20191001000465 |
| Provider Name | Usman Choudhry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497045504 PECOS PAC ID: 4981836152 Enrollment ID: I20191002002418 |
| Provider Name | Anna Nonnemacher Garton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1871140707 PECOS PAC ID: 9739419805 Enrollment ID: I20191003000094 |
| Provider Name | Susan Gorschboth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639722036 PECOS PAC ID: 8123359049 Enrollment ID: I20191008000811 |
| Provider Name | David Lainoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942361076 PECOS PAC ID: 0840204996 Enrollment ID: I20191010000013 |
| Provider Name | Michelle Marie Pacis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821383555 PECOS PAC ID: 9436462611 Enrollment ID: I20191010000705 |
| Provider Name | Lauren J Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417501677 PECOS PAC ID: 1153652763 Enrollment ID: I20191014000982 |
| Provider Name | Lisa M Poole |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558599019 PECOS PAC ID: 7315195914 Enrollment ID: I20191015000451 |
| Provider Name | Maria C Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497312482 PECOS PAC ID: 0446581839 Enrollment ID: I20191016002408 |
| Provider Name | Karen A Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528617388 PECOS PAC ID: 4385975606 Enrollment ID: I20191017000069 |
| Provider Name | Kelly Anne Saville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245880947 PECOS PAC ID: 4981936036 Enrollment ID: I20191023001277 |
| Provider Name | Kathleen C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528615184 PECOS PAC ID: 7911239876 Enrollment ID: I20191025000043 |
| Provider Name | Billie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962043877 PECOS PAC ID: 1052643806 Enrollment ID: I20191028000998 |
| Provider Name | Bernhard Heinrich Herlyn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710319629 PECOS PAC ID: 4587964101 Enrollment ID: I20191031001855 |
| Provider Name | Theresa Sabrina Birardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881899300 PECOS PAC ID: 8921297557 Enrollment ID: I20191107000057 |
| Provider Name | James A Ntambi |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1669659959 PECOS PAC ID: 0840465191 Enrollment ID: I20191112001385 |
| Provider Name | Suzanne A Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245596287 PECOS PAC ID: 2466884226 Enrollment ID: I20191115001337 |
| Provider Name | Stephanie A Caterson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588696025 PECOS PAC ID: 4587661665 Enrollment ID: I20191118001698 |
| Provider Name | Jessica Hung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467694695 PECOS PAC ID: 9537300975 Enrollment ID: I20191119000446 |
| Provider Name | Irma Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255974010 PECOS PAC ID: 5193157758 Enrollment ID: I20191120000377 |
| Provider Name | Marcin Andrew Jankowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538489687 PECOS PAC ID: 9133307093 Enrollment ID: I20191209000330 |
| Provider Name | Andrew Lord Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275174997 PECOS PAC ID: 9638502354 Enrollment ID: I20191210001850 |
| Provider Name | Rachel Astor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871830505 PECOS PAC ID: 3274966882 Enrollment ID: I20191211002521 |
| Provider Name | Carmela Longobardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679116420 PECOS PAC ID: 1951735224 Enrollment ID: I20191218002981 |
| Provider Name | Susan Elaine Catalan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982800942 PECOS PAC ID: 1153414131 Enrollment ID: I20191220001149 |
| Provider Name | Carrie L Hipple |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992091920 PECOS PAC ID: 9537465851 Enrollment ID: I20191220001693 |
| Provider Name | Carolinne L Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487088605 PECOS PAC ID: 5890922058 Enrollment ID: I20191227000090 |
| Provider Name | Dana C Farabaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497964597 PECOS PAC ID: 0244322162 Enrollment ID: I20200109001272 |
| Provider Name | Mitra Assadi-khansari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205917952 PECOS PAC ID: 1456530443 Enrollment ID: I20200113000191 |
| Provider Name | Adam K Skrzynski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245542836 PECOS PAC ID: 6305089392 Enrollment ID: I20200117001126 |
| Provider Name | Pippa L Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568747335 PECOS PAC ID: 9537594536 Enrollment ID: I20200122001051 |
| Provider Name | Lauren M Barile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942842935 PECOS PAC ID: 3678908522 Enrollment ID: I20200122003196 |
| Provider Name | Emily Bomasang-layno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336435544 PECOS PAC ID: 9436453271 Enrollment ID: I20200123000617 |
| Provider Name | Stephanie M O'connor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306483995 PECOS PAC ID: 9234564006 Enrollment ID: I20200124001624 |
| Provider Name | Paul Bhella |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457538548 PECOS PAC ID: 6103019369 Enrollment ID: I20200131000478 |
| Provider Name | Lourdes Milagros Santiago-gely |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851641054 PECOS PAC ID: 8820425416 Enrollment ID: I20200220000373 |
| Provider Name | Tamia Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043535800 PECOS PAC ID: 9032248166 Enrollment ID: I20200221002085 |
| Provider Name | Carlisa Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184256182 PECOS PAC ID: 4587091988 Enrollment ID: I20200225000803 |
| Provider Name | Josephine Mokonogho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275791451 PECOS PAC ID: 8022287051 Enrollment ID: I20200227001744 |
| Provider Name | Mary Karcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801429931 PECOS PAC ID: 5496183527 Enrollment ID: I20200324000026 |
| Provider Name | Christina R Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699131243 PECOS PAC ID: 7719315720 Enrollment ID: I20200324003654 |
| Provider Name | Michael Goldberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114206752 PECOS PAC ID: 4789970344 Enrollment ID: I20200324003934 |
| Provider Name | Jacqueline C Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619504867 PECOS PAC ID: 8820427065 Enrollment ID: I20200409000034 |
| Provider Name | Cassandra Boehning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063046811 PECOS PAC ID: 3375973324 Enrollment ID: I20200415002581 |
| Provider Name | Michelle D Currey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063911022 PECOS PAC ID: 9537421136 Enrollment ID: I20200506000806 |
| Provider Name | Anita Ott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013080878 PECOS PAC ID: 6305911710 Enrollment ID: I20200507001158 |
| Provider Name | Tracy E Ransom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760704241 PECOS PAC ID: 3971771395 Enrollment ID: I20200520003746 |
