| Central Ohio Primary Care Physicians, Inc. | |
|
655 Africa Rd, Westerville, OH 43082-9808 | |
| (614) 326-2672 | |
| (614) 326-2685 |
| Full Name | Central Ohio Primary Care Physicians, Inc. |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 655 Africa Rd, Westerville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194705194 | NPI | - | NPPES |
| 2040428 | Medicaid | OH |
| Provider Name | Michelle Lou Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164408258 PECOS PAC ID: 5092627208 Enrollment ID: I20031106000046 |
| Provider Name | Sarah J Alley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902882095 PECOS PAC ID: 8820900038 Enrollment ID: I20031106000135 |
| Provider Name | Danilo Polonia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851389324 PECOS PAC ID: 3971409657 Enrollment ID: I20031211001106 |
| Provider Name | Elaine M Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851383657 PECOS PAC ID: 9133028384 Enrollment ID: I20040107000215 |
| Provider Name | Catherine O Spiess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801907522 PECOS PAC ID: 1850290735 Enrollment ID: I20040113000091 |
| Provider Name | Ian J Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760598239 PECOS PAC ID: 7416856398 Enrollment ID: I20040113000138 |
| Provider Name | Laurie E Gossard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639285117 PECOS PAC ID: 2860391745 Enrollment ID: I20040113000368 |
| Provider Name | James R Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689650236 PECOS PAC ID: 2961304050 Enrollment ID: I20040121000008 |
| Provider Name | James R Dorado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033194949 PECOS PAC ID: 8224930318 Enrollment ID: I20040121000016 |
| Provider Name | Julianne U Moledor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760466221 PECOS PAC ID: 0446152524 Enrollment ID: I20040121000560 |
| Provider Name | Sheree L Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376528661 PECOS PAC ID: 0244132959 Enrollment ID: I20040127000168 |
| Provider Name | Bernadette R Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750366035 PECOS PAC ID: 7012819253 Enrollment ID: I20040127000225 |
| Provider Name | Boyd D Curtis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255316964 PECOS PAC ID: 5496648982 Enrollment ID: I20040206000912 |
| Provider Name | Michelle M Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730283003 PECOS PAC ID: 0941193320 Enrollment ID: I20040209000135 |
| Provider Name | Cregg Duaine Ashcraft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548275340 PECOS PAC ID: 3375438914 Enrollment ID: I20040220000886 |
| Provider Name | Marietta A Hofmeister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639152317 PECOS PAC ID: 0648160275 Enrollment ID: I20040317001427 |
| Provider Name | Caroline D Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902889686 PECOS PAC ID: 9638069180 Enrollment ID: I20040318000010 |
| Provider Name | Mihai Jipa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033172820 PECOS PAC ID: 5395637672 Enrollment ID: I20040330000329 |
| Provider Name | Douglas R Schumacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528044849 PECOS PAC ID: 2365435146 Enrollment ID: I20040419000067 |
| Provider Name | Julianne Brackin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851360358 PECOS PAC ID: 7810983863 Enrollment ID: I20040423000776 |
| Provider Name | Timothy W Anderson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568458446 PECOS PAC ID: 8628065901 Enrollment ID: I20040428001056 |
| Provider Name | David A Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912977166 PECOS PAC ID: 8628068459 Enrollment ID: I20040514000154 |
| Provider Name | Joan E King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770567232 PECOS PAC ID: 8325029242 Enrollment ID: I20040526001516 |
| Provider Name | Ronald M Taddeo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033154323 PECOS PAC ID: 7618958190 Enrollment ID: I20040528001299 |
| Provider Name | Richard Lyn Gummer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104809771 PECOS PAC ID: 9133100530 Enrollment ID: I20040529000141 |
| Provider Name | Jennifer K Overbey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043246523 PECOS PAC ID: 3577545854 Enrollment ID: I20040601001467 |
| Provider Name | Timothy S Coss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720071699 PECOS PAC ID: 3476537093 Enrollment ID: I20040614000281 |
| Provider Name | Paul J Grandinetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972588689 PECOS PAC ID: 8224012703 Enrollment ID: I20040614000828 |
| Provider Name | Monika J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356327647 PECOS PAC ID: 9133103625 Enrollment ID: I20040614000927 |
| Provider Name | Timothy R Mcmullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447236013 PECOS PAC ID: 7113901612 Enrollment ID: I20040614000999 |
| Provider Name | Robert F Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992781579 PECOS PAC ID: 5092799502 Enrollment ID: I20040614001029 |
| Provider Name | Thomas J Mcconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679569784 PECOS PAC ID: 4587657143 Enrollment ID: I20040615000213 |
| Provider Name | Svitlana Haynes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457307837 PECOS PAC ID: 3375529035 Enrollment ID: I20040624001739 |
| Provider Name | Anindya K Sen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164471207 PECOS PAC ID: 8921086489 Enrollment ID: I20040713000026 |
| Provider Name | Jaymin C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780785568 PECOS PAC ID: 9638158751 Enrollment ID: I20040714000309 |
| Provider Name | Johnny Joon Huh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962498972 PECOS PAC ID: 4880673847 Enrollment ID: I20040714001350 |
| Provider Name | Pierre Sumit Barua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063495620 PECOS PAC ID: 2668452004 Enrollment ID: I20040724000445 |
| Provider Name | Nishit G Jhaveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356400659 PECOS PAC ID: 6901878347 Enrollment ID: I20040806001120 |
| Provider Name | Catherine A Waterfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376520585 PECOS PAC ID: 4385617729 Enrollment ID: I20040816000000 |
| Provider Name | Francine A Giannetto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548243223 PECOS PAC ID: 0749253185 Enrollment ID: I20040816000004 |
| Provider Name | David Scott Lahue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861476327 PECOS PAC ID: 3072586387 Enrollment ID: I20040816000655 |
| Provider Name | Robert Lauren Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992782130 PECOS PAC ID: 3476526625 Enrollment ID: I20040816001071 |
| Provider Name | Maria Y Varveris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689651895 PECOS PAC ID: 5395718555 Enrollment ID: I20040816001137 |
| Provider Name | Stephen M Davakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295712412 PECOS PAC ID: 2365415577 Enrollment ID: I20040817000006 |
| Provider Name | Julie Ann Chalmers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528045770 PECOS PAC ID: 2264405471 Enrollment ID: I20040817000015 |
| Provider Name | Daniel P Melaragno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821075045 PECOS PAC ID: 1153394366 Enrollment ID: I20040817000032 |
| Provider Name | Cynthia A Reese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275510497 PECOS PAC ID: 9335112564 Enrollment ID: I20040817000125 |
| Provider Name | David R Neiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457335358 PECOS PAC ID: 7618940750 Enrollment ID: I20040817000279 |
| Provider Name | John Kevin Moffa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962489179 PECOS PAC ID: 1759354806 Enrollment ID: I20040817000396 |
| Provider Name | David H Sharkis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205811874 PECOS PAC ID: 7517930670 Enrollment ID: I20040817000455 |
| Provider Name | Alan D Steginsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780661991 PECOS PAC ID: 4284607359 Enrollment ID: I20040817000570 |
| Provider Name | Thomas L Blosser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851378061 PECOS PAC ID: 7113990037 Enrollment ID: I20040818000219 |
| Provider Name | Romi Bhasin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588653711 PECOS PAC ID: 6305819699 Enrollment ID: I20040818000446 |
| Provider Name | Gideon L King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548255367 PECOS PAC ID: 5193798056 Enrollment ID: I20040818000547 |
| Provider Name | Angela R Caffaratti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629010632 PECOS PAC ID: 2668445396 Enrollment ID: I20040819000496 |
| Provider Name | Angela C Bucci |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730167289 PECOS PAC ID: 5991779498 Enrollment ID: I20040820000958 |
| Provider Name | Daniela Elena Jipa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396782181 PECOS PAC ID: 3779557293 Enrollment ID: I20040820001137 |
| Provider Name | John W Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467550095 PECOS PAC ID: 7012984925 Enrollment ID: I20040910001070 |
| Provider Name | Marissa P Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386692986 PECOS PAC ID: 9931176286 Enrollment ID: I20040915000675 |
| Provider Name | Julie A Sabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285682724 PECOS PAC ID: 9335116698 Enrollment ID: I20040915000721 |
| Provider Name | Kathleen C Stiles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386630739 PECOS PAC ID: 3678541653 Enrollment ID: I20040917000597 |
| Provider Name | Steven E Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588658975 PECOS PAC ID: 7517927445 Enrollment ID: I20041014001265 |
| Provider Name | Vasanthy Rajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609853811 PECOS PAC ID: 7416917349 Enrollment ID: I20041014001275 |
| Provider Name | Patricia G Toohey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598712911 PECOS PAC ID: 8325008063 Enrollment ID: I20041015000963 |
| Provider Name | Venkatesh Chirravuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073562666 PECOS PAC ID: 4183685522 Enrollment ID: I20041020000285 |
| Provider Name | Samuel R Anderson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902883135 PECOS PAC ID: 5092777813 Enrollment ID: I20041103000052 |
| Provider Name | Jane L Emerick |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053307066 PECOS PAC ID: 4284690165 Enrollment ID: I20041202000390 |
| Provider Name | Cameron M Woodlief |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922083633 PECOS PAC ID: 4082671714 Enrollment ID: I20041214001263 |
| Provider Name | Monique A Boezi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841362332 PECOS PAC ID: 6507840683 Enrollment ID: I20041215001076 |
| Provider Name | Anuradha Kesari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740389352 PECOS PAC ID: 2264499631 Enrollment ID: I20041216001026 |
| Provider Name | Kristin L Oaks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801891643 PECOS PAC ID: 9830148030 Enrollment ID: I20050114000121 |
| Provider Name | Cathleen L Murphy Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417022260 PECOS PAC ID: 4688624083 Enrollment ID: I20050124000817 |
| Provider Name | Jamar George Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477537371 PECOS PAC ID: 4183675515 Enrollment ID: I20050203000037 |
| Provider Name | David M Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326028770 PECOS PAC ID: 2567413214 Enrollment ID: I20050210000023 |
| Provider Name | Sophia B Meis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568418408 PECOS PAC ID: 3577515550 Enrollment ID: I20050217000800 |
| Provider Name | Henry C Sleesman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982681110 PECOS PAC ID: 6305890013 Enrollment ID: I20050307000056 |
| Provider Name | Roger D Wilt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801873013 PECOS PAC ID: 1759335367 Enrollment ID: I20050308000032 |
| Provider Name | Kimberly D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093792228 PECOS PAC ID: 1456305689 Enrollment ID: I20050309001030 |
