| Rex Hospital Inc | |
|
4420 Lake Boone Trl, Raleigh, NC 27607-7505 | |
| (919) 784-3100 | |
| Not Available |
| Full Name | Rex Hospital Inc |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 4420 Lake Boone Trl, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144248683 | NPI | - | NPPES |
| 01985 | Other | NC | BCBS |
| Provider Name | Mohammad Delbahan Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477653137 PECOS PAC ID: 6204749237 Enrollment ID: I20031106000512 |
| Provider Name | Pamela T Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720162696 PECOS PAC ID: 3476457581 Enrollment ID: I20031120000860 |
| Provider Name | Robert Paul Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013914415 PECOS PAC ID: 8729983275 Enrollment ID: I20031206000060 |
| Provider Name | Waheed Akhtar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477530863 PECOS PAC ID: 0749185684 Enrollment ID: I20031210000222 |
| Provider Name | Rodney S Lutz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316917610 PECOS PAC ID: 8426953936 Enrollment ID: I20031210000779 |
| Provider Name | Uday Shashikant Kavde |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801866108 PECOS PAC ID: 3971408485 Enrollment ID: I20031210000819 |
| Provider Name | Paula Y Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063472686 PECOS PAC ID: 1759288293 Enrollment ID: I20031215000221 |
| Provider Name | Yvette Rose Cook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710932819 PECOS PAC ID: 9830096296 Enrollment ID: I20031215000821 |
| Provider Name | James B Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477559730 PECOS PAC ID: 1456251230 Enrollment ID: I20040119000080 |
| Provider Name | Amie Lynn Sharrits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245266154 PECOS PAC ID: 0143123943 Enrollment ID: I20040129000539 |
| Provider Name | Sameh K Mobarek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609874130 PECOS PAC ID: 2365333192 Enrollment ID: I20040322001726 |
| Provider Name | Robert K Bruner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972599959 PECOS PAC ID: 2264428499 Enrollment ID: I20040422001588 |
| Provider Name | Jonathan S Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750368148 PECOS PAC ID: 4587654934 Enrollment ID: I20040517000831 |
| Provider Name | Malay Agrawal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376530881 PECOS PAC ID: 1557346947 Enrollment ID: I20040621000815 |
| Provider Name | George L Adams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962504100 PECOS PAC ID: 5799760146 Enrollment ID: I20040621001297 |
| Provider Name | Benjamin G Atkeson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013915552 PECOS PAC ID: 7911800636 Enrollment ID: I20040622001027 |
| Provider Name | James P Zidar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205910189 PECOS PAC ID: 9739165515 Enrollment ID: I20040624001093 |
| Provider Name | Deepak Pasi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215936398 PECOS PAC ID: 1759368087 Enrollment ID: I20040702001143 |
| Provider Name | William H Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013989862 PECOS PAC ID: 1052399839 Enrollment ID: I20040708001181 |
| Provider Name | Mohit Pasi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649279613 PECOS PAC ID: 3476531229 Enrollment ID: I20040709000166 |
| Provider Name | Quynh Anh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508843210 PECOS PAC ID: 7416935978 Enrollment ID: I20040710000422 |
| Provider Name | Christopher Michael Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982656757 PECOS PAC ID: 9537148895 Enrollment ID: I20040719001414 |
| Provider Name | Joseph A Guzzo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881680098 PECOS PAC ID: 2567442304 Enrollment ID: I20040722000854 |
| Provider Name | Bruce Warren Usher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669470191 PECOS PAC ID: 6507846920 Enrollment ID: I20040724000235 |
| Provider Name | Priya S Kos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851373229 PECOS PAC ID: 4486624780 Enrollment ID: I20040726001130 |
| Provider Name | Ravish Sachar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629076161 PECOS PAC ID: 0244203719 Enrollment ID: I20040813000929 |
| Provider Name | Linwood W Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790789394 PECOS PAC ID: 2163495532 Enrollment ID: I20040813000989 |
| Provider Name | Gregory C Rose |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487652178 PECOS PAC ID: 6305810136 Enrollment ID: I20040825001496 |
| Provider Name | Robert R Mendes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407941784 PECOS PAC ID: 7517933195 Enrollment ID: I20040903001136 |
| Provider Name | Patrick Manning Hranitzky |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982786083 PECOS PAC ID: 4082681572 Enrollment ID: I20040914000763 |
| Provider Name | Emil J Cekada |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942272638 PECOS PAC ID: 6002884590 Enrollment ID: I20040922000701 |
| Provider Name | Joseph Michael Falsone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952309494 PECOS PAC ID: 7719949163 Enrollment ID: I20041028000899 |
| Provider Name | Kenneth M Carnes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003845363 PECOS PAC ID: 7416914536 Enrollment ID: I20041210000102 |
| Provider Name | Michael Dixon Mckay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932185956 PECOS PAC ID: 8921062712 Enrollment ID: I20050118000528 |
| Provider Name | Anita Maria Hudson-fraley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730124173 PECOS PAC ID: 2466402946 Enrollment ID: I20050124000632 |
| Provider Name | Eric Michael Janis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780682484 PECOS PAC ID: 2668415407 Enrollment ID: I20050602001123 |
| Provider Name | Robert S Wehbie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841239852 PECOS PAC ID: 3779526496 Enrollment ID: I20050603000632 |
| Provider Name | Ankesh Jayaswal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992701569 PECOS PAC ID: 0244274009 Enrollment ID: I20050614000157 |
| Provider Name | Singaravelu Jagadeesan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053418509 PECOS PAC ID: 4284603101 Enrollment ID: I20050620000038 |
| Provider Name | Sivakumar Jaikumar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154345288 PECOS PAC ID: 7618960055 Enrollment ID: I20050624000375 |
| Provider Name | William N Newman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396743860 PECOS PAC ID: 3779529383 Enrollment ID: I20050706000129 |
| Provider Name | Arthur Y Chow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982604005 PECOS PAC ID: 9537105077 Enrollment ID: I20050706000471 |
| Provider Name | David B Eddleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114927126 PECOS PAC ID: 5193761419 Enrollment ID: I20050707000937 |
| Provider Name | Naveen V Narahari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457337420 PECOS PAC ID: 0446296727 Enrollment ID: I20050708000293 |
| Provider Name | Alka Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376549956 PECOS PAC ID: 0446248330 Enrollment ID: I20050714000746 |
| Provider Name | Randolph Arend Cooper |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538167994 PECOS PAC ID: 8426084856 Enrollment ID: I20050715001014 |
| Provider Name | Thomas Giebmanns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972656494 PECOS PAC ID: 7012946221 Enrollment ID: I20050812001021 |
| Provider Name | Stefanie L Etienne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588762686 PECOS PAC ID: 3870523616 Enrollment ID: I20050822000277 |
| Provider Name | Curtis Austin Anderson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801870357 PECOS PAC ID: 2062458474 Enrollment ID: I20050912000555 |
| Provider Name | George Coupland Isaacs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497857973 PECOS PAC ID: 2365467123 Enrollment ID: I20051011000296 |
| Provider Name | Beverly C Necessary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548375918 PECOS PAC ID: 3577581685 Enrollment ID: I20051108000105 |
| Provider Name | Alison Muriel Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841305216 PECOS PAC ID: 9436177482 Enrollment ID: I20051108000514 |
| Provider Name | Charles Fredrick Eisenbeis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548217490 PECOS PAC ID: 6709858293 Enrollment ID: I20060126000913 |
| Provider Name | Oludamilola A Olajide |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699730721 PECOS PAC ID: 1355353236 Enrollment ID: I20060613000338 |
| Provider Name | John Joseph Engemann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457307357 PECOS PAC ID: 0547272056 Enrollment ID: I20060628000104 |
| Provider Name | David C White |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487673869 PECOS PAC ID: 5698779403 Enrollment ID: I20060911000263 |
| Provider Name | Reginald L Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265464903 PECOS PAC ID: 1355346602 Enrollment ID: I20060920000509 |
| Provider Name | Alan D Kritz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508813155 PECOS PAC ID: 3274539598 Enrollment ID: I20061010000762 |
| Provider Name | Christian N Gring |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861428179 PECOS PAC ID: 3476550534 Enrollment ID: I20061102000173 |
| Provider Name | Susan Gibbs Moore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659300960 PECOS PAC ID: 9537166657 Enrollment ID: I20061103000158 |
| Provider Name | Matthew A Hook |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093785974 PECOS PAC ID: 1254376601 Enrollment ID: I20070119000157 |
| Provider Name | Andrew Kronenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518972355 PECOS PAC ID: 4688680523 Enrollment ID: I20070523000179 |
| Provider Name | John F Boggess |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1952499345 PECOS PAC ID: 7810095460 Enrollment ID: I20070606000311 |
| Provider Name | Mary Ann Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821125220 PECOS PAC ID: 0547369944 Enrollment ID: I20070626000614 |
| Provider Name | Colm J O'loughlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689625139 PECOS PAC ID: 1759482953 Enrollment ID: I20070718000251 |
| Provider Name | Kevin Maurice Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982819454 PECOS PAC ID: 6709987464 Enrollment ID: I20070724000835 |
| Provider Name | Bich Ngoc Tan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982733861 PECOS PAC ID: 0244321388 Enrollment ID: I20070803000526 |
| Provider Name | William B Hall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003031691 PECOS PAC ID: 0345331203 Enrollment ID: I20070807000162 |
| Provider Name | Willis M Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184840514 PECOS PAC ID: 6406948470 Enrollment ID: I20070822000731 |
| Provider Name | Samuel W Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609846708 PECOS PAC ID: 3678504552 Enrollment ID: I20070823000444 |
| Provider Name | Stacy Kaija Bennett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447479076 PECOS PAC ID: 7012000342 Enrollment ID: I20070831000694 |
| Provider Name | Veselin S Gizdarski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326244658 PECOS PAC ID: 3678667227 Enrollment ID: I20070913000532 |
| Provider Name | Seth M Weinreb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942204870 PECOS PAC ID: 1658465133 Enrollment ID: I20070913000914 |
| Provider Name | Francis Adan Castiller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376742577 PECOS PAC ID: 6406941954 Enrollment ID: I20070928000542 |
| Provider Name | Daniel R Vig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194729020 PECOS PAC ID: 9032205661 Enrollment ID: I20071012000294 |
| Provider Name | Timothy S Sadiq |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386834711 PECOS PAC ID: 7214024355 Enrollment ID: I20071106000420 |
| Provider Name | Mark C Sturdivant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841277654 PECOS PAC ID: 6406944263 Enrollment ID: I20071113000390 |
| Provider Name | Walter W Burns |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831170323 PECOS PAC ID: 9133192206 Enrollment ID: I20071113000640 |