| Provider Name | John Rowles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083009617 PECOS PAC ID: 1951612365 Enrollment ID: I20200529002911 |
| Provider Name | Anthony Tramontozzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265964597 PECOS PAC ID: 6800164500 Enrollment ID: I20200604001176 |
| Provider Name | Jordan J. Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912352659 PECOS PAC ID: 2567743800 Enrollment ID: I20200609000039 |
| Provider Name | Karen Louie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891107199 PECOS PAC ID: 1759621493 Enrollment ID: I20200615000107 |
| Provider Name | Shannon Wilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831620707 PECOS PAC ID: 5991073694 Enrollment ID: I20200616000009 |
| Provider Name | James Michael Larosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902337124 PECOS PAC ID: 1951679752 Enrollment ID: I20200618000876 |
| Provider Name | Siri M Holton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881058287 PECOS PAC ID: 2567754419 Enrollment ID: I20200619000150 |
| Provider Name | Olivia Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053843193 PECOS PAC ID: 5092083683 Enrollment ID: I20200626001888 |
| Provider Name | Leonard Mason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114122355 PECOS PAC ID: 6901112184 Enrollment ID: I20200629002696 |
| Provider Name | Daniel Helman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881081594 PECOS PAC ID: 1850600164 Enrollment ID: I20200701000230 |
| Provider Name | Joelle Adrienne Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912467523 PECOS PAC ID: 3870928013 Enrollment ID: I20200706000916 |
| Provider Name | Reid A Ravin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437415684 PECOS PAC ID: 9335405497 Enrollment ID: I20200709000391 |
| Provider Name | Ijaz Anwar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477971612 PECOS PAC ID: 4284931288 Enrollment ID: I20200713000378 |
| Provider Name | Markian Y Pazuniak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205218757 PECOS PAC ID: 9638410079 Enrollment ID: I20200714003950 |
| Provider Name | John Shenouda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952660532 PECOS PAC ID: 2062763535 Enrollment ID: I20200720000641 |
| Provider Name | Marybeth Rizzo-moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902072010 PECOS PAC ID: 0244478287 Enrollment ID: I20200724000295 |
| Provider Name | Sarah Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871949727 PECOS PAC ID: 4587957816 Enrollment ID: I20200728000849 |
| Provider Name | Paola A Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336508027 PECOS PAC ID: 0648694315 Enrollment ID: I20200728002283 |
| Provider Name | Keerthi L Surampudy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225567464 PECOS PAC ID: 8224453899 Enrollment ID: I20200730001746 |
| Provider Name | Daniel J Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902332877 PECOS PAC ID: 8628347598 Enrollment ID: I20200730002691 |
| Provider Name | Bradley Mudge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205839321 PECOS PAC ID: 5294794160 Enrollment ID: I20200803002530 |
| Provider Name | Mihir S Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366885451 PECOS PAC ID: 3678705936 Enrollment ID: I20200804000077 |
| Provider Name | Diana M Wohler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497105332 PECOS PAC ID: 0244524999 Enrollment ID: I20200804002785 |
| Provider Name | Ming Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720397250 PECOS PAC ID: 5294025607 Enrollment ID: I20200811001749 |
| Provider Name | Pawel T. Pomianowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659586352 PECOS PAC ID: 5496833634 Enrollment ID: I20200826001378 |
| Provider Name | Dawn J Leonard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063490167 PECOS PAC ID: 9234153776 Enrollment ID: I20200827000000 |
| Provider Name | Sarah Matthews |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1306291281 PECOS PAC ID: 0547509788 Enrollment ID: I20200902000454 |
| Provider Name | Angelica Montes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336679265 PECOS PAC ID: 7113297243 Enrollment ID: I20200922003315 |
| Provider Name | Anne King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952565475 PECOS PAC ID: 7416003892 Enrollment ID: I20200923000308 |
| Provider Name | Balaji Veerappan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912999152 PECOS PAC ID: 3375522741 Enrollment ID: I20200924000725 |
| Provider Name | Thomas T Chou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811102817 PECOS PAC ID: 0840316386 Enrollment ID: I20201022000048 |
| Provider Name | Jason A Rolls |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245497478 PECOS PAC ID: 0547324071 Enrollment ID: I20201110000436 |
| Provider Name | Yu Chiu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306227640 PECOS PAC ID: 4981038536 Enrollment ID: I20201110002241 |
| Provider Name | Mckenzie Lauren Weitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538718424 PECOS PAC ID: 6204246689 Enrollment ID: I20201113002654 |
| Provider Name | Valerie Staradub |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063466712 PECOS PAC ID: 9830150119 Enrollment ID: I20210108000466 |
| Provider Name | Kymberley Anne Schrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639710700 PECOS PAC ID: 3971916990 Enrollment ID: I20210113000535 |
| Provider Name | Kathryn Siemienski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295339851 PECOS PAC ID: 9537572557 Enrollment ID: I20210113000924 |
| Provider Name | Emily Martino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447859681 PECOS PAC ID: 1052725744 Enrollment ID: I20210120001236 |
| Provider Name | Rachel Arlene Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881283893 PECOS PAC ID: 3577977222 Enrollment ID: I20210121000167 |
| Provider Name | Leslie Susan Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871181750 PECOS PAC ID: 4082028568 Enrollment ID: I20210125000015 |
| Provider Name | Julie Lovinka Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356950208 PECOS PAC ID: 6507286382 Enrollment ID: I20210125000568 |
| Provider Name | Bobbie J Mccready |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922697598 PECOS PAC ID: 3274947700 Enrollment ID: I20210125002269 |
| Provider Name | Julie Pifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245839786 PECOS PAC ID: 1456766187 Enrollment ID: I20210210002450 |
| Provider Name | Jessica Lynn Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868076 PECOS PAC ID: 0143635631 Enrollment ID: I20210301000894 |
| Provider Name | Carla A Necelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538758065 PECOS PAC ID: 6608282132 Enrollment ID: I20210309000794 |
| Provider Name | Antoinette Elizabeth Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417562935 PECOS PAC ID: 7012323306 Enrollment ID: I20210311000932 |