| Provider Name | Charmaine M Blair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740264647 PECOS PAC ID: 7810941895 Enrollment ID: I20050311000859 |
| Provider Name | Nhung S Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417903352 PECOS PAC ID: 8022064351 Enrollment ID: I20050329001297 |
| Provider Name | Rupenkumar Rameshbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689613366 PECOS PAC ID: 4981642584 Enrollment ID: I20050423000109 |
| Provider Name | Seth Edward Holtzapfel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689650269 PECOS PAC ID: 2264473016 Enrollment ID: I20050521000108 |
| Provider Name | Jonathan G Thorne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861479073 PECOS PAC ID: 4183666803 Enrollment ID: I20050524000175 |
| Provider Name | Justin Keith Krueger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528024197 PECOS PAC ID: 3870536451 Enrollment ID: I20050606000038 |
| Provider Name | Bhairavi Mukesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740381532 PECOS PAC ID: 2567406432 Enrollment ID: I20050613000786 |
| Provider Name | Amy Kelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659321453 PECOS PAC ID: 0941290746 Enrollment ID: I20050623000002 |
| Provider Name | Jay E Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891873162 PECOS PAC ID: 0244275956 Enrollment ID: I20050623000121 |
| Provider Name | Aradhi U Pandya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306829908 PECOS PAC ID: 7911942115 Enrollment ID: I20050628000000 |
| Provider Name | Melissa J Harrold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245271899 PECOS PAC ID: 4789610601 Enrollment ID: I20050712001049 |
| Provider Name | Phillip N Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972517522 PECOS PAC ID: 0345273298 Enrollment ID: I20050913000175 |
| Provider Name | Michael Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891770665 PECOS PAC ID: 0648203356 Enrollment ID: I20050914000058 |
| Provider Name | Stephen Thomas Woods |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922023977 PECOS PAC ID: 8820069149 Enrollment ID: I20050915000712 |
| Provider Name | Victoria Rentel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336180157 PECOS PAC ID: 7911931506 Enrollment ID: I20050922001039 |
| Provider Name | Susanna Eichler Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487640595 PECOS PAC ID: 5890729305 Enrollment ID: I20050923000775 |
| Provider Name | Stacy Lynn Scudder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598707515 PECOS PAC ID: 6800821539 Enrollment ID: I20051002000005 |
| Provider Name | Mark Hackman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740230739 PECOS PAC ID: 1355376088 Enrollment ID: I20051003000004 |
| Provider Name | Stephen Shell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831149822 PECOS PAC ID: 7719912344 Enrollment ID: I20051003000005 |
| Provider Name | Robert Hershfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316955636 PECOS PAC ID: 9537194162 Enrollment ID: I20051003000007 |
| Provider Name | Richard A Fikes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176686 PECOS PAC ID: 0648295782 Enrollment ID: I20051007000786 |
| Provider Name | Mary S Grulkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760420707 PECOS PAC ID: 4880619949 Enrollment ID: I20051007000905 |
| Provider Name | Thomas Edward Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467489898 PECOS PAC ID: 2062437122 Enrollment ID: I20051007000912 |
| Provider Name | Donna Marie Parsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437192952 PECOS PAC ID: 7810912565 Enrollment ID: I20051011001060 |
| Provider Name | Tracey L Trgovac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043257835 PECOS PAC ID: 9931124625 Enrollment ID: I20051011001238 |
| Provider Name | Christina S Leach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811970593 PECOS PAC ID: 3173549318 Enrollment ID: I20051018000460 |
| Provider Name | Audrey Frances Scott |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568596476 PECOS PAC ID: 9436175395 Enrollment ID: I20051019001144 |
| Provider Name | Nilesh Vrundacharan Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558303545 PECOS PAC ID: 6709803109 Enrollment ID: I20051025000759 |
| Provider Name | Kniaka R Bethel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497730063 PECOS PAC ID: 8820017114 Enrollment ID: I20051116000226 |
| Provider Name | Stephanie A Sekula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871692400 PECOS PAC ID: 2062432305 Enrollment ID: I20051130000969 |
| Provider Name | Douglas Alan Katula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982680567 PECOS PAC ID: 2769402882 Enrollment ID: I20051202000630 |
| Provider Name | Diana M Donati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184628869 PECOS PAC ID: 9335169499 Enrollment ID: I20051205000104 |
| Provider Name | Julianne C Huefner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154385680 PECOS PAC ID: 8527089101 Enrollment ID: I20051210000035 |
| Provider Name | Joseph W Pool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659336287 PECOS PAC ID: 9234150814 Enrollment ID: I20051210000053 |
| Provider Name | Scott A Prenger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639133234 PECOS PAC ID: 0143241729 Enrollment ID: I20051210000054 |
| Provider Name | Paul C Leidheiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932183498 PECOS PAC ID: 2860413465 Enrollment ID: I20051212000124 |
| Provider Name | Robert D Whitehead |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700863388 PECOS PAC ID: 3173544400 Enrollment ID: I20051214000083 |
| Provider Name | Duncan Eric Legg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053388025 PECOS PAC ID: 3971573569 Enrollment ID: I20060112000777 |
| Provider Name | Melissa Dianna Hopple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841267812 PECOS PAC ID: 8820011034 Enrollment ID: I20060112001070 |
| Provider Name | Joseph P Dusseau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114980463 PECOS PAC ID: 5597789685 Enrollment ID: I20060117000113 |
| Provider Name | Lara Blumberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174532477 PECOS PAC ID: 2567477516 Enrollment ID: I20060213000113 |
| Provider Name | Wayne W Beam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073548921 PECOS PAC ID: 1153336151 Enrollment ID: I20060213000469 |
| Provider Name | Jerry M Kunz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871596668 PECOS PAC ID: 6901811553 Enrollment ID: I20060217000484 |
| Provider Name | Jennifer M Mowry-fisk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528086758 PECOS PAC ID: 3779598321 Enrollment ID: I20060217000531 |
| Provider Name | Kathleen R Bartunek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912953126 PECOS PAC ID: 9931192598 Enrollment ID: I20060313000000 |
| Provider Name | Abigail J Shoemaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932141819 PECOS PAC ID: 7012924962 Enrollment ID: I20060317000002 |
| Provider Name | Kelly J Seifert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225071871 PECOS PAC ID: 6002826534 Enrollment ID: I20060428000166 |
| Provider Name | Mark A Dellinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710924410 PECOS PAC ID: 5294769105 Enrollment ID: I20060504000005 |
| Provider Name | Louis W Hevezi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386689768 PECOS PAC ID: 5597778407 Enrollment ID: I20060719000123 |
| Provider Name | Donna L Sterling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659330942 PECOS PAC ID: 2860405784 Enrollment ID: I20060719000138 |
| Provider Name | Kristine M Schmiesing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700835261 PECOS PAC ID: 3779596283 Enrollment ID: I20060731000374 |
| Provider Name | Michelle R Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982645909 PECOS PAC ID: 5294748604 Enrollment ID: I20060801000003 |
| Provider Name | Jason Winterhalter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639127756 PECOS PAC ID: 2264435460 Enrollment ID: I20060808000335 |
| Provider Name | Jennifer J Briones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386681443 PECOS PAC ID: 4183627185 Enrollment ID: I20060811000310 |
| Provider Name | Tarang Sharma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912941402 PECOS PAC ID: 1850394719 Enrollment ID: I20060814000448 |
| Provider Name | Shruti S Fernandes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225074800 PECOS PAC ID: 7719980697 Enrollment ID: I20060814000592 |
| Provider Name | Bryan N Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376578559 PECOS PAC ID: 0042243735 Enrollment ID: I20060817000418 |
| Provider Name | Robin Lynn Franz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285748806 PECOS PAC ID: 6305840521 Enrollment ID: I20060830000564 |
| Provider Name | Debra K King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295842151 PECOS PAC ID: 0143224741 Enrollment ID: I20060913000479 |
| Provider Name | Ravi S Dhawale |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023051299 PECOS PAC ID: 9032114533 Enrollment ID: I20060915000167 |
| Provider Name | Asif Q Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134185788 PECOS PAC ID: 0941205173 Enrollment ID: I20060922000012 |
| Provider Name | Kenneth W R Baker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679689467 PECOS PAC ID: 9739184706 Enrollment ID: I20060927000002 |
| Provider Name | Beata Kosiorowska-sterkowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477659993 PECOS PAC ID: 7810982170 Enrollment ID: I20060928000485 |
| Provider Name | Cheryl E Kollman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902828338 PECOS PAC ID: 2365447026 Enrollment ID: I20061002000433 |
| Provider Name | Theresa Vandecarr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982654620 PECOS PAC ID: 5395741755 Enrollment ID: I20061010000005 |
| Provider Name | Michael J Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346275104 PECOS PAC ID: 7810993961 Enrollment ID: I20061012000135 |
| Provider Name | Kimberly J Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467542662 PECOS PAC ID: 4385641927 Enrollment ID: I20061026000371 |
| Provider Name | Kort M Gronbach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336191170 PECOS PAC ID: 1850398033 Enrollment ID: I20061101000015 |
| Provider Name | John P Abad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356376800 PECOS PAC ID: 7911904776 Enrollment ID: I20061109000027 |
| Provider Name | Olivia C Hower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194708883 PECOS PAC ID: 4486652641 Enrollment ID: I20061122000208 |
| Provider Name | Lisa G Horn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083608939 PECOS PAC ID: 8527066620 Enrollment ID: I20061128000574 |
| Provider Name | Stephen D Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780632588 PECOS PAC ID: 4183623226 Enrollment ID: I20061219000000 |
| Provider Name | John T Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720037880 PECOS PAC ID: 3375543663 Enrollment ID: I20070111000002 |
| Provider Name | Assem Houssein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700865722 PECOS PAC ID: 0446251987 Enrollment ID: I20070125000214 |
| Provider Name | Jessica Blaire Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982709127 PECOS PAC ID: 1153423090 Enrollment ID: I20070223000649 |
| Provider Name | Jasmine Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821136284 PECOS PAC ID: 8022113802 Enrollment ID: I20070424000282 |
| Provider Name | Tishana R Lange |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578644555 PECOS PAC ID: 0749386076 Enrollment ID: I20070503000327 |
| Provider Name | Fouzia Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104042985 PECOS PAC ID: 5890892947 Enrollment ID: I20070524000128 |
| Provider Name | Mohan K Thirugnanam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518188051 PECOS PAC ID: 0749388247 Enrollment ID: I20070607000025 |
| Provider Name | Michael D Skeels |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922213552 PECOS PAC ID: 4981702115 Enrollment ID: I20070612000003 |