| Provider Name | Albert Richard Hinn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316018658 PECOS PAC ID: 0749378255 Enrollment ID: I20071116000549 |
| Provider Name | Bradley Vaughn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376614693 PECOS PAC ID: 2668560053 Enrollment ID: I20071119000423 |
| Provider Name | Roger F Anderson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528096591 PECOS PAC ID: 1850351370 Enrollment ID: I20071119000615 |
| Provider Name | Murtaza Parekh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225236094 PECOS PAC ID: 4688667975 Enrollment ID: I20071205000649 |
| Provider Name | Lindsey Austin Reddersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750570305 PECOS PAC ID: 4981788957 Enrollment ID: I20080228000780 |
| Provider Name | Crystal Renee Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336333897 PECOS PAC ID: 4183709199 Enrollment ID: I20080313000726 |
| Provider Name | Tara R Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790858793 PECOS PAC ID: 5799862595 Enrollment ID: I20080403000228 |
| Provider Name | Joellen C Speca |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013180108 PECOS PAC ID: 5890873319 Enrollment ID: I20080424000371 |
| Provider Name | James J Hardy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023010493 PECOS PAC ID: 2163404450 Enrollment ID: I20080429000271 |
| Provider Name | Lindsey Sean Sharp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578747952 PECOS PAC ID: 5294805875 Enrollment ID: I20080609000629 |
| Provider Name | Jessica L Virag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033394721 PECOS PAC ID: 4688744105 Enrollment ID: I20080610000128 |
| Provider Name | Charles W Scarantino |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891745352 PECOS PAC ID: 0941260467 Enrollment ID: I20080612000193 |
| Provider Name | Leroy George Hoffman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811925712 PECOS PAC ID: 4789605882 Enrollment ID: I20080612000210 |
| Provider Name | Meera Udayakumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356527196 PECOS PAC ID: 7012088446 Enrollment ID: I20080612000466 |
| Provider Name | Elizabeth Michelle Volz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1306012091 PECOS PAC ID: 9537230172 Enrollment ID: I20080625000327 |
| Provider Name | John R Adams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538384102 PECOS PAC ID: 2961575105 Enrollment ID: I20080721000504 |
| Provider Name | Lawrence Bruce Marks |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417043738 PECOS PAC ID: 6406920065 Enrollment ID: I20080731000292 |
| Provider Name | Vijayatha Chowdary Gundarapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730355579 PECOS PAC ID: 5991879215 Enrollment ID: I20080805000636 |
| Provider Name | Laura Klatt House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164559829 PECOS PAC ID: 9436223666 Enrollment ID: I20080805000752 |
| Provider Name | Esa A Bloedon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992912547 PECOS PAC ID: 0143395954 Enrollment ID: I20080813000504 |
| Provider Name | Sunil Prakash Chand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558558999 PECOS PAC ID: 9234205766 Enrollment ID: I20080908000416 |
| Provider Name | Edward Han Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376614438 PECOS PAC ID: 1355418369 Enrollment ID: I20080917000222 |
| Provider Name | Lashawn Antoinette Weaver Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093908311 PECOS PAC ID: 3779650593 Enrollment ID: I20080923000250 |
| Provider Name | Tiffany Monique-scott Flanagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942346515 PECOS PAC ID: 4385712926 Enrollment ID: I20081008000822 |
| Provider Name | Evaron Rose Sigmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306094784 PECOS PAC ID: 9436227030 Enrollment ID: I20081009000471 |
| Provider Name | Romain Athus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700877677 PECOS PAC ID: 8123053808 Enrollment ID: I20081017000421 |
| Provider Name | Samuel K St Clair |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073588000 PECOS PAC ID: 1052479102 Enrollment ID: I20081020000051 |
| Provider Name | Lori Vaught Duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609068394 PECOS PAC ID: 6608936406 Enrollment ID: I20081124000745 |
| Provider Name | Ernesto J F Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598706533 PECOS PAC ID: 6709940596 Enrollment ID: I20090122000399 |
| Provider Name | Jamie A Banwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164673711 PECOS PAC ID: 3577627264 Enrollment ID: I20090123000587 |
| Provider Name | Elizabeth H Langston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174773840 PECOS PAC ID: 2466516679 Enrollment ID: I20090203000645 |
| Provider Name | Sandeep Vaishnavi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629116801 PECOS PAC ID: 6305936980 Enrollment ID: I20090428000578 |
| Provider Name | Brett E Dorfman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558370734 PECOS PAC ID: 4082764626 Enrollment ID: I20090602000691 |
| Provider Name | Sally C Ravanos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083835078 PECOS PAC ID: 0648320341 Enrollment ID: I20090617000561 |
| Provider Name | Mateen Akhtar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053389668 PECOS PAC ID: 8527003623 Enrollment ID: I20090617000717 |
| Provider Name | Sohail Imran Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124137393 PECOS PAC ID: 1658388335 Enrollment ID: I20090625000583 |
| Provider Name | Chon Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366655631 PECOS PAC ID: 8426109208 Enrollment ID: I20090708000298 |
| Provider Name | Joel B Dragelin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801896691 PECOS PAC ID: 1951306828 Enrollment ID: I20090730000559 |
| Provider Name | Peter Conrad Ng |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063412377 PECOS PAC ID: 8123023090 Enrollment ID: I20090730000573 |
| Provider Name | John A Garside |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720088255 PECOS PAC ID: 7719032143 Enrollment ID: I20090908000350 |
| Provider Name | Ellen L Jones |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780770164 PECOS PAC ID: 5193871671 Enrollment ID: I20090924000558 |
| Provider Name | Sembua Danieli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497789150 PECOS PAC ID: 1951388040 Enrollment ID: I20090928000714 |
| Provider Name | Michael John Rihm Craig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720209992 PECOS PAC ID: 1355496696 Enrollment ID: I20091002000187 |
| Provider Name | Muhammad A Ghani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235359696 PECOS PAC ID: 6507903531 Enrollment ID: I20091023000651 |
| Provider Name | John Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003830399 PECOS PAC ID: 4789640681 Enrollment ID: I20091208000526 |
| Provider Name | Carol Anne Hahn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982799698 PECOS PAC ID: 4789725045 Enrollment ID: I20100108000238 |
| Provider Name | Ahmed Adelkader Farag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225015928 PECOS PAC ID: 6901948793 Enrollment ID: I20100115000717 |
| Provider Name | Kenton R Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427036938 PECOS PAC ID: 7315089547 Enrollment ID: I20100126000369 |
| Provider Name | Jon W Pauli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376521054 PECOS PAC ID: 7719029750 Enrollment ID: I20100128000665 |
| Provider Name | James G Scanlan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962499087 PECOS PAC ID: 2163406513 Enrollment ID: I20100211000245 |
| Provider Name | Carolyn Annette Fonville Seale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942539440 PECOS PAC ID: 7113060278 Enrollment ID: I20100211000476 |
| Provider Name | Paul Robert Becherer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962464719 PECOS PAC ID: 0244371946 Enrollment ID: I20100220000249 |
| Provider Name | Robert J Kastner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265406037 PECOS PAC ID: 5496899668 Enrollment ID: I20100225000794 |
| Provider Name | Christopher William Ingram |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780647032 PECOS PAC ID: 8426199126 Enrollment ID: I20100310000979 |
| Provider Name | Alan P Kypson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538151881 PECOS PAC ID: 1658406632 Enrollment ID: I20100316000484 |
| Provider Name | Albert S Chang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619991353 PECOS PAC ID: 8820092646 Enrollment ID: I20100318000302 |
| Provider Name | Joel Evan Schneider |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437157138 PECOS PAC ID: 0941382097 Enrollment ID: I20100325001055 |
| Provider Name | Sheryl Hunt Duke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962733097 PECOS PAC ID: 3577699776 Enrollment ID: I20100326000686 |
| Provider Name | Catherine Lee Chang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487731949 PECOS PAC ID: 5890724793 Enrollment ID: I20100419000720 |
| Provider Name | Brianna Grittin Gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467644708 PECOS PAC ID: 1759419534 Enrollment ID: I20100514000876 |
| Provider Name | Stephen W Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811960412 PECOS PAC ID: 2668500380 Enrollment ID: I20100517000439 |
| Provider Name | Sidharth Anil Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184840688 PECOS PAC ID: 6305976200 Enrollment ID: I20100618000413 |
| Provider Name | Richard Preston Hobbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356561385 PECOS PAC ID: 7416080957 Enrollment ID: I20100804000150 |
| Provider Name | Kristine Vissage Scruggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275736977 PECOS PAC ID: 7719011311 Enrollment ID: I20100818000750 |
| Provider Name | Robert L Jobe |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154329670 PECOS PAC ID: 2769564814 Enrollment ID: I20100820000785 |
| Provider Name | Krista Wuchter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922203504 PECOS PAC ID: 1850415811 Enrollment ID: I20100826001073 |
| Provider Name | Richard M Jones |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639140817 PECOS PAC ID: 8820178825 Enrollment ID: I20100902000556 |
| Provider Name | Kenneth Kohagen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972589935 PECOS PAC ID: 4789654989 Enrollment ID: I20100907000833 |
| Provider Name | David B Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083681688 PECOS PAC ID: 4486723483 Enrollment ID: I20100913000643 |
| Provider Name | Samuel Parrish Davis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982631768 PECOS PAC ID: 6103821319 Enrollment ID: I20100916001140 |
| Provider Name | David B Walker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215111687 PECOS PAC ID: 8325163041 Enrollment ID: I20100917000162 |
| Provider Name | Jeri Elizabeth Dickinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972711265 PECOS PAC ID: 6406972520 Enrollment ID: I20100927000767 |
| Provider Name | Srikar A Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982800488 PECOS PAC ID: 8820280399 Enrollment ID: I20101004000433 |
| Provider Name | Kavitha Sravanthi R Kadumpalli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417000456 PECOS PAC ID: 8921290248 Enrollment ID: I20101005000946 |
| Provider Name | Rig Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063498822 PECOS PAC ID: 4284698077 Enrollment ID: I20101005001027 |
| Provider Name | Reza Rahbar-semnani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952540247 PECOS PAC ID: 2365634458 Enrollment ID: I20101007000729 |
| Provider Name | Patricia Michelle Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871536581 PECOS PAC ID: 0648462697 Enrollment ID: I20101008000233 |
| Provider Name | John Andrew Bullington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063721223 PECOS PAC ID: 8224223078 Enrollment ID: I20101106000036 |
| Provider Name | Robin F Koeleveld |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932174372 PECOS PAC ID: 5395931208 Enrollment ID: I20101117001627 |
| Provider Name | Shannon B Mooring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669782470 PECOS PAC ID: 9032305727 Enrollment ID: I20101119000893 |
| Provider Name | Mary Gray Hixson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619129970 PECOS PAC ID: 1052508546 Enrollment ID: I20101209000838 |