| Provider Name | Morgan Findlay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063097798 PECOS PAC ID: 1850708736 Enrollment ID: I20210319000877 |
| Provider Name | Etsegenet F Tizazu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922481746 PECOS PAC ID: 7214354687 Enrollment ID: I20210406001273 |
| Provider Name | Catherine Tuite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104854280 PECOS PAC ID: 0042202004 Enrollment ID: I20210422001821 |
| Provider Name | Linda Kwon Nadot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730719709 PECOS PAC ID: 4981012150 Enrollment ID: I20210428001575 |
| Provider Name | Madison Leigh Cebula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336721513 PECOS PAC ID: 5496164576 Enrollment ID: I20210430000571 |
| Provider Name | Jed E Derrickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164518668 PECOS PAC ID: 9436429727 Enrollment ID: I20210511002982 |
| Provider Name | Stacey Lynn Byam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639750177 PECOS PAC ID: 9335558907 Enrollment ID: I20210511002989 |
| Provider Name | Andrew Pei-wei Shyu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275066599 PECOS PAC ID: 2163778713 Enrollment ID: I20210524002756 |
| Provider Name | Priscilla Mpasi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699193615 PECOS PAC ID: 5799084828 Enrollment ID: I20210525000378 |
| Provider Name | Alexandra Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265950315 PECOS PAC ID: 1355607888 Enrollment ID: I20210610001474 |
| Provider Name | Dmitry Trifanov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386024107 PECOS PAC ID: 9931407822 Enrollment ID: I20210624001333 |
| Provider Name | Sonul Gulati |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265880652 PECOS PAC ID: 7416245188 Enrollment ID: I20210624002334 |
| Provider Name | Benjamin Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629430038 PECOS PAC ID: 5991098469 Enrollment ID: I20210628000081 |
| Provider Name | Christine Elizabeth Burgert-lon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346576394 PECOS PAC ID: 7315253028 Enrollment ID: I20210628000374 |
| Provider Name | Hannah E Robertson Chijioke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629648738 PECOS PAC ID: 3971905548 Enrollment ID: I20210706002333 |
| Provider Name | Sudeshna Chatterjee-paer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1962794743 PECOS PAC ID: 8123378593 Enrollment ID: I20210708000721 |
| Provider Name | Kevin Kindler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578057410 PECOS PAC ID: 7214286657 Enrollment ID: I20210709000240 |
| Provider Name | Timothy James Niesen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780974105 PECOS PAC ID: 2961645122 Enrollment ID: I20210713000489 |
| Provider Name | Ramya Shankaranaraya Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255728689 PECOS PAC ID: 5799187506 Enrollment ID: I20210715001216 |
| Provider Name | Angela Christina Kaushal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306417746 PECOS PAC ID: 2163825407 Enrollment ID: I20210726000316 |
| Provider Name | Gabriel Rothschild Hoffman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417376468 PECOS PAC ID: 4082914320 Enrollment ID: I20210727003648 |
| Provider Name | Carly Fabrizio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548688948 PECOS PAC ID: 1658641840 Enrollment ID: I20210728001634 |
| Provider Name | Elizabeth Isobel Barchi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588084347 PECOS PAC ID: 0547543035 Enrollment ID: I20210728001742 |
| Provider Name | Caitlin Ingraham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891226981 PECOS PAC ID: 7719255579 Enrollment ID: I20210728002524 |
| Provider Name | Marwan G Ma'ayeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013322544 PECOS PAC ID: 9739582537 Enrollment ID: I20210730000036 |
| Provider Name | Shivdeep K Deo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922452010 PECOS PAC ID: 3476845702 Enrollment ID: I20210730002770 |
| Provider Name | Isata Sesay |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1215347588 PECOS PAC ID: 6901021278 Enrollment ID: I20210805001781 |
| Provider Name | Shady Abdelbaki |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003270414 PECOS PAC ID: 1658625876 Enrollment ID: I20210809000081 |
| Provider Name | Sarim Baig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194110783 PECOS PAC ID: 9830400464 Enrollment ID: I20210812000953 |
| Provider Name | David Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255696225 PECOS PAC ID: 3274848023 Enrollment ID: I20210812003402 |
| Provider Name | Giovanni Pascal Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467029330 PECOS PAC ID: 9133524713 Enrollment ID: I20210819001825 |
| Provider Name | Lindsay Beth Glorioso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366989915 PECOS PAC ID: 3678845054 Enrollment ID: I20210819002255 |
| Provider Name | Christopher Verdone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922487164 PECOS PAC ID: 8123322112 Enrollment ID: I20210823000237 |
| Provider Name | Carmen Tugulan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215270079 PECOS PAC ID: 5890045744 Enrollment ID: I20210824001820 |
| Provider Name | Esther Songi Han |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295147619 PECOS PAC ID: 4981828480 Enrollment ID: I20210831001071 |
| Provider Name | Franziska Herpich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689051302 PECOS PAC ID: 5890090542 Enrollment ID: I20210902000055 |
| Provider Name | Rachel Smolskis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073186730 PECOS PAC ID: 2163828922 Enrollment ID: I20210902002763 |
| Provider Name | Jonathan Burhan Imran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639513054 PECOS PAC ID: 1759787401 Enrollment ID: I20210907000752 |
| Provider Name | David Christopher Palange |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1750776951 PECOS PAC ID: 3971909524 Enrollment ID: I20210907001025 |
| Provider Name | Brian Samuel Oommen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841425964 PECOS PAC ID: 2264658210 Enrollment ID: I20210908000095 |
| Provider Name | Catherine M Luko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578236303 PECOS PAC ID: 1850797143 Enrollment ID: I20210913001173 |
| Provider Name | Georgia Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225533375 PECOS PAC ID: 7214287580 Enrollment ID: I20210914000764 |
| Provider Name | Magdalena Spariosu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467472050 PECOS PAC ID: 1355498726 Enrollment ID: I20210922000060 |
| Provider Name | Robin Toler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538288444 PECOS PAC ID: 6103879853 Enrollment ID: I20210924003027 |
| Provider Name | Mary Kate Mellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265108013 PECOS PAC ID: 0042617482 Enrollment ID: I20210928000025 |