| Provider Name | Michael S Langan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770618688 PECOS PAC ID: 1052410487 Enrollment ID: I20070625000776 |
| Provider Name | Neil N Makadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760685242 PECOS PAC ID: 9234230418 Enrollment ID: I20070719000039 |
| Provider Name | Nicholas P Honda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467655597 PECOS PAC ID: 3779684535 Enrollment ID: I20070723000854 |
| Provider Name | Julie B Hundley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609089366 PECOS PAC ID: 2860593522 Enrollment ID: I20070725000007 |
| Provider Name | Meera Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538371505 PECOS PAC ID: 8325149768 Enrollment ID: I20070730000041 |
| Provider Name | Kara E Chidester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124172606 PECOS PAC ID: 8527159870 Enrollment ID: I20070801000402 |
| Provider Name | Dale A Michalak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972500494 PECOS PAC ID: 6800876541 Enrollment ID: I20070807000091 |
| Provider Name | Mili Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841496775 PECOS PAC ID: 0244321768 Enrollment ID: I20070813000087 |
| Provider Name | Timothy E Rowland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629197314 PECOS PAC ID: 1951492479 Enrollment ID: I20070813000105 |
| Provider Name | Amanda Elene Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073711602 PECOS PAC ID: 8921190737 Enrollment ID: I20070824000447 |
| Provider Name | Audra Justine Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073737763 PECOS PAC ID: 4880786607 Enrollment ID: I20070824000502 |
| Provider Name | John W Tyznik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811964786 PECOS PAC ID: 1153415567 Enrollment ID: I20070917000172 |
| Provider Name | Evan D Stathulis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215904180 PECOS PAC ID: 6709970130 Enrollment ID: I20070917000309 |
| Provider Name | Trieu P Hua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972579852 PECOS PAC ID: 2264526615 Enrollment ID: I20070917000475 |
| Provider Name | Christen M Coyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477744407 PECOS PAC ID: 3870688468 Enrollment ID: I20070927000243 |
| Provider Name | Raorajeshwar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518158203 PECOS PAC ID: 0143316489 Enrollment ID: I20071017000595 |
| Provider Name | John E Paes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912122334 PECOS PAC ID: 5294821575 Enrollment ID: I20071017000919 |
| Provider Name | Mary K Rohrkemper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902947971 PECOS PAC ID: 2365523354 Enrollment ID: I20080116000139 |
| Provider Name | John William Wulf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497732606 PECOS PAC ID: 3577644475 Enrollment ID: I20080117000012 |
| Provider Name | Mariam Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700954237 PECOS PAC ID: 5496710501 Enrollment ID: I20080123000450 |
| Provider Name | Scott W Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023092582 PECOS PAC ID: 1456433754 Enrollment ID: I20080125000130 |
| Provider Name | Randolph Oliver Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215991518 PECOS PAC ID: 4183707573 Enrollment ID: I20080207000609 |
| Provider Name | Lata Koneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881654945 PECOS PAC ID: 3375588098 Enrollment ID: I20080208000288 |
| Provider Name | Michael R Ports |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588648497 PECOS PAC ID: 1557444916 Enrollment ID: I20080208000355 |
| Provider Name | Arlene M Fedorchak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891998340 PECOS PAC ID: 8820173859 Enrollment ID: I20080314000066 |
| Provider Name | Bradley L Kunz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689612343 PECOS PAC ID: 3577648468 Enrollment ID: I20080318000158 |
| Provider Name | John C Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215021084 PECOS PAC ID: 5597780205 Enrollment ID: I20080319000537 |
| Provider Name | Jeffery J Moledor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992788673 PECOS PAC ID: 7618054669 Enrollment ID: I20080402000002 |
| Provider Name | David Lawrence Condon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891752994 PECOS PAC ID: 0547347437 Enrollment ID: I20080402000413 |
| Provider Name | Kimberly A Stock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053307827 PECOS PAC ID: 8729165253 Enrollment ID: I20080409000113 |
| Provider Name | Brian J Fornadel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194780981 PECOS PAC ID: 5698853265 Enrollment ID: I20080422000845 |
| Provider Name | Feng Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184607749 PECOS PAC ID: 9234218165 Enrollment ID: I20080505000212 |
| Provider Name | Kelly Lynn Conklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861475428 PECOS PAC ID: 1052480894 Enrollment ID: I20080520000004 |
| Provider Name | Mary V Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730163221 PECOS PAC ID: 2961571708 Enrollment ID: I20080520000005 |
| Provider Name | Mark E Aebi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760461693 PECOS PAC ID: 7719057694 Enrollment ID: I20080604000202 |
| Provider Name | Kristopher M Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174675268 PECOS PAC ID: 9436221041 Enrollment ID: I20080626000224 |
| Provider Name | Jason Cappuzzello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215112149 PECOS PAC ID: 8224100839 Enrollment ID: I20080626000247 |
| Provider Name | Shunaid M Pathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477726743 PECOS PAC ID: 1951473941 Enrollment ID: I20080708000614 |
| Provider Name | Bryan A Sauls |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417173907 PECOS PAC ID: 5991877987 Enrollment ID: I20080708000676 |
| Provider Name | Constantine N Kroustos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750404984 PECOS PAC ID: 5193897007 Enrollment ID: I20080710000172 |
| Provider Name | Danielle J Clemmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558576876 PECOS PAC ID: 7416020284 Enrollment ID: I20080728000091 |
| Provider Name | Jill A Schellhase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013910298 PECOS PAC ID: 3072687672 Enrollment ID: I20080730000673 |
| Provider Name | Francine M Pulver |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689645947 PECOS PAC ID: 8426075516 Enrollment ID: I20080804000486 |
| Provider Name | Mark A Hickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073516605 PECOS PAC ID: 8527134253 Enrollment ID: I20080904000199 |
| Provider Name | Ann H Calland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114924107 PECOS PAC ID: 7911067947 Enrollment ID: I20081120000929 |
| Provider Name | Barbara Susan Riggenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265683858 PECOS PAC ID: 2567523616 Enrollment ID: I20081208000197 |
| Provider Name | Animesh Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063455939 PECOS PAC ID: 0143385013 Enrollment ID: I20090210000680 |
| Provider Name | Michael J Simek |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407077472 PECOS PAC ID: 7315030707 Enrollment ID: I20090216000030 |
| Provider Name | Michelle C Arvai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730339839 PECOS PAC ID: 1153487145 Enrollment ID: I20090226000376 |
| Provider Name | Leslie Caryn Hoffman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891858312 PECOS PAC ID: 2062514292 Enrollment ID: I20090319000297 |
| Provider Name | Richard Gerrit Bakker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528244357 PECOS PAC ID: 9436208345 Enrollment ID: I20090526000476 |
| Provider Name | Stevco Stefanoski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023233111 PECOS PAC ID: 5193875615 Enrollment ID: I20090604000022 |
| Provider Name | Jennifer Sturgill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386803328 PECOS PAC ID: 0941350235 Enrollment ID: I20090608000497 |
| Provider Name | Anthony M Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538377197 PECOS PAC ID: 1254481310 Enrollment ID: I20090610000684 |
| Provider Name | Ravi Bellala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649483801 PECOS PAC ID: 6901956838 Enrollment ID: I20090615000247 |
| Provider Name | Joo Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598924524 PECOS PAC ID: 0143371849 Enrollment ID: I20090618000783 |
| Provider Name | Christopher George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679579981 PECOS PAC ID: 8022068683 Enrollment ID: I20090623000083 |
| Provider Name | Holly A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063621084 PECOS PAC ID: 7315098217 Enrollment ID: I20090707000227 |
| Provider Name | Douglas Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215931704 PECOS PAC ID: 2365595162 Enrollment ID: I20090727000388 |
| Provider Name | Fatima D Tsalikova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659586360 PECOS PAC ID: 2769535418 Enrollment ID: I20090729000179 |
| Provider Name | Leah Heinlen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245215094 PECOS PAC ID: 9335294362 Enrollment ID: I20090827000276 |
| Provider Name | Brad S Efaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841275229 PECOS PAC ID: 2466507439 Enrollment ID: I20090827000663 |
| Provider Name | Joanna L Failor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922217686 PECOS PAC ID: 7618023201 Enrollment ID: I20090923000547 |
| Provider Name | Susan S Goodlive |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861456303 PECOS PAC ID: 7911962352 Enrollment ID: I20090928000704 |
| Provider Name | Tonya M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720218654 PECOS PAC ID: 6002952876 Enrollment ID: I20091008000075 |
| Provider Name | Robert J Zsoldos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841416179 PECOS PAC ID: 3476690736 Enrollment ID: I20091020000277 |
| Provider Name | Helen Elizabeth Leahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144452921 PECOS PAC ID: 1153468707 Enrollment ID: I20091030000164 |
| Provider Name | Cory D Mehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154655595 PECOS PAC ID: 1052458510 Enrollment ID: I20091102000588 |
| Provider Name | Laura G Leland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407975014 PECOS PAC ID: 8325186877 Enrollment ID: I20091104000077 |
| Provider Name | Ajay Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023258381 PECOS PAC ID: 4688712482 Enrollment ID: I20091116000625 |
| Provider Name | Joan Wurmbrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790762904 PECOS PAC ID: 2769522002 Enrollment ID: I20091218000000 |
| Provider Name | Nami L Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023091683 PECOS PAC ID: 3779623921 Enrollment ID: I20091218000163 |
| Provider Name | Natalia Pushkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861488876 PECOS PAC ID: 8820098254 Enrollment ID: I20091221000247 |
| Provider Name | Jacqueline Marie Amico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487640264 PECOS PAC ID: 1658411889 Enrollment ID: I20091221000250 |
| Provider Name | Adam A Rush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649457250 PECOS PAC ID: 5092855932 Enrollment ID: I20091228000190 |
| Provider Name | Ann R Koval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427035633 PECOS PAC ID: 4183765829 Enrollment ID: I20100104000375 |
| Provider Name | Michael D Waluzak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053394601 PECOS PAC ID: 0749321404 Enrollment ID: I20100104000506 |
| Provider Name | Gina K Mantor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871589887 PECOS PAC ID: 3779624382 Enrollment ID: I20100105000270 |
| Provider Name | Roya Zarraby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689660698 PECOS PAC ID: 4385785922 Enrollment ID: I20100105000466 |
| Provider Name | Douglas Fosselman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679556229 PECOS PAC ID: 2365583820 Enrollment ID: I20100105000809 |
