| University Of Mn Medical Center, Fairview | |
|
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
| (612) 672-6000 | |
| (612) 273-4098 |
| Full Name | University Of Mn Medical Center, Fairview |
|---|---|
| Type | Facility |
| Speciality | General Acute Care Hospital |
| Location | 2450 Riverside Ave, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013994359 | NPI | - | NPPES |
| 616845167 | Medicaid | MN | |
| 387355200 | Medicaid | MN | |
| 616845102 | Medicaid | MN | |
| 1012RRI | Other | MN | BCBS |
| 170128200 | Medicaid | MN | |
| 265497100 | Medicaid | MN | |
| 35A80FA | Other | MN | BCBS |
| 616845100 | Medicaid | MN | |
| 1012HRI | Other | MN | BCBS |
| 590615600 | Medicaid | MN | |
| 684137000 | Medicaid | MN | |
| 3M361FA | Other | MN | BCBS |
| 712649200 | Medicaid | MN | |
| 758355900 | Medicaid | MN | |
| 896402500 | Medicaid | MN | |
| 055755200 | Medicaid | MN | |
| 1012PRI | Other | MN | BCBS |
| 339R1FA | Other | MN | BCBS |
| Provider Name | Mary C Homan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467419473 PECOS PAC ID: 5395658702 Enrollment ID: I20031111000706 |
| Provider Name | James B Gaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700834801 PECOS PAC ID: 0446164594 Enrollment ID: I20031113000698 |
| Provider Name | Molly A Mcnaughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699749796 PECOS PAC ID: 9032023510 Enrollment ID: I20031118000803 |
| Provider Name | Kara L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134195282 PECOS PAC ID: 8729992086 Enrollment ID: I20031119000564 |
| Provider Name | Martin J Asis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598743833 PECOS PAC ID: 3678477353 Enrollment ID: I20031124000575 |
| Provider Name | Nathan D Block |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571125 PECOS PAC ID: 0648174334 Enrollment ID: I20031124000644 |
| Provider Name | Melissa Ann Geller |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265466809 PECOS PAC ID: 0446154959 Enrollment ID: I20031125000480 |
| Provider Name | Michael H Wittmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427029859 PECOS PAC ID: 1658275094 Enrollment ID: I20031126000227 |
| Provider Name | Shelley E Dotson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184608184 PECOS PAC ID: 1052216363 Enrollment ID: I20031201000322 |
| Provider Name | Tanya Eugena Melnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881770873 PECOS PAC ID: 8527963198 Enrollment ID: I20031205000454 |
| Provider Name | Jeffrey Herickhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245292424 PECOS PAC ID: 8628973203 Enrollment ID: I20031205000495 |
| Provider Name | Jeremy L Friese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679543516 PECOS PAC ID: 7012813223 Enrollment ID: I20031209000691 |
| Provider Name | Lawrence G Mulhern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295737278 PECOS PAC ID: 7719883537 Enrollment ID: I20031211000160 |
| Provider Name | Nancy L Guttormson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962432252 PECOS PAC ID: 4385540988 Enrollment ID: I20031212000040 |
| Provider Name | Gary Wayne Beaver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023051356 PECOS PAC ID: 2466359666 Enrollment ID: I20031216000624 |
| Provider Name | Franz-josef Reisdorf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942269154 PECOS PAC ID: 5496652067 Enrollment ID: I20031216000655 |
| Provider Name | John Palmer Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902850860 PECOS PAC ID: 2264344415 Enrollment ID: I20031217000477 |
| Provider Name | Carmelo J Panetta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528094711 PECOS PAC ID: 9032016837 Enrollment ID: I20031218000743 |
| Provider Name | Jill M Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891803995 PECOS PAC ID: 4688572316 Enrollment ID: I20031219000461 |
| Provider Name | Bradley T Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497867584 PECOS PAC ID: 1759289861 Enrollment ID: I20031229000334 |
| Provider Name | Wojciech Zukowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841276045 PECOS PAC ID: 1850290503 Enrollment ID: I20040102000124 |
| Provider Name | Christopher L Balgobin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124085121 PECOS PAC ID: 6709785389 Enrollment ID: I20040102000348 |
| Provider Name | Greig H Glover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992755771 PECOS PAC ID: 4082513692 Enrollment ID: I20040102000526 |
| Provider Name | Monna J Marolt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538136924 PECOS PAC ID: 9537068150 Enrollment ID: I20040102000597 |
| Provider Name | Peter Matthew Eckman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639131345 PECOS PAC ID: 9931008588 Enrollment ID: I20040102000834 |
| Provider Name | Rebecca R Kragh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851344345 PECOS PAC ID: 8123927142 Enrollment ID: I20040108000071 |
| Provider Name | Priscilla J Thomas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811964802 PECOS PAC ID: 6103725155 Enrollment ID: I20040108000191 |
| Provider Name | Scott R Saylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801863899 PECOS PAC ID: 2769381607 Enrollment ID: I20040108000717 |
| Provider Name | Michael E Long |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821071317 PECOS PAC ID: 3375443088 Enrollment ID: I20040109000822 |
| Provider Name | Emil D Missov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730265760 PECOS PAC ID: 6901707645 Enrollment ID: I20040116000111 |
| Provider Name | Dawn M Dahlgren Roemmich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548243173 PECOS PAC ID: 3779484373 Enrollment ID: I20040116000463 |
| Provider Name | Susan L Burton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659565208 PECOS PAC ID: 7517868995 Enrollment ID: I20040119000219 |
| Provider Name | Kamiab Delfanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043229438 PECOS PAC ID: 2365343779 Enrollment ID: I20040119000386 |
| Provider Name | Deborah S Talmage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033226717 PECOS PAC ID: 7810899986 Enrollment ID: I20040121000497 |
| Provider Name | Eileen M Burchby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407808744 PECOS PAC ID: 3577465889 Enrollment ID: I20040126000466 |
| Provider Name | Amna H Shakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851366439 PECOS PAC ID: 0648172999 Enrollment ID: I20040126000694 |
| Provider Name | Jerry W Froelich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093744120 PECOS PAC ID: 5991608044 Enrollment ID: I20040128000346 |
| Provider Name | Thomas J Riegel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043303597 PECOS PAC ID: 2264335298 Enrollment ID: I20040128000791 |
| Provider Name | Sara M Troje |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750481156 PECOS PAC ID: 6608779657 Enrollment ID: I20040128000874 |
| Provider Name | Frederick W Ott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366476848 PECOS PAC ID: 0547163131 Enrollment ID: I20040130000431 |
| Provider Name | Nikolay G Nikolov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558318980 PECOS PAC ID: 6507769023 Enrollment ID: I20040130000666 |
| Provider Name | Diana Chapa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811965528 PECOS PAC ID: 1951204478 Enrollment ID: I20040130000674 |
| Provider Name | Renee C Mcgeary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578525705 PECOS PAC ID: 6901709385 Enrollment ID: I20040202000247 |
| Provider Name | Matthew M Schaar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790765600 PECOS PAC ID: 5698678944 Enrollment ID: I20040202000713 |
| Provider Name | Wilfred E Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720025265 PECOS PAC ID: 9739072935 Enrollment ID: I20040203000337 |
| Provider Name | Reuben Nicholas Lubka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154350999 PECOS PAC ID: 6305739368 Enrollment ID: I20040204000178 |
| Provider Name | Robert E Glesne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427075472 PECOS PAC ID: 8921991621 Enrollment ID: I20040205001124 |
| Provider Name | Pablo U Avendano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003850173 PECOS PAC ID: 5092608414 Enrollment ID: I20040207000190 |
| Provider Name | Raymond Charles Hausch |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639114358 PECOS PAC ID: 6002700176 Enrollment ID: I20040210000657 |
| Provider Name | Ruth A Sohl-kreiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780637389 PECOS PAC ID: 6002700192 Enrollment ID: I20040210000726 |
| Provider Name | Christopher D Aronson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649269291 PECOS PAC ID: 1850286337 Enrollment ID: I20040216000659 |
| Provider Name | Vladimir Savcenko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471658 PECOS PAC ID: 4183519119 Enrollment ID: I20040218000958 |
| Provider Name | Gregory A Granrud |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366416893 PECOS PAC ID: 6709783368 Enrollment ID: I20040223000680 |
| Provider Name | Charles M Cliffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417930256 PECOS PAC ID: 6103723762 Enrollment ID: I20040223000991 |
| Provider Name | Adeyinka A Taiwo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841398278 PECOS PAC ID: 4688560139 Enrollment ID: I20040223001107 |
| Provider Name | Michael David Garr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457325904 PECOS PAC ID: 9537066196 Enrollment ID: I20040224000029 |
| Provider Name | Thomas Hagge Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730148560 PECOS PAC ID: 1153228713 Enrollment ID: I20040224000093 |
| Provider Name | Patrick T Koller |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205895075 PECOS PAC ID: 1951208529 Enrollment ID: I20040224000129 |
| Provider Name | Stuart Welsh Adler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366425183 PECOS PAC ID: 5597662163 Enrollment ID: I20040224000270 |
| Provider Name | Steven Lee Benton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093798829 PECOS PAC ID: 1557268117 Enrollment ID: I20040224000347 |
| Provider Name | Russell L Wavrin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962479071 PECOS PAC ID: 2668368853 Enrollment ID: I20040225000142 |
| Provider Name | Andrea B Jolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154301463 PECOS PAC ID: 2668377656 Enrollment ID: I20040228000179 |
| Provider Name | Lori M Marion |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851491252 PECOS PAC ID: 0941198501 Enrollment ID: I20040306000062 |
| Provider Name | Cynthia L Weisz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861422453 PECOS PAC ID: 7810885373 Enrollment ID: I20040306000157 |
| Provider Name | Michael L Tran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568574630 PECOS PAC ID: 8123916699 Enrollment ID: I20040306000195 |
| Provider Name | Nicole L Hartung |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255300885 PECOS PAC ID: 0648168138 Enrollment ID: I20040308000011 |
| Provider Name | Carolyn S Oeltjenbruns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215992771 PECOS PAC ID: 9830089762 Enrollment ID: I20040316000916 |
| Provider Name | Sara Beth Koepp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225138837 PECOS PAC ID: 3173413028 Enrollment ID: I20040316001031 |
| Provider Name | Susan E Viergever |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851360416 PECOS PAC ID: 3072403427 Enrollment ID: I20040318000741 |
| Provider Name | Richard S Spong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689651093 PECOS PAC ID: 2769373745 Enrollment ID: I20040320000652 |
| Provider Name | Sheila M Specker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710068119 PECOS PAC ID: 8426949231 Enrollment ID: I20040322001575 |
| Provider Name | Paul D Dasari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922061829 PECOS PAC ID: 3678465945 Enrollment ID: I20040330000240 |
| Provider Name | Mustafa Orhan Ucer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558335307 PECOS PAC ID: 4082606769 Enrollment ID: I20040401001007 |
| Provider Name | Levi Stanford Downs |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700816311 PECOS PAC ID: 3779576970 Enrollment ID: I20040405000957 |
| Provider Name | Rahel Rothschild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619942745 PECOS PAC ID: 6901899053 Enrollment ID: I20040406000187 |
| Provider Name | Nihar S Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245218759 PECOS PAC ID: 4688667645 Enrollment ID: I20040406000322 |
| Provider Name | Joseph C Mcraith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528025418 PECOS PAC ID: 4688668585 Enrollment ID: I20040414000590 |
| Provider Name | Michael Thurmes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518944875 PECOS PAC ID: 2860487477 Enrollment ID: I20040414001751 |
| Provider Name | Susan E Girard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114996949 PECOS PAC ID: 2567457120 Enrollment ID: I20040415000064 |
| Provider Name | Meghan M Rietschel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578678181 PECOS PAC ID: 4284629338 Enrollment ID: I20040417000430 |
| Provider Name | Pushp R Kapoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184677445 PECOS PAC ID: 7416943758 Enrollment ID: I20040422000818 |
| Provider Name | John W Tulloch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255310595 PECOS PAC ID: 9638079536 Enrollment ID: I20040423000262 |
| Provider Name | Douglas M Soderberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215997952 PECOS PAC ID: 1557358066 Enrollment ID: I20040427001347 |
| Provider Name | Scott S Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902824238 PECOS PAC ID: 0143217034 Enrollment ID: I20040430000939 |
| Provider Name | Alexander M Mckinney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831124031 PECOS PAC ID: 0345238234 Enrollment ID: I20040430001009 |
| Provider Name | William M Goodall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487621645 PECOS PAC ID: 2961490339 Enrollment ID: I20040504001030 |
| Provider Name | Kelle Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093708505 PECOS PAC ID: 4183612583 Enrollment ID: I20040504001238 |
| Provider Name | Paul M Mccormick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275581340 PECOS PAC ID: 6709874910 Enrollment ID: I20040505001067 |
| Provider Name | David G Benditt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073559134 PECOS PAC ID: 9234127200 Enrollment ID: I20040506000419 |
| Provider Name | Scott Sakaguchi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386727873 PECOS PAC ID: 4183612179 Enrollment ID: I20040506000630 |
| Provider Name | Naomi N Duke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366539496 PECOS PAC ID: 3577552538 Enrollment ID: I20040506001198 |
| Provider Name | Suzanne C Moffit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487687406 PECOS PAC ID: 7214926120 Enrollment ID: I20040506001666 |
| Provider Name | Uma S Valeti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649239864 PECOS PAC ID: 9931198686 Enrollment ID: I20040508000359 |
| Provider Name | James Goddard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770562639 PECOS PAC ID: 0749279214 Enrollment ID: I20040510000914 |
| Provider Name | Ali Sajjad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619913621 PECOS PAC ID: 5294724787 Enrollment ID: I20040510001070 |
| Provider Name | John T Olsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801814132 PECOS PAC ID: 8224933973 Enrollment ID: I20040512001342 |
| Provider Name | Sue A Crook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255381257 PECOS PAC ID: 1456256171 Enrollment ID: I20040512001458 |
| Provider Name | Timothy S Yeh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912981887 PECOS PAC ID: 9335049279 Enrollment ID: I20040513000163 |
| Provider Name | Julie A Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962462085 PECOS PAC ID: 7416947288 Enrollment ID: I20040513001277 |
| Provider Name | Ellen L Abeln |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861441230 PECOS PAC ID: 5799680419 Enrollment ID: I20040514000676 |
| Provider Name | Frank I Kirshbaum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336103340 PECOS PAC ID: 9537159272 Enrollment ID: I20040514000950 |
| Provider Name | John C Ely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619929916 PECOS PAC ID: 6800886490 Enrollment ID: I20040515000080 |
| Provider Name | Lora L Truckenbrod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205802477 PECOS PAC ID: 4587654181 Enrollment ID: I20040515000122 |
| Provider Name | Sonja S Short |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245288380 PECOS PAC ID: 4587654199 Enrollment ID: I20040515000213 |
| Provider Name | Margaret A Reynolds |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487661336 PECOS PAC ID: 3072504430 Enrollment ID: I20040524000501 |
| Provider Name | Janis D Keil-day |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942276787 PECOS PAC ID: 2466443718 Enrollment ID: I20040524001130 |
| Provider Name | Marjorie K Soper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275510752 PECOS PAC ID: 6305827197 Enrollment ID: I20040527000357 |
| Provider Name | Abraham K Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144242587 PECOS PAC ID: 1153303664 Enrollment ID: I20040607000849 |
| Provider Name | Peter N Toensing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841258688 PECOS PAC ID: 9133101660 Enrollment ID: I20040607001011 |
| Provider Name | Michael E Pleasants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952376311 PECOS PAC ID: 5890777353 Enrollment ID: I20040607001147 |
| Provider Name | Beth Anne Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235108408 PECOS PAC ID: 1153304373 Enrollment ID: I20040609001086 |
| Provider Name | Karen R Marschel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629045604 PECOS PAC ID: 2466435573 Enrollment ID: I20040610000324 |
| Provider Name | Paul A Turcotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679519540 PECOS PAC ID: 2365425378 Enrollment ID: I20040610001158 |
| Provider Name | Mark R Millis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790737419 PECOS PAC ID: 7810970571 Enrollment ID: I20040611001331 |
| Provider Name | Todd M Kihne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902853187 PECOS PAC ID: 7012990633 Enrollment ID: I20040612000292 |
| Provider Name | Daniel A Duprez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609807825 PECOS PAC ID: 7315921780 Enrollment ID: I20040614001590 |
| Provider Name | Ranjit John |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720183171 PECOS PAC ID: 4385628759 Enrollment ID: I20040614001613 |
| Provider Name | Joel D Wegener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063519437 PECOS PAC ID: 2466436225 Enrollment ID: I20040617001004 |
| Provider Name | Robert F Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285720904 PECOS PAC ID: 1153305925 Enrollment ID: I20040617001113 |
| Provider Name | Mark B.o. Comnick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851380752 PECOS PAC ID: 9335124114 Enrollment ID: I20040624000326 |
| Provider Name | Sieglinde Iris Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417989567 PECOS PAC ID: 8628054129 Enrollment ID: I20040625000581 |
| Provider Name | Matthew J Larson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154386423 PECOS PAC ID: 4486630712 Enrollment ID: I20040628000686 |
| Provider Name | Aliya Ahmad Shamsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861588121 PECOS PAC ID: 1254318033 Enrollment ID: I20040630000281 |
| Provider Name | Paul J Swan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154410215 PECOS PAC ID: 2567449028 Enrollment ID: I20040701001423 |
| Provider Name | Rolf C Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992896906 PECOS PAC ID: 5597742957 Enrollment ID: I20040702000544 |
| Provider Name | Snigdhasmrithi S Pusalavidyasagar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033199955 PECOS PAC ID: 1850379751 Enrollment ID: I20040708000531 |
| Provider Name | Gary J Gronstedt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780688531 PECOS PAC ID: 2163400417 Enrollment ID: I20040712001539 |
| Provider Name | Daniel B Frechette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023173952 PECOS PAC ID: 0446238711 Enrollment ID: I20040713000042 |
| Provider Name | Scott P Loecken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275590200 PECOS PAC ID: 3870571144 Enrollment ID: I20040713000063 |
| Provider Name | Kevin T Wycoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598728644 PECOS PAC ID: 8729066006 Enrollment ID: I20040713000124 |
| Provider Name | Rahul M Tamhane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073625752 PECOS PAC ID: 6800874975 Enrollment ID: I20040713001578 |
| Provider Name | Kristine E Wiese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073535977 PECOS PAC ID: 3678552783 Enrollment ID: I20040714000255 |
| Provider Name | Sonia M Helmy Gercheva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295707792 PECOS PAC ID: 7911986914 Enrollment ID: I20040714000938 |
| Provider Name | Michael F Schmitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851351688 PECOS PAC ID: 4688653462 Enrollment ID: I20040715000731 |
| Provider Name | Gregg A Eichenfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609942689 PECOS PAC ID: 5890774251 Enrollment ID: I20040719000636 |
| Provider Name | Deborah K Mielke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184692279 PECOS PAC ID: 0648250779 Enrollment ID: I20040721000238 |
| Provider Name | Steven P Snow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831165158 PECOS PAC ID: 1254314271 Enrollment ID: I20040721000360 |
| Provider Name | Oleg Froymovich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417912015 PECOS PAC ID: 9436137155 Enrollment ID: I20040721000744 |