| Provider Name | Heather Chappius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972271633 PECOS PAC ID: 3779980982 Enrollment ID: I20210930000054 |
| Provider Name | Salema Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831867001 PECOS PAC ID: 4981002169 Enrollment ID: I20211004000654 |
| Provider Name | Michael David Kollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255009734 PECOS PAC ID: 1658779731 Enrollment ID: I20211004001421 |
| Provider Name | Michelle Calder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770259319 PECOS PAC ID: 2860890241 Enrollment ID: I20211015000853 |
| Provider Name | Denyale Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760150262 PECOS PAC ID: 9335547652 Enrollment ID: I20211018000280 |
| Provider Name | Jyoti Pandey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063980423 PECOS PAC ID: 3476951799 Enrollment ID: I20211018000492 |
| Provider Name | April Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518562958 PECOS PAC ID: 3870999808 Enrollment ID: I20211118001450 |
| Provider Name | Siobhan L Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801559067 PECOS PAC ID: 2365832490 Enrollment ID: I20211206000272 |
| Provider Name | Helen Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457018939 PECOS PAC ID: 0648660696 Enrollment ID: I20211206001515 |
| Provider Name | Asanthi Ratnasekera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831487479 PECOS PAC ID: 4688930167 Enrollment ID: I20211206001789 |
| Provider Name | Katherine Elizabeth Goemaat-suarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083370068 PECOS PAC ID: 8628468543 Enrollment ID: I20211209000072 |
| Provider Name | Boris Cordova Canas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689340952 PECOS PAC ID: 0547651960 Enrollment ID: I20211220000751 |
| Provider Name | Justin Sausville |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376679498 PECOS PAC ID: 6103096946 Enrollment ID: I20220105002263 |
| Provider Name | Theresa M Lerner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578151049 PECOS PAC ID: 3173937208 Enrollment ID: I20220210000127 |
| Provider Name | Julia Centrella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720419120 PECOS PAC ID: 8729472683 Enrollment ID: I20220218002124 |
| Provider Name | Kimberly L Imbesi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003252065 PECOS PAC ID: 6800193301 Enrollment ID: I20220221001513 |
| Provider Name | Shivani Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053721597 PECOS PAC ID: 0648497685 Enrollment ID: I20220222000211 |
| Provider Name | Anna E Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194483792 PECOS PAC ID: 7618361148 Enrollment ID: I20220228001499 |
| Provider Name | Stephen Guy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417934977 PECOS PAC ID: 8628021292 Enrollment ID: I20220303000480 |
| Provider Name | Megan E Lavery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093001273 PECOS PAC ID: 4688818941 Enrollment ID: I20220304000745 |
| Provider Name | Sedelle Y Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023665163 PECOS PAC ID: 4688996671 Enrollment ID: I20220316000114 |
| Provider Name | Thomas Chacko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023224888 PECOS PAC ID: 0446302863 Enrollment ID: I20220317000716 |
| Provider Name | Jhapat Bahadur Thapa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275815466 PECOS PAC ID: 7810202900 Enrollment ID: I20220324003013 |
| Provider Name | Jean Pantal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962634659 PECOS PAC ID: 5799011474 Enrollment ID: I20220330000696 |
| Provider Name | Flor De Maria Merma Santillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548845571 PECOS PAC ID: 4082000922 Enrollment ID: I20220401001704 |
| Provider Name | Dorothy Bird |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225361967 PECOS PAC ID: 0840424024 Enrollment ID: I20220405000007 |
| Provider Name | Kimberlee Ryann Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396498994 PECOS PAC ID: 8325434145 Enrollment ID: I20220405000011 |
| Provider Name | Ijeoma Ezeife |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851730048 PECOS PAC ID: 2860798196 Enrollment ID: I20220412000416 |
| Provider Name | Nisha Gandhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700176989 PECOS PAC ID: 9931331261 Enrollment ID: I20220509001918 |
| Provider Name | Aleshia Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669843439 PECOS PAC ID: 8527363407 Enrollment ID: I20220512002885 |
| Provider Name | Sara T Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750026662 PECOS PAC ID: 6103203823 Enrollment ID: I20220519000592 |
| Provider Name | Cynthia B Simonds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366752503 PECOS PAC ID: 6901839398 Enrollment ID: I20220520001273 |
| Provider Name | Diana Matteo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396066916 PECOS PAC ID: 7810205663 Enrollment ID: I20220520001823 |
| Provider Name | Mallory Harlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689019226 PECOS PAC ID: 7911286349 Enrollment ID: I20220527000019 |
| Provider Name | Connita Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801290713 PECOS PAC ID: 3274911243 Enrollment ID: I20220602002193 |
| Provider Name | Fennel Edward Kpolie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811545627 PECOS PAC ID: 8224416060 Enrollment ID: I20220607000479 |
| Provider Name | Zaid Ammari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003299843 PECOS PAC ID: 3779888508 Enrollment ID: I20220607000590 |
| Provider Name | Chelsea Hastry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700380235 PECOS PAC ID: 2961757232 Enrollment ID: I20220609000379 |
| Provider Name | Rebecca J Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902365083 PECOS PAC ID: 8123353646 Enrollment ID: I20220609000776 |
| Provider Name | John Quinn Berlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598250516 PECOS PAC ID: 6800126889 Enrollment ID: I20220609000849 |
| Provider Name | Muhammad Mohsin Qayyom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598326837 PECOS PAC ID: 5294113759 Enrollment ID: I20220613000729 |
| Provider Name | Faith Tiver Foran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356740617 PECOS PAC ID: 0547246944 Enrollment ID: I20220615001112 |
| Provider Name | Christian Kyndel Pedersen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083067755 PECOS PAC ID: 5890074850 Enrollment ID: I20220616001496 |
| Provider Name | Katelyn Hotaling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265936975 PECOS PAC ID: 6305101718 Enrollment ID: I20220623001782 |
| Provider Name | Arvind Sabesan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1023308574 PECOS PAC ID: 5597908566 Enrollment ID: I20220627000977 |
| Provider Name | James M Jarvis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285165092 PECOS PAC ID: 3779851472 Enrollment ID: I20220627001723 |