| Provider Name | Henry Thomas Radziewicz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154427441 PECOS PAC ID: 9436116019 Enrollment ID: I20101211000030 |
| Provider Name | Rommel P Lu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558575738 PECOS PAC ID: 7719011758 Enrollment ID: I20101217000531 |
| Provider Name | Jerry B Hung |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528121563 PECOS PAC ID: 2567550627 Enrollment ID: I20110111000628 |
| Provider Name | Sara Colmer Syvinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669776977 PECOS PAC ID: 2062693427 Enrollment ID: I20110218000366 |
| Provider Name | Kofi Adeleke Doonquah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740210426 PECOS PAC ID: 5890977805 Enrollment ID: I20110314000100 |
| Provider Name | Anne K Yeager |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1316953235 PECOS PAC ID: 3173709730 Enrollment ID: I20110516000413 |
| Provider Name | Tracey A Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831495795 PECOS PAC ID: 3577741370 Enrollment ID: I20110627000340 |
| Provider Name | Kathryn Middleton Deplatchett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205097219 PECOS PAC ID: 8224206370 Enrollment ID: I20110718000082 |
| Provider Name | Jeremiah C Boles |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902025042 PECOS PAC ID: 4688844855 Enrollment ID: I20110825000220 |
| Provider Name | Julia K Rauch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841451713 PECOS PAC ID: 6800066085 Enrollment ID: I20110825000307 |
| Provider Name | William Jr Kwan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033310776 PECOS PAC ID: 6901076199 Enrollment ID: I20110825000423 |
| Provider Name | Angela R Lipscomb-hudson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770784191 PECOS PAC ID: 6002087632 Enrollment ID: I20110912000458 |
| Provider Name | Deepti R Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760641153 PECOS PAC ID: 8022280379 Enrollment ID: I20111010000014 |
| Provider Name | Linda A Endicott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043595838 PECOS PAC ID: 3274707997 Enrollment ID: I20111115000532 |
| Provider Name | Ruth L Mokeba Ekangaki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073519880 PECOS PAC ID: 8729040365 Enrollment ID: I20111128000477 |
| Provider Name | Achilles J Fakiris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750336590 PECOS PAC ID: 5496752792 Enrollment ID: I20111214000001 |
| Provider Name | Jun He |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376704213 PECOS PAC ID: 1557537412 Enrollment ID: I20111228000087 |
| Provider Name | Paul Anthony Perez Navarro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851341960 PECOS PAC ID: 7315076239 Enrollment ID: I20120120000856 |
| Provider Name | Debra Bass Harr |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245317767 PECOS PAC ID: 4688707359 Enrollment ID: I20120131000888 |
| Provider Name | Yogita Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861655904 PECOS PAC ID: 1355501735 Enrollment ID: I20120321000680 |
| Provider Name | Margaretann B House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447387212 PECOS PAC ID: 9931360856 Enrollment ID: I20120419000444 |
| Provider Name | Laura D Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922364025 PECOS PAC ID: 3476716366 Enrollment ID: I20120511000162 |
| Provider Name | Kimberly Ann Wehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649548223 PECOS PAC ID: 4082877279 Enrollment ID: I20120526000000 |
| Provider Name | Marianne P Burger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417032913 PECOS PAC ID: 1052575826 Enrollment ID: I20120606000470 |
| Provider Name | Arilus Dawan Gunter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679598254 PECOS PAC ID: 3476526948 Enrollment ID: I20120611000428 |
| Provider Name | Sarah Marie Gore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124286810 PECOS PAC ID: 3173789039 Enrollment ID: I20120720000077 |
| Provider Name | Dustin M Bermudez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427115823 PECOS PAC ID: 5395901193 Enrollment ID: I20120724000027 |
| Provider Name | Laura Lee Ciaramitaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518242874 PECOS PAC ID: 2567639180 Enrollment ID: I20120731000555 |
| Provider Name | Robert Brandon Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104112788 PECOS PAC ID: 8820244858 Enrollment ID: I20120808000001 |
| Provider Name | Joseph Corey Allen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861652257 PECOS PAC ID: 4688820178 Enrollment ID: I20120816000467 |
| Provider Name | Vinay Paran Saranga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144428673 PECOS PAC ID: 9739361718 Enrollment ID: I20120816000826 |
| Provider Name | Vamsi K Sreedharala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255597589 PECOS PAC ID: 5496924698 Enrollment ID: I20120817000318 |
| Provider Name | Amanda Marshburn Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407080641 PECOS PAC ID: 5193972552 Enrollment ID: I20120821000227 |
| Provider Name | Dorian Joseph Defreitas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790984375 PECOS PAC ID: 8628225687 Enrollment ID: I20120827000130 |
| Provider Name | Denise Pescaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619080934 PECOS PAC ID: 3173625522 Enrollment ID: I20120904000827 |
| Provider Name | Ashley M Lewis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053586032 PECOS PAC ID: 7315195856 Enrollment ID: I20120907000308 |
| Provider Name | Punit Baveja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548468754 PECOS PAC ID: 1951402619 Enrollment ID: I20120924000377 |
| Provider Name | Anuradha Poolla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972837409 PECOS PAC ID: 0042460511 Enrollment ID: I20121017000856 |
| Provider Name | Linda A Disalvo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518227255 PECOS PAC ID: 4385895440 Enrollment ID: I20121119000399 |
| Provider Name | Courtney L Bui |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992861751 PECOS PAC ID: 4587756648 Enrollment ID: I20121126000336 |
| Provider Name | Amitha Ravulapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659567055 PECOS PAC ID: 8820283872 Enrollment ID: I20121210000463 |
| Provider Name | Nisha Thannikkary Manickam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023342938 PECOS PAC ID: 4385836188 Enrollment ID: I20121214000023 |
| Provider Name | Kalyana Boddapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407186422 PECOS PAC ID: 8527197037 Enrollment ID: I20121226000140 |
| Provider Name | Yael Shiloh-malawsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245431600 PECOS PAC ID: 9234382342 Enrollment ID: I20130123000116 |
| Provider Name | Stephanie Mills Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063765345 PECOS PAC ID: 2668626375 Enrollment ID: I20130205000427 |
| Provider Name | Andrew Thomas Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801096821 PECOS PAC ID: 0244403079 Enrollment ID: I20130223000120 |
| Provider Name | Jason Kwangyon Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376733873 PECOS PAC ID: 9830278332 Enrollment ID: I20130226000159 |
| Provider Name | Adnan Pervez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013017748 PECOS PAC ID: 4385658004 Enrollment ID: I20130227000557 |
| Provider Name | Amanda A Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114276409 PECOS PAC ID: 2264670777 Enrollment ID: I20130522000525 |
| Provider Name | Joseph Mcneill Bumgarner |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851619456 PECOS PAC ID: 7113168782 Enrollment ID: I20130724000209 |
| Provider Name | Charles P Mccormick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215195342 PECOS PAC ID: 7911149711 Enrollment ID: I20130807000358 |
| Provider Name | Rajiv T Majithia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043473168 PECOS PAC ID: 2961674643 Enrollment ID: I20130823000536 |
| Provider Name | Matthew David Oettinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790002418 PECOS PAC ID: 4688813348 Enrollment ID: I20130830000709 |
| Provider Name | Rajesh Chimanlal Vakani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558532374 PECOS PAC ID: 0547332124 Enrollment ID: I20130906000470 |
| Provider Name | Reem Alkadhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053632570 PECOS PAC ID: 1254575152 Enrollment ID: I20130916000277 |
| Provider Name | Jennifer J Kinley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912227281 PECOS PAC ID: 8426282104 Enrollment ID: I20131011001256 |
| Provider Name | Hiren Harshadray Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235339599 PECOS PAC ID: 2860627221 Enrollment ID: I20131021001508 |
| Provider Name | Tanvir Haque |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235457748 PECOS PAC ID: 7810122157 Enrollment ID: I20131023000230 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20131030001008 |
| Provider Name | Daree Elaine Russell Goings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053543710 PECOS PAC ID: 1759516636 Enrollment ID: I20131030001730 |
| Provider Name | Lakshmi Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598830945 PECOS PAC ID: 9032304969 Enrollment ID: I20131101000762 |
| Provider Name | Rohit Ahuja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871691139 PECOS PAC ID: 3274516596 Enrollment ID: I20131112000596 |
| Provider Name | Narasimha Gollol Raju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336344977 PECOS PAC ID: 3072669266 Enrollment ID: I20131120000874 |
| Provider Name | Dwijesh B Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700104221 PECOS PAC ID: 2961639588 Enrollment ID: I20131205001052 |
| Provider Name | Paul B Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407065477 PECOS PAC ID: 0143477570 Enrollment ID: I20131209000052 |
| Provider Name | Purushotham Gorrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124044771 PECOS PAC ID: 0547267981 Enrollment ID: I20131212001475 |
| Provider Name | Ila E Hill-ludford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699986091 PECOS PAC ID: 7113106238 Enrollment ID: I20131217000616 |
| Provider Name | Brendan Mcnulty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467499087 PECOS PAC ID: 2567538580 Enrollment ID: I20131218001417 |
| Provider Name | Sanjay Singareddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679548291 PECOS PAC ID: 3476573874 Enrollment ID: I20140113001195 |
| Provider Name | Madhu Babu Paladugu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659532596 PECOS PAC ID: 4284804097 Enrollment ID: I20140131000532 |
| Provider Name | Robin A Hackmann Leib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588095137 PECOS PAC ID: 6305075342 Enrollment ID: I20140214001322 |
| Provider Name | Laurie Rancik Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821429572 PECOS PAC ID: 9638308505 Enrollment ID: I20140219000818 |
| Provider Name | Peter S Fleming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154559284 PECOS PAC ID: 3375773591 Enrollment ID: I20140307000576 |
| Provider Name | Diab Sidahmed Omer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083891808 PECOS PAC ID: 9133292212 Enrollment ID: I20140327002333 |
| Provider Name | John Mark Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316136575 PECOS PAC ID: 1759529001 Enrollment ID: I20140329000286 |
| Provider Name | Nisha Kotecha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093144719 PECOS PAC ID: 1658503420 Enrollment ID: I20140409001127 |
| Provider Name | Stephen P Panyko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235364118 PECOS PAC ID: 9638392509 Enrollment ID: I20140521001707 |
| Provider Name | Amelia Tabor Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902113541 PECOS PAC ID: 8628263647 Enrollment ID: I20140702001710 |
| Provider Name | Gregg Harrison Goldin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982830782 PECOS PAC ID: 9931327566 Enrollment ID: I20140823000335 |
| Provider Name | Brandon Jeffrey Pyles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467751925 PECOS PAC ID: 0648499814 Enrollment ID: I20140920000104 |