| Provider Name | Christine L Wesely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427023001 PECOS PAC ID: 3577543594 Enrollment ID: I20040721000931 |
| Provider Name | Kang Xiaaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942263488 PECOS PAC ID: 9436120664 Enrollment ID: I20040803000222 |
| Provider Name | Jordan G Marmet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447224084 PECOS PAC ID: 4082685623 Enrollment ID: I20040805000528 |
| Provider Name | Roderick L Youngdahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821193681 PECOS PAC ID: 5496727059 Enrollment ID: I20040812000869 |
| Provider Name | Shernan Holtan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1780664284 PECOS PAC ID: 9537132774 Enrollment ID: I20040817000256 |
| Provider Name | David J Satin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003999582 PECOS PAC ID: 3971576810 Enrollment ID: I20040818000378 |
| Provider Name | Mohammad Umar Hasan Choudry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851363717 PECOS PAC ID: 6800869769 Enrollment ID: I20040818000561 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275627820 PECOS PAC ID: 6709859515 Enrollment ID: I20040818000931 |
| Provider Name | Celeste M Jibben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891745519 PECOS PAC ID: 6103899950 Enrollment ID: I20040818001224 |
| Provider Name | Birendra Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063491066 PECOS PAC ID: 3375516123 Enrollment ID: I20040819001432 |
| Provider Name | Sara J Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699714923 PECOS PAC ID: 0042284291 Enrollment ID: I20040825001516 |
| Provider Name | Javad Keyhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457369902 PECOS PAC ID: 2062487705 Enrollment ID: I20040827000057 |
| Provider Name | Sarah J Jenks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053338137 PECOS PAC ID: 9335114503 Enrollment ID: I20040831001062 |
| Provider Name | Shanti Lakshmi Narasimhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891714259 PECOS PAC ID: 8729055769 Enrollment ID: I20040910000530 |
| Provider Name | John R Lake |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740360619 PECOS PAC ID: 8224005285 Enrollment ID: I20040910000652 |
| Provider Name | Deann M Thomas-kvidera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881671956 PECOS PAC ID: 0244207090 Enrollment ID: I20040913000436 |
| Provider Name | Amy L Fair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245204346 PECOS PAC ID: 4486621158 Enrollment ID: I20040913000706 |
| Provider Name | Laura A France |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497732481 PECOS PAC ID: 3678540952 Enrollment ID: I20040915000813 |
| Provider Name | Pamela J Wymore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760429138 PECOS PAC ID: 8527035773 Enrollment ID: I20040916000028 |
| Provider Name | Arvin M Vocal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457330656 PECOS PAC ID: 0446228266 Enrollment ID: I20040920001061 |
| Provider Name | Sarah M Benish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053384701 PECOS PAC ID: 7113995739 Enrollment ID: I20040922000088 |
| Provider Name | Mark J Hudson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962463547 PECOS PAC ID: 7517936958 Enrollment ID: I20041001000197 |
| Provider Name | Julie A Vaneck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013029263 PECOS PAC ID: 7618946013 Enrollment ID: I20041001000639 |
| Provider Name | Cara Beth Ellman Black |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205802022 PECOS PAC ID: 7315916715 Enrollment ID: I20041001000667 |
| Provider Name | James W Erdahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801873294 PECOS PAC ID: 3779571328 Enrollment ID: I20041004000182 |
| Provider Name | Norman P Chapel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538146964 PECOS PAC ID: 4789672338 Enrollment ID: I20041004000261 |
| Provider Name | Karl W Foster-smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467439307 PECOS PAC ID: 9133117781 Enrollment ID: I20041004000608 |
| Provider Name | Gregory A Helmer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144207572 PECOS PAC ID: 6608864251 Enrollment ID: I20041004000933 |
| Provider Name | Steven M Heifetz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497732804 PECOS PAC ID: 2860480415 Enrollment ID: I20041005000032 |
| Provider Name | Rajiv R Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366556854 PECOS PAC ID: 9638138720 Enrollment ID: I20041005000683 |
| Provider Name | Gary A Moody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356310148 PECOS PAC ID: 6406741495 Enrollment ID: I20041006000881 |
| Provider Name | Robert A Kratzke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497845861 PECOS PAC ID: 7012976954 Enrollment ID: I20041006001437 |
| Provider Name | Christopher Sullivan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609839448 PECOS PAC ID: 2163482225 Enrollment ID: I20041013000440 |
| Provider Name | Charles L Truwit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689603276 PECOS PAC ID: 8527962109 Enrollment ID: I20041019000115 |
| Provider Name | Brian D Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881683696 PECOS PAC ID: 4880655232 Enrollment ID: I20041020000366 |
| Provider Name | Kathleen D Abrahamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942253505 PECOS PAC ID: 2264330570 Enrollment ID: I20041022000166 |
| Provider Name | Jason M Devries |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548295207 PECOS PAC ID: 3476514431 Enrollment ID: I20041022000576 |
| Provider Name | David D Laxson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083691398 PECOS PAC ID: 3870581424 Enrollment ID: I20041022000995 |
| Provider Name | Theodore P Vanerp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013969633 PECOS PAC ID: 3274594197 Enrollment ID: I20041025000325 |
| Provider Name | Bruce G Dahlman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679673073 PECOS PAC ID: 3678534377 Enrollment ID: I20041026000396 |
| Provider Name | Sonia Lucille Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804343 PECOS PAC ID: 1557323136 Enrollment ID: I20041027000760 |
| Provider Name | Eric R Ernst |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437136819 PECOS PAC ID: 4688662232 Enrollment ID: I20041027001050 |
| Provider Name | Brian H Ip |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619954070 PECOS PAC ID: 1153319702 Enrollment ID: I20041028000135 |
| Provider Name | Shams Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306889225 PECOS PAC ID: 7113989682 Enrollment ID: I20041028000221 |
| Provider Name | Beth A K Mork |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972685220 PECOS PAC ID: 4183686561 Enrollment ID: I20041028000332 |
| Provider Name | Stephen C Battista |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861479370 PECOS PAC ID: 2062400617 Enrollment ID: I20041028000442 |
| Provider Name | Linda M Baumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972534766 PECOS PAC ID: 7012979461 Enrollment ID: I20041028000870 |
| Provider Name | Ross P Chambers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538107891 PECOS PAC ID: 9032171830 Enrollment ID: I20041103000714 |
| Provider Name | David A Waletzko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851342745 PECOS PAC ID: 3173585874 Enrollment ID: I20041103000754 |
| Provider Name | Daniel E Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598877045 PECOS PAC ID: 9638131352 Enrollment ID: I20041103000914 |
| Provider Name | Eduardo D Trinidad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780663203 PECOS PAC ID: 0941263537 Enrollment ID: I20041104000953 |
| Provider Name | Mark E Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134161128 PECOS PAC ID: 2163485178 Enrollment ID: I20041110000943 |
| Provider Name | David Asinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205886819 PECOS PAC ID: 8426953142 Enrollment ID: I20041110000973 |
| Provider Name | Yohannes Gebre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720084783 PECOS PAC ID: 2365340676 Enrollment ID: I20041111000176 |
| Provider Name | Kristen M Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629083068 PECOS PAC ID: 6002879830 Enrollment ID: I20041111000613 |
| Provider Name | Afshan Anjum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316981517 PECOS PAC ID: 1355304189 Enrollment ID: I20041111000624 |
| Provider Name | Anthony J Vertalino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669572061 PECOS PAC ID: 1759344518 Enrollment ID: I20041111000803 |
| Provider Name | Syed W Askari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043288798 PECOS PAC ID: 7719941319 Enrollment ID: I20041115000012 |
| Provider Name | Robin K Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811941842 PECOS PAC ID: 1759345135 Enrollment ID: I20041116000301 |
| Provider Name | Kara J Harkness |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811088172 PECOS PAC ID: 2668436718 Enrollment ID: I20041117001150 |
| Provider Name | Kathleen M Heaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871572040 PECOS PAC ID: 6507821485 Enrollment ID: I20041120000137 |
| Provider Name | Kent W Svee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164459905 PECOS PAC ID: 9032174842 Enrollment ID: I20041122000263 |
| Provider Name | Linda L Wick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053339655 PECOS PAC ID: 0042275810 Enrollment ID: I20041122000635 |
| Provider Name | Paul D Jewett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356317093 PECOS PAC ID: 0042275760 Enrollment ID: I20041122001149 |
| Provider Name | Julie K Rochat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538287883 PECOS PAC ID: 5395700926 Enrollment ID: I20041123000672 |
| Provider Name | Suk Yin Chan-colenbrander |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104843101 PECOS PAC ID: 9436114873 Enrollment ID: I20041124000317 |
| Provider Name | Mario J Potvin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003869637 PECOS PAC ID: 4688587355 Enrollment ID: I20041124000392 |
| Provider Name | John H Kvasnicka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558325860 PECOS PAC ID: 4688570187 Enrollment ID: I20041124000631 |
| Provider Name | Karl R Parens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376501130 PECOS PAC ID: 3375508690 Enrollment ID: I20041129000791 |
| Provider Name | Olukayode O Awosika |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073539953 PECOS PAC ID: 3072578244 Enrollment ID: I20041130000239 |
| Provider Name | Thomas R Frerichs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629028329 PECOS PAC ID: 9436114634 Enrollment ID: I20041130000530 |
| Provider Name | Vui V Mai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588631386 PECOS PAC ID: 2567427602 Enrollment ID: I20041130000804 |
| Provider Name | Haizal Z Hamza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831155928 PECOS PAC ID: 2860457918 Enrollment ID: I20041130000906 |
| Provider Name | Roxanne Vida Ricci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457312217 PECOS PAC ID: 7810952918 Enrollment ID: I20041201000111 |
| Provider Name | Edward W Greeno |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386670297 PECOS PAC ID: 3577528538 Enrollment ID: I20041201000606 |
| Provider Name | Angela S Wermerskirchen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780603431 PECOS PAC ID: 2062478043 Enrollment ID: I20041202000277 |
| Provider Name | Paul D Geary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477873008 PECOS PAC ID: 8527024280 Enrollment ID: I20041203000746 |
| Provider Name | Jeffrey R Brace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619905924 PECOS PAC ID: 7618933326 Enrollment ID: I20041204000145 |
| Provider Name | Alberto Ricart |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982712576 PECOS PAC ID: 6800852419 Enrollment ID: I20041206000759 |
| Provider Name | Vicky Joy Mecl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245298710 PECOS PAC ID: 6204892649 Enrollment ID: I20041207000758 |
| Provider Name | James T Katter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538107990 PECOS PAC ID: 1254397656 Enrollment ID: I20041207001207 |
| Provider Name | Rahel G Ghebre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548292352 PECOS PAC ID: 5698732550 Enrollment ID: I20041213000884 |
| Provider Name | Steven R Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619921517 PECOS PAC ID: 3274590070 Enrollment ID: I20041214000128 |
| Provider Name | Americo D Fraboni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023060795 PECOS PAC ID: 4789641580 Enrollment ID: I20041214000162 |
| Provider Name | Tori F Christiaansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831138205 PECOS PAC ID: 5597722397 Enrollment ID: I20041214000172 |
| Provider Name | Joseph P Neglia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720024474 PECOS PAC ID: 2567429251 Enrollment ID: I20041214000865 |
| Provider Name | Bensen Y Leo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831141449 PECOS PAC ID: 3375500937 Enrollment ID: I20041215000245 |
| Provider Name | Richard Kubicka |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255369989 PECOS PAC ID: 1759348170 Enrollment ID: I20041216000623 |
| Provider Name | Kenneth Hoj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053352567 PECOS PAC ID: 5991762239 Enrollment ID: I20041217000501 |
| Provider Name | Cindy Strege Morey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023075967 PECOS PAC ID: 3779541776 Enrollment ID: I20041222000194 |
| Provider Name | Arif Somani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255363503 PECOS PAC ID: 5991763500 Enrollment ID: I20041229000697 |
| Provider Name | Susan P Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508898677 PECOS PAC ID: 3375501752 Enrollment ID: I20050103000135 |
| Provider Name | Timothy Deaconson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679559355 PECOS PAC ID: 6507759602 Enrollment ID: I20050105000595 |
| Provider Name | Nathan M Frink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003878760 PECOS PAC ID: 9133114010 Enrollment ID: I20050105000648 |
| Provider Name | Gregory G Schoen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780638668 PECOS PAC ID: 6305894387 Enrollment ID: I20050106000291 |
| Provider Name | Farha Ikramuddin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609977107 PECOS PAC ID: 4082663406 Enrollment ID: I20050112000919 |
| Provider Name | Laurel L Haycraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972667772 PECOS PAC ID: 7012965932 Enrollment ID: I20050114000017 |
| Provider Name | Amy J Wogen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316935760 PECOS PAC ID: 1850340076 Enrollment ID: I20050114000272 |
| Provider Name | Diana G Crintea-stoian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942223417 PECOS PAC ID: 2264481282 Enrollment ID: I20050118000250 |
| Provider Name | Jeffrey D Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376576249 PECOS PAC ID: 6204885874 Enrollment ID: I20050120000887 |
| Provider Name | Kathryn Mary Oberhauser Klingberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922065010 PECOS PAC ID: 9133179682 Enrollment ID: I20050124000341 |
| Provider Name | Kyriakie Sarafoglou |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902989486 PECOS PAC ID: 5597715441 Enrollment ID: I20050127000872 |
| Provider Name | Richard S Gregory |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063476547 PECOS PAC ID: 1052304482 Enrollment ID: I20050128000088 |
| Provider Name | Colleen J Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326135963 PECOS PAC ID: 0042260705 Enrollment ID: I20050131000330 |
| Provider Name | Leona A Stern Tuomala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356302251 PECOS PAC ID: 0749177418 Enrollment ID: I20050201000293 |
| Provider Name | Dominic F Frecentese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144209008 PECOS PAC ID: 8022922798 Enrollment ID: I20050208000057 |
| Provider Name | Jessica L Brunfelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609802453 PECOS PAC ID: 3375594088 Enrollment ID: I20050209000888 |
| Provider Name | Jo Anne H Young |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326149519 PECOS PAC ID: 7214989722 Enrollment ID: I20050214000090 |
| Provider Name | Anthony Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659358562 PECOS PAC ID: 3476505512 Enrollment ID: I20050216000744 |
| Provider Name | Rafael S Andrade |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538103155 PECOS PAC ID: 2264484310 Enrollment ID: I20050216000789 |
| Provider Name | Georgia E Panopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578537692 PECOS PAC ID: 4183676968 Enrollment ID: I20050221000452 |
| Provider Name | Fady M Chamoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700842283 PECOS PAC ID: 0446203491 Enrollment ID: I20050302000176 |
| Provider Name | Sarah M Kesler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760423487 PECOS PAC ID: 5496709396 Enrollment ID: I20050303000372 |
| Provider Name | Robert D Madoff |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023191590 PECOS PAC ID: 9032007596 Enrollment ID: I20050310000043 |
| Provider Name | Lisa M Vollmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558324780 PECOS PAC ID: 1951355130 Enrollment ID: I20050310000321 |
| Provider Name | Marcie Claire Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700898970 PECOS PAC ID: 6507810553 Enrollment ID: I20050311000627 |
| Provider Name | Jane K Oneil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750348751 PECOS PAC ID: 5496700304 Enrollment ID: I20050314000798 |
| Provider Name | Aaron Binstock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891744280 PECOS PAC ID: 4284689985 Enrollment ID: I20050315001076 |
| Provider Name | Wayne D Liebhard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023093341 PECOS PAC ID: 8729042478 Enrollment ID: I20050317000138 |
| Provider Name | Marc L Weber |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205940798 PECOS PAC ID: 8628023108 Enrollment ID: I20050317000382 |
| Provider Name | Boris M Beckert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528059375 PECOS PAC ID: 1951207398 Enrollment ID: I20050321000830 |
| Provider Name | Michael C Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699740050 PECOS PAC ID: 4880640994 Enrollment ID: I20050322000862 |
| Provider Name | Michael D Alter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225072812 PECOS PAC ID: 3173579257 Enrollment ID: I20050323000185 |
| Provider Name | Douglas F Bailey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780615666 PECOS PAC ID: 3678568854 Enrollment ID: I20050323000299 |
| Provider Name | Karyn Deborah Baum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548204795 PECOS PAC ID: 1254387244 Enrollment ID: I20050323000319 |
| Provider Name | David Eric Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720010846 PECOS PAC ID: 6103872197 Enrollment ID: I20050323000368 |
| Provider Name | Tara M Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063465458 PECOS PAC ID: 0749236768 Enrollment ID: I20050323000527 |
| Provider Name | Timothy M Casey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285626184 PECOS PAC ID: 6608822630 Enrollment ID: I20050323000640 |
| Provider Name | Tereza M Cervenka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508087511 PECOS PAC ID: 4981650934 Enrollment ID: I20050323000819 |
| Provider Name | Karl H Chun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831166743 PECOS PAC ID: 8628024692 Enrollment ID: I20050323000996 |
| Provider Name | Kimberly K Deroche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386611150 PECOS PAC ID: 0840246708 Enrollment ID: I20050324000216 |
| Provider Name | Elizabeth A Eckhardt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992770036 PECOS PAC ID: 5991751778 Enrollment ID: I20050324000462 |
| Provider Name | Jason L Eggers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275581795 PECOS PAC ID: 0143276923 Enrollment ID: I20050324000504 |
| Provider Name | Keith E Eidman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174579437 PECOS PAC ID: 8628024411 Enrollment ID: I20050324000564 |
| Provider Name | Brent A Elert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255394631 PECOS PAC ID: 5597678409 Enrollment ID: I20050324000595 |
| Provider Name | Christopher A Foley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609831205 PECOS PAC ID: 1254387004 Enrollment ID: I20050324000971 |
| Provider Name | Wayne Owen Adkisson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902826449 PECOS PAC ID: 6002862851 Enrollment ID: I20050324001022 |
| Provider Name | Jutta M Ellermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104854702 PECOS PAC ID: 2466408083 Enrollment ID: I20050328000364 |
| Provider Name | Peter A Argenta |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316981541 PECOS PAC ID: 3971559253 Enrollment ID: I20050330000224 |
| Provider Name | Rahul Koranne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053378422 PECOS PAC ID: 6305893587 Enrollment ID: I20050331000693 |
| Provider Name | Timothy J Gavin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528004587 PECOS PAC ID: 5092762187 Enrollment ID: I20050331000831 |
| Provider Name | Hubert Spencer Holmes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497738975 PECOS PAC ID: 8123075173 Enrollment ID: I20050401000730 |
| Provider Name | Allison Ann Heimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588631790 PECOS PAC ID: 4789631516 Enrollment ID: I20050405000143 |
| Provider Name | David G Bue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053364752 PECOS PAC ID: 4284681941 Enrollment ID: I20050405000445 |
| Provider Name | Barbara A Benjamin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407833890 PECOS PAC ID: 3870404080 Enrollment ID: I20050406000666 |