| Provider Name | Immad Kiani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265925572 PECOS PAC ID: 4880940493 Enrollment ID: I20220627002141 |
| Provider Name | Ram Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861996845 PECOS PAC ID: 9032464177 Enrollment ID: I20220627002407 |
| Provider Name | Sana Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437646122 PECOS PAC ID: 1658626924 Enrollment ID: I20220628000515 |
| Provider Name | Maria L Gregorio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255716767 PECOS PAC ID: 5395033559 Enrollment ID: I20220628002493 |
| Provider Name | Marie Suzanne Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255615415 PECOS PAC ID: 1557741147 Enrollment ID: I20220628003663 |
| Provider Name | Jillian M Jagoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578025938 PECOS PAC ID: 3375870413 Enrollment ID: I20220629000388 |
| Provider Name | Shelleon Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770220279 PECOS PAC ID: 5294115820 Enrollment ID: I20220629001142 |
| Provider Name | Patrick W Kerns |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427403260 PECOS PAC ID: 1658660857 Enrollment ID: I20220630002099 |
| Provider Name | Devyani Chowdhury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184819120 PECOS PAC ID: 5092795443 Enrollment ID: I20220704000435 |
| Provider Name | Henrique Jaime |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073074795 PECOS PAC ID: 1052649340 Enrollment ID: I20220707003127 |
| Provider Name | Jeffrey D Ruta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225488711 PECOS PAC ID: 0840616496 Enrollment ID: I20220707003173 |
| Provider Name | Max Weiss |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184966590 PECOS PAC ID: 3678873916 Enrollment ID: I20220712004027 |
| Provider Name | Kathleen Biblowitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790130813 PECOS PAC ID: 4587955448 Enrollment ID: I20220718002535 |
| Provider Name | Marisa Gilstrop Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124447685 PECOS PAC ID: 7113144262 Enrollment ID: I20220721000343 |
| Provider Name | Morgan Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184183154 PECOS PAC ID: 1557696739 Enrollment ID: I20220725002129 |
| Provider Name | Zuzana Lacca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134864069 PECOS PAC ID: 2567844723 Enrollment ID: I20220804000306 |
| Provider Name | Matthew Allen Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033843909 PECOS PAC ID: 8628450723 Enrollment ID: I20220805002959 |
| Provider Name | Neelam Kumari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841753464 PECOS PAC ID: 8325373715 Enrollment ID: I20220810000396 |
| Provider Name | John Picard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487001376 PECOS PAC ID: 7113211830 Enrollment ID: I20220810002646 |
| Provider Name | Jean Jaoude |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316043565 PECOS PAC ID: 3678570181 Enrollment ID: I20220812000046 |
| Provider Name | Salma Khatoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063867075 PECOS PAC ID: 6002150208 Enrollment ID: I20220812000329 |
| Provider Name | Bridget Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689231458 PECOS PAC ID: 5193057164 Enrollment ID: I20220814000037 |
| Provider Name | Khadega Abuelgasim Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1801070297 PECOS PAC ID: 2466841119 Enrollment ID: I20220815000021 |
| Provider Name | Ammar Alzoubi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1386720340 PECOS PAC ID: 1355383936 Enrollment ID: I20220815003490 |
| Provider Name | Dominique Mckeever |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225654858 PECOS PAC ID: 0840672267 Enrollment ID: I20220817003986 |
| Provider Name | Rod Momenian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568845279 PECOS PAC ID: 7012331432 Enrollment ID: I20220818002940 |
| Provider Name | Charlene Jones |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316350366 PECOS PAC ID: 9032537147 Enrollment ID: I20220819002938 |
| Provider Name | Shivani Vekaria |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992251144 PECOS PAC ID: 4587992276 Enrollment ID: I20220822000308 |
| Provider Name | Zhifu Xiang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255666301 PECOS PAC ID: 8426203829 Enrollment ID: I20220822000424 |
| Provider Name | Victoria Lynn Martino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548752454 PECOS PAC ID: 3173907086 Enrollment ID: I20220826000074 |
| Provider Name | Madaser Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134611262 PECOS PAC ID: 5092199646 Enrollment ID: I20220830004415 |
| Provider Name | Ayoka M Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609268341 PECOS PAC ID: 6901146331 Enrollment ID: I20220830004574 |
| Provider Name | Kacia Terry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497473144 PECOS PAC ID: 7214311737 Enrollment ID: I20220901002300 |
| Provider Name | Natasha Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114458213 PECOS PAC ID: 4789958091 Enrollment ID: I20220902000453 |
| Provider Name | Tomilade Adepoju |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053845065 PECOS PAC ID: 7618214164 Enrollment ID: I20220912000540 |
| Provider Name | Henry M Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386131183 PECOS PAC ID: 3173870334 Enrollment ID: I20220912001174 |
| Provider Name | Prardhana Challapalli Burbano De Lara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447578182 PECOS PAC ID: 1355649815 Enrollment ID: I20220916001644 |
| Provider Name | Rebecca J Newbrander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528559952 PECOS PAC ID: 8224376751 Enrollment ID: I20220916002579 |
| Provider Name | Kristen Suzanne Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023773561 PECOS PAC ID: 5698150803 Enrollment ID: I20220923000375 |
| Provider Name | Holleh Daria Husseinzadeh |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1528292711 PECOS PAC ID: 3173813235 Enrollment ID: I20220927002039 |
| Provider Name | Genevieve M Minick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558333500 PECOS PAC ID: 6901901297 Enrollment ID: I20220927003159 |
| Provider Name | Asra Arif |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1689038945 PECOS PAC ID: 6103228531 Enrollment ID: I20220929002691 |
| Provider Name | Kimberly A Arlinghaus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669480893 PECOS PAC ID: 7113196346 Enrollment ID: I20220930003062 |
| Provider Name | Marie Louise Rhoads Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265151963 PECOS PAC ID: 1850777509 Enrollment ID: I20221003002727 |
| Provider Name | Elizabeth Mccarthy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982068128 PECOS PAC ID: 3274826789 Enrollment ID: I20221008000032 |
| Provider Name | Gail Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760102214 PECOS PAC ID: 2062888316 Enrollment ID: I20221012001250 |