| Provider Name | Andrea Joyce Allen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538573209 PECOS PAC ID: 9739308826 Enrollment ID: I20140923001249 |
| Provider Name | Jay Christopher Sellers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215179247 PECOS PAC ID: 7517198641 Enrollment ID: I20140925000989 |
| Provider Name | Morgan Eileen Mullaney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013175207 PECOS PAC ID: 6800016536 Enrollment ID: I20141001001637 |
| Provider Name | Rachel Dickason Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629480975 PECOS PAC ID: 0547480733 Enrollment ID: I20141010001561 |
| Provider Name | Nancy Nicola Sage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750678876 PECOS PAC ID: 0941421960 Enrollment ID: I20141016000924 |
| Provider Name | Frunze Petrosyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750662045 PECOS PAC ID: 6305067190 Enrollment ID: I20141020002362 |
| Provider Name | Kevin Lewis Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891080479 PECOS PAC ID: 8426206103 Enrollment ID: I20141114001921 |
| Provider Name | Angela Wabulya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578714143 PECOS PAC ID: 1850536921 Enrollment ID: I20141209002639 |
| Provider Name | Carolyn Shanley Day |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902803109 PECOS PAC ID: 8729079504 Enrollment ID: I20141210001800 |
| Provider Name | Amanda C Bandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912300484 PECOS PAC ID: 0648593848 Enrollment ID: I20141218002575 |
| Provider Name | Lalitha S Papineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467748988 PECOS PAC ID: 6204159239 Enrollment ID: I20141226000315 |
| Provider Name | Carol Ann Drescher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124255658 PECOS PAC ID: 9931246295 Enrollment ID: I20150113001591 |
| Provider Name | Laura L Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063855971 PECOS PAC ID: 6800110149 Enrollment ID: I20150115001358 |
| Provider Name | Sameer Mohammad Maroof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770990798 PECOS PAC ID: 6608190343 Enrollment ID: I20150128001617 |
| Provider Name | Deena Smith Lilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568605657 PECOS PAC ID: 8123177474 Enrollment ID: I20150316000754 |
| Provider Name | Janet N Karanja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902243819 PECOS PAC ID: 8820316391 Enrollment ID: I20150413001373 |
| Provider Name | Karen A Monger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255720801 PECOS PAC ID: 6305164567 Enrollment ID: I20150420000780 |
| Provider Name | Leslie Joy Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649669847 PECOS PAC ID: 8921327024 Enrollment ID: I20150511002346 |
| Provider Name | Gaorav P Gupta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1740416478 PECOS PAC ID: 9537303334 Enrollment ID: I20150520002645 |
| Provider Name | Wael Aljishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316105489 PECOS PAC ID: 3274773239 Enrollment ID: I20150527001208 |
| Provider Name | Chadwick Bryce Royster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995892 PECOS PAC ID: 4981925617 Enrollment ID: I20150608000321 |
| Provider Name | Leonardo Morantes Gomez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821317637 PECOS PAC ID: 2264757574 Enrollment ID: I20150610000308 |
| Provider Name | Martyn Knowles |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265632731 PECOS PAC ID: 8527285428 Enrollment ID: I20150709001538 |
| Provider Name | Ashley C Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790171395 PECOS PAC ID: 4981918257 Enrollment ID: I20150730011683 |
| Provider Name | Jashanjeet Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245424886 PECOS PAC ID: 4486833498 Enrollment ID: I20150804004778 |
| Provider Name | Samantha K Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144651225 PECOS PAC ID: 9739493628 Enrollment ID: I20150805009559 |
| Provider Name | Alison J Brancato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629338884 PECOS PAC ID: 7517117955 Enrollment ID: I20150810000086 |
| Provider Name | Caroline C Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104185347 PECOS PAC ID: 9638394570 Enrollment ID: I20150812007279 |
| Provider Name | Burke H Dickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396139788 PECOS PAC ID: 9830404979 Enrollment ID: I20150818005275 |
| Provider Name | John Walker Greene |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093004392 PECOS PAC ID: 1052626116 Enrollment ID: I20150818005823 |
| Provider Name | Joanna Schechner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518357383 PECOS PAC ID: 0749596195 Enrollment ID: I20150831000877 |
| Provider Name | Kelly Lynne Pieh Holder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710273933 PECOS PAC ID: 9234446758 Enrollment ID: I20150916001492 |
| Provider Name | Malorie Deanne Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841672854 PECOS PAC ID: 8325355449 Enrollment ID: I20150922000496 |
| Provider Name | Elizabeth Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326423229 PECOS PAC ID: 8022325000 Enrollment ID: I20150923003389 |
| Provider Name | Amanda Roth Jimenez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710116082 PECOS PAC ID: 7911138680 Enrollment ID: I20150928000366 |
| Provider Name | Amanda M Sherrod |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801038849 PECOS PAC ID: 5698084499 Enrollment ID: I20151019000499 |
| Provider Name | Jessica L Wrench |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821479213 PECOS PAC ID: 0244549095 Enrollment ID: I20151019002047 |
| Provider Name | Barbara Z Dull |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497955728 PECOS PAC ID: 4486877644 Enrollment ID: I20151020000610 |
| Provider Name | Devang Dinesh Gujarathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720399603 PECOS PAC ID: 4587814595 Enrollment ID: I20151022002174 |
| Provider Name | Shannon S Keller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316320344 PECOS PAC ID: 9335458827 Enrollment ID: I20151023001204 |
| Provider Name | Jennifer Ann Caviston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427458157 PECOS PAC ID: 1254640592 Enrollment ID: I20151027002284 |
| Provider Name | Markiesha Willette Edgerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326420928 PECOS PAC ID: 2668781931 Enrollment ID: I20151028000155 |
| Provider Name | Ashok Cattamanchi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184667453 PECOS PAC ID: 5597949685 Enrollment ID: I20151103000709 |
| Provider Name | Mohammed Ataullah Farooqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285954958 PECOS PAC ID: 9234363151 Enrollment ID: I20151121000129 |
| Provider Name | Chinedu Martin Iheagwara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144554676 PECOS PAC ID: 9436459005 Enrollment ID: I20151203002388 |
| Provider Name | Suzette Maria Laroche |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134235138 PECOS PAC ID: 9739163304 Enrollment ID: I20151207003101 |
| Provider Name | Sarah H Dawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124402508 PECOS PAC ID: 8628379369 Enrollment ID: I20151222000917 |
| Provider Name | Barbara Digrande Kreitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730558826 PECOS PAC ID: 5890091581 Enrollment ID: I20160307000677 |
| Provider Name | Tracy K Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548548514 PECOS PAC ID: 6406152644 Enrollment ID: I20160314002055 |
| Provider Name | Pooja Lidhoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528297546 PECOS PAC ID: 5597916841 Enrollment ID: I20160321000506 |
| Provider Name | Delethia Lemar Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861864324 PECOS PAC ID: 8820395429 Enrollment ID: I20160325000717 |
| Provider Name | Stephanie Nicole Tranter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982060646 PECOS PAC ID: 6608173844 Enrollment ID: I20160401001275 |
| Provider Name | Donette Weltansieht Vicente |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700063062 PECOS PAC ID: 9436214491 Enrollment ID: I20160404001397 |
| Provider Name | Amanda Ward Meisel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215374020 PECOS PAC ID: 1759680630 Enrollment ID: I20160427001193 |
| Provider Name | Chase Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568753143 PECOS PAC ID: 4688964562 Enrollment ID: I20160606001087 |
| Provider Name | Megan Ann Mcnamara |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164748794 PECOS PAC ID: 6800187162 Enrollment ID: I20160617000510 |
| Provider Name | Devam Pareshkumar Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104164367 PECOS PAC ID: 1456659044 Enrollment ID: I20160624000580 |
| Provider Name | Jessica R Chadwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124384003 PECOS PAC ID: 1951563329 Enrollment ID: I20160808000350 |
| Provider Name | Liliana Nanez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053636894 PECOS PAC ID: 8729373659 Enrollment ID: I20160817000664 |
| Provider Name | William B Matthews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528322047 PECOS PAC ID: 9537454319 Enrollment ID: I20160817002556 |
| Provider Name | Geoffrey F Lewis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861690893 PECOS PAC ID: 0749477537 Enrollment ID: I20160830000925 |
| Provider Name | Melissa J Lunsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336598952 PECOS PAC ID: 2062709496 Enrollment ID: I20160928000962 |
| Provider Name | Terence J Makoid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194175505 PECOS PAC ID: 5890083851 Enrollment ID: I20161007000718 |
| Provider Name | Elizabeth Koch Cole |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154769792 PECOS PAC ID: 6204052764 Enrollment ID: I20161010000510 |
| Provider Name | Sanjay Cherukuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235394479 PECOS PAC ID: 2365673936 Enrollment ID: I20161011001302 |
| Provider Name | Nikhil A Jariwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396974309 PECOS PAC ID: 9436382694 Enrollment ID: I20161019000565 |
| Provider Name | Laura K Altom |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1144481409 PECOS PAC ID: 3870738115 Enrollment ID: I20161024001041 |
| Provider Name | Zulfiqar Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20161027001891 |
| Provider Name | Ryan P Plichta |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194987115 PECOS PAC ID: 4880909068 Enrollment ID: I20161101002108 |
| Provider Name | Amy Turlington Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447601075 PECOS PAC ID: 8527346048 Enrollment ID: I20161103000015 |
| Provider Name | Terre Dene Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841565728 PECOS PAC ID: 3971732389 Enrollment ID: I20161109002496 |
| Provider Name | Stacie Renee Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942757034 PECOS PAC ID: 2769761568 Enrollment ID: I20161118001323 |
| Provider Name | Megan Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336697945 PECOS PAC ID: 5597045351 Enrollment ID: I20161213002154 |
| Provider Name | Priti Pankaj Patwari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639334550 PECOS PAC ID: 5890929301 Enrollment ID: I20170103000053 |
| Provider Name | Vincent Iannace |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952366171 PECOS PAC ID: 5294796611 Enrollment ID: I20170407001315 |
| Provider Name | Alison M Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891232575 PECOS PAC ID: 0143506683 Enrollment ID: I20170417001289 |
| Provider Name | Pamela A Mbang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699968347 PECOS PAC ID: 3274728951 Enrollment ID: I20170522000749 |
| Provider Name | Michelle Ann Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285604132 PECOS PAC ID: 8224045265 Enrollment ID: I20170619001124 |
| Provider Name | Sarah Britt Foley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669600565 PECOS PAC ID: 2567731029 Enrollment ID: I20170627002197 |
| Provider Name | Linh T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730629296 PECOS PAC ID: 9032489406 Enrollment ID: I20170718000065 |
| Provider Name | Kingsley Prakash Anand Pudota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942594924 PECOS PAC ID: 6103078993 Enrollment ID: I20170728003160 |