| Provider Name | Daniel Y Parkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770574196 PECOS PAC ID: 0345297784 Enrollment ID: I20050407000174 |
| Provider Name | Paul T Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750369088 PECOS PAC ID: 8224085667 Enrollment ID: I20050407000202 |
| Provider Name | Alex K Uspensky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912989203 PECOS PAC ID: 4284681651 Enrollment ID: I20050407000411 |
| Provider Name | Andrew J Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285682971 PECOS PAC ID: 2062459373 Enrollment ID: I20050408000271 |
| Provider Name | Joseph P Schuster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922015346 PECOS PAC ID: 0143267476 Enrollment ID: I20050408000482 |
| Provider Name | Jodi L Kreiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508842667 PECOS PAC ID: 0345287694 Enrollment ID: I20050408000643 |
| Provider Name | Doua Her |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679527873 PECOS PAC ID: 2163469354 Enrollment ID: I20050408001002 |
| Provider Name | Dawn M Schreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538125158 PECOS PAC ID: 3678510765 Enrollment ID: I20050411000624 |
| Provider Name | Libin Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932171188 PECOS PAC ID: 7214974336 Enrollment ID: I20050411000827 |
| Provider Name | Daniel Robert Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578617759 PECOS PAC ID: 5193762219 Enrollment ID: I20050411000859 |
| Provider Name | Patrick P Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063491819 PECOS PAC ID: 6305750019 Enrollment ID: I20050412000595 |
| Provider Name | Erick D Bothun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134106339 PECOS PAC ID: 0648217448 Enrollment ID: I20050413000641 |
| Provider Name | Katarzyna J Litak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144325374 PECOS PAC ID: 1557308293 Enrollment ID: I20050413001096 |
| Provider Name | Patrick J Fischbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518978089 PECOS PAC ID: 5294772968 Enrollment ID: I20050413001266 |
| Provider Name | Lynn J Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124084256 PECOS PAC ID: 8426095118 Enrollment ID: I20050414000150 |
| Provider Name | Terry W Kopp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184675431 PECOS PAC ID: 8820035520 Enrollment ID: I20050414000209 |
| Provider Name | Leann Monica Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073520169 PECOS PAC ID: 5395782874 Enrollment ID: I20050415000465 |
| Provider Name | Grant C Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790864395 PECOS PAC ID: 1557261781 Enrollment ID: I20050419000976 |
| Provider Name | James P Bergstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588626386 PECOS PAC ID: 1254379316 Enrollment ID: I20050419001284 |
| Provider Name | Jennifer A Currens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346345063 PECOS PAC ID: 6204874191 Enrollment ID: I20050421000071 |
| Provider Name | Brenda L Frie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629177993 PECOS PAC ID: 8729026612 Enrollment ID: I20050421000102 |
| Provider Name | Ruth M Lekander |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386749075 PECOS PAC ID: 6406894393 Enrollment ID: I20050421000148 |
| Provider Name | Amy M Pattock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700981347 PECOS PAC ID: 1850339755 Enrollment ID: I20050421000173 |
| Provider Name | Kathy G Mulier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790794154 PECOS PAC ID: 4587602495 Enrollment ID: I20050421000264 |
| Provider Name | Patrick J Olaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487628517 PECOS PAC ID: 7719925320 Enrollment ID: I20050422000579 |
| Provider Name | Margaret J Swanson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881799518 PECOS PAC ID: 7315986429 Enrollment ID: I20050428000247 |
| Provider Name | Seema Maddali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467498972 PECOS PAC ID: 7810944246 Enrollment ID: I20050502001014 |
| Provider Name | David S Beebe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255421277 PECOS PAC ID: 0244143717 Enrollment ID: I20050503000683 |
| Provider Name | Dominic A Plucinski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902856974 PECOS PAC ID: 8426957580 Enrollment ID: I20050504000103 |
| Provider Name | Christine Gove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992817142 PECOS PAC ID: 5597705079 Enrollment ID: I20050504000205 |
| Provider Name | Peter C Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285737106 PECOS PAC ID: 7911947494 Enrollment ID: I20050504000251 |
| Provider Name | Maria Teresa Chmielewski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083772834 PECOS PAC ID: 6002856903 Enrollment ID: I20050510001049 |
| Provider Name | Leslie Bryan Forgosh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154305738 PECOS PAC ID: 0749279628 Enrollment ID: I20050512000045 |
| Provider Name | Kim Loria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487638060 PECOS PAC ID: 9537158423 Enrollment ID: I20050512000089 |
| Provider Name | Zia A Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457396921 PECOS PAC ID: 2062453400 Enrollment ID: I20050517000170 |
| Provider Name | Cheryl L Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184668576 PECOS PAC ID: 1355382649 Enrollment ID: I20050517000725 |
| Provider Name | Marc Leo Martel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437199510 PECOS PAC ID: 1850332156 Enrollment ID: I20050517000770 |
| Provider Name | Sharon M Koep Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184618688 PECOS PAC ID: 3577505346 Enrollment ID: I20050523001092 |
| Provider Name | Patricia R Kubicka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588601231 PECOS PAC ID: 0446292965 Enrollment ID: I20050525000461 |
| Provider Name | Peter H Kelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669447850 PECOS PAC ID: 0446163232 Enrollment ID: I20050525001078 |
| Provider Name | Karen M Karlinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154362903 PECOS PAC ID: 0941242143 Enrollment ID: I20050527000272 |
| Provider Name | Elizabeth A Wegner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346209780 PECOS PAC ID: 6507808631 Enrollment ID: I20050527000636 |
| Provider Name | Philip W Stoyke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699766279 PECOS PAC ID: 0840232971 Enrollment ID: I20050527000663 |
| Provider Name | Georgia K Zachman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346202710 PECOS PAC ID: 3577505486 Enrollment ID: I20050601000346 |
| Provider Name | Heather C Votava-bialczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447236252 PECOS PAC ID: 2466495254 Enrollment ID: I20050602000750 |
| Provider Name | Teresa C Mccarthy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922184035 PECOS PAC ID: 3678516341 Enrollment ID: I20050603000208 |
| Provider Name | Jonathan K Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932143583 PECOS PAC ID: 8022007392 Enrollment ID: I20050603000436 |
| Provider Name | Eric R Niendorf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780685404 PECOS PAC ID: 2567414121 Enrollment ID: I20050603000500 |
| Provider Name | Merlin E Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053317354 PECOS PAC ID: 2668374083 Enrollment ID: I20050603000795 |
| Provider Name | Torrey Bergman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861442493 PECOS PAC ID: 5890762124 Enrollment ID: I20050606001011 |
| Provider Name | William R Omlie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518997782 PECOS PAC ID: 3173518362 Enrollment ID: I20050608000077 |
| Provider Name | Howard Leroy Saylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497782783 PECOS PAC ID: 9335134527 Enrollment ID: I20050608000122 |
| Provider Name | Charles Phifer Nicholson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114958097 PECOS PAC ID: 1456346642 Enrollment ID: I20050608000180 |
| Provider Name | Mark Veldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538188511 PECOS PAC ID: 6305889478 Enrollment ID: I20050609000274 |
| Provider Name | Dung H Truong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518933977 PECOS PAC ID: 0244274116 Enrollment ID: I20050613000741 |
| Provider Name | Paul F Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841279973 PECOS PAC ID: 1456395078 Enrollment ID: I20050615000105 |
| Provider Name | Brian T Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780604835 PECOS PAC ID: 9436193802 Enrollment ID: I20050616000255 |
| Provider Name | Michael D Heaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245287549 PECOS PAC ID: 7416991880 Enrollment ID: I20050616000269 |
| Provider Name | Huagui Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477569895 PECOS PAC ID: 8628012028 Enrollment ID: I20050616000512 |
| Provider Name | Peter J Ganzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275599318 PECOS PAC ID: 6103860333 Enrollment ID: I20050617000455 |
| Provider Name | Jeffrey A Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245206192 PECOS PAC ID: 0840234969 Enrollment ID: I20050620000113 |
| Provider Name | Allan R Hartsough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265498331 PECOS PAC ID: 0840234985 Enrollment ID: I20050620000216 |
| Provider Name | Eric J Hoggard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982725339 PECOS PAC ID: 8729022876 Enrollment ID: I20050620000333 |
| Provider Name | Mary Jo Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578550992 PECOS PAC ID: 1254376353 Enrollment ID: I20050620000844 |
| Provider Name | Scott F Jorgensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447214069 PECOS PAC ID: 4486699584 Enrollment ID: I20050620000894 |
| Provider Name | John P Juola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851341523 PECOS PAC ID: 0547205650 Enrollment ID: I20050620000932 |
| Provider Name | Paul L Benn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093746976 PECOS PAC ID: 0941295125 Enrollment ID: I20050621000108 |
| Provider Name | Jonathan D Kirsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336184464 PECOS PAC ID: 3870538788 Enrollment ID: I20050622000161 |
| Provider Name | Robert D Dexter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548237548 PECOS PAC ID: 2860437621 Enrollment ID: I20050622000582 |
| Provider Name | Donald Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255307740 PECOS PAC ID: 8224073739 Enrollment ID: I20050624000802 |
| Provider Name | Richard D Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477529121 PECOS PAC ID: 5193760619 Enrollment ID: I20050624000906 |
| Provider Name | Cynthia D Loehlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720032683 PECOS PAC ID: 0446295869 Enrollment ID: I20050624000942 |
| Provider Name | Joan M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831165927 PECOS PAC ID: 1254377294 Enrollment ID: I20050630000163 |
| Provider Name | Ann L Megas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891760906 PECOS PAC ID: 3870539828 Enrollment ID: I20050630000183 |
| Provider Name | Stella K Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396712022 PECOS PAC ID: 3072559830 Enrollment ID: I20050701000047 |
| Provider Name | Mark C Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467415208 PECOS PAC ID: 2567427784 Enrollment ID: I20050701000844 |
| Provider Name | Krishnakumari G Pallegar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053377135 PECOS PAC ID: 5991741530 Enrollment ID: I20050705000655 |
| Provider Name | James F Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225089576 PECOS PAC ID: 9335185982 Enrollment ID: I20050705000759 |
| Provider Name | Quan V Pham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932159894 PECOS PAC ID: 6204872856 Enrollment ID: I20050705000788 |
| Provider Name | Janine T Pingel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235197054 PECOS PAC ID: 2961448576 Enrollment ID: I20050706000128 |
| Provider Name | Timothy P Kinney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407895139 PECOS PAC ID: 8224074729 Enrollment ID: I20050706000984 |
| Provider Name | Matthew Alan Riethof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588627301 PECOS PAC ID: 1951337278 Enrollment ID: I20050708000684 |
| Provider Name | Annie L Burton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871548362 PECOS PAC ID: 9830125061 Enrollment ID: I20050711000541 |
| Provider Name | Albert Salazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841257326 PECOS PAC ID: 1658307632 Enrollment ID: I20050712000025 |
| Provider Name | Christofer A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053375121 PECOS PAC ID: 8527094556 Enrollment ID: I20050712000322 |
| Provider Name | Carolyn D Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437230836 PECOS PAC ID: 6608802657 Enrollment ID: I20050712000435 |
| Provider Name | Julie D Marcus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497863609 PECOS PAC ID: 3072549724 Enrollment ID: I20050713000886 |
| Provider Name | Mary E Wahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194781278 PECOS PAC ID: 4284660812 Enrollment ID: I20050714000418 |
| Provider Name | Michael J Dixey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902860216 PECOS PAC ID: 3274569660 Enrollment ID: I20050718000394 |
| Provider Name | John B Sweet |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1609890623 PECOS PAC ID: 3274560644 Enrollment ID: I20050719000082 |
| Provider Name | Peter C Anagnos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548214521 PECOS PAC ID: 6608825500 Enrollment ID: I20050721000457 |
| Provider Name | Jeffrey Alan Balke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285694109 PECOS PAC ID: 8224065974 Enrollment ID: I20050725000468 |
| Provider Name | Patricia A Carroll |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033249065 PECOS PAC ID: 6800823568 Enrollment ID: I20050725000519 |
| Provider Name | James Christopher Shanks |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255393906 PECOS PAC ID: 1658308200 Enrollment ID: I20050726000030 |
| Provider Name | Kavita S Monteiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639133457 PECOS PAC ID: 0143257642 Enrollment ID: I20050726000511 |
| Provider Name | Paul D Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245285584 PECOS PAC ID: 7012944549 Enrollment ID: I20050726000734 |
| Provider Name | Jessica N Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477595536 PECOS PAC ID: 8224065750 Enrollment ID: I20050726000785 |
| Provider Name | Sarah C Fuerstenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013940014 PECOS PAC ID: 9830126374 Enrollment ID: I20050726000815 |
| Provider Name | Heidi J Greenwaldt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891760799 PECOS PAC ID: 8527096940 Enrollment ID: I20050727001055 |
| Provider Name | Amer Azar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790851178 PECOS PAC ID: 7315975547 Enrollment ID: I20050729000374 |
| Provider Name | Bradley T Bialczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386752657 PECOS PAC ID: 7911935986 Enrollment ID: I20050801000302 |
| Provider Name | Gary R Kravitz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124085840 PECOS PAC ID: 3072507847 Enrollment ID: I20050802000123 |
| Provider Name | Peter J Halvorson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831152008 PECOS PAC ID: 3779550876 Enrollment ID: I20050802000908 |
| Provider Name | Alina G Jeffers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902870678 PECOS PAC ID: 5092743880 Enrollment ID: I20050802001034 |
| Provider Name | Melanie H Dixon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316962558 PECOS PAC ID: 4789612474 Enrollment ID: I20050803000365 |
| Provider Name | Paul A Erickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578666004 PECOS PAC ID: 6103815691 Enrollment ID: I20050803000461 |
| Provider Name | Li Lisa Ge |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194709188 PECOS PAC ID: 0648208280 Enrollment ID: I20050803000856 |
| Provider Name | Shamane Kimara March |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942288162 PECOS PAC ID: 5395774558 Enrollment ID: I20050808000819 |
| Provider Name | Chinsoo L Cho |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588683676 PECOS PAC ID: 6305875345 Enrollment ID: I20050810000051 |
| Provider Name | Cecil E Bassett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669433207 PECOS PAC ID: 9436188497 Enrollment ID: I20050810000199 |
| Provider Name | Hyun J Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891885307 PECOS PAC ID: 7517996325 Enrollment ID: I20050811000249 |
| Provider Name | Karen M Weiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053379230 PECOS PAC ID: 4284664905 Enrollment ID: I20050816000220 |
| Provider Name | Ronald T Sih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053382002 PECOS PAC ID: 2961432968 Enrollment ID: I20050819000027 |
| Provider Name | Jared M Frandson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902856404 PECOS PAC ID: 5496786279 Enrollment ID: I20050823000050 |
| Provider Name | Michelle M Hoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205860772 PECOS PAC ID: 4486685260 Enrollment ID: I20050823000062 |
| Provider Name | William D Sypura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326054180 PECOS PAC ID: 0840221883 Enrollment ID: I20050830000045 |
| Provider Name | Kmarie King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710951710 PECOS PAC ID: 8123050655 Enrollment ID: I20050906000985 |
| Provider Name | Sarah M Aldrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053389429 PECOS PAC ID: 0547292856 Enrollment ID: I20050908000069 |
| Provider Name | David H Lane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821236688 PECOS PAC ID: 0143252379 Enrollment ID: I20050908000306 |
| Provider Name | Jeffrey J Connaire |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710931449 PECOS PAC ID: 6709818875 Enrollment ID: I20050909000291 |
| Provider Name | Lora J Princ |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497741219 PECOS PAC ID: 0345273348 Enrollment ID: I20050912000129 |
| Provider Name | Tara Lee Holm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164567764 PECOS PAC ID: 8820021801 Enrollment ID: I20050912000822 |
| Provider Name | Teresa K Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043273204 PECOS PAC ID: 7315970225 Enrollment ID: I20050912001182 |
| Provider Name | Molly E Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538162128 PECOS PAC ID: 4183684608 Enrollment ID: I20050912001253 |
| Provider Name | Fareed A Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235236530 PECOS PAC ID: 8921031535 Enrollment ID: I20050914000881 |
| Provider Name | Jason T Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134214307 PECOS PAC ID: 7810920428 Enrollment ID: I20050914000901 |
| Provider Name | Mark W Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962481747 PECOS PAC ID: 0749194777 Enrollment ID: I20050920000198 |
| Provider Name | William A Brombach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225097926 PECOS PAC ID: 9537193339 Enrollment ID: I20050921000636 |
| Provider Name | Shannon L Klingsporn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104881168 PECOS PAC ID: 0446284160 Enrollment ID: I20050922000411 |
| Provider Name | Mary J Kempf |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972572873 PECOS PAC ID: 0648204388 Enrollment ID: I20050922000579 |
| Provider Name | Kristina M Smith Mcdermott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841557618 PECOS PAC ID: 2062446628 Enrollment ID: I20050922000799 |
| Provider Name | Erika N Sandell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508973272 PECOS PAC ID: 5294769873 Enrollment ID: I20050922000943 |
| Provider Name | Jeff W Wiemiller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285641373 PECOS PAC ID: 3870527450 Enrollment ID: I20050922000992 |
| Provider Name | John P Scanlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396705323 PECOS PAC ID: 8123052636 Enrollment ID: I20050923000739 |
| Provider Name | Thomas W Scheider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619933983 PECOS PAC ID: 9537193040 Enrollment ID: I20050923000770 |
| Provider Name | Todd A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619936804 PECOS PAC ID: 4981638301 Enrollment ID: I20050923000881 |
| Provider Name | Charlene K Ulstad-warkentien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568420701 PECOS PAC ID: 4082648399 Enrollment ID: I20050926000190 |
| Provider Name | Deborah A Lensing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538250154 PECOS PAC ID: 1658305925 Enrollment ID: I20050926000760 |
| Provider Name | Sujit R Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013018258 PECOS PAC ID: 0840224002 Enrollment ID: I20050927000227 |
| Provider Name | Annemarie M Mischel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306812698 PECOS PAC ID: 1456385616 Enrollment ID: I20050927000253 |
| Provider Name | Rachel C Ulfers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225126303 PECOS PAC ID: 5193750354 Enrollment ID: I20050927001189 |
| Provider Name | Yasuko Yamamura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568483816 PECOS PAC ID: 9830124700 Enrollment ID: I20050929000091 |
| Provider Name | Joshua R Tanner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811908742 PECOS PAC ID: 7911932835 Enrollment ID: I20050929000446 |
| Provider Name | Maisa A Pebbles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336117480 PECOS PAC ID: 9335164631 Enrollment ID: I20051005001161 |
| Provider Name | Erin E Mccarville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194773291 PECOS PAC ID: 7214952407 Enrollment ID: I20051006000693 |
| Provider Name | Jeffrey S Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20051007000143 |
| Provider Name | Deanna L Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851473342 PECOS PAC ID: 5092730101 Enrollment ID: I20051007000588 |