| Provider Name | Jessica Marie Tansey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588385835 PECOS PAC ID: 9234505504 Enrollment ID: I20221012001767 |
| Provider Name | Amatul Basit Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205890258 PECOS PAC ID: 5294779336 Enrollment ID: I20221013001475 |
| Provider Name | Kareem Genena |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396290888 PECOS PAC ID: 5496080079 Enrollment ID: I20221016000039 |
| Provider Name | Dawn Terie Ploucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316668049 PECOS PAC ID: 0143696062 Enrollment ID: I20221018002390 |
| Provider Name | Barbara E Hanlon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841958147 PECOS PAC ID: 4082006507 Enrollment ID: I20221018002550 |
| Provider Name | Ramanpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578284626 PECOS PAC ID: 7911373832 Enrollment ID: I20221018002627 |
| Provider Name | David Trinkley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982764536 PECOS PAC ID: 5092842302 Enrollment ID: I20221020000296 |
| Provider Name | Alexandra Pappas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568139921 PECOS PAC ID: 0244606887 Enrollment ID: I20221021001893 |
| Provider Name | Megan Leigh Mcmahon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568109163 PECOS PAC ID: 4284000860 Enrollment ID: I20221024000447 |
| Provider Name | Natasha Ramanayake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952950537 PECOS PAC ID: 6103293584 Enrollment ID: I20221028001022 |
| Provider Name | Kalia C Cole-avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265802953 PECOS PAC ID: 7315249059 Enrollment ID: I20221031000636 |
| Provider Name | Eileen Bishop |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629205166 PECOS PAC ID: 5294989919 Enrollment ID: I20221108002636 |
| Provider Name | Christina Lynch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902543051 PECOS PAC ID: 0042687733 Enrollment ID: I20221109002574 |
| Provider Name | Douglas Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669891214 PECOS PAC ID: 7315315777 Enrollment ID: I20221116002338 |
| Provider Name | Kelsey Rae Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932774676 PECOS PAC ID: 4587032867 Enrollment ID: I20221117000241 |
| Provider Name | Carla Basadre Quiroz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245612605 PECOS PAC ID: 8729373204 Enrollment ID: I20221120000001 |
| Provider Name | Narsis Aminian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710416870 PECOS PAC ID: 3678841640 Enrollment ID: I20221121002041 |
| Provider Name | Lauren M Lenoir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346957909 PECOS PAC ID: 4789052747 Enrollment ID: I20221122002422 |
| Provider Name | Brianna Nicole Dix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093422800 PECOS PAC ID: 4385012210 Enrollment ID: I20221123002424 |
| Provider Name | Saranya Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124460209 PECOS PAC ID: 3375958945 Enrollment ID: I20221205000562 |
| Provider Name | Fatimah Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629793807 PECOS PAC ID: 8921477423 Enrollment ID: I20221205002819 |
| Provider Name | Angela M Madariaga |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689391955 PECOS PAC ID: 3476922592 Enrollment ID: I20221213001268 |
| Provider Name | Robert A Jakubowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043624463 PECOS PAC ID: 1153615125 Enrollment ID: I20221220001079 |
| Provider Name | Meghan Boros |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538441175 PECOS PAC ID: 2961709449 Enrollment ID: I20230111000032 |
| Provider Name | Mackenzie E Marky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891407482 PECOS PAC ID: 5092186551 Enrollment ID: I20230119001697 |
| Provider Name | Meghan Lynn Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861114787 PECOS PAC ID: 2264804756 Enrollment ID: I20230209001581 |
| Provider Name | Kori A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942675046 PECOS PAC ID: 1951774926 Enrollment ID: I20230222003068 |
| Provider Name | Nancy Gutierrez Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467834812 PECOS PAC ID: 1557617172 Enrollment ID: I20230301000000 |
| Provider Name | Kruti Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760042790 PECOS PAC ID: 0244663664 Enrollment ID: I20230307000027 |
| Provider Name | Meagan Prime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639896483 PECOS PAC ID: 7911370143 Enrollment ID: I20230308001996 |
| Provider Name | Ellen Minerva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679545677 PECOS PAC ID: 9739103854 Enrollment ID: I20230321000572 |
| Provider Name | Elyse Mcglumphy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609261460 PECOS PAC ID: 8820323298 Enrollment ID: I20230322001361 |
| Provider Name | Jonathan B Finkel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760708358 PECOS PAC ID: 2365675253 Enrollment ID: I20230403002188 |
| Provider Name | Charles Mcclure |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1619941580 PECOS PAC ID: 1355536475 Enrollment ID: I20230404001642 |
| Provider Name | Francina Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780388819 PECOS PAC ID: 4981061082 Enrollment ID: I20230606000162 |
| Provider Name | Kimberly Ann Scarpa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457567182 PECOS PAC ID: 9436303393 Enrollment ID: I20230608001183 |
| Provider Name | Bethany Faith Sterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538503552 PECOS PAC ID: 8729218987 Enrollment ID: I20230613000694 |
| Provider Name | Mathew Joseph |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245729433 PECOS PAC ID: 1254708225 Enrollment ID: I20230615000216 |
| Provider Name | Silvia Barbeito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417474016 PECOS PAC ID: 0749668549 Enrollment ID: I20230620002287 |
| Provider Name | Azhar Bashma Waheed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497033955 PECOS PAC ID: 9537527742 Enrollment ID: I20230621000695 |
| Provider Name | Zachary M Diangelo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073074373 PECOS PAC ID: 2466787825 Enrollment ID: I20230621000979 |
| Provider Name | Pranav P Kansara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861654881 PECOS PAC ID: 2961717228 Enrollment ID: I20230623000705 |
| Provider Name | Scott Merrill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730640756 PECOS PAC ID: 2264767797 Enrollment ID: I20230623001863 |
| Provider Name | Myniqua Cotton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285344614 PECOS PAC ID: 3375901291 Enrollment ID: I20230623002667 |
| Provider Name | Philip John Margiotta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427582915 PECOS PAC ID: 3072881796 Enrollment ID: I20230626003439 |
| Provider Name | Brianna C Gutowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114489341 PECOS PAC ID: 9931434214 Enrollment ID: I20230627000936 |