| Provider Name | Caroline R Summers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851633002 PECOS PAC ID: 8820222581 Enrollment ID: I20170731000714 |
| Provider Name | Nisa I Semkow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225421902 PECOS PAC ID: 8123399516 Enrollment ID: I20170803000756 |
| Provider Name | Eugeniu Ghidora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710419452 PECOS PAC ID: 0941571277 Enrollment ID: I20170804002512 |
| Provider Name | Amit Bhatnagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316350879 PECOS PAC ID: 7517239858 Enrollment ID: I20170821002043 |
| Provider Name | Nihan Kaya Cannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144630534 PECOS PAC ID: 0244534030 Enrollment ID: I20170821002135 |
| Provider Name | Lianne R Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487188850 PECOS PAC ID: 3779855077 Enrollment ID: I20170822001133 |
| Provider Name | Keisha French |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487099164 PECOS PAC ID: 7315219631 Enrollment ID: I20170822002028 |
| Provider Name | Neil M Kheterpal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609891415 PECOS PAC ID: 7719995448 Enrollment ID: I20170911000132 |
| Provider Name | Laura Jean Meyers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720517311 PECOS PAC ID: 7113290271 Enrollment ID: I20170912001305 |
| Provider Name | Leslie Horn Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518286061 PECOS PAC ID: 7911121405 Enrollment ID: I20170919003130 |
| Provider Name | Colette Joan Shen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679830699 PECOS PAC ID: 8022258433 Enrollment ID: I20170925000507 |
| Provider Name | Elizabeth Vergara Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902111446 PECOS PAC ID: 9335335835 Enrollment ID: I20170925002241 |
| Provider Name | Ashley Aston Weiner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154697381 PECOS PAC ID: 7113156464 Enrollment ID: I20171002000180 |
| Provider Name | Stephen Byron Perry Huff |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972869766 PECOS PAC ID: 6507169919 Enrollment ID: I20171002000710 |
| Provider Name | Brian Francis Simpson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316357544 PECOS PAC ID: 6901195510 Enrollment ID: I20171002002173 |
| Provider Name | Gregory Atika Isabwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083132773 PECOS PAC ID: 0143596973 Enrollment ID: I20171024000700 |
| Provider Name | Chricat S Garrard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184141897 PECOS PAC ID: 3870859911 Enrollment ID: I20171107000294 |
| Provider Name | Robert John Wiltberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851800346 PECOS PAC ID: 7113283987 Enrollment ID: I20171110000989 |
| Provider Name | Margaret Faye Bova |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578082905 PECOS PAC ID: 1254698608 Enrollment ID: I20171120003559 |
| Provider Name | Stellamary Inigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841714243 PECOS PAC ID: 8123387578 Enrollment ID: I20180111000280 |
| Provider Name | Mary Hannah Mccormick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992971287 PECOS PAC ID: 5294957932 Enrollment ID: I20180119001737 |
| Provider Name | Joanna Barlow Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356852933 PECOS PAC ID: 2264791060 Enrollment ID: I20180125000030 |
| Provider Name | Naomi Christine Askew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902325418 PECOS PAC ID: 9133489677 Enrollment ID: I20180201001576 |
| Provider Name | Christine I Carr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689615957 PECOS PAC ID: 9335409242 Enrollment ID: I20180213002565 |
| Provider Name | Sriraksha Jayananda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679993679 PECOS PAC ID: 7911297312 Enrollment ID: I20180214001823 |
| Provider Name | Laqueita Quarzette Morning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194237750 PECOS PAC ID: 5294095055 Enrollment ID: I20180216000602 |
| Provider Name | John Christopher Harville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558871715 PECOS PAC ID: 8325309784 Enrollment ID: I20180227000983 |
| Provider Name | Beverly A Montalvo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538366257 PECOS PAC ID: 1052490851 Enrollment ID: I20180314001304 |
| Provider Name | Minty Anand Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760682009 PECOS PAC ID: 4789845066 Enrollment ID: I20180404000780 |
| Provider Name | Darcy Jo Subramaniam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316455280 PECOS PAC ID: 5092070110 Enrollment ID: I20180521000483 |
| Provider Name | Sandra Daskalakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912395526 PECOS PAC ID: 1759669922 Enrollment ID: I20180615001161 |
| Provider Name | Babu Subramaniam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306808258 PECOS PAC ID: 8628165677 Enrollment ID: I20180709002359 |
| Provider Name | Anureet Cheema Copeland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164781415 PECOS PAC ID: 2365764180 Enrollment ID: I20180713001606 |
| Provider Name | Mahmoud Al Masry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851694889 PECOS PAC ID: 8628295730 Enrollment ID: I20180716002621 |
| Provider Name | Kimberly Willis Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710188362 PECOS PAC ID: 4082924915 Enrollment ID: I20180718000670 |
| Provider Name | Ranjit Joseph |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821383951 PECOS PAC ID: 1254644040 Enrollment ID: I20180726002653 |
| Provider Name | Alan Joseph Rosenbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548680994 PECOS PAC ID: 4183933096 Enrollment ID: I20180815002796 |
| Provider Name | John A Engler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750587036 PECOS PAC ID: 2860799004 Enrollment ID: I20180823002658 |
| Provider Name | Nita Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366934556 PECOS PAC ID: 9739439316 Enrollment ID: I20180830003679 |
| Provider Name | Paul Alan Trottman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598108672 PECOS PAC ID: 1759523632 Enrollment ID: I20181004001356 |
| Provider Name | Jingwen Hua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730665316 PECOS PAC ID: 2062764871 Enrollment ID: I20181005001290 |
| Provider Name | Philip S Hall |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518270867 PECOS PAC ID: 7416181441 Enrollment ID: I20181019000431 |
| Provider Name | Jennifer Louise Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205322062 PECOS PAC ID: 7113270273 Enrollment ID: I20181019001363 |
| Provider Name | Jharna Rakesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396184610 PECOS PAC ID: 9133472053 Enrollment ID: I20181023002402 |
| Provider Name | Jewook Ha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053793265 PECOS PAC ID: 3678826500 Enrollment ID: I20181023002487 |
| Provider Name | Michael Ross March |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598848046 PECOS PAC ID: 4183519903 Enrollment ID: I20181030000195 |
| Provider Name | Tibor Becske |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770598575 PECOS PAC ID: 7416918073 Enrollment ID: I20181030003178 |
| Provider Name | Jayadev Manikkam Umakanthan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508111527 PECOS PAC ID: 4789831538 Enrollment ID: I20181106000001 |
| Provider Name | Laura Christine Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649759978 PECOS PAC ID: 8527312255 Enrollment ID: I20181116000472 |
| Provider Name | Lindsey Hill Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275961708 PECOS PAC ID: 0840544482 Enrollment ID: I20181116001451 |
| Provider Name | Kaleb Joseph Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245712157 PECOS PAC ID: 2769736354 Enrollment ID: I20181119000146 |
| Provider Name | Heather Johnson Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649757113 PECOS PAC ID: 0648524264 Enrollment ID: I20181119001647 |
| Provider Name | Kristen Ann Benninger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770960072 PECOS PAC ID: 3779896576 Enrollment ID: I20181126001590 |
| Provider Name | Katherine Mcfarlane Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720561616 PECOS PAC ID: 4486998481 Enrollment ID: I20181203000511 |
| Provider Name | Allyssa Blaire Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922573823 PECOS PAC ID: 4486999653 Enrollment ID: I20181215000417 |
| Provider Name | Sari Nicole Fandel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619179587 PECOS PAC ID: 3678738259 Enrollment ID: I20181220003329 |
| Provider Name | Gail Devra Nagel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417273525 PECOS PAC ID: 0648515288 Enrollment ID: I20181228002523 |
| Provider Name | Erika Nussen Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750497707 PECOS PAC ID: 3476608753 Enrollment ID: I20181229000148 |
| Provider Name | Adekunbi Etseogboya Egwakhe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265828503 PECOS PAC ID: 1850636424 Enrollment ID: I20181231001098 |
| Provider Name | Sarah Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336481670 PECOS PAC ID: 0446488050 Enrollment ID: I20190102002409 |
| Provider Name | Sharon Lindsay Clancy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174717649 PECOS PAC ID: 8123167681 Enrollment ID: I20190124003180 |
| Provider Name | Gerard Antoine Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831165141 PECOS PAC ID: 8921234790 Enrollment ID: I20190207001119 |
| Provider Name | Alison Grimme O'quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568926509 PECOS PAC ID: 5092054957 Enrollment ID: I20190312000425 |
| Provider Name | John Robert Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992261200 PECOS PAC ID: 7416297650 Enrollment ID: I20190325002789 |
| Provider Name | Sara Beth Liles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013473180 PECOS PAC ID: 6608117221 Enrollment ID: I20190409002036 |
| Provider Name | Jessica Nicole Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306300553 PECOS PAC ID: 4880935253 Enrollment ID: I20190411002436 |
| Provider Name | Lesley Danielle Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942766928 PECOS PAC ID: 4880935105 Enrollment ID: I20190412001833 |
| Provider Name | Tatiana Kovtoun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487818597 PECOS PAC ID: 3971670597 Enrollment ID: I20190416000858 |
| Provider Name | Erica Jane Harberger Mountjoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841754736 PECOS PAC ID: 5496098477 Enrollment ID: I20190514002217 |
| Provider Name | Andrea Marie Mcculloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316405905 PECOS PAC ID: 2062755838 Enrollment ID: I20190517001186 |
| Provider Name | Samantha Cochrane Weinhold |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447725379 PECOS PAC ID: 9436492121 Enrollment ID: I20190521001602 |
| Provider Name | Brandy Nichole Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699330670 PECOS PAC ID: 4789917998 Enrollment ID: I20190603002152 |
| Provider Name | Clifton Coleman Reade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851457113 PECOS PAC ID: 6305997537 Enrollment ID: I20190618000006 |
| Provider Name | Christopher Rehbeck Kelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437449634 PECOS PAC ID: 7517184179 Enrollment ID: I20190725002897 |
| Provider Name | Ujjawal H Gandhi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396002325 PECOS PAC ID: 9032464490 Enrollment ID: I20190729003565 |
| Provider Name | Theodore Yanagihara |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316201007 PECOS PAC ID: 9931470622 Enrollment ID: I20190807003164 |
| Provider Name | Kevin Alexander Pearlstein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437560463 PECOS PAC ID: 0840415402 Enrollment ID: I20190812002397 |
| Provider Name | Praneet Korrapati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467895748 PECOS PAC ID: 0042516098 Enrollment ID: I20190820001503 |
| Provider Name | Mohit Datta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720217102 PECOS PAC ID: 2961657176 Enrollment ID: I20190822003989 |
| Provider Name | Sagarika Nag |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871903617 PECOS PAC ID: 7911122072 Enrollment ID: I20190824000597 |