| Provider Name | Jennifer L Percy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154397958 PECOS PAC ID: 9436174562 Enrollment ID: I20051007000728 |
| Provider Name | Edward Rg Santos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659474773 PECOS PAC ID: 1254356389 Enrollment ID: I20051007000731 |
| Provider Name | Nancy K Darling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548348055 PECOS PAC ID: 7810912953 Enrollment ID: I20051007000791 |
| Provider Name | Carly M Kempton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275552879 PECOS PAC ID: 9638194632 Enrollment ID: I20051010000181 |
| Provider Name | Aaron J Trygstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598745994 PECOS PAC ID: 3173548948 Enrollment ID: I20051011000385 |
| Provider Name | Karen T Dorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710953443 PECOS PAC ID: 8224053053 Enrollment ID: I20051011000861 |
| Provider Name | Peter W Gjevre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790750370 PECOS PAC ID: 0345218798 Enrollment ID: I20051012000033 |
| Provider Name | Shelly A Marette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669579975 PECOS PAC ID: 8426074832 Enrollment ID: I20051014000613 |
| Provider Name | William F Schmalstieg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649244658 PECOS PAC ID: 5890711261 Enrollment ID: I20051017000028 |
| Provider Name | Jeffrey R Michell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033176615 PECOS PAC ID: 8527084862 Enrollment ID: I20051017000665 |
| Provider Name | Cynthia R Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164456620 PECOS PAC ID: 2567488828 Enrollment ID: I20051017000806 |
| Provider Name | Rita C Caruso-santamaria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962467688 PECOS PAC ID: 5890711865 Enrollment ID: I20051019000264 |
| Provider Name | Jeffrey P Louie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205913324 PECOS PAC ID: 2567488349 Enrollment ID: I20051020000752 |
| Provider Name | Curt Behrns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801869227 PECOS PAC ID: 1850318379 Enrollment ID: I20051025000024 |
| Provider Name | David Gordon Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174515357 PECOS PAC ID: 3971415688 Enrollment ID: I20051026000087 |
| Provider Name | Jennifer L Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215045885 PECOS PAC ID: 8022036656 Enrollment ID: I20051102000854 |
| Provider Name | Mark E Rosenberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588740740 PECOS PAC ID: 0345268827 Enrollment ID: I20051103000109 |
| Provider Name | Sayeed Ikramuddin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417988510 PECOS PAC ID: 5395763718 Enrollment ID: I20051103001161 |
| Provider Name | Anne H Blaes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285690156 PECOS PAC ID: 0042238222 Enrollment ID: I20051107000107 |
| Provider Name | Jennifer J Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659380954 PECOS PAC ID: 6002834223 Enrollment ID: I20051107000472 |
| Provider Name | Meghan R Mckeon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316926215 PECOS PAC ID: 9032137195 Enrollment ID: I20051107000960 |
| Provider Name | Yeng M Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962434050 PECOS PAC ID: 9335167436 Enrollment ID: I20051108000067 |
| Provider Name | Maneesh Bhargava |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407892755 PECOS PAC ID: 8022036011 Enrollment ID: I20051108000852 |
| Provider Name | Benjamin B Ranstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376565325 PECOS PAC ID: 3971522400 Enrollment ID: I20051115000068 |
| Provider Name | Maria Ocasio Carle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972538015 PECOS PAC ID: 8426077892 Enrollment ID: I20051115000385 |
| Provider Name | Jessica L Nyholm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023098837 PECOS PAC ID: 4981623386 Enrollment ID: I20051115000683 |
| Provider Name | Brendan M Meyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366554727 PECOS PAC ID: 8123047388 Enrollment ID: I20051116000804 |
| Provider Name | Jonathan Patrick Braman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548296619 PECOS PAC ID: 0840219028 Enrollment ID: I20051116000889 |
| Provider Name | Alan Loder Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912957267 PECOS PAC ID: 6507885795 Enrollment ID: I20051116001005 |
| Provider Name | Jennifer A Ward |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205829520 PECOS PAC ID: 6800815945 Enrollment ID: I20051117000295 |
| Provider Name | Hellina T Dessie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619904208 PECOS PAC ID: 7810917507 Enrollment ID: I20051123000503 |
| Provider Name | Orlando Charry-rodriguez |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1518931187 PECOS PAC ID: 5890715247 Enrollment ID: I20051130000114 |
| Provider Name | Manish R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740204957 PECOS PAC ID: 1658391040 Enrollment ID: I20051130000441 |
| Provider Name | Salima A Mithani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093746000 PECOS PAC ID: 7416977806 Enrollment ID: I20051130000495 |
| Provider Name | Claes E M Oldenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811951098 PECOS PAC ID: 8820980766 Enrollment ID: I20051202000053 |
| Provider Name | Paul C Rondestvedt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518933985 PECOS PAC ID: 2264452358 Enrollment ID: I20051205000429 |
| Provider Name | John T Northwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063464329 PECOS PAC ID: 8325069065 Enrollment ID: I20051209000411 |
| Provider Name | Cephas M Agbeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407817091 PECOS PAC ID: 9335160431 Enrollment ID: I20051216000478 |
| Provider Name | David R Bachman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881656296 PECOS PAC ID: 1153235262 Enrollment ID: I20051216000520 |
| Provider Name | Jonathan J Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831151786 PECOS PAC ID: 1951322957 Enrollment ID: I20051216000586 |
| Provider Name | Elise M Binsfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154383404 PECOS PAC ID: 9436170446 Enrollment ID: I20051216000660 |
| Provider Name | Hana Bonefacic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578525697 PECOS PAC ID: 6507887510 Enrollment ID: I20051216000677 |
| Provider Name | Lawrence D Deal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952363749 PECOS PAC ID: 3375565203 Enrollment ID: I20051220000667 |
| Provider Name | Jay A Dirks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255394573 PECOS PAC ID: 9537181466 Enrollment ID: I20051220000686 |
| Provider Name | Janice P Hassumani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437112091 PECOS PAC ID: 5698797454 Enrollment ID: I20051221000628 |
| Provider Name | Stacy M Hockett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831152842 PECOS PAC ID: 5991727653 Enrollment ID: I20051221000680 |
| Provider Name | Paul A Kettler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235194598 PECOS PAC ID: 8325060775 Enrollment ID: I20051228000559 |
| Provider Name | Sonia Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770548042 PECOS PAC ID: 3577585926 Enrollment ID: I20051228000594 |
| Provider Name | David B Lehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912962184 PECOS PAC ID: 8628090081 Enrollment ID: I20051228000654 |
| Provider Name | Michael E Lins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033141023 PECOS PAC ID: 2062434426 Enrollment ID: I20051228000677 |
| Provider Name | David M Lindgren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609808674 PECOS PAC ID: 2365464740 Enrollment ID: I20051229000033 |
| Provider Name | Morgan E Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467485391 PECOS PAC ID: 2860414182 Enrollment ID: I20051229000395 |
| Provider Name | Laurie A Mcleod-lorence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215960174 PECOS PAC ID: 9537181862 Enrollment ID: I20051229000439 |
| Provider Name | Julia L Montejo |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1578592275 PECOS PAC ID: 2466474796 Enrollment ID: I20051229000508 |
| Provider Name | James R Natwick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912916388 PECOS PAC ID: 0749202091 Enrollment ID: I20051229000587 |
| Provider Name | Amy M Putnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750499307 PECOS PAC ID: 9931121175 Enrollment ID: I20051230000555 |
| Provider Name | Jeffrey L Raines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366550923 PECOS PAC ID: 1658393806 Enrollment ID: I20051230000568 |
| Provider Name | Stephen W Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093823189 PECOS PAC ID: 7315851425 Enrollment ID: I20051230000589 |
| Provider Name | John B Rogers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275641383 PECOS PAC ID: 5890717045 Enrollment ID: I20051230000594 |
| Provider Name | Rene L Royal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093823122 PECOS PAC ID: 4880616036 Enrollment ID: I20051230000604 |
| Provider Name | Alan E Sadowsky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023126166 PECOS PAC ID: 2567484736 Enrollment ID: I20060103000056 |
| Provider Name | Carol H Schoonover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699883587 PECOS PAC ID: 6901828177 Enrollment ID: I20060103000069 |
| Provider Name | Carla A Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649388547 PECOS PAC ID: 2365464534 Enrollment ID: I20060103000075 |
| Provider Name | Randall S Sondrol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841390242 PECOS PAC ID: 0143242313 Enrollment ID: I20060103000108 |
| Provider Name | Gang K Zhang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447238373 PECOS PAC ID: 5092737288 Enrollment ID: I20060103000260 |
| Provider Name | Roman J Zownirowycz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306958376 PECOS PAC ID: 4981626181 Enrollment ID: I20060103000272 |
| Provider Name | Bradley R Pierce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932130812 PECOS PAC ID: 5890780084 Enrollment ID: I20060106000340 |
| Provider Name | Rebecca A Wicklund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134193287 PECOS PAC ID: 9032132543 Enrollment ID: I20060111000353 |
| Provider Name | Kristine Anne Mannchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720065899 PECOS PAC ID: 2466475884 Enrollment ID: I20060111000546 |
| Provider Name | Alexis R Maciej |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902988421 PECOS PAC ID: 3476576653 Enrollment ID: I20060113000527 |
| Provider Name | Lisa K Van Berkel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114032729 PECOS PAC ID: 2860416062 Enrollment ID: I20060113000767 |
| Provider Name | Marc R Pritzker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285673525 PECOS PAC ID: 8527082411 Enrollment ID: I20060118000700 |
| Provider Name | Michael T Schulenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962402834 PECOS PAC ID: 3375567274 Enrollment ID: I20060118000764 |
| Provider Name | Byron H Simmons |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225060346 PECOS PAC ID: 6709800402 Enrollment ID: I20060120000622 |
| Provider Name | Alfred L Clavel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841263696 PECOS PAC ID: 0345211264 Enrollment ID: I20060123000325 |
| Provider Name | Ayesha Ebrahim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831144609 PECOS PAC ID: 3678587862 Enrollment ID: I20060126000557 |
| Provider Name | Paula Johnson Rehder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518050103 PECOS PAC ID: 2567476484 Enrollment ID: I20060131000373 |
| Provider Name | Praveena M Kanth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437155678 PECOS PAC ID: 4183638638 Enrollment ID: I20060203000378 |
| Provider Name | Murali Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982656039 PECOS PAC ID: 7618981184 Enrollment ID: I20060203000553 |
| Provider Name | Aynsley D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972687234 PECOS PAC ID: 2264446657 Enrollment ID: I20060206000900 |
| Provider Name | Triniti L Feldhege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962487017 PECOS PAC ID: 5799790564 Enrollment ID: I20060215000447 |
| Provider Name | Jessica E Kuehn-hajder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104833920 PECOS PAC ID: 5496760266 Enrollment ID: I20060215000472 |
| Provider Name | Jordan M Dunitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760413124 PECOS PAC ID: 8921013731 Enrollment ID: I20060216000463 |
| Provider Name | Edward B Martin-chaffee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295728848 PECOS PAC ID: 3870508575 Enrollment ID: I20060216000471 |
| Provider Name | Reena P Lorntson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295837144 PECOS PAC ID: 6507871019 Enrollment ID: I20060220000296 |
| Provider Name | Bhavjot Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609850262 PECOS PAC ID: 6709891252 Enrollment ID: I20060220000598 |
| Provider Name | David E Adson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346203833 PECOS PAC ID: 8325053887 Enrollment ID: I20060221000100 |
| Provider Name | Abdullahi I Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972578334 PECOS PAC ID: 2961417431 Enrollment ID: I20060221000116 |
| Provider Name | Joseph Alfano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467564831 PECOS PAC ID: 9739194200 Enrollment ID: I20060221000158 |
| Provider Name | Donald J Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326150889 PECOS PAC ID: 1456366921 Enrollment ID: I20060221000167 |
| Provider Name | Christine N Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902817877 PECOS PAC ID: 0749295228 Enrollment ID: I20060221000227 |
| Provider Name | Stephen Bauman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326059262 PECOS PAC ID: 2769498203 Enrollment ID: I20060221000744 |
| Provider Name | John L Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164468583 PECOS PAC ID: 5294741732 Enrollment ID: I20060221000751 |
| Provider Name | Kimberly A Bixel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447365218 PECOS PAC ID: 6305852781 Enrollment ID: I20060222000221 |
| Provider Name | Richard K Bom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689789554 PECOS PAC ID: 2264448661 Enrollment ID: I20060222000368 |
| Provider Name | Richard C Bosacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710938451 PECOS PAC ID: 8527074921 Enrollment ID: I20060222000373 |
| Provider Name | Carol M Brunzell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689729659 PECOS PAC ID: 4880600188 Enrollment ID: I20060223000472 |
| Provider Name | Teresa L Caspar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386736221 PECOS PAC ID: 7315953502 Enrollment ID: I20060224000533 |
| Provider Name | Kevin R Chatwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275645731 PECOS PAC ID: 5890701007 Enrollment ID: I20060224000690 |
| Provider Name | Eric G Christianson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629044342 PECOS PAC ID: 9436165644 Enrollment ID: I20060224000694 |
| Provider Name | Chad M Clemenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568479657 PECOS PAC ID: 2163438318 Enrollment ID: I20060227000197 |
| Provider Name | Marian L Delaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457362444 PECOS PAC ID: 6406862366 Enrollment ID: I20060301000599 |
| Provider Name | Amy B Dronen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942210422 PECOS PAC ID: 3870509748 Enrollment ID: I20060301000684 |
| Provider Name | Michael M Dummer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376649434 PECOS PAC ID: 7315953288 Enrollment ID: I20060301000694 |
| Provider Name | Therese Marie Durkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376668210 PECOS PAC ID: 2860408739 Enrollment ID: I20060301000700 |
| Provider Name | John Eikens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104844604 PECOS PAC ID: 6103832944 Enrollment ID: I20060302000429 |
| Provider Name | Glenn R Gourley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689606287 PECOS PAC ID: 2769498526 Enrollment ID: I20060302000612 |
| Provider Name | Susan M Flannigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659354793 PECOS PAC ID: 3072529601 Enrollment ID: I20060306000531 |
| Provider Name | Kathrine Patricia Frey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114994563 PECOS PAC ID: 8022024652 Enrollment ID: I20060306000581 |
| Provider Name | Anthony L Genia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912973645 PECOS PAC ID: 7315954906 Enrollment ID: I20060307000256 |
| Provider Name | Mark L Gilberstadt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881660397 PECOS PAC ID: 6204843899 Enrollment ID: I20060307000275 |
| Provider Name | David L Gubbrud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225004740 PECOS PAC ID: 1456368083 Enrollment ID: I20060307000567 |
| Provider Name | William H Meller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053496216 PECOS PAC ID: 6305853961 Enrollment ID: I20060307000772 |
| Provider Name | Melanie J Hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508907882 PECOS PAC ID: 3173530656 Enrollment ID: I20060308000133 |
| Provider Name | Gary M Ivins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083610356 PECOS PAC ID: 4385546704 Enrollment ID: I20060308000501 |
| Provider Name | Seikei Hibino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457327199 PECOS PAC ID: 4981611407 Enrollment ID: I20060308000530 |
| Provider Name | Claudia Joan Hornibrook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083625552 PECOS PAC ID: 4385651819 Enrollment ID: I20060308000602 |
| Provider Name | Karen L Hulstrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982622486 PECOS PAC ID: 2264449792 Enrollment ID: I20060308000636 |
| Provider Name | Ganesh Raveendran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265418420 PECOS PAC ID: 8123035664 Enrollment ID: I20060308000680 |
| Provider Name | Scott L Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659483105 PECOS PAC ID: 5395752760 Enrollment ID: I20060309000148 |
| Provider Name | Tara D Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952492464 PECOS PAC ID: 9032126412 Enrollment ID: I20060309000240 |
| Provider Name | Timothy J Kappel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295702652 PECOS PAC ID: 2163439563 Enrollment ID: I20060309000371 |
| Provider Name | David D Karrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144334673 PECOS PAC ID: 8820005234 Enrollment ID: I20060309000436 |
| Provider Name | Kellie M Kershisnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629029566 PECOS PAC ID: 5890702203 Enrollment ID: I20060309000455 |
| Provider Name | Steven E Klos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356317895 PECOS PAC ID: 8820005242 Enrollment ID: I20060309000523 |
| Provider Name | Dean E Krats |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023120482 PECOS PAC ID: 2062429491 Enrollment ID: I20060309000647 |
| Provider Name | Janelle J Melgeorge Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659338481 PECOS PAC ID: 1759398035 Enrollment ID: I20060310000442 |
| Provider Name | Thomas A Leaf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811081516 PECOS PAC ID: 8325055619 Enrollment ID: I20060310000528 |
| Provider Name | Elizabeth A Lindeke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790748069 PECOS PAC ID: 8628085958 Enrollment ID: I20060313000120 |
| Provider Name | Gregory T Loppnow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366418022 PECOS PAC ID: 4688681935 Enrollment ID: I20060313000242 |
| Provider Name | Richard W Lundgren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033217377 PECOS PAC ID: 1355358607 Enrollment ID: I20060313000301 |
| Provider Name | Sean Q Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619988193 PECOS PAC ID: 7719994961 Enrollment ID: I20060313000311 |
| Provider Name | Douglas G Maclean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518933209 PECOS PAC ID: 4183631351 Enrollment ID: I20060313000493 |
| Provider Name | Jeffrey R Mathews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285742916 PECOS PAC ID: 8325055502 Enrollment ID: I20060313000616 |
| Provider Name | Richard E Mayerchak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568417806 PECOS PAC ID: 6901813195 Enrollment ID: I20060313000656 |
| Provider Name | Janice M Mcintosh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720187198 PECOS PAC ID: 4082621297 Enrollment ID: I20060314000099 |
| Provider Name | Kevin S Meier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144296542 PECOS PAC ID: 3476560699 Enrollment ID: I20060314000177 |
| Provider Name | David A Milbrandt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457463903 PECOS PAC ID: 5890702039 Enrollment ID: I20060314000312 |
| Provider Name | Alda L Moettus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871569541 PECOS PAC ID: 3779590914 Enrollment ID: I20060314000330 |
| Provider Name | Jennifer L.m Super |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841212875 PECOS PAC ID: 0042227183 Enrollment ID: I20060314000442 |
| Provider Name | Scott J Moses |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508817149 PECOS PAC ID: 3274540323 Enrollment ID: I20060314000491 |
| Provider Name | Leo R Mrozek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134195829 PECOS PAC ID: 5698782746 Enrollment ID: I20060314000523 |
| Provider Name | Dean R Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508810482 PECOS PAC ID: 7911914064 Enrollment ID: I20060314000573 |
| Provider Name | Michelle M Perault-boughton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346357035 PECOS PAC ID: 4587671680 Enrollment ID: I20060315000145 |
| Provider Name | Paul A Nielsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851302335 PECOS PAC ID: 3577570670 Enrollment ID: I20060315000152 |