| Provider Name | Joseph C Linscott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811993801 PECOS PAC ID: 3173566130 Enrollment ID: I20100111000217 |
| Provider Name | Kristine Hollern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275516957 PECOS PAC ID: 8123169166 Enrollment ID: I20100112000860 |
| Provider Name | Jeannine M Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457320434 PECOS PAC ID: 7214070986 Enrollment ID: I20100203000234 |
| Provider Name | Donald A Deshetler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073510558 PECOS PAC ID: 7315081510 Enrollment ID: I20100225000114 |
| Provider Name | David E Born |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811994387 PECOS PAC ID: 2668517228 Enrollment ID: I20100308000044 |
| Provider Name | Neil E Richard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801865670 PECOS PAC ID: 0648312942 Enrollment ID: I20100325000000 |
| Provider Name | Timothy K Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336135037 PECOS PAC ID: 0244215424 Enrollment ID: I20100331000132 |
| Provider Name | Ronald G Vargo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902829526 PECOS PAC ID: 8527092436 Enrollment ID: I20100510000124 |
| Provider Name | Charlene M Crisp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558514794 PECOS PAC ID: 8123157781 Enrollment ID: I20100520000508 |
| Provider Name | John Dipietra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295770469 PECOS PAC ID: 3173652633 Enrollment ID: I20100521000893 |
| Provider Name | Paul E Shoaps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902855562 PECOS PAC ID: 7113064783 Enrollment ID: I20100524000663 |
| Provider Name | Stephen M Canowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174573224 PECOS PAC ID: 3971536798 Enrollment ID: I20100525000993 |
| Provider Name | Jean E Flaherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740449669 PECOS PAC ID: 6406985472 Enrollment ID: I20100601000410 |
| Provider Name | Boris Valdman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275582835 PECOS PAC ID: 4284763087 Enrollment ID: I20100603000146 |
| Provider Name | Malvina Khozina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063473288 PECOS PAC ID: 3870553373 Enrollment ID: I20100630000407 |
| Provider Name | Mark Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912170721 PECOS PAC ID: 7810028859 Enrollment ID: I20100708000338 |
| Provider Name | James A Natalie |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053535179 PECOS PAC ID: 3072644012 Enrollment ID: I20100708000361 |
| Provider Name | Michael Perry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700872884 PECOS PAC ID: 6406988260 Enrollment ID: I20100715000059 |
| Provider Name | Ralph R Romaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952380727 PECOS PAC ID: 8729130760 Enrollment ID: I20100719000160 |
| Provider Name | Lindsay D Rerko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184864431 PECOS PAC ID: 6406989615 Enrollment ID: I20100809000201 |
| Provider Name | Yunsheng Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487894747 PECOS PAC ID: 9032242227 Enrollment ID: I20100810000022 |
| Provider Name | Stephanie M Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750695649 PECOS PAC ID: 2961526249 Enrollment ID: I20100824000951 |
| Provider Name | Lee R Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114955002 PECOS PAC ID: 8022911494 Enrollment ID: I20100824000958 |
| Provider Name | Terry Lee Irwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699866160 PECOS PAC ID: 4789657149 Enrollment ID: I20100824001148 |
| Provider Name | Brian D Phipps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710085287 PECOS PAC ID: 4284758467 Enrollment ID: I20100824001176 |
| Provider Name | Brian S Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205076569 PECOS PAC ID: 5193840726 Enrollment ID: I20100920000145 |
| Provider Name | Jameelah S Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932368818 PECOS PAC ID: 3577689579 Enrollment ID: I20100928000361 |
| Provider Name | Laura L Sorg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033318373 PECOS PAC ID: 2264558287 Enrollment ID: I20100928000698 |
| Provider Name | Elizabeth Unk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104823632 PECOS PAC ID: 1052503166 Enrollment ID: I20101007001024 |
| Provider Name | Lora J Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770634701 PECOS PAC ID: 0547160343 Enrollment ID: I20101012000829 |
| Provider Name | Lisa J Braverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720139744 PECOS PAC ID: 8628978426 Enrollment ID: I20101012000912 |
| Provider Name | John Frank Vitullo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982870804 PECOS PAC ID: 4082807540 Enrollment ID: I20101018000565 |
| Provider Name | Joseph Jeu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508849647 PECOS PAC ID: 3375576085 Enrollment ID: I20101119000170 |
| Provider Name | Nicholas Robert Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629053475 PECOS PAC ID: 3779779863 Enrollment ID: I20101201000861 |
| Provider Name | Steven K Bixler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669782553 PECOS PAC ID: 5597952929 Enrollment ID: I20101209001440 |
| Provider Name | Wendy L Sparling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780695783 PECOS PAC ID: 9537057732 Enrollment ID: I20101214000044 |
| Provider Name | Johnny J Abidin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902885403 PECOS PAC ID: 5395771257 Enrollment ID: I20110119000015 |
| Provider Name | Christopher S Nickison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962481465 PECOS PAC ID: 2769418623 Enrollment ID: I20110119000028 |
| Provider Name | Robinette Huston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356425995 PECOS PAC ID: 0446271670 Enrollment ID: I20110119000209 |
| Provider Name | James B Dunnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801840194 PECOS PAC ID: 9537180765 Enrollment ID: I20110211000694 |
| Provider Name | Yasmin Q Mcinerney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902977887 PECOS PAC ID: 7416140033 Enrollment ID: I20110307000643 |
| Provider Name | Kevin T Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457559692 PECOS PAC ID: 7214081132 Enrollment ID: I20110310001048 |
| Provider Name | Misael Purugganan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962655159 PECOS PAC ID: 0648452656 Enrollment ID: I20110314000041 |
| Provider Name | Sana Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417100694 PECOS PAC ID: 9436331444 Enrollment ID: I20110314000072 |
| Provider Name | Laura R Nash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881990604 PECOS PAC ID: 2769665397 Enrollment ID: I20110319000085 |
| Provider Name | Monika Jhaveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083802854 PECOS PAC ID: 5496931479 Enrollment ID: I20110510000292 |
| Provider Name | Scott Michael Reineck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023282068 PECOS PAC ID: 9739366154 Enrollment ID: I20110610000363 |
| Provider Name | Helen Kwong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831339183 PECOS PAC ID: 9830377340 Enrollment ID: I20110706000201 |
| Provider Name | Jennifer H Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205822483 PECOS PAC ID: 0244408342 Enrollment ID: I20110715000203 |
| Provider Name | Janet S Orr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659367738 PECOS PAC ID: 5395913438 Enrollment ID: I20110716000002 |
| Provider Name | Alicia H Thorne |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043482037 PECOS PAC ID: 9830385830 Enrollment ID: I20110816000019 |
| Provider Name | Regina A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487985685 PECOS PAC ID: 4183895436 Enrollment ID: I20110919000594 |
| Provider Name | Bharatkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952692667 PECOS PAC ID: 4789855594 Enrollment ID: I20110927000198 |
| Provider Name | Robert W Stephenson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588664650 PECOS PAC ID: 3870652415 Enrollment ID: I20111018000468 |
| Provider Name | Yolanda Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801179312 PECOS PAC ID: 1456525740 Enrollment ID: I20111123000208 |
| Provider Name | Bradley Lisko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700889003 PECOS PAC ID: 5193758019 Enrollment ID: I20111123000538 |
| Provider Name | Sabreen O Abu Obaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700026556 PECOS PAC ID: 8224203377 Enrollment ID: I20111219000728 |
| Provider Name | Laura Kilofliski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093971012 PECOS PAC ID: 6608042908 Enrollment ID: I20120109000791 |
| Provider Name | Erin Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336217215 PECOS PAC ID: 2860669637 Enrollment ID: I20120118000878 |
| Provider Name | Kelly K Cranker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770862765 PECOS PAC ID: 7113186552 Enrollment ID: I20120305000488 |
| Provider Name | Amit R Bhojraj |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942440276 PECOS PAC ID: 4981863297 Enrollment ID: I20120306000671 |
| Provider Name | Felisa Northern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770811960 PECOS PAC ID: 9032173000 Enrollment ID: I20120329000454 |
| Provider Name | Celina M Labrec-salmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225265119 PECOS PAC ID: 8325209844 Enrollment ID: I20120410000652 |
| Provider Name | Piotr Kloda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821107715 PECOS PAC ID: 5799742359 Enrollment ID: I20120501000754 |
| Provider Name | Alex Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740416304 PECOS PAC ID: 4486816758 Enrollment ID: I20120502000555 |
| Provider Name | Steven P Dusseau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962631267 PECOS PAC ID: 4880850536 Enrollment ID: I20120724000628 |
| Provider Name | Christina A Prabhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245461599 PECOS PAC ID: 5395901938 Enrollment ID: I20120725000752 |
| Provider Name | Maria A Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316189301 PECOS PAC ID: 2163678061 Enrollment ID: I20120808000855 |
| Provider Name | Joshua M Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508095803 PECOS PAC ID: 1456507839 Enrollment ID: I20120820000405 |
| Provider Name | Renee M Schwaderer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750512778 PECOS PAC ID: 8022265016 Enrollment ID: I20120827000425 |
| Provider Name | Joseph G Jacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730185844 PECOS PAC ID: 7113924309 Enrollment ID: I20120828000838 |
| Provider Name | Kenneth M Ecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912132622 PECOS PAC ID: 5890942353 Enrollment ID: I20120906000205 |
| Provider Name | Lisa Z Mewhort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780815829 PECOS PAC ID: 4789831249 Enrollment ID: I20120906000227 |
| Provider Name | Miriam L Garcellano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710107180 PECOS PAC ID: 1850451840 Enrollment ID: I20120926000291 |
| Provider Name | Kristin E Devor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538395066 PECOS PAC ID: 0648420018 Enrollment ID: I20121019000363 |
| Provider Name | Emily S Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538477757 PECOS PAC ID: 9436309408 Enrollment ID: I20121029000356 |
| Provider Name | Christine M Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437470556 PECOS PAC ID: 4284884107 Enrollment ID: I20121030000206 |
| Provider Name | Kyle W Folsom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740576792 PECOS PAC ID: 7517118730 Enrollment ID: I20121117000011 |
| Provider Name | Jamie K Stamps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013144161 PECOS PAC ID: 2365697612 Enrollment ID: I20130312000602 |
| Provider Name | Julie A Colella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396073292 PECOS PAC ID: 5294970430 Enrollment ID: I20130318000366 |
| Provider Name | Sunil Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639391121 PECOS PAC ID: 0749381549 Enrollment ID: I20130326000287 |