| Provider Name | Nicholas J Jennelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083241459 PECOS PAC ID: 0042632895 Enrollment ID: I20230628000045 |
| Provider Name | Sara Khanipour Roshan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417483900 PECOS PAC ID: 9830458736 Enrollment ID: I20230628002615 |
| Provider Name | Brian Zloczover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851741466 PECOS PAC ID: 3173811965 Enrollment ID: I20230628003381 |
| Provider Name | Nishi H Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821435876 PECOS PAC ID: 1052620465 Enrollment ID: I20230629000712 |
| Provider Name | John O Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174180624 PECOS PAC ID: 7517322969 Enrollment ID: I20230701000030 |
| Provider Name | Blake H Shoemaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225657588 PECOS PAC ID: 2466874235 Enrollment ID: I20230703003051 |
| Provider Name | Victor M Rendon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720641368 PECOS PAC ID: 8921335084 Enrollment ID: I20230706003592 |
| Provider Name | Xiaoyang Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679067649 PECOS PAC ID: 3173871456 Enrollment ID: I20230707000426 |
| Provider Name | Jay R Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104351089 PECOS PAC ID: 3476824111 Enrollment ID: I20230707002808 |
| Provider Name | Austin D Hager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902434640 PECOS PAC ID: 8325461692 Enrollment ID: I20230711003150 |
| Provider Name | Scott Hunter Livingston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033679519 PECOS PAC ID: 9436518404 Enrollment ID: I20230712004342 |
| Provider Name | Gautam Sachdeva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760798177 PECOS PAC ID: 5294091393 Enrollment ID: I20230713000180 |
| Provider Name | Alice Yinghui Wang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487180808 PECOS PAC ID: 4385026871 Enrollment ID: I20230717003770 |
| Provider Name | Jessica C Fields |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508251752 PECOS PAC ID: 2961740840 Enrollment ID: I20230725001213 |
| Provider Name | Cheng Zhou |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295180008 PECOS PAC ID: 9032402599 Enrollment ID: I20230728001208 |
| Provider Name | Benjamin C Chaon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902245830 PECOS PAC ID: 7517101207 Enrollment ID: I20230730000124 |
| Provider Name | Jessica Lynn Krummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629338637 PECOS PAC ID: 2567694250 Enrollment ID: I20230802001834 |
| Provider Name | Emmanuel Otsin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023720612 PECOS PAC ID: 5294196572 Enrollment ID: I20230802003782 |
| Provider Name | Ebenezer T Oni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215325238 PECOS PAC ID: 4587922927 Enrollment ID: I20230807003356 |
| Provider Name | Jean-phillip Okhovat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497103105 PECOS PAC ID: 0941595862 Enrollment ID: I20230809001222 |
| Provider Name | Sneha R Lopes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407351141 PECOS PAC ID: 9335494418 Enrollment ID: I20230809001516 |
| Provider Name | Sarah Kate Gottschalk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821714064 PECOS PAC ID: 0446612394 Enrollment ID: I20230809003992 |
| Provider Name | Heran Abiye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922621846 PECOS PAC ID: 6103288063 Enrollment ID: I20230810000029 |
| Provider Name | Drew Hutzler Barnes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1942861836 PECOS PAC ID: 5799167060 Enrollment ID: I20230810000994 |
| Provider Name | Amber M Higgins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619464054 PECOS PAC ID: 8628323060 Enrollment ID: I20230810002194 |
| Provider Name | Carrie Beth Parks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326340118 PECOS PAC ID: 7113389958 Enrollment ID: I20230810004098 |
| Provider Name | Paramveer Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154777308 PECOS PAC ID: 6800258526 Enrollment ID: I20230812000120 |
| Provider Name | Catherine M Teskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770089112 PECOS PAC ID: 8325394026 Enrollment ID: I20230816003319 |
| Provider Name | Sinmisola Hassanat Ewumi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326401027 PECOS PAC ID: 6608120993 Enrollment ID: I20230817003091 |
| Provider Name | Maria Montano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356874325 PECOS PAC ID: 9234489485 Enrollment ID: I20230824003047 |
| Provider Name | Ashley Keifer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710547393 PECOS PAC ID: 7315325610 Enrollment ID: I20230829000289 |
| Provider Name | Jessica L Beadle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184243214 PECOS PAC ID: 2961824461 Enrollment ID: I20230829000901 |
| Provider Name | Michael William Noonan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902071202 PECOS PAC ID: 8022141886 Enrollment ID: I20230829004548 |
| Provider Name | Neeta Tripathi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164492385 PECOS PAC ID: 2860419322 Enrollment ID: I20230830002209 |
| Provider Name | Laura Lee Ciaramitaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518242874 PECOS PAC ID: 2567639180 Enrollment ID: I20230901000028 |
| Provider Name | Amanda B Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235527102 PECOS PAC ID: 0840536587 Enrollment ID: I20230905000541 |
| Provider Name | Emily Bollinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447879531 PECOS PAC ID: 1153752944 Enrollment ID: I20230906001048 |
| Provider Name | Gregory M Baker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255726667 PECOS PAC ID: 3971810029 Enrollment ID: I20230910000072 |
| Provider Name | Joshua Allen Swenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215564323 PECOS PAC ID: 1951725050 Enrollment ID: I20230911001244 |
| Provider Name | Saleena Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205465127 PECOS PAC ID: 3971967662 Enrollment ID: I20230913004164 |
| Provider Name | Hiral Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164207007 PECOS PAC ID: 8123482825 Enrollment ID: I20230913004314 |
| Provider Name | Rachel Bahar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154052538 PECOS PAC ID: 0042674368 Enrollment ID: I20230919003471 |
| Provider Name | Jongho Kim |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1760640478 PECOS PAC ID: 0941518492 Enrollment ID: I20230920003101 |
| Provider Name | Sarah E Swartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912560624 PECOS PAC ID: 2961861026 Enrollment ID: I20230921001254 |
| Provider Name | Belkys Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104388966 PECOS PAC ID: 6608204318 Enrollment ID: I20230921002283 |
| Provider Name | Irfan Ali Rhemtulla |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093158503 PECOS PAC ID: 5496999591 Enrollment ID: I20230922000401 |