| Provider Name | Sue A Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861418568 PECOS PAC ID: 2668489766 Enrollment ID: I20060315000155 |
| Provider Name | Margaret E O Brien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669589354 PECOS PAC ID: 3577570688 Enrollment ID: I20060315000207 |
| Provider Name | Karen A Oelschlaeger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427165190 PECOS PAC ID: 4284641390 Enrollment ID: I20060315000235 |
| Provider Name | Jessica L Olderness |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265549950 PECOS PAC ID: 1355358466 Enrollment ID: I20060315000262 |
| Provider Name | Lynn A Olejniczak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578667259 PECOS PAC ID: 8527075639 Enrollment ID: I20060315000274 |
| Provider Name | Randall J Olson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386606242 PECOS PAC ID: 4880601905 Enrollment ID: I20060315000291 |
| Provider Name | Ahmed A Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356312722 PECOS PAC ID: 4789691809 Enrollment ID: I20060315000305 |
| Provider Name | Lynn M Osborne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144311499 PECOS PAC ID: 6002823127 Enrollment ID: I20060315000344 |
| Provider Name | Debra J Palma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902817489 PECOS PAC ID: 0143237180 Enrollment ID: I20060315000546 |
| Provider Name | Teresa M Paulson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396850905 PECOS PAC ID: 7012924079 Enrollment ID: I20060315000676 |
| Provider Name | Kurt R Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073565412 PECOS PAC ID: 0244247203 Enrollment ID: I20060315000717 |
| Provider Name | Joseph J Pietrafitta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265460117 PECOS PAC ID: 2769449263 Enrollment ID: I20060316000276 |
| Provider Name | Robert P Post |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437101938 PECOS PAC ID: 4880601806 Enrollment ID: I20060316000311 |
| Provider Name | Kelly S Stokes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497868095 PECOS PAC ID: 3779590427 Enrollment ID: I20060321000537 |
| Provider Name | Peter E Sandgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356307714 PECOS PAC ID: 6103833876 Enrollment ID: I20060321000659 |
| Provider Name | Michael J Howell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407897804 PECOS PAC ID: 3678581303 Enrollment ID: I20060322000523 |
| Provider Name | Quentin M Gabor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427115856 PECOS PAC ID: 6002883139 Enrollment ID: I20060323000136 |
| Provider Name | Nathan J Schmiechen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366418048 PECOS PAC ID: 3577571173 Enrollment ID: I20060323000330 |
| Provider Name | Patrick J Schweiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578573275 PECOS PAC ID: 8426066044 Enrollment ID: I20060323000443 |
| Provider Name | Daniel L Sebring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316903867 PECOS PAC ID: 9032127659 Enrollment ID: I20060323000480 |
| Provider Name | Ann M Shirek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205804937 PECOS PAC ID: 3274541800 Enrollment ID: I20060323000511 |
| Provider Name | Melissa R Shirriff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740291749 PECOS PAC ID: 3173531704 Enrollment ID: I20060323000520 |
| Provider Name | Jennifer S Oberstar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073515466 PECOS PAC ID: 2567470990 Enrollment ID: I20060328000016 |
| Provider Name | Elizabeth J Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457449225 PECOS PAC ID: 2466460720 Enrollment ID: I20060328000436 |
| Provider Name | Dale C Snover |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831166289 PECOS PAC ID: 1456369727 Enrollment ID: I20060328000460 |
| Provider Name | Laurie K Harvison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851408520 PECOS PAC ID: 9537177811 Enrollment ID: I20060328000581 |
| Provider Name | Deborah K Strand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144246844 PECOS PAC ID: 0840208120 Enrollment ID: I20060328000634 |
| Provider Name | Bradley J Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619950839 PECOS PAC ID: 5890703037 Enrollment ID: I20060329000341 |
| Provider Name | James D Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619943073 PECOS PAC ID: 3375551534 Enrollment ID: I20060329000473 |
| Provider Name | Karen B Torgerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821103797 PECOS PAC ID: 3072521236 Enrollment ID: I20060329000502 |
| Provider Name | David J Tosteson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073539763 PECOS PAC ID: 1254349418 Enrollment ID: I20060329000510 |
| Provider Name | Mark G Trainor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154433514 PECOS PAC ID: 1052329216 Enrollment ID: I20060329000521 |
| Provider Name | Bruce C Trautman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285601633 PECOS PAC ID: 6305854563 Enrollment ID: I20060329000538 |
| Provider Name | Heather K Vander Weide |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114938685 PECOS PAC ID: 0840208021 Enrollment ID: I20060329000645 |
| Provider Name | Jeffrey R Vrudny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760597371 PECOS PAC ID: 1759399942 Enrollment ID: I20060329000740 |
| Provider Name | David J Walcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972509255 PECOS PAC ID: 8123920543 Enrollment ID: I20060330000454 |
| Provider Name | Craig R Weinert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891892261 PECOS PAC ID: 7113935255 Enrollment ID: I20060330000511 |
| Provider Name | Loren M Wilkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619929395 PECOS PAC ID: 2860400918 Enrollment ID: I20060330000585 |
| Provider Name | Robert J Zeleznikar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417923194 PECOS PAC ID: 4284642398 Enrollment ID: I20060331000319 |
| Provider Name | Jodi M Zolik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659488591 PECOS PAC ID: 6800804915 Enrollment ID: I20060331000342 |
| Provider Name | Patricia D Zweber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295745388 PECOS PAC ID: 2163430281 Enrollment ID: I20060331000360 |
| Provider Name | Dana L Metzger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154376135 PECOS PAC ID: 6507874575 Enrollment ID: I20060403000269 |
| Provider Name | Swati Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811956824 PECOS PAC ID: 2163431966 Enrollment ID: I20060405000666 |
| Provider Name | Linnea A Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912973892 PECOS PAC ID: 8820056732 Enrollment ID: I20060410000255 |
| Provider Name | Jennifer L Landers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952362071 PECOS PAC ID: 5597774133 Enrollment ID: I20060411000109 |
| Provider Name | Kozhuvattasseri P Madhusoodanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164505624 PECOS PAC ID: 7719996354 Enrollment ID: I20060411000140 |
| Provider Name | Lizbeth L Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356317234 PECOS PAC ID: 1355350869 Enrollment ID: I20060411000710 |
| Provider Name | Peter B Wold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471633 PECOS PAC ID: 0749260404 Enrollment ID: I20060424000306 |
| Provider Name | Boris L Kholomyansky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699725903 PECOS PAC ID: 3173533999 Enrollment ID: I20060425000013 |
| Provider Name | Anthony G Bottini |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265422927 PECOS PAC ID: 4284644923 Enrollment ID: I20060426000314 |
| Provider Name | Melissa A Tschohl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336105196 PECOS PAC ID: 6901816016 Enrollment ID: I20060503000314 |
| Provider Name | Elizabeth M Godin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780798207 PECOS PAC ID: 7214947340 Enrollment ID: I20060503000431 |
| Provider Name | Peter H Helseth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205828308 PECOS PAC ID: 9032120753 Enrollment ID: I20060509000939 |
| Provider Name | Charles R Watts |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427001171 PECOS PAC ID: 8628089083 Enrollment ID: I20060522000156 |
| Provider Name | Daniel A Zydowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699740274 PECOS PAC ID: 5092726349 Enrollment ID: I20060526000019 |
| Provider Name | Peter J Boardman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376500389 PECOS PAC ID: 0446262356 Enrollment ID: I20060614000223 |
| Provider Name | Luis E Laguna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205874591 PECOS PAC ID: 1052323904 Enrollment ID: I20060615000172 |
| Provider Name | Daniel Brent Leslie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295779809 PECOS PAC ID: 0446263230 Enrollment ID: I20060721000005 |
| Provider Name | Amy C Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881630549 PECOS PAC ID: 5991718736 Enrollment ID: I20060724000133 |
| Provider Name | James M Mylrea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528052594 PECOS PAC ID: 9830118694 Enrollment ID: I20060724000211 |
| Provider Name | David P Lambert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154384527 PECOS PAC ID: 9436162120 Enrollment ID: I20060725000249 |
| Provider Name | John E Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255374609 PECOS PAC ID: 7911972534 Enrollment ID: I20060725000378 |
| Provider Name | Gregory M Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427090133 PECOS PAC ID: 2860397510 Enrollment ID: I20060726000019 |
| Provider Name | Madeline H Gartner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194763003 PECOS PAC ID: 6406869023 Enrollment ID: I20060728000164 |
| Provider Name | Bruce M Berens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811994858 PECOS PAC ID: 4688687163 Enrollment ID: I20060731000087 |
| Provider Name | Jennifer A Ramsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881626414 PECOS PAC ID: 8123031531 Enrollment ID: I20060731000485 |
| Provider Name | Felicia F Loney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902862006 PECOS PAC ID: 3072526318 Enrollment ID: I20060803000130 |
| Provider Name | Sarah A Cooley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679528830 PECOS PAC ID: 3577566678 Enrollment ID: I20060810000149 |
| Provider Name | Sanjiv Kumra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801836127 PECOS PAC ID: 9830192996 Enrollment ID: I20060810000550 |
| Provider Name | Michael J Aylward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053366575 PECOS PAC ID: 0547263600 Enrollment ID: I20060810000568 |
| Provider Name | Yvonne H Datta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730102070 PECOS PAC ID: 0547234403 Enrollment ID: I20060810000569 |
| Provider Name | Jeffrey P Sanderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669464970 PECOS PAC ID: 2466482666 Enrollment ID: I20060814000307 |
| Provider Name | James L Wise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982681334 PECOS PAC ID: 4981607850 Enrollment ID: I20060814000502 |
| Provider Name | Mousumi Kundu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710932504 PECOS PAC ID: 5799788626 Enrollment ID: I20060815000404 |
| Provider Name | Ronald A Furnival |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891770756 PECOS PAC ID: 4587693015 Enrollment ID: I20060816000009 |
| Provider Name | Kendall D Price |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356373476 PECOS PAC ID: 4587667001 Enrollment ID: I20060822000467 |
| Provider Name | Bryan R Jarabek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265453369 PECOS PAC ID: 2466455993 Enrollment ID: I20060822000515 |
| Provider Name | Justin T Conley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033135298 PECOS PAC ID: 9931103330 Enrollment ID: I20060825000414 |
| Provider Name | Matthew J Loe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861419293 PECOS PAC ID: 2769486117 Enrollment ID: I20060828000166 |
| Provider Name | Don E Wiese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114908159 PECOS PAC ID: 7810971843 Enrollment ID: I20060830000035 |
| Provider Name | Charles Xavier Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639181746 PECOS PAC ID: 2163426164 Enrollment ID: I20060906000199 |
| Provider Name | Abdi A Jama |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659382422 PECOS PAC ID: 7214931229 Enrollment ID: I20060906000244 |
| Provider Name | Brian T Hauger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568576064 PECOS PAC ID: 9133123789 Enrollment ID: I20060913000144 |
| Provider Name | Stephanie S Band |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952405003 PECOS PAC ID: 8628073137 Enrollment ID: I20060915000213 |
| Provider Name | Ann S Maresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457304206 PECOS PAC ID: 9133179500 Enrollment ID: I20060919000206 |
| Provider Name | Andrew J Misselt |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770500555 PECOS PAC ID: 2062417298 Enrollment ID: I20060922000065 |
| Provider Name | Brandon M Nathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891738530 PECOS PAC ID: 0749285856 Enrollment ID: I20060925000144 |
| Provider Name | Bao Lan Raikar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841308830 PECOS PAC ID: 5991761546 Enrollment ID: I20060925000212 |
| Provider Name | Amy J Edman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881638344 PECOS PAC ID: 1355346255 Enrollment ID: I20060928000106 |
| Provider Name | Christopher J Kuhn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760590103 PECOS PAC ID: 7810992500 Enrollment ID: I20061003000034 |
| Provider Name | Christa L Brown-switzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275568396 PECOS PAC ID: 7911902614 Enrollment ID: I20061003000131 |
| Provider Name | Sean P L Switzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609891399 PECOS PAC ID: 6507861119 Enrollment ID: I20061003000253 |
| Provider Name | David P Enneking |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215948229 PECOS PAC ID: 9931105244 Enrollment ID: I20061010000439 |
| Provider Name | George A Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972526648 PECOS PAC ID: 4789680091 Enrollment ID: I20061010000490 |
| Provider Name | Emily J Pike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780642462 PECOS PAC ID: 4385640606 Enrollment ID: I20061010000535 |
| Provider Name | Michael Anthony Harper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669412789 PECOS PAC ID: 1759318801 Enrollment ID: I20061011000062 |
| Provider Name | Suzanne S Parrino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113671 PECOS PAC ID: 1658341870 Enrollment ID: I20061012000098 |
| Provider Name | Kevin L Kampfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275628661 PECOS PAC ID: 2769489400 Enrollment ID: I20061023000219 |
| Provider Name | Victoria S Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942230628 PECOS PAC ID: 6204833809 Enrollment ID: I20061024000357 |
| Provider Name | Danielle Y Maclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629168158 PECOS PAC ID: 6507863917 Enrollment ID: I20061027000232 |
| Provider Name | Rhodessa F Burt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871502203 PECOS PAC ID: 0244237519 Enrollment ID: I20061030000175 |
| Provider Name | Ranjan Dahiya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942282074 PECOS PAC ID: 1052358603 Enrollment ID: I20061030000415 |
| Provider Name | Zhiyi Sha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124044334 PECOS PAC ID: 7416940085 Enrollment ID: I20061106000351 |
| Provider Name | Poonam K Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417051756 PECOS PAC ID: 3870590789 Enrollment ID: I20061106000435 |
| Provider Name | James J Martineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205927084 PECOS PAC ID: 8921006487 Enrollment ID: I20061116000169 |
| Provider Name | Peter Ames |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245279306 PECOS PAC ID: 0749189934 Enrollment ID: I20061117000056 |
| Provider Name | John B Buren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023087814 PECOS PAC ID: 8426081738 Enrollment ID: I20061117000470 |
| Provider Name | June E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659474880 PECOS PAC ID: 5193723401 Enrollment ID: I20061121000424 |
| Provider Name | Anna Schorer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164449989 PECOS PAC ID: 3779581996 Enrollment ID: I20061127000157 |
| Provider Name | Theresa C Starkey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619900487 PECOS PAC ID: 8123026051 Enrollment ID: I20061201000086 |
| Provider Name | Won G Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962477513 PECOS PAC ID: 1557367323 Enrollment ID: I20061207000195 |
| Provider Name | Sumanth Ambur |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952323917 PECOS PAC ID: 8729032545 Enrollment ID: I20061207000250 |
| Provider Name | Linh T Geist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023185709 PECOS PAC ID: 3577562057 Enrollment ID: I20061211000359 |
| Provider Name | Sameer Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578500252 PECOS PAC ID: 7113910563 Enrollment ID: I20061212000500 |
| Provider Name | Jill K Monson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235234998 PECOS PAC ID: 2062411341 Enrollment ID: I20061214000261 |
| Provider Name | Peter J Bzdusek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992800544 PECOS PAC ID: 5496754624 Enrollment ID: I20061215000214 |
| Provider Name | Julie L Becker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023077625 PECOS PAC ID: 9335185784 Enrollment ID: I20061215000300 |
| Provider Name | Georgeanna D Knutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811080104 PECOS PAC ID: 2961401005 Enrollment ID: I20061219000047 |
| Provider Name | Patrick G Arndt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265546345 PECOS PAC ID: 1557334505 Enrollment ID: I20061220000138 |
| Provider Name | Gervais P Moche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356458723 PECOS PAC ID: 4284633215 Enrollment ID: I20061220000215 |
| Provider Name | Azhar T Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538187786 PECOS PAC ID: 0143228809 Enrollment ID: I20061227000270 |
| Provider Name | Randy K Ward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447367495 PECOS PAC ID: 6507883196 Enrollment ID: I20070103000440 |
| Provider Name | Kent W Malcomson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225133887 PECOS PAC ID: 5991705451 Enrollment ID: I20070105000409 |
| Provider Name | Aziza Shireen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780755207 PECOS PAC ID: 7719988823 Enrollment ID: I20070116000244 |
| Provider Name | Alan Berger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104861350 PECOS PAC ID: 6709887656 Enrollment ID: I20070122000049 |
| Provider Name | Emily C Borman-shoap |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043380926 PECOS PAC ID: 4789685405 Enrollment ID: I20070124000146 |
| Provider Name | Alice E Snorteland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861403859 PECOS PAC ID: 4981608544 Enrollment ID: I20070124000186 |
| Provider Name | David A Potter |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1073579504 PECOS PAC ID: 2769483080 Enrollment ID: I20070129000490 |
| Provider Name | Teresa M Saracino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891708251 PECOS PAC ID: 7315948684 Enrollment ID: I20070130000057 |
| Provider Name | Josephine Zelma Helmbrecht |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194816413 PECOS PAC ID: 9739181900 Enrollment ID: I20070201000385 |
| Provider Name | Jagadish M R Patil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720098833 PECOS PAC ID: 4587666821 Enrollment ID: I20070215000340 |
| Provider Name | Mark A Janiga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679504625 PECOS PAC ID: 3173558251 Enrollment ID: I20070226000014 |
| Provider Name | Michael T Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972600286 PECOS PAC ID: 3971605601 Enrollment ID: I20070226000701 |
| Provider Name | Antoinette Rae Vanstelten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669577516 PECOS PAC ID: 5698878817 Enrollment ID: I20070308000459 |
| Provider Name | Tim H Emory |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841264397 PECOS PAC ID: 5991808818 Enrollment ID: I20070314000479 |
| Provider Name | Jeffrey Paul Lassig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558459032 PECOS PAC ID: 6507896578 Enrollment ID: I20070329000258 |
| Provider Name | Kaysie L Banton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093858607 PECOS PAC ID: 6800990904 Enrollment ID: I20070329000443 |
| Provider Name | Pamela S Kolacz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205852480 PECOS PAC ID: 9032213970 Enrollment ID: I20070402000512 |
| Provider Name | Sara F Hall |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275549339 PECOS PAC ID: 8921102658 Enrollment ID: I20070405000074 |
| Provider Name | Jeffrey G Chipman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942237946 PECOS PAC ID: 0345345575 Enrollment ID: I20070418000015 |
| Provider Name | Alakananda Nagaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265533913 PECOS PAC ID: 2163312828 Enrollment ID: I20070424000670 |
| Provider Name | Milena Elimelakh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679609689 PECOS PAC ID: 1052417706 Enrollment ID: I20070426000422 |
| Provider Name | Solveig A Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992753073 PECOS PAC ID: 0345346920 Enrollment ID: I20070427000071 |
| Provider Name | Molly Klein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902840010 PECOS PAC ID: 7911003975 Enrollment ID: I20070508000327 |
| Provider Name | Robert E Bulander |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093844391 PECOS PAC ID: 4183721657 Enrollment ID: I20070517000148 |