| Provider Name | Jennifer E Bush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821115171 PECOS PAC ID: 5496893158 Enrollment ID: I20130424001091 |
| Provider Name | Jessica Yurasek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287584 PECOS PAC ID: 5395981815 Enrollment ID: I20130429000213 |
| Provider Name | Mark D. Kahle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881915288 PECOS PAC ID: 4789822289 Enrollment ID: I20130522000447 |
| Provider Name | Yun Hui Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851533954 PECOS PAC ID: 2466690789 Enrollment ID: I20130528000776 |
| Provider Name | Jennifer M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477864767 PECOS PAC ID: 7012156003 Enrollment ID: I20130624000597 |
| Provider Name | William Schnackel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063723328 PECOS PAC ID: 7810135050 Enrollment ID: I20130717000822 |
| Provider Name | Arthur J Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639499577 PECOS PAC ID: 1850532664 Enrollment ID: I20130720000059 |
| Provider Name | Andrew K Rhinehart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427360643 PECOS PAC ID: 2365680592 Enrollment ID: I20130723000591 |
| Provider Name | Mark P Hagen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225358740 PECOS PAC ID: 2769629922 Enrollment ID: I20130725000598 |
| Provider Name | Eugenia L Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063732956 PECOS PAC ID: 7810134335 Enrollment ID: I20130729000505 |
| Provider Name | Cynthia Aurand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912342288 PECOS PAC ID: 9032352125 Enrollment ID: I20130820001089 |
| Provider Name | Jessica L Manly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740627033 PECOS PAC ID: 4082857065 Enrollment ID: I20130821001061 |
| Provider Name | Anirban Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871891614 PECOS PAC ID: 1355584004 Enrollment ID: I20130827000790 |
| Provider Name | Meika K Eby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518281583 PECOS PAC ID: 2961645627 Enrollment ID: I20130827000970 |
| Provider Name | Jacqueline Renee Mcgowan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831365535 PECOS PAC ID: 8426291824 Enrollment ID: I20130904000728 |
| Provider Name | Samatha Paladugu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154635753 PECOS PAC ID: 0648413948 Enrollment ID: I20130906000151 |
| Provider Name | Wael Haidar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730265695 PECOS PAC ID: 1658371018 Enrollment ID: I20130909000424 |
| Provider Name | Diana V Hennessy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275852618 PECOS PAC ID: 8527209865 Enrollment ID: I20130917000483 |
| Provider Name | Shahed Hasnat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770915951 PECOS PAC ID: 0345474524 Enrollment ID: I20130930000594 |
| Provider Name | Breenne M Mielke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588002075 PECOS PAC ID: 0941434161 Enrollment ID: I20131001000552 |
| Provider Name | Yogeesh Prabhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215285689 PECOS PAC ID: 5991939589 Enrollment ID: I20131015001082 |
| Provider Name | Onma Ada Ameh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578884565 PECOS PAC ID: 7214162379 Enrollment ID: I20131025000262 |
| Provider Name | Lindsey M Karnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851725774 PECOS PAC ID: 2365678653 Enrollment ID: I20131114001131 |
| Provider Name | Patrick Nduaguba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922319706 PECOS PAC ID: 1951539162 Enrollment ID: I20140115001505 |
| Provider Name | Magdalena Teodorescu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750674693 PECOS PAC ID: 8628216280 Enrollment ID: I20140227001200 |
| Provider Name | Lorna F Donovan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750341806 PECOS PAC ID: 7618100728 Enrollment ID: I20140425000262 |
| Provider Name | Corinna Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992717979 PECOS PAC ID: 1254564313 Enrollment ID: I20140425001888 |
| Provider Name | Kimberly M Morton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558656819 PECOS PAC ID: 5991943060 Enrollment ID: I20140623000236 |
| Provider Name | Abha Tewari-washam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285926329 PECOS PAC ID: 7517104409 Enrollment ID: I20140623002687 |
| Provider Name | Laura A Maher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912299074 PECOS PAC ID: 4587805213 Enrollment ID: I20140709001589 |
| Provider Name | Stephen A Boyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447542683 PECOS PAC ID: 7719129022 Enrollment ID: I20140716002507 |
| Provider Name | Blase Hennessy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386936755 PECOS PAC ID: 5395986624 Enrollment ID: I20140724002585 |
| Provider Name | Matthew J Skomorowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184916256 PECOS PAC ID: 6204075211 Enrollment ID: I20140805001826 |
| Provider Name | Adam Q Buechel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770876500 PECOS PAC ID: 4183862808 Enrollment ID: I20140806001080 |
| Provider Name | Veronica Md Marcantoni-nevers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992097182 PECOS PAC ID: 6305076605 Enrollment ID: I20140806002201 |
| Provider Name | Rajiv K Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104110337 PECOS PAC ID: 9830338763 Enrollment ID: I20140812001609 |
| Provider Name | Brian M Torma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790078723 PECOS PAC ID: 4981841897 Enrollment ID: I20140813001183 |
| Provider Name | Christina M Jepson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740574128 PECOS PAC ID: 9234358086 Enrollment ID: I20140910000880 |
| Provider Name | Srikanth Kesari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932487337 PECOS PAC ID: 8123273620 Enrollment ID: I20140922000561 |
| Provider Name | Anupreet Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417244393 PECOS PAC ID: 5597985408 Enrollment ID: I20140926002278 |
| Provider Name | Amanda R Stover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730473257 PECOS PAC ID: 7517105646 Enrollment ID: I20141010002067 |
| Provider Name | Amy J Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225441199 PECOS PAC ID: 5698996692 Enrollment ID: I20141016000167 |
| Provider Name | Annamarie Folk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699180083 PECOS PAC ID: 9537380480 Enrollment ID: I20141020000377 |
| Provider Name | Kristen M Stauffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053726224 PECOS PAC ID: 1951522150 Enrollment ID: I20141030002414 |
| Provider Name | Kevin M Dickerson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053396754 PECOS PAC ID: 4880816297 Enrollment ID: I20141118002667 |
| Provider Name | Kathryn W Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659771772 PECOS PAC ID: 2860714581 Enrollment ID: I20141209001115 |
| Provider Name | Pooja Lahoti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750657524 PECOS PAC ID: 7214174135 Enrollment ID: I20150122002567 |
| Provider Name | Kimberly L Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134536956 PECOS PAC ID: 1254651797 Enrollment ID: I20150522001231 |
| Provider Name | Shashi Yellappa Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831452887 PECOS PAC ID: 8628399466 Enrollment ID: I20150605000975 |
| Provider Name | Kareen Loper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043692486 PECOS PAC ID: 5395058911 Enrollment ID: I20150724011253 |
| Provider Name | Lisa M Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982964664 PECOS PAC ID: 7719126200 Enrollment ID: I20150728004038 |
| Provider Name | Julie R Whetstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821351081 PECOS PAC ID: 0840504825 Enrollment ID: I20150804005557 |
| Provider Name | Neil Jyoti Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457617854 PECOS PAC ID: 8224276464 Enrollment ID: I20150806012917 |
| Provider Name | Qianli Zhuang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730599028 PECOS PAC ID: 7315252731 Enrollment ID: I20150813012103 |
| Provider Name | Paul He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346502648 PECOS PAC ID: 2264747518 Enrollment ID: I20150814013341 |
| Provider Name | Kevin P Mcaninch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104183649 PECOS PAC ID: 3476705344 Enrollment ID: I20150817002181 |
| Provider Name | Kevin R Do |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225413305 PECOS PAC ID: 2163737347 Enrollment ID: I20150817002912 |
| Provider Name | Jacob K Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699031427 PECOS PAC ID: 4082852256 Enrollment ID: I20150818005059 |
| Provider Name | Paul M Saridakis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669739868 PECOS PAC ID: 8820236052 Enrollment ID: I20150826002264 |
| Provider Name | Summiyah Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962692103 PECOS PAC ID: 7911194030 Enrollment ID: I20150901000510 |
| Provider Name | Megan S Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821464439 PECOS PAC ID: 8921315995 Enrollment ID: I20150923003006 |
| Provider Name | Kevin J Shotsberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588030050 PECOS PAC ID: 0345558243 Enrollment ID: I20150925001401 |
| Provider Name | Anne Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104182963 PECOS PAC ID: 5991945768 Enrollment ID: I20150928002785 |
| Provider Name | Leah W Muthuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003059684 PECOS PAC ID: 9739228677 Enrollment ID: I20150929000892 |
| Provider Name | George Shu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306104591 PECOS PAC ID: 0244471134 Enrollment ID: I20151014000221 |
| Provider Name | Christina R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710356290 PECOS PAC ID: 8628387230 Enrollment ID: I20151022000686 |
| Provider Name | Steven M Bobula |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700097565 PECOS PAC ID: 0648304014 Enrollment ID: I20151026002753 |
| Provider Name | Jonathan Patrick Mcfadden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083057418 PECOS PAC ID: 2567763428 Enrollment ID: I20151217001943 |
| Provider Name | Rebekah Amborski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740653377 PECOS PAC ID: 6507163177 Enrollment ID: I20160324002200 |
| Provider Name | James D Knox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699831198 PECOS PAC ID: 5890887343 Enrollment ID: I20160421002079 |
| Provider Name | Emily A Peters |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508225590 PECOS PAC ID: 0446559652 Enrollment ID: I20160421002216 |
| Provider Name | Vaishali Admane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265687560 PECOS PAC ID: 1850457359 Enrollment ID: I20160606000410 |
| Provider Name | Monica Stepherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184864035 PECOS PAC ID: 4082905542 Enrollment ID: I20160614001735 |
| Provider Name | Mikael Paul Schilb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104105444 PECOS PAC ID: 8527386986 Enrollment ID: I20160712002624 |
| Provider Name | Daniel R. Schroer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194105775 PECOS PAC ID: 7618260266 Enrollment ID: I20160720001402 |
| Provider Name | Austin J Meek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912249269 PECOS PAC ID: 0941440937 Enrollment ID: I20160725001558 |
| Provider Name | James Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386987741 PECOS PAC ID: 8628219920 Enrollment ID: I20160728002319 |
| Provider Name | Shravan K.r. Likki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891136230 PECOS PAC ID: 6709170582 Enrollment ID: I20160802003328 |
| Provider Name | Carrie Casden |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386937746 PECOS PAC ID: 0244479608 Enrollment ID: I20160808002942 |
| Provider Name | Eric W Hard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881031540 PECOS PAC ID: 6305062837 Enrollment ID: I20160824002223 |
| Provider Name | Margaret Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386900470 PECOS PAC ID: 0941448187 Enrollment ID: I20160824002790 |