| Provider Name | Brian William Stephenson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376805366 PECOS PAC ID: 8729300736 Enrollment ID: I20190903001418 |
| Provider Name | Anooj Devendrakumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316301468 PECOS PAC ID: 6709120033 Enrollment ID: I20190906002344 |
| Provider Name | Katherine Menk Trahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962417717 PECOS PAC ID: 5890791412 Enrollment ID: I20190909000394 |
| Provider Name | Michael Kevin Dougherty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245590264 PECOS PAC ID: 9436461944 Enrollment ID: I20190909003009 |
| Provider Name | Suman M Wasan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427027242 PECOS PAC ID: 7012921372 Enrollment ID: I20190918001762 |
| Provider Name | Kristi Driver Brendle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811541899 PECOS PAC ID: 7911237284 Enrollment ID: I20190930001676 |
| Provider Name | Jessica Louise Selvaggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518527654 PECOS PAC ID: 3779813084 Enrollment ID: I20191001000027 |
| Provider Name | Linda Marie Youngwirth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679830400 PECOS PAC ID: 7618208331 Enrollment ID: I20191010003127 |
| Provider Name | Dorothy Chigozie Nwizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922578541 PECOS PAC ID: 0345571634 Enrollment ID: I20191017002819 |
| Provider Name | Michael Thomas Lecompte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588923593 PECOS PAC ID: 3173879319 Enrollment ID: I20191021001622 |
| Provider Name | Bridget A Tobin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831586940 PECOS PAC ID: 9830493774 Enrollment ID: I20191023002212 |
| Provider Name | Amit V Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134417660 PECOS PAC ID: 0042580342 Enrollment ID: I20191104002425 |
| Provider Name | Mariam Abboud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861835472 PECOS PAC ID: 0648497362 Enrollment ID: I20191212002011 |
| Provider Name | Kimberly Paige Damron |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710294319 PECOS PAC ID: 8224214259 Enrollment ID: I20200102001292 |
| Provider Name | Jasmine Serriye Cross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588140206 PECOS PAC ID: 6406104223 Enrollment ID: I20200107003437 |
| Provider Name | Clio Aracelli Rubinos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538435300 PECOS PAC ID: 9537460472 Enrollment ID: I20200115000064 |
| Provider Name | Reginald W Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275053167 PECOS PAC ID: 5092144915 Enrollment ID: I20200327002859 |
| Provider Name | Maliaka Kai Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396954103 PECOS PAC ID: 8325029820 Enrollment ID: I20200407001760 |
| Provider Name | Henny Liwan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376855007 PECOS PAC ID: 9335365113 Enrollment ID: I20200420000809 |
| Provider Name | Altonette M Coney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093340317 PECOS PAC ID: 7719317007 Enrollment ID: I20200429001981 |
| Provider Name | Ashley Blair Mccuen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255983821 PECOS PAC ID: 7012249964 Enrollment ID: I20200512003453 |
| Provider Name | Navaneetha Krishnan Sheshadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184966715 PECOS PAC ID: 8527330307 Enrollment ID: I20200520002655 |
| Provider Name | Keisha Kamile Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831510007 PECOS PAC ID: 9335362110 Enrollment ID: I20200618000005 |
| Provider Name | Wayneho Kam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659767911 PECOS PAC ID: 1254634512 Enrollment ID: I20200623000114 |
| Provider Name | Dana Casey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194110882 PECOS PAC ID: 4385930106 Enrollment ID: I20200716000194 |
| Provider Name | May Lim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376516823 PECOS PAC ID: 6608972765 Enrollment ID: I20200720000307 |
| Provider Name | Vladim Bobrovnikov |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710399563 PECOS PAC ID: 3577987882 Enrollment ID: I20200720003395 |
| Provider Name | Viyan Udawatta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861735458 PECOS PAC ID: 8820216997 Enrollment ID: I20200721004325 |
| Provider Name | Kathleen Tompkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962896159 PECOS PAC ID: 0547589996 Enrollment ID: I20200723003855 |
| Provider Name | Siddharth Ajaybhai Saraiya |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164721676 PECOS PAC ID: 9830330208 Enrollment ID: I20200728002245 |
| Provider Name | Idil Aktan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528404845 PECOS PAC ID: 8729216544 Enrollment ID: I20200807000638 |
| Provider Name | Benjamin Brown Albright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861856981 PECOS PAC ID: 6002180254 Enrollment ID: I20200814001155 |
| Provider Name | Torrance Robel Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447203450 PECOS PAC ID: 7618939307 Enrollment ID: I20200818001669 |
| Provider Name | Johanna Rachel Quist-nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407299357 PECOS PAC ID: 4688979222 Enrollment ID: I20200819000713 |
| Provider Name | Senyene Eyo Hunter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982017703 PECOS PAC ID: 6305063256 Enrollment ID: I20200820001796 |
| Provider Name | Nannaya Jampala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649690637 PECOS PAC ID: 1658679071 Enrollment ID: I20200831003379 |
| Provider Name | Erin Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528447091 PECOS PAC ID: 5799071478 Enrollment ID: I20200901000318 |
| Provider Name | Jisha John |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457680183 PECOS PAC ID: 9335456821 Enrollment ID: I20200909001770 |
| Provider Name | Silpa Yalamanchili |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518386457 PECOS PAC ID: 8325261035 Enrollment ID: I20200911001094 |
| Provider Name | Atif Sheikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497174353 PECOS PAC ID: 7416293360 Enrollment ID: I20200924001673 |
| Provider Name | Whitney Dale Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811278 PECOS PAC ID: 6002236981 Enrollment ID: I20201014001925 |
| Provider Name | Qian-zhou Victoria Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730508649 PECOS PAC ID: 5991116519 Enrollment ID: I20201202001984 |
| Provider Name | Rebeca Alejandra Moretto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003336710 PECOS PAC ID: 4385062561 Enrollment ID: I20201205000168 |
| Provider Name | Daniel Roy May |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295081388 PECOS PAC ID: 9234541699 Enrollment ID: I20201209002043 |
| Provider Name | Suzanne Saleh Schultze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184013971 PECOS PAC ID: 8325328750 Enrollment ID: I20201215002175 |
| Provider Name | Tianna Kathryn Powell Greene |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083153001 PECOS PAC ID: 0143567073 Enrollment ID: I20210108000128 |
| Provider Name | Clarissa Nicole Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639777212 PECOS PAC ID: 0042623019 Enrollment ID: I20210112001740 |
| Provider Name | Kimberly Gilliard Broadwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255928479 PECOS PAC ID: 7113331067 Enrollment ID: I20210204000627 |
| Provider Name | Arijit Dasgupta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679529135 PECOS PAC ID: 9739192444 Enrollment ID: I20210209001607 |
| Provider Name | Page Leigh Winchester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982206686 PECOS PAC ID: 3678988268 Enrollment ID: I20210211002659 |
| Provider Name | Krystin Greer Fmura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700472727 PECOS PAC ID: 3476969890 Enrollment ID: I20210310001262 |
| Provider Name | Benny Yuen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528364957 PECOS PAC ID: 5698062214 Enrollment ID: I20210318000161 |
| Provider Name | Cameron Blake Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700486685 PECOS PAC ID: 3678980190 Enrollment ID: I20210330001825 |
| Provider Name | Cherith Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265049316 PECOS PAC ID: 5092122457 Enrollment ID: I20210331001059 |
| Provider Name | Anjali Ram Thawani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457511412 PECOS PAC ID: 2264694124 Enrollment ID: I20210414000240 |
| Provider Name | Aubrey Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780278473 PECOS PAC ID: 0840608618 Enrollment ID: I20210415000766 |
| Provider Name | Mintoria Lynette Stockton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316561178 PECOS PAC ID: 6002225927 Enrollment ID: I20210505002944 |
| Provider Name | Mary Craver Yacenda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063904118 PECOS PAC ID: 4082964838 Enrollment ID: I20210514000193 |
| Provider Name | Lindsay Michelle Hephner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841870243 PECOS PAC ID: 2365851797 Enrollment ID: I20210514000345 |
| Provider Name | James Decarlo Artis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104406131 PECOS PAC ID: 2466852637 Enrollment ID: I20210609001209 |
| Provider Name | Micah James Pherson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366853145 PECOS PAC ID: 6103040613 Enrollment ID: I20210614001220 |
| Provider Name | Rory Tynan Grace |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649680778 PECOS PAC ID: 8820375397 Enrollment ID: I20210619000101 |
| Provider Name | Isha Manohar Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326429259 PECOS PAC ID: 8628368925 Enrollment ID: I20210715003184 |
| Provider Name | Julia Whitley Sheets |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356728497 PECOS PAC ID: 3476874744 Enrollment ID: I20210716002452 |
| Provider Name | Joshua Evan Loewenstein |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134530876 PECOS PAC ID: 8426346669 Enrollment ID: I20210722002243 |
| Provider Name | Alyssa Marie Kiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346863495 PECOS PAC ID: 1557764826 Enrollment ID: I20210723001369 |
| Provider Name | Rana Aous Alkhaldi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538659271 PECOS PAC ID: 4082969894 Enrollment ID: I20210727000249 |
| Provider Name | Victoria Lynn Boggiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407344070 PECOS PAC ID: 6002161932 Enrollment ID: I20210727001144 |
| Provider Name | Zachary Peter Spiritos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154717148 PECOS PAC ID: 1153724240 Enrollment ID: I20210727003117 |
| Provider Name | Heather Anne Hartshorn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003016163 PECOS PAC ID: 6800031840 Enrollment ID: I20210818000313 |
| Provider Name | Christopher Lucas Armstrong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346739794 PECOS PAC ID: 7719232529 Enrollment ID: I20210819000637 |
| Provider Name | Jinal Bharatkumar Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316435639 PECOS PAC ID: 8224385737 Enrollment ID: I20210819003733 |
| Provider Name | Thomas Henry Lunsford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235628306 PECOS PAC ID: 8921353848 Enrollment ID: I20210820001758 |
| Provider Name | Jordan Andrew Shealy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033573464 PECOS PAC ID: 7618265786 Enrollment ID: I20210825001485 |
| Provider Name | Brandon Lee Waters |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336526565 PECOS PAC ID: 6103138235 Enrollment ID: I20210827001731 |
| Provider Name | Kerry Anne Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518556240 PECOS PAC ID: 2264838259 Enrollment ID: I20210830002641 |
| Provider Name | Katie Marie Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841778834 PECOS PAC ID: 1759632532 Enrollment ID: I20210901002804 |
| Provider Name | Alexandria Clare Kraus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730612193 PECOS PAC ID: 2961811682 Enrollment ID: I20210907002247 |
| Provider Name | Omar Maurice Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144495581 PECOS PAC ID: 8022271253 Enrollment ID: I20210908000173 |