| Provider Name | Rebecca R Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518996081 PECOS PAC ID: 5991790289 Enrollment ID: I20070524000570 |
| Provider Name | Roxanne L Julius |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336268549 PECOS PAC ID: 7618075300 Enrollment ID: I20070604000401 |
| Provider Name | Patrick J Wright |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811917164 PECOS PAC ID: 1850499336 Enrollment ID: I20070606000713 |
| Provider Name | Michael H Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427116896 PECOS PAC ID: 3173626488 Enrollment ID: I20070611000399 |
| Provider Name | Robert W Mckenna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669431706 PECOS PAC ID: 6305944422 Enrollment ID: I20070613000079 |
| Provider Name | Nissrine A Nakib |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669516852 PECOS PAC ID: 3375641384 Enrollment ID: I20070614000111 |
| Provider Name | Gary L Bryant |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558365122 PECOS PAC ID: 7810096716 Enrollment ID: I20070618000362 |
| Provider Name | Melissa E White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629138904 PECOS PAC ID: 4688773492 Enrollment ID: I20070620000106 |
| Provider Name | Naim S Issa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164627840 PECOS PAC ID: 3072613629 Enrollment ID: I20070711000480 |
| Provider Name | Alexander Ivaskovic |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831391432 PECOS PAC ID: 1153421706 Enrollment ID: I20070711000494 |
| Provider Name | Tan D Scheraldi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891915302 PECOS PAC ID: 1052411584 Enrollment ID: I20070712000220 |
| Provider Name | James V Harmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073586269 PECOS PAC ID: 2860592367 Enrollment ID: I20070712000801 |
| Provider Name | Veronika Bachanova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841327665 PECOS PAC ID: 5395845622 Enrollment ID: I20070716000212 |
| Provider Name | Erica Dahl Warlick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699833434 PECOS PAC ID: 6103926449 Enrollment ID: I20070716000227 |
| Provider Name | Christopher A Warlick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730260787 PECOS PAC ID: 9032111299 Enrollment ID: I20070716000245 |
| Provider Name | Dianna L Hart |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356423990 PECOS PAC ID: 4385745223 Enrollment ID: I20070723000586 |
| Provider Name | Michael A Reid |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528287414 PECOS PAC ID: 8123129970 Enrollment ID: I20070723000767 |
| Provider Name | David G Strike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669449492 PECOS PAC ID: 1951402510 Enrollment ID: I20070726000236 |
| Provider Name | Daniel W Yoon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346387529 PECOS PAC ID: 1951402437 Enrollment ID: I20070727000455 |
| Provider Name | Bethany L Templen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205981149 PECOS PAC ID: 8022119502 Enrollment ID: I20070727000472 |
| Provider Name | Kathryn R Cullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740496090 PECOS PAC ID: 7618078023 Enrollment ID: I20070728000011 |
| Provider Name | Sreejaya Veluvali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568462570 PECOS PAC ID: 0749243624 Enrollment ID: I20070728000012 |
| Provider Name | Jawali B Jaranilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457484982 PECOS PAC ID: 4082715404 Enrollment ID: I20070728000106 |
| Provider Name | Kamran M Karimi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215947288 PECOS PAC ID: 8820091481 Enrollment ID: I20070802000235 |
| Provider Name | Debora L Birgin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124145495 PECOS PAC ID: 1557452554 Enrollment ID: I20070806000405 |
| Provider Name | Sara S Frankwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700806833 PECOS PAC ID: 3476644360 Enrollment ID: I20070807000416 |
| Provider Name | Stephen James Huddleston |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104037621 PECOS PAC ID: 2668563271 Enrollment ID: I20070811000083 |
| Provider Name | Constance J Dankle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417006925 PECOS PAC ID: 7012008410 Enrollment ID: I20070814000145 |
| Provider Name | Gregory A Rathmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891990404 PECOS PAC ID: 9739270182 Enrollment ID: I20070814000512 |
| Provider Name | Sally A Mullany |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871572909 PECOS PAC ID: 6608967054 Enrollment ID: I20070814000554 |
| Provider Name | Melisa R Oblander |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497846703 PECOS PAC ID: 4082706411 Enrollment ID: I20070815000425 |
| Provider Name | Bradford V Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992907364 PECOS PAC ID: 8123110426 Enrollment ID: I20070816000242 |
| Provider Name | Paul R Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144427055 PECOS PAC ID: 3971695214 Enrollment ID: I20070816000583 |
| Provider Name | Christopher John Mcleod |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871612010 PECOS PAC ID: 0042302309 Enrollment ID: I20070816000693 |
| Provider Name | John M Eads |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629044995 PECOS PAC ID: 7810089901 Enrollment ID: I20070821000254 |
| Provider Name | Christina J Manders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376663633 PECOS PAC ID: 7416049192 Enrollment ID: I20070827000208 |
| Provider Name | Raza A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669584249 PECOS PAC ID: 3173616950 Enrollment ID: I20070910000997 |
| Provider Name | Caleb R Schultz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225257967 PECOS PAC ID: 9133212871 Enrollment ID: I20070911000493 |
| Provider Name | Donavon J Hess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376668251 PECOS PAC ID: 3678667243 Enrollment ID: I20070913000690 |
| Provider Name | Kendall D Ricklefs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780887547 PECOS PAC ID: 1153415575 Enrollment ID: I20070917000254 |
| Provider Name | Ramachandra P Tummala |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124078027 PECOS PAC ID: 2466464714 Enrollment ID: I20070919000265 |
| Provider Name | Adam F Carpenter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942355490 PECOS PAC ID: 5991899189 Enrollment ID: I20070919000276 |
| Provider Name | Mesfin E Abdissa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376579417 PECOS PAC ID: 1456363829 Enrollment ID: I20070919000305 |
| Provider Name | Sarulatha M Kuppa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093911083 PECOS PAC ID: 1153415245 Enrollment ID: I20070920000177 |
| Provider Name | Jocelin Huang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609997808 PECOS PAC ID: 5597859579 Enrollment ID: I20070921000150 |
| Provider Name | Caroline S George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912993049 PECOS PAC ID: 9436240975 Enrollment ID: I20070921000401 |
| Provider Name | Timinder S Biring |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487621017 PECOS PAC ID: 8527095306 Enrollment ID: I20070926001151 |
| Provider Name | Megan J Opsahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295929735 PECOS PAC ID: 1355436957 Enrollment ID: I20070927000334 |
| Provider Name | Steven I Riley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619161544 PECOS PAC ID: 3375638984 Enrollment ID: I20070927000397 |
| Provider Name | David A Yehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407837446 PECOS PAC ID: 7810946746 Enrollment ID: I20070927000550 |
| Provider Name | Andrew Hartigan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093793234 PECOS PAC ID: 5294649976 Enrollment ID: I20070928000639 |
| Provider Name | Tadashi L Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700925864 PECOS PAC ID: 9234224452 Enrollment ID: I20071003000463 |
| Provider Name | Steven M Bernstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275547309 PECOS PAC ID: 0749375715 Enrollment ID: I20071005000177 |
| Provider Name | Kathryn E Dusenbery |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578668174 PECOS PAC ID: 6002728227 Enrollment ID: I20071009000279 |
| Provider Name | Marek Kostanecki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568577492 PECOS PAC ID: 5698672665 Enrollment ID: I20071010000388 |
| Provider Name | Anthony A Killeen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811087323 PECOS PAC ID: 5092801787 Enrollment ID: I20071010000608 |
| Provider Name | Atta Behfar |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1326168634 PECOS PAC ID: 8729174099 Enrollment ID: I20071017000863 |
| Provider Name | Samuel V Hanson Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467644757 PECOS PAC ID: 6507952892 Enrollment ID: I20071018000086 |
| Provider Name | Maria R Evasovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326077611 PECOS PAC ID: 7416043716 Enrollment ID: I20071018000172 |
| Provider Name | Errin M Musich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083806657 PECOS PAC ID: 9931295102 Enrollment ID: I20071018000694 |
| Provider Name | Julia Steinberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851310213 PECOS PAC ID: 5799871992 Enrollment ID: I20071019000075 |
| Provider Name | Jonathan Peter Tolins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194830463 PECOS PAC ID: 2860588076 Enrollment ID: I20071019000111 |
| Provider Name | Nicole D Zantek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750476727 PECOS PAC ID: 1254333586 Enrollment ID: I20071019000131 |
| Provider Name | Nancy N Hoogenhous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912108341 PECOS PAC ID: 8426144643 Enrollment ID: I20071019000196 |
| Provider Name | Rebecca A Wieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174717847 PECOS PAC ID: 7113014861 Enrollment ID: I20071029000260 |
| Provider Name | Louisa Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932328226 PECOS PAC ID: 1557458023 Enrollment ID: I20071030000607 |
| Provider Name | Michael J Shaw |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063499663 PECOS PAC ID: 8820185127 Enrollment ID: I20071102000571 |
| Provider Name | Carmen J Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528256062 PECOS PAC ID: 9638266976 Enrollment ID: I20071106000050 |
| Provider Name | Michael F Pattison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528075983 PECOS PAC ID: 3678660693 Enrollment ID: I20071107000347 |
| Provider Name | Robyn A Drach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598965931 PECOS PAC ID: 4789771742 Enrollment ID: I20071107000709 |
| Provider Name | Patrick Morgan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790707537 PECOS PAC ID: 0547265837 Enrollment ID: I20071108000600 |
| Provider Name | Jacob C Liston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821210212 PECOS PAC ID: 7012005085 Enrollment ID: I20071109000113 |
| Provider Name | Mary M Winnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841408705 PECOS PAC ID: 4183712797 Enrollment ID: I20071115000340 |
| Provider Name | Xochill A Thalhuber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427055888 PECOS PAC ID: 1951391283 Enrollment ID: I20071120000331 |
| Provider Name | Philip L Prosapio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487602926 PECOS PAC ID: 2365335510 Enrollment ID: I20071126000071 |
| Provider Name | Shantel S Branch Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538216148 PECOS PAC ID: 4486743549 Enrollment ID: I20071128000130 |
| Provider Name | Gail M Brottman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154421642 PECOS PAC ID: 5496844151 Enrollment ID: I20071203000472 |
| Provider Name | Daniel A Saltzman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295818789 PECOS PAC ID: 9335238831 Enrollment ID: I20071207000234 |
| Provider Name | Keith M Skubitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215019203 PECOS PAC ID: 2062501570 Enrollment ID: I20071207000242 |
| Provider Name | James S Mallery |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851331441 PECOS PAC ID: 3678663895 Enrollment ID: I20071212000183 |
| Provider Name | Susan R Haase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669661583 PECOS PAC ID: 0042300204 Enrollment ID: I20071212000441 |
| Provider Name | Amy N Redlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821076837 PECOS PAC ID: 6507956638 Enrollment ID: I20071213000268 |
| Provider Name | Chung K Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972609360 PECOS PAC ID: 5193815108 Enrollment ID: I20071214000053 |
| Provider Name | Stephen Florante Austria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023297454 PECOS PAC ID: 0143310011 Enrollment ID: I20071214000619 |
| Provider Name | Patricia Lynn Richman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235146994 PECOS PAC ID: 6901719517 Enrollment ID: I20071217000265 |
| Provider Name | Abdul K Parpia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295955532 PECOS PAC ID: 1557451143 Enrollment ID: I20071219000731 |
| Provider Name | Milind Y Junghare |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205020294 PECOS PAC ID: 6901996438 Enrollment ID: I20071220000106 |
| Provider Name | Cynthia J Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528240819 PECOS PAC ID: 3476643735 Enrollment ID: I20071226000480 |
| Provider Name | Linda F Carson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1760419808 PECOS PAC ID: 4880774934 Enrollment ID: I20080102000526 |
| Provider Name | Maria K Hordinsky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134152218 PECOS PAC ID: 9830279843 Enrollment ID: I20080103000369 |
| Provider Name | Daniel L Mueller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821174814 PECOS PAC ID: 1951481977 Enrollment ID: I20080103000428 |
| Provider Name | Barbara S Daniels |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306874458 PECOS PAC ID: 6901718113 Enrollment ID: I20080104000311 |
| Provider Name | David R Nascene |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548451073 PECOS PAC ID: 8820178734 Enrollment ID: I20080104000370 |
| Provider Name | Jeremy J Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043413214 PECOS PAC ID: 6800976713 Enrollment ID: I20080104000386 |
| Provider Name | Daniel N Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427011790 PECOS PAC ID: 9234219163 Enrollment ID: I20080104000480 |
| Provider Name | Jonathan B Jensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366534273 PECOS PAC ID: 1254411010 Enrollment ID: I20080107000082 |
| Provider Name | Linda Burr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649466558 PECOS PAC ID: 9537249016 Enrollment ID: I20080109000741 |
| Provider Name | Jerry A Molitor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235147331 PECOS PAC ID: 2365405396 Enrollment ID: I20080109000825 |
| Provider Name | Kristen A Lindblom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972589034 PECOS PAC ID: 2860573987 Enrollment ID: I20080115000489 |
| Provider Name | Judith K Eckerle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609063346 PECOS PAC ID: 4284715947 Enrollment ID: I20080118000527 |
| Provider Name | Ashok K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528001575 PECOS PAC ID: 6103908371 Enrollment ID: I20080126000066 |
| Provider Name | Michael Thomas Madison |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821077876 PECOS PAC ID: 5890609580 Enrollment ID: I20080130000624 |
| Provider Name | Norman T Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174597090 PECOS PAC ID: 4486736253 Enrollment ID: I20080201000078 |
| Provider Name | Albert L Meric |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467482323 PECOS PAC ID: 1355444720 Enrollment ID: I20080202000023 |
| Provider Name | George S Goding |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134221427 PECOS PAC ID: 6608958202 Enrollment ID: I20080204000474 |
| Provider Name | Anne M Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659340180 PECOS PAC ID: 9335040633 Enrollment ID: I20080208000464 |
| Provider Name | Thomas P Gustafson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225253693 PECOS PAC ID: 4082797360 Enrollment ID: I20080208000514 |
| Provider Name | Gary J Bachowski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184729337 PECOS PAC ID: 2365525482 Enrollment ID: I20080213000389 |
| Provider Name | Sharon M Wolters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336182955 PECOS PAC ID: 4385618602 Enrollment ID: I20080214000614 |
| Provider Name | Gregory M Amer |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1033111018 PECOS PAC ID: 4082798491 Enrollment ID: I20080225000216 |
| Provider Name | Cindy M Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649468497 PECOS PAC ID: 2860576295 Enrollment ID: I20080225000357 |
| Provider Name | Michael A Maddaus |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568544096 PECOS PAC ID: 1355425547 Enrollment ID: I20080227000077 |
| Provider Name | David Walk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679674501 PECOS PAC ID: 5698859882 Enrollment ID: I20080227000097 |
| Provider Name | Mary B Trombley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457534679 PECOS PAC ID: 4880778943 Enrollment ID: I20080227000711 |
| Provider Name | Deborah A Demarais |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992767784 PECOS PAC ID: 6507770617 Enrollment ID: I20080227000737 |
| Provider Name | Jessica L Thul |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245416361 PECOS PAC ID: 1254416076 Enrollment ID: I20080304000511 |
| Provider Name | Boris Sudel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336349778 PECOS PAC ID: 9032294251 Enrollment ID: I20080312000570 |
| Provider Name | Lori M Leier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477664886 PECOS PAC ID: 9739189408 Enrollment ID: I20080313000669 |
| Provider Name | Charles A Dietz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982635165 PECOS PAC ID: 3971688979 Enrollment ID: I20080315000047 |
| Provider Name | Linda S Brevitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790897288 PECOS PAC ID: 8022901875 Enrollment ID: I20080315000058 |
| Provider Name | Melanie J Gregan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730364548 PECOS PAC ID: 9638255169 Enrollment ID: I20080325000331 |
| Provider Name | Dennis Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427161736 PECOS PAC ID: 1951393529 Enrollment ID: I20080325000356 |
| Provider Name | Anil Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740340611 PECOS PAC ID: 1951393982 Enrollment ID: I20080325000410 |
| Provider Name | David L Bowlin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003922667 PECOS PAC ID: 9537184882 Enrollment ID: I20080326000189 |
| Provider Name | Miguel E Fiol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689603888 PECOS PAC ID: 2062598154 Enrollment ID: I20080331000085 |
| Provider Name | Patricia K Bruns |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265620389 PECOS PAC ID: 9436236437 Enrollment ID: I20080401000498 |
| Provider Name | Scott T Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932277043 PECOS PAC ID: 5294735544 Enrollment ID: I20080404000686 |
| Provider Name | Daniel J Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669449674 PECOS PAC ID: 1759338213 Enrollment ID: I20080404000792 |
| Provider Name | Mohammad H Arbabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003809898 PECOS PAC ID: 6608805940 Enrollment ID: I20080407000357 |
| Provider Name | Thomas R Henry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568569085 PECOS PAC ID: 4981651452 Enrollment ID: I20080407000398 |
| Provider Name | Daniel J Garry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093770810 PECOS PAC ID: 0547347866 Enrollment ID: I20080410000178 |
| Provider Name | William T Browne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497847321 PECOS PAC ID: 6103903489 Enrollment ID: I20080410000641 |
| Provider Name | Joshua A Bodie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083769517 PECOS PAC ID: 8820177926 Enrollment ID: I20080430000577 |
| Provider Name | Francis X Moga |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154376176 PECOS PAC ID: 7315030038 Enrollment ID: I20080430000584 |
| Provider Name | Loann S Stinson-deboer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992975395 PECOS PAC ID: 6507945664 Enrollment ID: I20080501000124 |
| Provider Name | Dianne Marie Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720259427 PECOS PAC ID: 7911975693 Enrollment ID: I20080507000505 |
| Provider Name | Sarah H Tollefson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053509570 PECOS PAC ID: 5597844068 Enrollment ID: I20080508000626 |
| Provider Name | Ann T Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679658967 PECOS PAC ID: 9335162114 Enrollment ID: I20080509000283 |
| Provider Name | Paula L Brito |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508030396 PECOS PAC ID: 2365404670 Enrollment ID: I20080514000111 |
| Provider Name | Elizabeth G Gavin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497787394 PECOS PAC ID: 5890864441 Enrollment ID: I20080521000916 |
| Provider Name | Jodi L Priebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720254089 PECOS PAC ID: 2567531957 Enrollment ID: I20080527000833 |
| Provider Name | Keith H Wittenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154300929 PECOS PAC ID: 3173437886 Enrollment ID: I20080530000327 |
| Provider Name | Robert H Weinmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780663450 PECOS PAC ID: 3274447982 Enrollment ID: I20080530000354 |
| Provider Name | Anuradha K Tummala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972582732 PECOS PAC ID: 2567376270 Enrollment ID: I20080530000396 |