| Provider Name | Svetlana T Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598008179 PECOS PAC ID: 9032342977 Enrollment ID: I20160909002132 |
| Provider Name | Kathryn Z Gathof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801162896 PECOS PAC ID: 6002057593 Enrollment ID: I20160912002608 |
| Provider Name | Pallavi R Mandiga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366784191 PECOS PAC ID: 0547557647 Enrollment ID: I20160916001169 |
| Provider Name | Laura B Butz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538452404 PECOS PAC ID: 3072829555 Enrollment ID: I20160921001840 |
| Provider Name | Kristine K Sun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144663386 PECOS PAC ID: 4789824715 Enrollment ID: I20160923001363 |
| Provider Name | Leena C Kavuluri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598002370 PECOS PAC ID: 3779727532 Enrollment ID: I20161004001288 |
| Provider Name | Nina Hourmouzis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588007017 PECOS PAC ID: 6800029935 Enrollment ID: I20161004002423 |
| Provider Name | Jason T Pedrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962767855 PECOS PAC ID: 4587893938 Enrollment ID: I20161004002724 |
| Provider Name | Tam M Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295191278 PECOS PAC ID: 2668760794 Enrollment ID: I20161005001870 |
| Provider Name | Yashasvini Mogalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740613058 PECOS PAC ID: 3173820719 Enrollment ID: I20161024000852 |
| Provider Name | Scott E Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871910083 PECOS PAC ID: 9133442098 Enrollment ID: I20161118001518 |
| Provider Name | Shilpa Bathini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083957500 PECOS PAC ID: 8426299843 Enrollment ID: I20161214000379 |
| Provider Name | Dustin Robert Harmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710421961 PECOS PAC ID: 3971885393 Enrollment ID: I20170119002771 |
| Provider Name | Daniel S Fosselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598147092 PECOS PAC ID: 4284935248 Enrollment ID: I20170206001011 |
| Provider Name | Shampa Chatterjee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265609515 PECOS PAC ID: 8325224645 Enrollment ID: I20170418001950 |
| Provider Name | Trevor R Kitchin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821431081 PECOS PAC ID: 7214166719 Enrollment ID: I20170628000838 |
| Provider Name | Peter Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760898555 PECOS PAC ID: 8325263007 Enrollment ID: I20170628002904 |
| Provider Name | Jigisha L Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326339870 PECOS PAC ID: 3779852728 Enrollment ID: I20170706001801 |
| Provider Name | Caitlin E Kesari |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740549450 PECOS PAC ID: 1759532922 Enrollment ID: I20170710003033 |
| Provider Name | Thomas M Cowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558655423 PECOS PAC ID: 6709005481 Enrollment ID: I20170724001402 |
| Provider Name | Bo Na Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326467424 PECOS PAC ID: 4082833868 Enrollment ID: I20170724003661 |
| Provider Name | Caroline Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891227328 PECOS PAC ID: 3678843414 Enrollment ID: I20170726003775 |
| Provider Name | Chiamaka Kalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518341338 PECOS PAC ID: 2466724240 Enrollment ID: I20170815002433 |
| Provider Name | Natalie S Bodnar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003231408 PECOS PAC ID: 0840562526 Enrollment ID: I20170815002669 |
| Provider Name | Neha Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104244326 PECOS PAC ID: 2567789225 Enrollment ID: I20170822001752 |
| Provider Name | Sara Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902224736 PECOS PAC ID: 3274855937 Enrollment ID: I20170822002178 |
| Provider Name | Sydulu G Bathini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003235912 PECOS PAC ID: 8123246196 Enrollment ID: I20170825002641 |
| Provider Name | Catherine C Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760902001 PECOS PAC ID: 9739451683 Enrollment ID: I20170828001405 |
| Provider Name | Elizabeth Billington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609280155 PECOS PAC ID: 2163648924 Enrollment ID: I20170829002813 |
| Provider Name | Nathan E Billington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508270067 PECOS PAC ID: 3971729880 Enrollment ID: I20170829002952 |
| Provider Name | Kristin Wenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730505793 PECOS PAC ID: 2264705383 Enrollment ID: I20170911002956 |
| Provider Name | Amanda R Fant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780940858 PECOS PAC ID: 9537307723 Enrollment ID: I20170913000545 |
| Provider Name | Tricia A. Defiore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528596004 PECOS PAC ID: 3870866858 Enrollment ID: I20170913003484 |
| Provider Name | Stacey M Molle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902041395 PECOS PAC ID: 7618192113 Enrollment ID: I20170914000834 |
| Provider Name | Kristen G Landry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922411289 PECOS PAC ID: 0345567004 Enrollment ID: I20170920001130 |
| Provider Name | Lauren Joanne Vonderhaar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063937118 PECOS PAC ID: 0941574503 Enrollment ID: I20170920001312 |
| Provider Name | Alyssa Bosse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003334426 PECOS PAC ID: 6800160391 Enrollment ID: I20170921003244 |
| Provider Name | Nikki B Piazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336668193 PECOS PAC ID: 0749555829 Enrollment ID: I20170929002424 |
| Provider Name | Alyssa N Goins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265941231 PECOS PAC ID: 9830465475 Enrollment ID: I20171025003067 |
| Provider Name | Taylor R Scott |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942711924 PECOS PAC ID: 8820355167 Enrollment ID: I20171122000423 |
| Provider Name | Jeffrey Todd Davis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1063414480 PECOS PAC ID: 3173560109 Enrollment ID: I20171204002248 |
| Provider Name | Amy E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437660354 PECOS PAC ID: 7911267471 Enrollment ID: I20180201002856 |
| Provider Name | Bradley D Mcfadden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720473549 PECOS PAC ID: 9931469343 Enrollment ID: I20180202002039 |
| Provider Name | Jodi L Allagree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194238204 PECOS PAC ID: 4981965670 Enrollment ID: I20180220001740 |
| Provider Name | Brittany Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457885097 PECOS PAC ID: 1557623253 Enrollment ID: I20180316000597 |
| Provider Name | Devon L Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740780915 PECOS PAC ID: 5991068884 Enrollment ID: I20180405001417 |
| Provider Name | Emma Susanne Gano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356735781 PECOS PAC ID: 3971811357 Enrollment ID: I20180417001842 |
| Provider Name | Michele V Mahoney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639137383 PECOS PAC ID: 1557625951 Enrollment ID: I20180511001501 |
| Provider Name | Whitney Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912425786 PECOS PAC ID: 1355606542 Enrollment ID: I20180516002714 |
| Provider Name | Rupa N Baro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851706402 PECOS PAC ID: 8729344908 Enrollment ID: I20180607000802 |
| Provider Name | Corey Michael Keister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780084475 PECOS PAC ID: 8729300017 Enrollment ID: I20180608002233 |
| Provider Name | Mae Tahireh Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073907507 PECOS PAC ID: 6800104282 Enrollment ID: I20180706002274 |
| Provider Name | Deep Atulkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801258603 PECOS PAC ID: 8123319548 Enrollment ID: I20180709001466 |
| Provider Name | Jay C Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356736011 PECOS PAC ID: 7911215397 Enrollment ID: I20180709001782 |
| Provider Name | Marc E Serve |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013300425 PECOS PAC ID: 6507112133 Enrollment ID: I20180711003133 |
| Provider Name | Rachel L Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134611270 PECOS PAC ID: 8628325909 Enrollment ID: I20180717004171 |
| Provider Name | Jennifer J Sun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295122422 PECOS PAC ID: 9032428669 Enrollment ID: I20180718001437 |
| Provider Name | Hussam Fustok |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740669845 PECOS PAC ID: 5991052995 Enrollment ID: I20180723001443 |
| Provider Name | Anthony M Miele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003233958 PECOS PAC ID: 5698092294 Enrollment ID: I20180725001977 |
| Provider Name | Marcus A Wing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487041497 PECOS PAC ID: 9931418399 Enrollment ID: I20180725002079 |
| Provider Name | Jayme L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073005799 PECOS PAC ID: 7416204151 Enrollment ID: I20180726000168 |
| Provider Name | Cara Celeste Daufeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073005351 PECOS PAC ID: 9032467592 Enrollment ID: I20180731003800 |
| Provider Name | Michael D. Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336527746 PECOS PAC ID: 8820394240 Enrollment ID: I20180802000972 |
| Provider Name | Galen B Hayek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063874113 PECOS PAC ID: 7911255179 Enrollment ID: I20180803000689 |
| Provider Name | Aditya Narain Bhatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376926741 PECOS PAC ID: 4688975675 Enrollment ID: I20180807001447 |
| Provider Name | Brooklyn E Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992290365 PECOS PAC ID: 1658620372 Enrollment ID: I20180814000879 |
| Provider Name | Natalie M Beckett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710373493 PECOS PAC ID: 0941510903 Enrollment ID: I20180815003151 |
| Provider Name | Andrew J Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457746729 PECOS PAC ID: 8820364235 Enrollment ID: I20180815003509 |
| Provider Name | Erin C Doone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851879878 PECOS PAC ID: 2668722554 Enrollment ID: I20180914001027 |
| Provider Name | Sara D Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871089615 PECOS PAC ID: 2567713035 Enrollment ID: I20180921001784 |
| Provider Name | Andrea Rose Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508349622 PECOS PAC ID: 6406108034 Enrollment ID: I20181010001051 |
| Provider Name | Wendy L Billings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912487216 PECOS PAC ID: 9335492453 Enrollment ID: I20181018003048 |
| Provider Name | Matthew R Ellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952885527 PECOS PAC ID: 5890048714 Enrollment ID: I20181023002276 |
| Provider Name | Kelsey M Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306328117 PECOS PAC ID: 4284987991 Enrollment ID: I20181026000803 |
| Provider Name | Megan Cuthbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912473117 PECOS PAC ID: 0042563629 Enrollment ID: I20181029002117 |
| Provider Name | Laura K Stimpert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205245388 PECOS PAC ID: 8921351529 Enrollment ID: I20181029002713 |
| Provider Name | Ryan M Barson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174918858 PECOS PAC ID: 5799086484 Enrollment ID: I20181030003313 |
| Provider Name | Ellen R Tamburello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649201930 PECOS PAC ID: 2163775370 Enrollment ID: I20181105001136 |
| Provider Name | Rajendrakumari R Gaglani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770513582 PECOS PAC ID: 1153674361 Enrollment ID: I20181105001165 |
| Provider Name | Brad E Fuller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104068949 PECOS PAC ID: 4880947092 Enrollment ID: I20181105001180 |