| Provider Name | Alyssa Cara Alloy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518451517 PECOS PAC ID: 5294113130 Enrollment ID: I20230925001009 |
| Provider Name | Kiera Ramere Dortch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073390605 PECOS PAC ID: 5698129401 Enrollment ID: I20230927004269 |
| Provider Name | Malinda Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316721228 PECOS PAC ID: 2264886795 Enrollment ID: I20231002002055 |
| Provider Name | Steven Back |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346653946 PECOS PAC ID: 8820387160 Enrollment ID: I20231004001373 |
| Provider Name | Maria Dos Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053872341 PECOS PAC ID: 4981939071 Enrollment ID: I20231021000354 |
| Provider Name | Devanshu Verma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619350451 PECOS PAC ID: 3274849401 Enrollment ID: I20231026004184 |
| Provider Name | Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073703369 PECOS PAC ID: 5294828828 Enrollment ID: I20231030001070 |
| Provider Name | Victor Heresniak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336194596 PECOS PAC ID: 5193624427 Enrollment ID: I20231106001523 |
| Provider Name | Norma O Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760264451 PECOS PAC ID: 7719334135 Enrollment ID: I20231107001945 |
| Provider Name | Waseem Ahangar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619386695 PECOS PAC ID: 4981826286 Enrollment ID: I20231108000403 |
| Provider Name | Hannah Bartee Bukowski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013654789 PECOS PAC ID: 7315313574 Enrollment ID: I20231109002098 |
| Provider Name | Rebecca Filer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962275727 PECOS PAC ID: 3476900598 Enrollment ID: I20231111000766 |
| Provider Name | Madhu Sachdev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528084712 PECOS PAC ID: 7911085956 Enrollment ID: I20231113003752 |
| Provider Name | Oreste Julien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063292480 PECOS PAC ID: 0244687176 Enrollment ID: I20231114001484 |
| Provider Name | Sara K Lamonica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407629207 PECOS PAC ID: 7315395043 Enrollment ID: I20231118000710 |
| Provider Name | Darryl B Floyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689676421 PECOS PAC ID: 1759371750 Enrollment ID: I20231121001015 |
| Provider Name | Stacey Minter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891083713 PECOS PAC ID: 9830441625 Enrollment ID: I20231122001192 |
| Provider Name | Margo Nicole Carlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578970471 PECOS PAC ID: 4789911181 Enrollment ID: I20231128001421 |
| Provider Name | Steven Huege |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598716367 PECOS PAC ID: 1557330206 Enrollment ID: I20231218002267 |
| Provider Name | John Mark Pool |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134338114 PECOS PAC ID: 5496818395 Enrollment ID: I20231228000213 |
| Provider Name | Alain Asher |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871569400 PECOS PAC ID: 1052349289 Enrollment ID: I20240104002901 |
| Provider Name | Cynthia L Guy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225708134 PECOS PAC ID: 0941651756 Enrollment ID: I20240105002234 |
| Provider Name | Meghan C Hudson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508376195 PECOS PAC ID: 4789036716 Enrollment ID: I20240116001419 |
| Provider Name | Lisa M Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346373206 PECOS PAC ID: 2264884196 Enrollment ID: I20240117000181 |
| Provider Name | Joseph Costic |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770532228 PECOS PAC ID: 3375732092 Enrollment ID: I20240123001166 |
| Provider Name | Getinet A Kassa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629331855 PECOS PAC ID: 4587840731 Enrollment ID: I20240130000997 |
| Provider Name | Ahlam Bawazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366218356 PECOS PAC ID: 4082057971 Enrollment ID: I20240207003420 |
| Provider Name | Alicia Marie Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457120313 PECOS PAC ID: 5294179461 Enrollment ID: I20240215001285 |
| Provider Name | Vera Kishta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689440976 PECOS PAC ID: 6709220916 Enrollment ID: I20240215002664 |
| Provider Name | Spencer P Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861172116 PECOS PAC ID: 6204270028 Enrollment ID: I20240221000185 |
| Provider Name | Stacey Renee Brown-adekunle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982369369 PECOS PAC ID: 2961847272 Enrollment ID: I20240227000767 |
| Provider Name | Steven Cetel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518320811 PECOS PAC ID: 1254623192 Enrollment ID: I20240229000114 |
| Provider Name | Roger Liu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306337860 PECOS PAC ID: 3072840495 Enrollment ID: I20240304002758 |
| Provider Name | Nawar Al Rawas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235425562 PECOS PAC ID: 2567603434 Enrollment ID: I20240307000143 |
| Provider Name | Abner Santiago |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619127842 PECOS PAC ID: 4082041488 Enrollment ID: I20240308003363 |
| Provider Name | Jessica Mercier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821627027 PECOS PAC ID: 6305282641 Enrollment ID: I20240309000045 |
| Provider Name | Melissa K Bucher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629834312 PECOS PAC ID: 5991141624 Enrollment ID: I20240315001981 |
| Provider Name | Peter Zingone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144762519 PECOS PAC ID: 1254778707 Enrollment ID: I20240320002364 |
| Provider Name | Carly Chamberlain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689134686 PECOS PAC ID: 1456688654 Enrollment ID: I20240325000528 |
| Provider Name | Katherine Laine Coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023773777 PECOS PAC ID: 6002254737 Enrollment ID: I20240401001902 |
| Provider Name | Jason A Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205128998 PECOS PAC ID: 5698088136 Enrollment ID: I20240404000624 |
| Provider Name | Gabrielle Rebekah Mitchell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487411401 PECOS PAC ID: 5496193823 Enrollment ID: I20240404002312 |
| Provider Name | Maia A Tinder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902361363 PECOS PAC ID: 2769715796 Enrollment ID: I20240408000137 |
| Provider Name | Betsy Ann Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043747603 PECOS PAC ID: 0446625552 Enrollment ID: I20240507001920 |
| Provider Name | Muhammad Afzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780248112 PECOS PAC ID: 2961735402 Enrollment ID: I20240614002560 |
| Mailing Address | Practice Location Address |
|---|---|
| Cchs Pmri Po Box 30170, Wilmington, DE 19805-7170 Ph: (302) 623-7019 | Cchs Pmri 3506 Kennett Pike, Pmri, Wilmington, DE 19807-3019 Ph: (302) 661-3000 |