| Provider Name | Susan M Truman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356320105 PECOS PAC ID: 6507859840 Enrollment ID: I20080530000403 |
| Provider Name | Todd M Tuttle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700987906 PECOS PAC ID: 3577633700 Enrollment ID: I20080530000527 |
| Provider Name | Michael S Rosenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023097755 PECOS PAC ID: 2062326762 Enrollment ID: I20080530000731 |
| Provider Name | Alexandra L Muschenheim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184603607 PECOS PAC ID: 2668452335 Enrollment ID: I20080531000068 |
| Provider Name | Paul F Mulcahy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467431262 PECOS PAC ID: 9234043928 Enrollment ID: I20080531000071 |
| Provider Name | Steven C Hommeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356329593 PECOS PAC ID: 8325952005 Enrollment ID: I20080602000034 |
| Provider Name | Edith Kang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720066848 PECOS PAC ID: 9032023726 Enrollment ID: I20080602000052 |
| Provider Name | Richard N Aizpuru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558367789 PECOS PAC ID: 1951215979 Enrollment ID: I20080602000074 |
| Provider Name | Todd M Arsenault |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902890726 PECOS PAC ID: 4688588619 Enrollment ID: I20080602000082 |
| Provider Name | Joseph J Baraga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730167073 PECOS PAC ID: 8022922053 Enrollment ID: I20080602000094 |
| Provider Name | Jeffrey M Barkmeier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571083 PECOS PAC ID: 4385558311 Enrollment ID: I20080602000101 |
| Provider Name | Blake A Carlson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548249956 PECOS PAC ID: 8022922780 Enrollment ID: I20080602000174 |
| Provider Name | John M Caspers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750369989 PECOS PAC ID: 2567376221 Enrollment ID: I20080602000293 |
| Provider Name | Matthew T Baldwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487632725 PECOS PAC ID: 5496669426 Enrollment ID: I20080602000307 |
| Provider Name | Timothy Goertzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821076068 PECOS PAC ID: 3577477256 Enrollment ID: I20080602000518 |
| Provider Name | David M Overman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619916848 PECOS PAC ID: 5698868313 Enrollment ID: I20080602000575 |
| Provider Name | John P Knoedler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023097078 PECOS PAC ID: 7911811609 Enrollment ID: I20080603000224 |
| Provider Name | Conrad Iber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649225012 PECOS PAC ID: 3274615869 Enrollment ID: I20080611000186 |
| Provider Name | Jorge Leon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013996065 PECOS PAC ID: 2860394210 Enrollment ID: I20080611000310 |
| Provider Name | Rodney D Mcfadden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174591770 PECOS PAC ID: 8921179250 Enrollment ID: I20080613000501 |
| Provider Name | Loretta L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720029838 PECOS PAC ID: 2466404421 Enrollment ID: I20080619000729 |
| Provider Name | Xiaoguang Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992987028 PECOS PAC ID: 0143391052 Enrollment ID: I20080620000265 |
| Provider Name | Anne Weisensee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992784755 PECOS PAC ID: 8729992433 Enrollment ID: I20080620000583 |
| Provider Name | David Drake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528046612 PECOS PAC ID: 7517871288 Enrollment ID: I20080620000617 |
| Provider Name | Ayesha Rashid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710031224 PECOS PAC ID: 3678645181 Enrollment ID: I20080627000413 |
| Provider Name | Natasha L Carlson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912188913 PECOS PAC ID: 4789756198 Enrollment ID: I20080630000530 |
| Provider Name | Anand K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457342131 PECOS PAC ID: 8820160187 Enrollment ID: I20080701000345 |
| Provider Name | Kevin P Henseler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952358129 PECOS PAC ID: 6800977810 Enrollment ID: I20080703000478 |
| Provider Name | Joel D Halcomb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912954108 PECOS PAC ID: 4082795091 Enrollment ID: I20080703000505 |
| Provider Name | Rita F Rock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710159173 PECOS PAC ID: 3678645793 Enrollment ID: I20080708000005 |
| Provider Name | Benjamin J Peake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043487846 PECOS PAC ID: 8729150859 Enrollment ID: I20080708000109 |
| Provider Name | Ford C Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508964388 PECOS PAC ID: 6608949367 Enrollment ID: I20080715000122 |
| Provider Name | Peter K Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750462198 PECOS PAC ID: 6507939113 Enrollment ID: I20080715000660 |
| Provider Name | William Walsh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801923966 PECOS PAC ID: 5698867547 Enrollment ID: I20080716000751 |
| Provider Name | John William Colford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164575411 PECOS PAC ID: 1254426141 Enrollment ID: I20080721000076 |
| Provider Name | Andrew Deh-an Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124070883 PECOS PAC ID: 2769581578 Enrollment ID: I20080721000162 |
| Provider Name | John E Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205933595 PECOS PAC ID: 5395818538 Enrollment ID: I20080721000527 |
| Provider Name | Robert D Acton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992749584 PECOS PAC ID: 0042383291 Enrollment ID: I20080721000623 |
| Provider Name | Jafar Golzarian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093703944 PECOS PAC ID: 4486727633 Enrollment ID: I20080721000634 |
| Provider Name | Erin Elizabeth Eyberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669648218 PECOS PAC ID: 4880768571 Enrollment ID: I20080729000481 |
| Provider Name | Alexander Khoruts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841389780 PECOS PAC ID: 4183798580 Enrollment ID: I20080804000065 |
| Provider Name | Mudassar Ahmed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366595324 PECOS PAC ID: 9638243751 Enrollment ID: I20080807000035 |
| Provider Name | Mostafa Farache |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366646879 PECOS PAC ID: 7618041740 Enrollment ID: I20080807000068 |
| Provider Name | Linda R Varghese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841345790 PECOS PAC ID: 3476627555 Enrollment ID: I20080807000362 |
| Provider Name | Mark D Mcmillan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508884826 PECOS PAC ID: 4981785995 Enrollment ID: I20080809000057 |
| Provider Name | Tara B Griffin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912162595 PECOS PAC ID: 9931274891 Enrollment ID: I20080812000838 |
| Provider Name | Eric S Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497871271 PECOS PAC ID: 1052486925 Enrollment ID: I20080813000025 |
| Provider Name | Leo Passov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437359882 PECOS PAC ID: 6800961285 Enrollment ID: I20080819000921 |
| Provider Name | Justin R Quade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366633091 PECOS PAC ID: 8325113491 Enrollment ID: I20080825000414 |
| Provider Name | Jeffrey A Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952593329 PECOS PAC ID: 7911073788 Enrollment ID: I20080902000073 |
| Provider Name | Lanning W Houston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548219124 PECOS PAC ID: 0547165284 Enrollment ID: I20080904000144 |
| Provider Name | Shari L Germscheid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962485680 PECOS PAC ID: 0547336281 Enrollment ID: I20080904000292 |
| Provider Name | Sandra K Rosenberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912955212 PECOS PAC ID: 3870669161 Enrollment ID: I20080910000641 |
| Provider Name | Brooke M Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568662195 PECOS PAC ID: 9234206269 Enrollment ID: I20080917000462 |
| Provider Name | Andrew L Wilkey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073646386 PECOS PAC ID: 3072694850 Enrollment ID: I20080917000867 |
| Provider Name | David H Ingbar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063446557 PECOS PAC ID: 4688741432 Enrollment ID: I20080922000209 |
| Provider Name | Mathew A Asuma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912154162 PECOS PAC ID: 4587731336 Enrollment ID: I20080922000216 |
| Provider Name | Jose D Debes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447467816 PECOS PAC ID: 9335216811 Enrollment ID: I20080925000172 |
| Provider Name | Christina S Spencer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831399112 PECOS PAC ID: 7810064300 Enrollment ID: I20080925000253 |
| Provider Name | Orrin Mann |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1295719607 PECOS PAC ID: 1850380015 Enrollment ID: I20080926000549 |
| Provider Name | Dziwe W Ntaba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609974716 PECOS PAC ID: 8325040587 Enrollment ID: I20080930000511 |
| Provider Name | Lisa I Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932151347 PECOS PAC ID: 2961570148 Enrollment ID: I20081001000797 |
| Provider Name | Kristen L Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235321431 PECOS PAC ID: 6507934650 Enrollment ID: I20081002000623 |
| Provider Name | Alain F Broccard |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164498739 PECOS PAC ID: 8224106372 Enrollment ID: I20081002000635 |
| Provider Name | Elena Bond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659563765 PECOS PAC ID: 6305914458 Enrollment ID: I20081002000641 |
| Provider Name | David M Perlman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467536615 PECOS PAC ID: 1759459803 Enrollment ID: I20081002000652 |
| Provider Name | Lin Y Chen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205800240 PECOS PAC ID: 6204904774 Enrollment ID: I20081010000221 |
| Provider Name | Jianling Yuan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063556520 PECOS PAC ID: 9436227881 Enrollment ID: I20081013000086 |
| Provider Name | Cynthia K Brenden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669664736 PECOS PAC ID: 2769540616 Enrollment ID: I20081021000484 |
| Provider Name | James A Kirkham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316988512 PECOS PAC ID: 5890690531 Enrollment ID: I20081024000236 |
| Provider Name | Ralph J Magnusson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487614566 PECOS PAC ID: 2365500063 Enrollment ID: I20081024000334 |
| Provider Name | Andrew R Zinkel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043491335 PECOS PAC ID: 8123194651 Enrollment ID: I20081025000049 |
| Provider Name | Julia K Reid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598750960 PECOS PAC ID: 0446318992 Enrollment ID: I20081028000130 |
| Provider Name | Kelli J Simmons |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1336186048 PECOS PAC ID: 7113024530 Enrollment ID: I20081029000585 |
| Provider Name | Demetris Yannopoulos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821143629 PECOS PAC ID: 7911065396 Enrollment ID: I20081029000604 |
| Provider Name | Elizabeth M Tello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801074554 PECOS PAC ID: 4688733025 Enrollment ID: I20081030000363 |
| Provider Name | Elif C Cingi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598950339 PECOS PAC ID: 0143389593 Enrollment ID: I20081030000455 |
| Provider Name | Joanne L Billings |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275579583 PECOS PAC ID: 5799844775 Enrollment ID: I20081105000531 |
| Provider Name | Jean M Schaaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285885202 PECOS PAC ID: 9537228499 Enrollment ID: I20081106000438 |
| Provider Name | Erin L Sly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740430792 PECOS PAC ID: 5991864662 Enrollment ID: I20081110000681 |
| Provider Name | Marcy J Bents |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053587048 PECOS PAC ID: 7517027543 Enrollment ID: I20081120000873 |
| Provider Name | Marissa A Hendrickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770797151 PECOS PAC ID: 6901869478 Enrollment ID: I20081122000151 |
| Provider Name | Tarek S Hamieh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962604892 PECOS PAC ID: 1759480031 Enrollment ID: I20081203000919 |
| Provider Name | Angela K House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093980534 PECOS PAC ID: 0941361240 Enrollment ID: I20081204000906 |
| Provider Name | Gregory A Hatfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457392664 PECOS PAC ID: 7810892551 Enrollment ID: I20081211000028 |
| Provider Name | Adam Lee Gunder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134126238 PECOS PAC ID: 6608859921 Enrollment ID: I20081215000189 |
| Provider Name | Margaret L Guthrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114963097 PECOS PAC ID: 5294897914 Enrollment ID: I20081215000198 |
| Provider Name | Walter Paul Gleich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205823440 PECOS PAC ID: 9436233459 Enrollment ID: I20081215000263 |
| Provider Name | Ahmed R Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326167792 PECOS PAC ID: 1052473790 Enrollment ID: I20081215000481 |
| Provider Name | Nicole B Beckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306016860 PECOS PAC ID: 9133205263 Enrollment ID: I20081218000365 |
| Provider Name | Lynne Fiscus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831238690 PECOS PAC ID: 2365533130 Enrollment ID: I20081230000147 |
| Provider Name | Boris J Winterhoff |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225158132 PECOS PAC ID: 9537221379 Enrollment ID: I20090102000409 |
| Provider Name | Shawn M Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134317704 PECOS PAC ID: 3971666785 Enrollment ID: I20090105000569 |
| Provider Name | Sara H Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689854804 PECOS PAC ID: 7618030438 Enrollment ID: I20090106000063 |
| Provider Name | Theodore J Mcmenomy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811036809 PECOS PAC ID: 1951476415 Enrollment ID: I20090109000449 |
| Provider Name | Awil Hirsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770797342 PECOS PAC ID: 7416010939 Enrollment ID: I20090109000502 |
| Provider Name | Lynn G Hoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114951688 PECOS PAC ID: 0446313431 Enrollment ID: I20090119000046 |
| Provider Name | David J Maurer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962432104 PECOS PAC ID: 4183619372 Enrollment ID: I20090120000144 |
| Provider Name | Matthew A Hunt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619017787 PECOS PAC ID: 9638233281 Enrollment ID: I20090127000597 |
| Provider Name | Ann S Oswood |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851543813 PECOS PAC ID: 1951465335 Enrollment ID: I20090129000513 |
| Provider Name | Edward M Beadle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598848731 PECOS PAC ID: 6800709544 Enrollment ID: I20090130000160 |
| Provider Name | Scott W Ahrenholz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720068810 PECOS PAC ID: 3870657901 Enrollment ID: I20090204000081 |
| Provider Name | Beth A Gourley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619120870 PECOS PAC ID: 2365507803 Enrollment ID: I20090217000080 |
| Provider Name | Gary S Francis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679666317 PECOS PAC ID: 4284630427 Enrollment ID: I20090220000226 |
| Provider Name | Craig A Henke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558395129 PECOS PAC ID: 7113082389 Enrollment ID: I20090223000412 |
| Provider Name | Susan M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023253945 PECOS PAC ID: 6608931753 Enrollment ID: I20090224000597 |
| Provider Name | Michelle M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700846052 PECOS PAC ID: 0042376055 Enrollment ID: I20090226000599 |
| Provider Name | Jennifer L Lessin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215912530 PECOS PAC ID: 3577629823 Enrollment ID: I20090311000525 |
| Provider Name | Roseann M Ekstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265687438 PECOS PAC ID: 4183780349 Enrollment ID: I20090313000114 |
| Provider Name | Parvin Christine Dorostkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962412056 PECOS PAC ID: 9931181567 Enrollment ID: I20090316000309 |
| Provider Name | Lana R White-king |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336278415 PECOS PAC ID: 3779640438 Enrollment ID: I20090324000533 |
| Provider Name | Jeffrey Dichter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609845742 PECOS PAC ID: 6103730106 Enrollment ID: I20090325000755 |
| Provider Name | Nam M Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235258690 PECOS PAC ID: 9537226147 Enrollment ID: I20090326000379 |
| Provider Name | Ahmad Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598887895 PECOS PAC ID: 0941301303 Enrollment ID: I20090330000339 |
| Provider Name | Michelle L Flaskerud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285872754 PECOS PAC ID: 4183771447 Enrollment ID: I20090402000647 |
| Provider Name | David S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124249743 PECOS PAC ID: 8921199043 Enrollment ID: I20090409000353 |
| Provider Name | Amy C Klopp |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508007378 PECOS PAC ID: 5698822393 Enrollment ID: I20090415000602 |
| Provider Name | Melinda K Fristedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730207150 PECOS PAC ID: 2466509187 Enrollment ID: I20090416000130 |
| Provider Name | Maurice K Lawton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134309289 PECOS PAC ID: 1759439045 Enrollment ID: I20090424000138 |
| Provider Name | Ann M Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437341807 PECOS PAC ID: 2769530062 Enrollment ID: I20090424000239 |
| Provider Name | Jay M Hemmila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841302965 PECOS PAC ID: 9133277494 Enrollment ID: I20090427000189 |
| Provider Name | Ashley R Bjorklund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730371824 PECOS PAC ID: 0143378315 Enrollment ID: I20090427000380 |
| Provider Name | Susan E Walts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962479501 PECOS PAC ID: 3779631460 Enrollment ID: I20090507000301 |
| Provider Name | Frederick S Mosch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154403764 PECOS PAC ID: 1153470620 Enrollment ID: I20090513000248 |
| Provider Name | Benjamin G Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366578924 PECOS PAC ID: 9830248210 Enrollment ID: I20090513000517 |
| Provider Name | Kambiz Farbakhsh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861446015 PECOS PAC ID: 4284536988 Enrollment ID: I20090514000141 |
| Provider Name | David C Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255300372 PECOS PAC ID: 1658333844 Enrollment ID: I20090514000237 |
| Provider Name | Kevin P Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558327064 PECOS PAC ID: 8325072895 Enrollment ID: I20090514000379 |
| Provider Name | Anna E Henry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912030032 PECOS PAC ID: 0941359947 Enrollment ID: I20090521000559 |
| Provider Name | Steven J Chargo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497941553 PECOS PAC ID: 1951450626 Enrollment ID: I20090529000088 |
| Provider Name | Amy N Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427297209 PECOS PAC ID: 1951451327 Enrollment ID: I20090604000550 |
| Provider Name | Angel L Rosado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407926371 PECOS PAC ID: 3274639570 Enrollment ID: I20090609000670 |
| Provider Name | Chad A Trierweiler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871705962 PECOS PAC ID: 0345305405 Enrollment ID: I20090612000469 |
| Provider Name | Daniel Steinberger |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932340213 PECOS PAC ID: 8628129160 Enrollment ID: I20090624000181 |
| Provider Name | Steven G Thiel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427229541 PECOS PAC ID: 1456411735 Enrollment ID: I20090624000713 |
| Provider Name | Brian F Decesare |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194871798 PECOS PAC ID: 5395811863 Enrollment ID: I20090625000117 |
| Provider Name | Leonard H Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538314695 PECOS PAC ID: 6002967221 Enrollment ID: I20090630000225 |
| Provider Name | Steven L Manning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245313139 PECOS PAC ID: 9830240969 Enrollment ID: I20090630000419 |
| Provider Name | Michael R Galle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841478005 PECOS PAC ID: 1456402403 Enrollment ID: I20090702000172 |
| Provider Name | Allison Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346393386 PECOS PAC ID: 6507918273 Enrollment ID: I20090710000516 |
| Provider Name | Stephanie J Fox |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770600884 PECOS PAC ID: 8628120763 Enrollment ID: I20090721000087 |
| Provider Name | Amarjit Virdi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669541702 PECOS PAC ID: 2860544848 Enrollment ID: I20090722000528 |
| Provider Name | Dana M Olson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518177997 PECOS PAC ID: 3870646466 Enrollment ID: I20090729000618 |
| Provider Name | Benjamin J May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710172960 PECOS PAC ID: 0547313918 Enrollment ID: I20090803000113 |
| Provider Name | Gaurang S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760656706 PECOS PAC ID: 5597818898 Enrollment ID: I20090804000646 |
| Provider Name | Jesus F Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023298155 PECOS PAC ID: 7214080449 Enrollment ID: I20090805000203 |