| Provider Name | Praveena V Dhawale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356371173 PECOS PAC ID: 5799038907 Enrollment ID: I20181105001189 |
| Provider Name | Alice E Rozic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780895821 PECOS PAC ID: 3072867795 Enrollment ID: I20181116000445 |
| Provider Name | Ashley Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770084774 PECOS PAC ID: 6406194224 Enrollment ID: I20190220001749 |
| Provider Name | Geno Frank Kordic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780048538 PECOS PAC ID: 2961793708 Enrollment ID: I20190325001830 |
| Provider Name | Hafsa Hashmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316385289 PECOS PAC ID: 4587905971 Enrollment ID: I20190411003137 |
| Provider Name | Ryan Robert Lauf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255793303 PECOS PAC ID: 5890089726 Enrollment ID: I20190418001590 |
| Provider Name | Michele L Messerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447715081 PECOS PAC ID: 1052654704 Enrollment ID: I20190520002694 |
| Provider Name | Scott Burdine Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003171695 PECOS PAC ID: 0941527683 Enrollment ID: I20190522002552 |
| Provider Name | Michelle W Golla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043535586 PECOS PAC ID: 0143553537 Enrollment ID: I20190618001916 |
| Provider Name | Sarah Renko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326531492 PECOS PAC ID: 9032443908 Enrollment ID: I20190626002287 |
| Provider Name | Kelsey R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265096036 PECOS PAC ID: 0547594327 Enrollment ID: I20190627002508 |
| Provider Name | Valerie E Mazzolini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366806861 PECOS PAC ID: 4880929397 Enrollment ID: I20190703002788 |
| Provider Name | William E Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700248317 PECOS PAC ID: 6608161708 Enrollment ID: I20190715003417 |
| Provider Name | Benjamin W Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215399670 PECOS PAC ID: 1153615323 Enrollment ID: I20190715003501 |
| Provider Name | Samuel D. Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851787410 PECOS PAC ID: 4385951698 Enrollment ID: I20190724002954 |
| Provider Name | Sara Welsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689806119 PECOS PAC ID: 3678809993 Enrollment ID: I20190724003134 |
| Provider Name | Brian Harmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134580012 PECOS PAC ID: 4587932272 Enrollment ID: I20190808002199 |
| Provider Name | Lelia M Javidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538513585 PECOS PAC ID: 1951699388 Enrollment ID: I20190814002425 |
| Provider Name | Jaanki Vashi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093371627 PECOS PAC ID: 8426385378 Enrollment ID: I20190814004205 |
| Provider Name | Matthew J Knapke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083063796 PECOS PAC ID: 2668769688 Enrollment ID: I20190816001109 |
| Provider Name | Jamie M Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588217871 PECOS PAC ID: 3476881996 Enrollment ID: I20190822000100 |
| Provider Name | Stephanie T Burkart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215581590 PECOS PAC ID: 2466780986 Enrollment ID: I20190822000127 |
| Provider Name | Shaina M Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730732215 PECOS PAC ID: 8729316245 Enrollment ID: I20190822000142 |
| Provider Name | Renee E Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174177414 PECOS PAC ID: 2062740582 Enrollment ID: I20190822000308 |
| Provider Name | Olamide O Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184088403 PECOS PAC ID: 9537456983 Enrollment ID: I20190822004466 |
| Provider Name | Muhammadi Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699121251 PECOS PAC ID: 8426342023 Enrollment ID: I20190822004498 |
| Provider Name | Leslie A Mcchesney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760035166 PECOS PAC ID: 1850629197 Enrollment ID: I20190823001165 |
| Provider Name | Sivakanth Reddy Katta |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1740677699 PECOS PAC ID: 0446589311 Enrollment ID: I20190903002104 |
| Provider Name | Matthew Derby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467815142 PECOS PAC ID: 7810266863 Enrollment ID: I20190912003479 |
| Provider Name | Chelsea Lee Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942655154 PECOS PAC ID: 7315232105 Enrollment ID: I20190925002652 |
| Provider Name | Jamie L Que |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841652187 PECOS PAC ID: 7810285962 Enrollment ID: I20191003002837 |
| Provider Name | Charlene M Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881947869 PECOS PAC ID: 3375815467 Enrollment ID: I20191119001701 |
| Provider Name | Hayley J Lisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386286821 PECOS PAC ID: 6305279647 Enrollment ID: I20191127001479 |
| Provider Name | Janie E Jacoby |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538712831 PECOS PAC ID: 1759714629 Enrollment ID: I20191206001165 |
| Provider Name | Bailey M Stolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265076061 PECOS PAC ID: 2062847569 Enrollment ID: I20200109002983 |
| Provider Name | Rupali Krishana Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144738311 PECOS PAC ID: 4981967296 Enrollment ID: I20200203000705 |
| Provider Name | Nicklaus C Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255974283 PECOS PAC ID: 0446689103 Enrollment ID: I20200331001999 |
| Provider Name | Melissa C Kander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174051809 PECOS PAC ID: 8628348877 Enrollment ID: I20200406000266 |
| Provider Name | Nicholas Peter Amata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003349291 PECOS PAC ID: 3375813553 Enrollment ID: I20200425000090 |
| Provider Name | Allyssa M Heus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326563818 PECOS PAC ID: 8224459318 Enrollment ID: I20200527002601 |
| Provider Name | Jessica L Schmelzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114540267 PECOS PAC ID: 2264854082 Enrollment ID: I20200624003206 |
| Provider Name | Rachel L Bonier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730507278 PECOS PAC ID: 7416222005 Enrollment ID: I20200724001994 |
| Provider Name | Mary C Mcallister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427580844 PECOS PAC ID: 7113299660 Enrollment ID: I20200729002970 |
| Provider Name | Jeffrey T Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942740329 PECOS PAC ID: 1456622919 Enrollment ID: I20200730003322 |
| Provider Name | Amber R Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659997377 PECOS PAC ID: 5193140549 Enrollment ID: I20200803001968 |
| Provider Name | Susan Choe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891157426 PECOS PAC ID: 4587089685 Enrollment ID: I20200806002124 |
| Provider Name | Christa N Kerns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104441260 PECOS PAC ID: 2163849803 Enrollment ID: I20200826003640 |
| Provider Name | Abigail Leigh Tener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629686753 PECOS PAC ID: 7911324660 Enrollment ID: I20200826003936 |
| Provider Name | Carly R Mcgeehan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780126847 PECOS PAC ID: 6002233582 Enrollment ID: I20200828001293 |
| Provider Name | Marissa C Barbee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982010658 PECOS PAC ID: 6002151123 Enrollment ID: I20200901003021 |
| Provider Name | Pavla N Tymbel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154860427 PECOS PAC ID: 4688945025 Enrollment ID: I20200929000290 |
| Provider Name | Morgan L Brebberman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174121693 PECOS PAC ID: 8123448610 Enrollment ID: I20201022001078 |
| Provider Name | Chandana Shilpa K Ravipati |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922365964 PECOS PAC ID: 0547409476 Enrollment ID: I20201109000691 |
| Provider Name | Hannah M Glasstetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164069910 PECOS PAC ID: 4688085319 Enrollment ID: I20201201001288 |
| Provider Name | Christopher Wilhelm Buchsieb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245736909 PECOS PAC ID: 5597010256 Enrollment ID: I20201204001893 |
| Provider Name | Michael Joseph Gallagher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033613617 PECOS PAC ID: 8820353154 Enrollment ID: I20210104001807 |
| Provider Name | Rachel C Hutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629679626 PECOS PAC ID: 6305250226 Enrollment ID: I20210203002801 |
| Provider Name | Aja M Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093348294 PECOS PAC ID: 7517371479 Enrollment ID: I20210204001210 |
| Provider Name | Chelsey B Kimble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346781549 PECOS PAC ID: 8628347424 Enrollment ID: I20210304001887 |
| Provider Name | Tina J Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093883621 PECOS PAC ID: 1153216221 Enrollment ID: I20210312001560 |
| Provider Name | Richard Petrella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881722924 PECOS PAC ID: 5092121095 Enrollment ID: I20210316002224 |
| Provider Name | Eileen Sheets |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821124306 PECOS PAC ID: 0042626053 Enrollment ID: I20210316002540 |
| Provider Name | Sidney Couling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013043546 PECOS PAC ID: 2860808870 Enrollment ID: I20210316002550 |
| Provider Name | Elizabeth Jacob |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760518252 PECOS PAC ID: 1355758368 Enrollment ID: I20210318000361 |
| Provider Name | Brooke A Crum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518491745 PECOS PAC ID: 0042627762 Enrollment ID: I20210325000471 |
| Provider Name | Brent Barson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699090167 PECOS PAC ID: 2668880352 Enrollment ID: I20210419000660 |
| Provider Name | Kent Doherty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477689909 PECOS PAC ID: 0547678237 Enrollment ID: I20210419000783 |
| Provider Name | Kathleen Fulop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437285921 PECOS PAC ID: 5890103584 Enrollment ID: I20210419000869 |
| Provider Name | Trevor P Maurer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043471048 PECOS PAC ID: 2769654854 Enrollment ID: I20210426001963 |
| Provider Name | Jordan Hoenig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801391958 PECOS PAC ID: 1759637093 Enrollment ID: I20210602001511 |
| Provider Name | Benjamin Parry Meacham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942864350 PECOS PAC ID: 3072856905 Enrollment ID: I20210614001543 |
| Provider Name | Mary Lareine Pastoral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285138487 PECOS PAC ID: 8224385836 Enrollment ID: I20210615002912 |
| Provider Name | William L Aurand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508353681 PECOS PAC ID: 8527316728 Enrollment ID: I20210621002906 |
| Provider Name | Stephannie Kristina Aronovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447755723 PECOS PAC ID: 2163787474 Enrollment ID: I20210712003540 |
| Provider Name | Chelsea Harvison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679175939 PECOS PAC ID: 4486056355 Enrollment ID: I20210714003120 |
| Provider Name | Joseph Robert Liput |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518499169 PECOS PAC ID: 5799054508 Enrollment ID: I20210719000893 |
| Provider Name | Julie A Itty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235632019 PECOS PAC ID: 4789932963 Enrollment ID: I20210719001731 |
| Provider Name | Sarah U Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750874467 PECOS PAC ID: 9830434562 Enrollment ID: I20210730001570 |
| Provider Name | Anna Elena Guadiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184129918 PECOS PAC ID: 6103172549 Enrollment ID: I20210805000490 |
| Provider Name | Kelly M Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366949539 PECOS PAC ID: 7618223066 Enrollment ID: I20210805001217 |