| Provider Name | Shanelle Ranae Arthur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265923536 PECOS PAC ID: 1658778600 Enrollment ID: I20210919000010 |
| Provider Name | Keri Elizabeth Weigle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235365990 PECOS PAC ID: 1153569850 Enrollment ID: I20210922003365 |
| Provider Name | Essraa Mohamed Bayoumi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740676170 PECOS PAC ID: 1153728613 Enrollment ID: I20210927000125 |
| Provider Name | Christian O Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881985695 PECOS PAC ID: 5193027704 Enrollment ID: I20210928001864 |
| Provider Name | Adare A Yanagihara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871988238 PECOS PAC ID: 3476897141 Enrollment ID: I20210930002020 |
| Provider Name | Kimberly Rae Barrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780758953 PECOS PAC ID: 4587974035 Enrollment ID: I20211005000463 |
| Provider Name | Amita Ajit Desai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821300963 PECOS PAC ID: 1951533942 Enrollment ID: I20211018000618 |
| Provider Name | Mark Tan Cabahug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922455898 PECOS PAC ID: 6901171768 Enrollment ID: I20211018001146 |
| Provider Name | Sui Kwong Li |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689011504 PECOS PAC ID: 1557657871 Enrollment ID: I20211018001341 |
| Provider Name | Elizabeth Cervantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215607155 PECOS PAC ID: 0648668889 Enrollment ID: I20211021000263 |
| Provider Name | Jamie Marie Ruebhausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033760582 PECOS PAC ID: 6608108774 Enrollment ID: I20211022001105 |
| Provider Name | Melissa Zidar Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962170886 PECOS PAC ID: 4385032366 Enrollment ID: I20211025000745 |
| Provider Name | Sowmya Nanjappa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942565403 PECOS PAC ID: 4981825379 Enrollment ID: I20211027002152 |
| Provider Name | Shaheera Baig Chughtai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447798525 PECOS PAC ID: 0345510343 Enrollment ID: I20211115001980 |
| Provider Name | Jacob Adam Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437538303 PECOS PAC ID: 6608113766 Enrollment ID: I20211117001277 |
| Provider Name | Michael Charles Repka |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760829527 PECOS PAC ID: 7416205968 Enrollment ID: I20211124002314 |
| Provider Name | Alex Marshal Trzebucki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114269594 PECOS PAC ID: 9739471533 Enrollment ID: I20211208001827 |
| Provider Name | Emily Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861887770 PECOS PAC ID: 3870813892 Enrollment ID: I20211208003556 |
| Provider Name | Manohar Reddy Chintu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841441912 PECOS PAC ID: 8224206297 Enrollment ID: I20211216000096 |
| Provider Name | Katherine Rosa Demeulenaere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598228488 PECOS PAC ID: 6204178015 Enrollment ID: I20220112002794 |
| Provider Name | Patrick M O'shea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639605504 PECOS PAC ID: 5597034009 Enrollment ID: I20220126000002 |
| Provider Name | Ralph Howard Newman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730623182 PECOS PAC ID: 2062804917 Enrollment ID: I20220126002140 |
| Provider Name | Anitha Krishnasamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851364020 PECOS PAC ID: 0345243663 Enrollment ID: I20220128001147 |
| Provider Name | John Afthinos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588998850 PECOS PAC ID: 3971772963 Enrollment ID: I20220215002291 |
| Provider Name | Sarah Kathleen Lyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619643012 PECOS PAC ID: 8224423892 Enrollment ID: I20220317000538 |
| Provider Name | Lauren Michelle Brock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508264664 PECOS PAC ID: 4284029729 Enrollment ID: I20220318000887 |
| Provider Name | Nancy Ann Reifsteck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386613370 PECOS PAC ID: 2466847801 Enrollment ID: I20220321002569 |
| Provider Name | Thomas Lewis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598249583 PECOS PAC ID: 1355736711 Enrollment ID: I20220322000286 |
| Provider Name | Deborah Ann Hillson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932431608 PECOS PAC ID: 4587059969 Enrollment ID: I20220322000879 |
| Provider Name | Julie Angela Huffman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477522928 PECOS PAC ID: 1052707973 Enrollment ID: I20220401000997 |
| Provider Name | Mitchell Steven Anscher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366472102 PECOS PAC ID: 7214930668 Enrollment ID: I20220427003333 |
| Provider Name | Diane Virginia Loos Camu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568116887 PECOS PAC ID: 8527455948 Enrollment ID: I20220503001029 |
| Provider Name | Dana Leigh Kouchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922504448 PECOS PAC ID: 0143607754 Enrollment ID: I20220520001647 |
| Provider Name | Aimee Marie Jonio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790032936 PECOS PAC ID: 7012395494 Enrollment ID: I20220526001886 |
| Provider Name | Jeffrey Chieh-li Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023384781 PECOS PAC ID: 0345556940 Enrollment ID: I20220527002142 |
| Provider Name | Lauren Nichole Hawley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164169397 PECOS PAC ID: 6800275140 Enrollment ID: I20220616002756 |
| Provider Name | Mackenzie Elizabeth Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033792577 PECOS PAC ID: 1153710231 Enrollment ID: I20220711003680 |
| Provider Name | Sonitha Abhilash |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619546835 PECOS PAC ID: 4385025386 Enrollment ID: I20220722000437 |
| Provider Name | Stephen Michael Wesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962046318 PECOS PAC ID: 7810378635 Enrollment ID: I20220725002210 |
| Provider Name | Hartej Singh Sethi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073738084 PECOS PAC ID: 6305017898 Enrollment ID: I20220726002540 |
| Provider Name | James Adam Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730853599 PECOS PAC ID: 4688056492 Enrollment ID: I20220726002789 |
| Provider Name | Elizabeth Anne Mclachlan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841593720 PECOS PAC ID: 3577747526 Enrollment ID: I20220727000494 |
| Provider Name | Lauren Nicole Hess |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942930565 PECOS PAC ID: 6406238260 Enrollment ID: I20220727000722 |
| Provider Name | Gita V Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942564760 PECOS PAC ID: 0244479459 Enrollment ID: I20220728000111 |
| Provider Name | Anne Teresa Saladyga |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851335418 PECOS PAC ID: 7113231077 Enrollment ID: I20220728002385 |
| Provider Name | Samantha Saxe Palazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598497158 PECOS PAC ID: 7911389374 Enrollment ID: I20220801003155 |
| Provider Name | Victoria Jeanne Aucoin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447614862 PECOS PAC ID: 0446547756 Enrollment ID: I20220802000630 |
| Provider Name | Jose Wilfrido Navarrete |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679989263 PECOS PAC ID: 9335430628 Enrollment ID: I20220803000751 |
| Provider Name | John Michael French |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366896235 PECOS PAC ID: 7810280229 Enrollment ID: I20220803000867 |
| Provider Name | Nithin Bhagwandass |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609296185 PECOS PAC ID: 3173883188 Enrollment ID: I20220805002578 |
| Provider Name | Suraj Pravin Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831327097 PECOS PAC ID: 0042469058 Enrollment ID: I20220805002772 |
| Provider Name | Mruga Nanavati Morris |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1649701731 PECOS PAC ID: 1153693593 Enrollment ID: I20220819001602 |
| Provider Name | Xuguang Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235666868 PECOS PAC ID: 9830468453 Enrollment ID: I20220908000307 |
| Provider Name | Divya Natesan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861924433 PECOS PAC ID: 2062896152 Enrollment ID: I20220909000198 |
| Provider Name | Neil Ari Wijetunga |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992235832 PECOS PAC ID: 1254716350 Enrollment ID: I20220909001039 |
| Provider Name | Olivia Denise Lara |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1972947208 PECOS PAC ID: 1153655402 Enrollment ID: I20220913000476 |
| Provider Name | Sarah Elizabeth Gedminas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386377414 PECOS PAC ID: 9739564204 Enrollment ID: I20220920000603 |
| Provider Name | Inmaculada Concepcion Simancas Martin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073178836 PECOS PAC ID: 3375926660 Enrollment ID: I20220920001301 |
| Provider Name | Lynn Cecilia Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376657726 PECOS PAC ID: 1254524457 Enrollment ID: I20220922000688 |
| Provider Name | Maura Elise Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841794849 PECOS PAC ID: 0143634246 Enrollment ID: I20220926002470 |
| Provider Name | Melissa Jane Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669049847 PECOS PAC ID: 5294101515 Enrollment ID: I20221011002575 |
| Provider Name | Tenisha Denise Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528564101 PECOS PAC ID: 9931441235 Enrollment ID: I20221011002804 |
| Provider Name | Kelly Karell Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306364526 PECOS PAC ID: 1951661818 Enrollment ID: I20221012001315 |
| Provider Name | Shivani Sud |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942720149 PECOS PAC ID: 6103199385 Enrollment ID: I20221013000269 |
| Provider Name | Chrisanne Gennille Roach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518461540 PECOS PAC ID: 1850767716 Enrollment ID: I20221018000431 |
| Provider Name | Ashley Danielle Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265033625 PECOS PAC ID: 7911316088 Enrollment ID: I20221019002362 |
| Provider Name | Kimberly Dessources |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1922402064 PECOS PAC ID: 4284000688 Enrollment ID: I20221025003515 |
| Provider Name | Eric Michael Noll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912432691 PECOS PAC ID: 3678837614 Enrollment ID: I20221109000036 |
| Provider Name | Christina Marie Chada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578200630 PECOS PAC ID: 9436526076 Enrollment ID: I20221110001305 |
| Provider Name | Mohsen Pourmorteza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912326554 PECOS PAC ID: 1355743428 Enrollment ID: I20221114000930 |
| Provider Name | Elissa Herman Poor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972225365 PECOS PAC ID: 6204204902 Enrollment ID: I20221201000212 |
| Provider Name | William Lewis Packer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518428457 PECOS PAC ID: 7416372172 Enrollment ID: I20221212000934 |
| Provider Name | Hannah Lindsey Hicks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427763762 PECOS PAC ID: 3476925603 Enrollment ID: I20230215002776 |
| Provider Name | Evangeline Kamalini Arulraja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831686039 PECOS PAC ID: 3274903059 Enrollment ID: I20230216002803 |
| Provider Name | Katherine Elizabeth Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922600113 PECOS PAC ID: 4183036536 Enrollment ID: I20230416000020 |
| Provider Name | Rachael Elizabeth Pleczkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093076044 PECOS PAC ID: 7517322670 Enrollment ID: I20230425002968 |
| Provider Name | Seema Arun Mehta Steinke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346493053 PECOS PAC ID: 3870815020 Enrollment ID: I20230503002378 |
| Provider Name | Shibu D Skaria |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821170093 PECOS PAC ID: 3173522182 Enrollment ID: I20230518002015 |
| Provider Name | Kristin Ann Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366874992 PECOS PAC ID: 2769700970 Enrollment ID: I20230521000142 |