| Provider Name | Laura S Dankovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811492127 PECOS PAC ID: 3870849227 Enrollment ID: I20210805003564 |
| Provider Name | Swetha Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003303553 PECOS PAC ID: 3476891979 Enrollment ID: I20210809003229 |
| Provider Name | Teena Dcruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811492721 PECOS PAC ID: 2163778515 Enrollment ID: I20210809003329 |
| Provider Name | Amy Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043984289 PECOS PAC ID: 1850798604 Enrollment ID: I20210922000982 |
| Provider Name | Amira A.n. Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679032635 PECOS PAC ID: 2961745500 Enrollment ID: I20211012003349 |
| Provider Name | Joseph H Biederman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700557113 PECOS PAC ID: 8628467388 Enrollment ID: I20211118000542 |
| Provider Name | William E.c. Knobeloch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225064702 PECOS PAC ID: 9830588342 Enrollment ID: I20211122001761 |
| Provider Name | Melissa E Writesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124571542 PECOS PAC ID: 5193115624 Enrollment ID: I20211124000265 |
| Provider Name | Meg Elizabeth Whelan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477014082 PECOS PAC ID: 1355674292 Enrollment ID: I20220121000702 |
| Provider Name | Kaleb T Deam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043875776 PECOS PAC ID: 3779817564 Enrollment ID: I20220125002160 |
| Provider Name | Timothy R Savage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659500098 PECOS PAC ID: 1456743392 Enrollment ID: I20220126001522 |
| Provider Name | Robert Szulawski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346694015 PECOS PAC ID: 0547554669 Enrollment ID: I20220126002992 |
| Provider Name | Zachary Dillon Glenn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023578176 PECOS PAC ID: 2668705559 Enrollment ID: I20220127002675 |
| Provider Name | Courtney L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437819711 PECOS PAC ID: 1951794502 Enrollment ID: I20220203001723 |
| Provider Name | Kara D Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528563533 PECOS PAC ID: 8123453628 Enrollment ID: I20220203002750 |
| Provider Name | Robert Tyler Kuhlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043770357 PECOS PAC ID: 6406199132 Enrollment ID: I20220207000419 |
| Provider Name | Omar A Badawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003375064 PECOS PAC ID: 7214270347 Enrollment ID: I20220210002225 |
| Provider Name | Nicholas J Eastman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952807505 PECOS PAC ID: 4486900297 Enrollment ID: I20220225000808 |
| Provider Name | Zachary S Newton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558015446 PECOS PAC ID: 7911392352 Enrollment ID: I20220321002558 |
| Provider Name | Rosalie C Dillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558998948 PECOS PAC ID: 8224450358 Enrollment ID: I20220405000623 |
| Provider Name | Mikaelyn Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457005241 PECOS PAC ID: 4789061300 Enrollment ID: I20220519000852 |
| Provider Name | Paul D Gilbert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134564420 PECOS PAC ID: 2860870094 Enrollment ID: I20220531002449 |
| Provider Name | Parker B Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083101497 PECOS PAC ID: 0143557413 Enrollment ID: I20220601002279 |
| Provider Name | Dev K Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861051419 PECOS PAC ID: 3870821010 Enrollment ID: I20220613000760 |
| Provider Name | Christopher M Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275096026 PECOS PAC ID: 9739416033 Enrollment ID: I20220714000843 |
| Provider Name | Claire M Pappa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760941769 PECOS PAC ID: 3072847227 Enrollment ID: I20220714000963 |
| Provider Name | Trung T Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952861973 PECOS PAC ID: 6103151287 Enrollment ID: I20220714001901 |
| Provider Name | Kyle Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083176622 PECOS PAC ID: 9537540752 Enrollment ID: I20220720000491 |
| Provider Name | Robert S Naylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558821991 PECOS PAC ID: 4284967126 Enrollment ID: I20220728002416 |
| Provider Name | Matthew M Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912460742 PECOS PAC ID: 3173858859 Enrollment ID: I20220801000447 |
| Provider Name | Scott Mclemore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679048 PECOS PAC ID: 8426381716 Enrollment ID: I20220801000566 |
| Provider Name | Minden C Collamore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629530357 PECOS PAC ID: 2567799836 Enrollment ID: I20220803002998 |
| Provider Name | Rachael T Pappa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316400146 PECOS PAC ID: 1557696234 Enrollment ID: I20220805002091 |
| Provider Name | Holly Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457801680 PECOS PAC ID: 8628451580 Enrollment ID: I20220810002905 |
| Provider Name | Jessica A Nash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427611839 PECOS PAC ID: 5294062006 Enrollment ID: I20220812002436 |
| Provider Name | Jason Anthony Cafarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982167573 PECOS PAC ID: 3779908678 Enrollment ID: I20220815000485 |
| Provider Name | Laura E Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902545080 PECOS PAC ID: 2264815836 Enrollment ID: I20220815000620 |
| Provider Name | Nathaniel D Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376075457 PECOS PAC ID: 5991054710 Enrollment ID: I20220816000854 |
| Provider Name | Neil Gordon Knight |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720582240 PECOS PAC ID: 4486900404 Enrollment ID: I20220816002200 |
| Provider Name | Miriam Pumpelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083626972 PECOS PAC ID: 2062418296 Enrollment ID: I20220826000687 |
| Provider Name | Meredith Maresco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255069993 PECOS PAC ID: 9537544457 Enrollment ID: I20220913003483 |
| Provider Name | Cassi N Rainier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659021467 PECOS PAC ID: 0941685572 Enrollment ID: I20220919002215 |
| Provider Name | Jordan M Knox |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1396130902 PECOS PAC ID: 2062794159 Enrollment ID: I20220922001355 |
| Provider Name | Hillina Habteselassie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871114157 PECOS PAC ID: 6800272600 Enrollment ID: I20221003000269 |
| Provider Name | Caitlin M Dutro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578207684 PECOS PAC ID: 2769850536 Enrollment ID: I20221129001117 |
| Provider Name | Christopher Joseph Wasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336776996 PECOS PAC ID: 6103257944 Enrollment ID: I20221129001908 |
| Provider Name | Rebecca J Schartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477297455 PECOS PAC ID: 1658749395 Enrollment ID: I20221130000879 |
| Provider Name | Andrew John Graef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518595404 PECOS PAC ID: 1759712078 Enrollment ID: I20221201001329 |
| Provider Name | Cristina E Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689201212 PECOS PAC ID: 8729419429 Enrollment ID: I20221202000811 |
| Provider Name | Lacey N Gable |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497258297 PECOS PAC ID: 2365799020 Enrollment ID: I20221202001778 |
| Provider Name | Kelsey A Sandlin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598383002 PECOS PAC ID: 5193195493 Enrollment ID: I20230103000609 |
| Provider Name | Chelsea N Giesken |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760118202 PECOS PAC ID: 1254701550 Enrollment ID: I20230103000714 |
| Provider Name | Chloe A Schott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447981188 PECOS PAC ID: 5698145852 Enrollment ID: I20230104000610 |
| Provider Name | Inderpreet K Rangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114964368 PECOS PAC ID: 4789613332 Enrollment ID: I20230109001599 |
| Provider Name | Baljit S Rangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033154497 PECOS PAC ID: 1254469604 Enrollment ID: I20230109002665 |
| Provider Name | Adrienne H Mott-young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992099576 PECOS PAC ID: 2769610674 Enrollment ID: I20230113000660 |
| Provider Name | Tia M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710688114 PECOS PAC ID: 9638536683 Enrollment ID: I20230606002256 |
| Provider Name | Apexa H Trivedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114632775 PECOS PAC ID: 6901263854 Enrollment ID: I20230607002845 |
| Provider Name | Jennifer M Whipp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992334171 PECOS PAC ID: 4688096118 Enrollment ID: I20230622000599 |
| Provider Name | David J Beckstead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003107558 PECOS PAC ID: 6608016464 Enrollment ID: I20230622001529 |
| Provider Name | Melissa J Winkie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568922375 PECOS PAC ID: 0749660116 Enrollment ID: I20230828001776 |
| Provider Name | Saif Jamil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447887492 PECOS PAC ID: 3274964861 Enrollment ID: I20230828003172 |
| Provider Name | Alison K Emmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144917527 PECOS PAC ID: 2567825219 Enrollment ID: I20230828003195 |
| Provider Name | Holly C Hamner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366121824 PECOS PAC ID: 3870956576 Enrollment ID: I20230829001277 |
| Provider Name | Omoleagho Garuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366144057 PECOS PAC ID: 4981067618 Enrollment ID: I20230829002783 |
| Provider Name | Nicholas Beecher Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679100408 PECOS PAC ID: 5496185027 Enrollment ID: I20230829003164 |
| Provider Name | Meghan W Vickery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124720370 PECOS PAC ID: 2365805009 Enrollment ID: I20230829003184 |
| Provider Name | Elizabeth B Wolff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073204491 PECOS PAC ID: 8426411067 Enrollment ID: I20230829003302 |
| Provider Name | Katelyn Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003435231 PECOS PAC ID: 0042632689 Enrollment ID: I20230830001098 |
| Provider Name | Ayat D Aldoori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992333876 PECOS PAC ID: 3678904299 Enrollment ID: I20230908002291 |
| Provider Name | Sandra E Marmaduke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043990245 PECOS PAC ID: 0446604227 Enrollment ID: I20230927003019 |
| Provider Name | Jacob A Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780363275 PECOS PAC ID: 8426402207 Enrollment ID: I20230927003115 |
| Provider Name | Miriam S El-rif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508494915 PECOS PAC ID: 3577985563 Enrollment ID: I20231002000736 |
| Provider Name | Hannah M Lipshultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548656184 PECOS PAC ID: 7315254638 Enrollment ID: I20231108001727 |
| Provider Name | Sean M Gallagher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295120194 PECOS PAC ID: 1850692542 Enrollment ID: I20231114002401 |
| Provider Name | Tanya Srivastava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700405875 PECOS PAC ID: 0244655041 Enrollment ID: I20231218000245 |
| Provider Name | Erica L Mitchell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245796218 PECOS PAC ID: 3870912835 Enrollment ID: I20231220000678 |
| Provider Name | Catherine C Menges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881222883 PECOS PAC ID: 1951723071 Enrollment ID: I20231220003513 |
| Provider Name | Adam Jacob Reitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922684562 PECOS PAC ID: 8325447634 Enrollment ID: I20240321002088 |
| Mailing Address | Practice Location Address |
|---|---|
| Central Ohio Primary Care Physicians, Inc. 655 Africa Rd, Westerville, OH 43082-9808 Ph: (614) 326-2672 | Central Ohio Primary Care Physicians, Inc. 655 Africa Rd, Westerville, OH 43082-9808 Ph: (614) 326-2672 |