| Provider Name | Wayne Calvin Hu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033554597 PECOS PAC ID: 7618228651 Enrollment ID: I20230615003891 |
| Provider Name | Mootaz Subhi Said Younis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598103673 PECOS PAC ID: 2365736832 Enrollment ID: I20230620002467 |
| Provider Name | Meredith Anne Newton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649624727 PECOS PAC ID: 1951691179 Enrollment ID: I20230718003430 |
| Provider Name | Diana Lynn Zychowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538656343 PECOS PAC ID: 6305190596 Enrollment ID: I20230725003062 |
| Provider Name | Duhwan Kang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922430685 PECOS PAC ID: 0345530721 Enrollment ID: I20230726002334 |
| Provider Name | Steven John Lahti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649701178 PECOS PAC ID: 9537445549 Enrollment ID: I20230727003036 |
| Provider Name | Christopher Daniel Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790910420 PECOS PAC ID: 6608019575 Enrollment ID: I20230804002263 |
| Provider Name | Hussein Alshammari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215463542 PECOS PAC ID: 1052718921 Enrollment ID: I20230807003638 |
| Provider Name | Karan Prashant Pandya |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417487026 PECOS PAC ID: 1850666108 Enrollment ID: I20230808003661 |
| Provider Name | Bobby Matthew Jacob |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124445275 PECOS PAC ID: 9739441296 Enrollment ID: I20230814002752 |
| Provider Name | Michael Raymond Hall |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043530553 PECOS PAC ID: 3779887062 Enrollment ID: I20230829002142 |
| Provider Name | Cynthia Heintz Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265025803 PECOS PAC ID: 9234593435 Enrollment ID: I20230906002655 |
| Provider Name | Nishika Shina Moradia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992150189 PECOS PAC ID: 5193058642 Enrollment ID: I20230907000846 |
| Provider Name | Lee Swain Jamison |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558700633 PECOS PAC ID: 9335461243 Enrollment ID: I20230911001395 |
| Provider Name | Rachel Kathryn Jensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336514595 PECOS PAC ID: 5698007250 Enrollment ID: I20230914000177 |
| Provider Name | Vyas Tenkasi Viswanathan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093178691 PECOS PAC ID: 2466749452 Enrollment ID: I20230914002045 |
| Provider Name | Emma Clare Trawick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689134967 PECOS PAC ID: 4880928902 Enrollment ID: I20230921002295 |
| Provider Name | David Chang Ishizawar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326235607 PECOS PAC ID: 4688748510 Enrollment ID: I20231004003414 |
| Provider Name | Benjamin Gregory Crisp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790216505 PECOS PAC ID: 7719259738 Enrollment ID: I20231010002551 |
| Provider Name | Joseph Matthew Bauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134680895 PECOS PAC ID: 2668707662 Enrollment ID: I20231017000878 |
| Provider Name | Danielle Gould Tsevat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598320699 PECOS PAC ID: 7517296981 Enrollment ID: I20231025004132 |
| Provider Name | Brandon Antoine Durant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306474655 PECOS PAC ID: 1658727508 Enrollment ID: I20231027003518 |
| Provider Name | Kathryn Alise Everton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972285708 PECOS PAC ID: 3476909250 Enrollment ID: I20231031001135 |
| Provider Name | John Morgan Lamb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730716762 PECOS PAC ID: 6305267345 Enrollment ID: I20231113001478 |
| Provider Name | Samantha Kay Mckeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427739507 PECOS PAC ID: 3375990120 Enrollment ID: I20231115003380 |
| Provider Name | Meridith Colleen Ginesi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770960114 PECOS PAC ID: 6002238789 Enrollment ID: I20231116001271 |
| Provider Name | Sarah Ann Heerboth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881156438 PECOS PAC ID: 9032537592 Enrollment ID: I20231211002831 |
| Provider Name | Anubhav Kanwar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952665788 PECOS PAC ID: 6406079326 Enrollment ID: I20231219003580 |
| Provider Name | Lori-ann Alejandra Daley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790300549 PECOS PAC ID: 5395195614 Enrollment ID: I20231229000232 |
| Provider Name | Edyta Koczela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225370745 PECOS PAC ID: 8022336940 Enrollment ID: I20240123000739 |
| Provider Name | Roberto Javier Vidri Alonso-rochi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497042998 PECOS PAC ID: 1658591219 Enrollment ID: I20240202001403 |
| Provider Name | Samantha Rozario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679928402 PECOS PAC ID: 2567758618 Enrollment ID: I20240221001516 |
| Provider Name | Clinton Stafford Bolton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467780627 PECOS PAC ID: 0244459295 Enrollment ID: I20240301001743 |
| Provider Name | Latasha Deree Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245014299 PECOS PAC ID: 7517303639 Enrollment ID: I20240312001946 |
| Provider Name | James Joseph Harrigan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184111841 PECOS PAC ID: 0244588861 Enrollment ID: I20240313000537 |
| Provider Name | Fadi Seif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174713879 PECOS PAC ID: 4688821523 Enrollment ID: I20240314000754 |
| Provider Name | Ashlyn Corinne Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164297099 PECOS PAC ID: 6103262878 Enrollment ID: I20240315003576 |
| Provider Name | Ritu Ajit Kumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891873238 PECOS PAC ID: 3476553959 Enrollment ID: I20240322000021 |
| Provider Name | Kristen Osterman Gayle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669974515 PECOS PAC ID: 6406193283 Enrollment ID: I20240327002091 |
| Provider Name | Karina Zofia Gardela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508633256 PECOS PAC ID: 6204273170 Enrollment ID: I20240327002247 |
| Provider Name | Tiffany Yuh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790147072 PECOS PAC ID: 1456643766 Enrollment ID: I20240327003729 |
| Provider Name | Yejin Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861188948 PECOS PAC ID: 5193163640 Enrollment ID: I20240403003249 |
| Provider Name | Sarah Welsh Burgdorf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801213780 PECOS PAC ID: 5193053346 Enrollment ID: I20240408001012 |
| Provider Name | Theodore Ralph Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992560023 PECOS PAC ID: 9234578469 Enrollment ID: I20240419002146 |
| Provider Name | Christopher William Pettigrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902667611 PECOS PAC ID: 6002255296 Enrollment ID: I20240422000326 |
| Provider Name | Dhrupa Dilipsinh Rathod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790378123 PECOS PAC ID: 5890104061 Enrollment ID: I20240423001200 |
| Provider Name | Rudolph Carlo King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194797555 PECOS PAC ID: 4688820087 Enrollment ID: I20240501000369 |
| Provider Name | Diana Zhong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376924365 PECOS PAC ID: 2163721861 Enrollment ID: I20240522000596 |
| Provider Name | Nichola Diane Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437872868 PECOS PAC ID: 4688110893 Enrollment ID: I20240724002176 |
| Provider Name | Andrew Ramon De La Paz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477987030 PECOS PAC ID: 2163799339 Enrollment ID: I20240730000011 |
| Provider Name | Vincent Kyle Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770266579 PECOS PAC ID: 3274070552 Enrollment ID: I20240805001087 |
| Provider Name | Vidda Moussavi Simpson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801391776 PECOS PAC ID: 2860874278 Enrollment ID: I20240808001696 |
| Provider Name | Michael Kenneth Lorentsen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114415585 PECOS PAC ID: 5991050700 Enrollment ID: I20240808004705 |
| Provider Name | Carmen Lynda Tsiopanas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598278798 PECOS PAC ID: 4385994888 Enrollment ID: I20240809000075 |
| Provider Name | Peter Dangkhoa Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780212845 PECOS PAC ID: 1759707490 Enrollment ID: I20240831000623 |
| Provider Name | Sajjad Ali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639551476 PECOS PAC ID: 7810242534 Enrollment ID: I20240904004293 |
| Provider Name | Sahil Prasada |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912438466 PECOS PAC ID: 3577836998 Enrollment ID: I20240906002839 |
| Provider Name | William Zachary Webster |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659936987 PECOS PAC ID: 5294067435 Enrollment ID: I20240906003119 |
| Provider Name | Oday Alsarraf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871907774 PECOS PAC ID: 4981824406 Enrollment ID: I20240913000082 |
| Provider Name | Batool Zohra Sheikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336709211 PECOS PAC ID: 4082154299 Enrollment ID: I20240913001387 |
| Provider Name | Susanna Nicole Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164264362 PECOS PAC ID: 5991246803 Enrollment ID: I20240919000145 |
| Provider Name | Terence Shendeh Tumenta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679128052 PECOS PAC ID: 1052773751 Enrollment ID: I20240924000938 |
| Provider Name | Melanie Carol Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740028935 PECOS PAC ID: 1254862006 Enrollment ID: I20241003001399 |
| Provider Name | Enchanta Lachelle Murphy Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285604702 PECOS PAC ID: 0840580551 Enrollment ID: I20241004000845 |
| Provider Name | Kyle Carlsen Roche |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538740642 PECOS PAC ID: 5890226583 Enrollment ID: I20241004003289 |
| Provider Name | Pola Alida Chojecka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881911899 PECOS PAC ID: 7517278195 Enrollment ID: I20241007001118 |
| Provider Name | Chinonyerem Uzoamaka Okoro |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407235211 PECOS PAC ID: 2062720691 Enrollment ID: I20241009002354 |
| Provider Name | Steven Craig Brousell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679991483 PECOS PAC ID: 8325476328 Enrollment ID: I20241017000977 |
| Provider Name | Wesley Mulles Sayre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124692496 PECOS PAC ID: 2062812472 Enrollment ID: I20241021000055 |
| Provider Name | Megan Marie Sredl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407685019 PECOS PAC ID: 4688107824 Enrollment ID: I20241028000815 |
| Provider Name | Callie Ann Marie Kesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518799196 PECOS PAC ID: 6204369911 Enrollment ID: I20241101000865 |
| Provider Name | Jean Lundberg Wright |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053579870 PECOS PAC ID: 2769543925 Enrollment ID: I20241105000997 |
| Provider Name | Andrew Gerasimos Canakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659875029 PECOS PAC ID: 2062761067 Enrollment ID: I20241107002288 |
| Provider Name | Chloe Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497581177 PECOS PAC ID: 7416481841 Enrollment ID: I20241107003680 |
| Provider Name | Rachel Catherine Smith Labarge |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982216958 PECOS PAC ID: 6800208984 Enrollment ID: I20241115000205 |
| Provider Name | Alexis Katherine Hundley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700305794 PECOS PAC ID: 1759815467 Enrollment ID: I20241116000167 |
| Provider Name | Hannah Eve Phelps |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003380510 PECOS PAC ID: 5193064053 Enrollment ID: I20241126002361 |
| Provider Name | Andrew James Gordon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629496054 PECOS PAC ID: 9335478544 Enrollment ID: I20241210004234 |
| Mailing Address | Practice Location Address |
|---|---|
| Rex Hospital Inc 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3100 | Rex Hospital Inc 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3100 |