| Provider Name | Demosthenes N Iskos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710972864 PECOS PAC ID: 7517941669 Enrollment ID: I20090805000675 |
| Provider Name | Shao C Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093732760 PECOS PAC ID: 0042297640 Enrollment ID: I20090806000524 |
| Provider Name | Paul Joseph Tuite |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811085137 PECOS PAC ID: 6507910486 Enrollment ID: I20090811000583 |
| Provider Name | Shanna M Morgan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215071675 PECOS PAC ID: 8820142557 Enrollment ID: I20090814000541 |
| Provider Name | John Martin Litell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700091592 PECOS PAC ID: 5496812976 Enrollment ID: I20090817000113 |
| Provider Name | Samuel A L Bugbee |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073772893 PECOS PAC ID: 4082768577 Enrollment ID: I20090818000632 |
| Provider Name | Rebecca K Ameduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861696569 PECOS PAC ID: 4688728116 Enrollment ID: I20090819000136 |
| Provider Name | Melena D Bellin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124219043 PECOS PAC ID: 8921152455 Enrollment ID: I20090819000173 |
| Provider Name | Jacob Hodge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811158256 PECOS PAC ID: 3072668193 Enrollment ID: I20090825000751 |
| Provider Name | Ashley R Loomis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629278783 PECOS PAC ID: 2769570613 Enrollment ID: I20090826000627 |
| Provider Name | Jolene Ann Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811175193 PECOS PAC ID: 8022163088 Enrollment ID: I20090827000535 |
| Provider Name | Julie K Vogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821057563 PECOS PAC ID: 4587719810 Enrollment ID: I20090909000724 |
| Provider Name | Scott P Bender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104091537 PECOS PAC ID: 6800941006 Enrollment ID: I20090910000528 |
| Provider Name | Sujatha Tata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467615690 PECOS PAC ID: 3173685369 Enrollment ID: I20090911000476 |
| Provider Name | Dara D Koozekanani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265497556 PECOS PAC ID: 6305945783 Enrollment ID: I20090914000533 |
| Provider Name | Lindsey J Soltvedt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083845283 PECOS PAC ID: 7517013477 Enrollment ID: I20090917000158 |
| Provider Name | Krista J Olsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447393962 PECOS PAC ID: 1557417441 Enrollment ID: I20090917000400 |
| Provider Name | Laura A Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932337953 PECOS PAC ID: 3072669910 Enrollment ID: I20090918000207 |
| Provider Name | Jessica R Baitani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285800466 PECOS PAC ID: 6507912334 Enrollment ID: I20090921000434 |
| Provider Name | Stephen D Bennett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154589364 PECOS PAC ID: 6608922141 Enrollment ID: I20090924000172 |
| Provider Name | Laurie A Judd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376779074 PECOS PAC ID: 7517003809 Enrollment ID: I20090929000508 |
| Provider Name | Christine M Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083652754 PECOS PAC ID: 9931197274 Enrollment ID: I20091006000202 |
| Provider Name | James E Larrabee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780812776 PECOS PAC ID: 2567508591 Enrollment ID: I20091006000250 |
| Provider Name | Caitlin G Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508096744 PECOS PAC ID: 8224174156 Enrollment ID: I20091007000479 |
| Provider Name | Cherinet N Jaleta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336316702 PECOS PAC ID: 3274679063 Enrollment ID: I20091008000244 |
| Provider Name | Melissa R Berends |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487886404 PECOS PAC ID: 7012053770 Enrollment ID: I20091009000297 |
| Provider Name | Jakiann M Mork |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184855587 PECOS PAC ID: 0244377505 Enrollment ID: I20091020000229 |
| Provider Name | Badrinath R Konety |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912937657 PECOS PAC ID: 7517903362 Enrollment ID: I20091020000517 |
| Provider Name | Ann M Mchale |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073742375 PECOS PAC ID: 3971640103 Enrollment ID: I20091021000234 |
| Provider Name | Darrell B Newman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366698011 PECOS PAC ID: 6608913850 Enrollment ID: I20091021000358 |
| Provider Name | Nimi Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124190707 PECOS PAC ID: 7012054174 Enrollment ID: I20091021000633 |
| Provider Name | Paresh S Ghodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427158427 PECOS PAC ID: 6608927512 Enrollment ID: I20091026000469 |
| Provider Name | Therese M Maas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043543093 PECOS PAC ID: 9638216476 Enrollment ID: I20091027000388 |
| Provider Name | Katherine Y Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740445220 PECOS PAC ID: 8325185101 Enrollment ID: I20091027000852 |
| Provider Name | Justin L Seningen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083878425 PECOS PAC ID: 1052458874 Enrollment ID: I20091028000275 |
| Provider Name | Ebenezer T Adebara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730343146 PECOS PAC ID: 1254478910 Enrollment ID: I20091028000804 |
| Provider Name | Marysia S Tweet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821254939 PECOS PAC ID: 4082751615 Enrollment ID: I20091029000703 |
| Provider Name | Michael T Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891981825 PECOS PAC ID: 1951448588 Enrollment ID: I20091029000751 |
| Provider Name | Sara Eckloff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104907286 PECOS PAC ID: 6507938792 Enrollment ID: I20091109000115 |
| Provider Name | Bryan Jeffrey Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407903222 PECOS PAC ID: 7810035086 Enrollment ID: I20091109000147 |
| Provider Name | Amanuel G Oljira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962634667 PECOS PAC ID: 7618015884 Enrollment ID: I20091109000161 |
| Provider Name | Dawn Jenniges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669602306 PECOS PAC ID: 2466590641 Enrollment ID: I20091109000229 |
| Provider Name | Lina Daugela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245419134 PECOS PAC ID: 5395883409 Enrollment ID: I20091110000707 |
| Provider Name | Sophia L Yohe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972783769 PECOS PAC ID: 5799823449 Enrollment ID: I20091117000571 |
| Provider Name | Cara L Borggren |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851581136 PECOS PAC ID: 6406994193 Enrollment ID: I20091118000213 |
| Provider Name | Keith L Cavanaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497830145 PECOS PAC ID: 8426955592 Enrollment ID: I20091118000228 |
| Provider Name | Jessica J Hampton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629208079 PECOS PAC ID: 8426196023 Enrollment ID: I20091118000394 |
| Provider Name | Karin Amanda Vassar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699906578 PECOS PAC ID: 3173662715 Enrollment ID: I20091120000277 |
| Provider Name | Suma Konety |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821172727 PECOS PAC ID: 2365490281 Enrollment ID: I20091203000088 |
| Provider Name | Kenneth L Irons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922037688 PECOS PAC ID: 6002915444 Enrollment ID: I20091210000730 |
| Provider Name | Thomas G Schwinghamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437399763 PECOS PAC ID: 2567495641 Enrollment ID: I20091215000088 |
| Provider Name | Steven H Bollinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225029374 PECOS PAC ID: 2860532884 Enrollment ID: I20091222000488 |
| Provider Name | Anna J Neu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669603403 PECOS PAC ID: 7416098165 Enrollment ID: I20100104000383 |
| Provider Name | Warren Manyara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639330822 PECOS PAC ID: 2466593074 Enrollment ID: I20100105000228 |
| Provider Name | Stephen M Winselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942262225 PECOS PAC ID: 2365583929 Enrollment ID: I20100105000704 |
| Provider Name | Thomas W Laedtke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679532022 PECOS PAC ID: 2860456308 Enrollment ID: I20100109000026 |
| Provider Name | Susan G Grosse-macemon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922060169 PECOS PAC ID: 5597806521 Enrollment ID: I20100112000725 |
| Provider Name | Gary L Brunkow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558367847 PECOS PAC ID: 5496657819 Enrollment ID: I20100112000813 |
| Provider Name | Michael J Manoles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578521555 PECOS PAC ID: 0042119109 Enrollment ID: I20100112000853 |
| Provider Name | Gehad A Elfarra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063649945 PECOS PAC ID: 7315088358 Enrollment ID: I20100112000855 |
| Provider Name | Tami D Lindell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033364245 PECOS PAC ID: 5092855601 Enrollment ID: I20100114000565 |
| Provider Name | Ladan Zand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174789796 PECOS PAC ID: 5597807495 Enrollment ID: I20100114000666 |
| Provider Name | Bradley J Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467488536 PECOS PAC ID: 6002958899 Enrollment ID: I20100115000799 |
| Provider Name | George M Realmuto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497839831 PECOS PAC ID: 1557403359 Enrollment ID: I20100115000821 |
| Provider Name | Carrie M Reynoso |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295061026 PECOS PAC ID: 0446392187 Enrollment ID: I20100119000649 |
| Provider Name | Mary K Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811129273 PECOS PAC ID: 8921140682 Enrollment ID: I20100119000787 |
| Provider Name | Gregory J Beilman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235218793 PECOS PAC ID: 7810039468 Enrollment ID: I20100121000101 |
| Provider Name | George Thomas Obryan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417061904 PECOS PAC ID: 1456262252 Enrollment ID: I20100128000977 |
| Provider Name | Mumtaz Mustapha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467595983 PECOS PAC ID: 1355484353 Enrollment ID: I20100129000333 |
| Provider Name | Nancy M Fahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023034329 PECOS PAC ID: 1052333556 Enrollment ID: I20100201000716 |
| Provider Name | Leland P Cheng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356328348 PECOS PAC ID: 8123161833 Enrollment ID: I20100203000477 |
| Provider Name | Christopher J Sabal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194701979 PECOS PAC ID: 0840333555 Enrollment ID: I20100203000486 |
| Provider Name | Cara S Walz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538126867 PECOS PAC ID: 9537063359 Enrollment ID: I20100203000824 |
| Provider Name | Mark D Hauge |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205827466 PECOS PAC ID: 7719020221 Enrollment ID: I20100205000566 |
| Provider Name | Jessica L Grajczyk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154531192 PECOS PAC ID: 6406999697 Enrollment ID: I20100210000625 |
| Provider Name | Christopher J Day |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881827202 PECOS PAC ID: 3375686561 Enrollment ID: I20100210000667 |
| Provider Name | Debra A Scherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821075623 PECOS PAC ID: 1658415492 Enrollment ID: I20100217000894 |
| Provider Name | Kelvin O Lim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912089152 PECOS PAC ID: 7113061839 Enrollment ID: I20100218000840 |
| Provider Name | Kristina Varadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669580890 PECOS PAC ID: 4587708094 Enrollment ID: I20100222000865 |
| Provider Name | Genet N Ghebre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114154986 PECOS PAC ID: 4880738277 Enrollment ID: I20100223000848 |
| Provider Name | Lucien Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295900629 PECOS PAC ID: 0840335873 Enrollment ID: I20100302000758 |
| Provider Name | Leslie A Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790760148 PECOS PAC ID: 7810032687 Enrollment ID: I20100304000145 |
| Provider Name | Yumiko Hirao-try |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760453203 PECOS PAC ID: 5395880041 Enrollment ID: I20100304001092 |
| Provider Name | Bruce I Idelkope |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083661680 PECOS PAC ID: 6800977240 Enrollment ID: I20100306000239 |
| Provider Name | Samy Magdy Riad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841492378 PECOS PAC ID: 7810022233 Enrollment ID: I20100323000957 |
| Provider Name | Jaena J Wisniewski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710032594 PECOS PAC ID: 4385779727 Enrollment ID: I20100324000184 |
| Provider Name | Seyyed H Fatemi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477582765 PECOS PAC ID: 4688700925 Enrollment ID: I20100325001075 |
| Provider Name | Dorothy A Connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174546253 PECOS PAC ID: 8426184615 Enrollment ID: I20100326000554 |
| Provider Name | William M Kaylor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447264569 PECOS PAC ID: 7012074537 Enrollment ID: I20100329001095 |
| Provider Name | John C Hulbert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881608917 PECOS PAC ID: 4284791708 Enrollment ID: I20100329001113 |
| Provider Name | Paul D Hartleben |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487622510 PECOS PAC ID: 2466532486 Enrollment ID: I20100331001067 |
| Provider Name | Stephen C Olson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245315084 PECOS PAC ID: 4385540145 Enrollment ID: I20100415000029 |
| Provider Name | Matthew Mark Melin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730166992 PECOS PAC ID: 0648307959 Enrollment ID: I20100419000341 |
| Provider Name | Laxmana M Godishala |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1588619324 PECOS PAC ID: 2860529120 Enrollment ID: I20100420000078 |
| Provider Name | Sara Frances Whitehouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972730687 PECOS PAC ID: 9335276583 Enrollment ID: I20100421000056 |
| Provider Name | Elisa M Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417924614 PECOS PAC ID: 3476445891 Enrollment ID: I20100427000248 |
| Provider Name | Deanna L Bass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275577371 PECOS PAC ID: 3274660915 Enrollment ID: I20100428000697 |
| Provider Name | Gail A Bernstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821034992 PECOS PAC ID: 0244367902 Enrollment ID: I20100428000968 |
| Provider Name | Amy M Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447223615 PECOS PAC ID: 7416908405 Enrollment ID: I20100430000456 |
| Provider Name | Victor M Sandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306814991 PECOS PAC ID: 5395792857 Enrollment ID: I20100503000043 |
| Provider Name | Shakuntla R Puri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871559963 PECOS PAC ID: 5294863817 Enrollment ID: I20100503000062 |
| Provider Name | Anne R Gearity |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497776389 PECOS PAC ID: 2769510346 Enrollment ID: I20100503000816 |
| Provider Name | Bronagh P Murphy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396714267 PECOS PAC ID: 1658266960 Enrollment ID: I20100504000183 |
| Provider Name | Jon V Thomas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467453597 PECOS PAC ID: 0547289787 Enrollment ID: I20100504000272 |
| Provider Name | William H Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518935113 PECOS PAC ID: 3971631409 Enrollment ID: I20100504000694 |
| Provider Name | Thomas R Jacques |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609868470 PECOS PAC ID: 5395797591 Enrollment ID: I20100504000873 |
| Provider Name | James R Miner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588607576 PECOS PAC ID: 4789712134 Enrollment ID: I20100506000064 |
| Provider Name | Warren A Mcguire |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386613818 PECOS PAC ID: 1759276058 Enrollment ID: I20100506000458 |
| Provider Name | John W Floberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427071752 PECOS PAC ID: 7012045156 Enrollment ID: I20100511000104 |
| Provider Name | Neil Russel Dahlquist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790709855 PECOS PAC ID: 9830227974 Enrollment ID: I20100511000129 |
| Provider Name | Craig L Hyser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205857380 PECOS PAC ID: 2567590607 Enrollment ID: I20100511000173 |
| Provider Name | Asa B Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326026113 PECOS PAC ID: 0446388565 Enrollment ID: I20100511001042 |
| Provider Name | Biljana Capra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982640439 PECOS PAC ID: 0143358168 Enrollment ID: I20100512001077 |
| Provider Name | Laura Y Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811984958 PECOS PAC ID: 8921050121 Enrollment ID: I20100514000629 |
| Provider Name | Nadeem Iqbal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285626036 PECOS PAC ID: 9931151131 Enrollment ID: I20100518000918 |
| Provider Name | Bruce A Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780768937 PECOS PAC ID: 3971632357 Enrollment ID: I20100524000146 |
| Provider Name | Daniel J Weisdorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669579090 PECOS PAC ID: 9335280684 Enrollment ID: I20100524000156 |
| Provider Name | Philip B Mcglave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003992116 PECOS PAC ID: 1355470741 Enrollment ID: I20100524000256 |
| Provider Name | Jeffrey S Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053497198 PECOS PAC ID: 8426187816 Enrollment ID: I20100524000274 |
| Provider Name | Mark T Reding |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336223866 PECOS PAC ID: 9537298930 Enrollment ID: I20100524000389 |
| Provider Name | Gregory M Vercellotti |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1912008921 PECOS PAC ID: 8325950868 Enrollment ID: I20100524000405 |
| Provider Name | Douglas Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598851198 PECOS PAC ID: 8325177728 Enrollment ID: I20100524000420 |
| Provider Name | Erik L Bressler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558311837 PECOS PAC ID: 2860397585 Enrollment ID: I20100524000898 |
| Provider Name | Angela I Radulescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689866626 PECOS PAC ID: 6002945367 Enrollment ID: I20100525000332 |
| Provider Name | Kenneth P Korte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821037011 PECOS PAC ID: 0244135986 Enrollment ID: I20100525000393 |
| Provider Name | Alan Laorr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346289204 PECOS PAC ID: 8820993579 Enrollment ID: I20100525000416 |
| Provider Name | Lorraine L Laroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063451920 PECOS PAC ID: 1355246000 Enrollment ID: I20100525000454 |
| Provider Name | Steven C Link |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720013436 PECOS PAC ID: 5890690549 Enrollment ID: I20100525000493 |
| Provider Name | Daniel J Loes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508891227 PECOS PAC ID: 9436054186 Enrollment ID: I20100525000523 |
| Provider Name | Kendall J Strand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518987668 PECOS PAC ID: 3577468222 Enrollment ID: I20100525000619 |
| Provider Name | Joseph H Spaeth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679506604 PECOS PAC ID: 5496650145 Enrollment ID: I20100525000650 |
| Provider Name | Bradley Hugh Kranendonk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770530909 PECOS PAC ID: 4688579329 Enrollment ID: I20100525000858 |
| Provider Name | Richard Marc Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356391643 PECOS PAC ID: 8022913771 Enrollment ID: I20100527000640 |
| Provider Name | Chris L Palaskas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255359584 PECOS PAC ID: 0345321352 Enrollment ID: I20100527000832 |
| Provider Name | Peter C Conklin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447200605 PECOS PAC ID: 5193620813 Enrollment ID: I20100601000206 |
| Provider Name | Marla M Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669599643 PECOS PAC ID: 3375672348 Enrollment ID: I20100601000343 |
| Provider Name | Marie E Steiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003840687 PECOS PAC ID: 5395874390 Enrollment ID: I20100601000703 |
| Provider Name | Lester J Nixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114091410 PECOS PAC ID: 1355470352 Enrollment ID: I20100601000735 |
| Provider Name | Edwin D Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982660676 PECOS PAC ID: 6204965031 Enrollment ID: I20100603000521 |
| Provider Name | Susan K Hafferman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255390308 PECOS PAC ID: 9436289246 Enrollment ID: I20100604000520 |
| Provider Name | Barry Rittberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356459994 PECOS PAC ID: 1355471863 Enrollment ID: I20100610000081 |
| Provider Name | Steven D Stovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487735619 PECOS PAC ID: 2668502188 Enrollment ID: I20100610000159 |
| Provider Name | Andrew J Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922063981 PECOS PAC ID: 5395875546 Enrollment ID: I20100614000930 |
| Provider Name | Sue V Petzel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356404503 PECOS PAC ID: 3779613815 Enrollment ID: I20100616000177 |
| Provider Name | Lisa M Hollensteiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871560094 PECOS PAC ID: 1052441102 Enrollment ID: I20100616000299 |
| Provider Name | Bhargavi Shiledar Ghate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467622498 PECOS PAC ID: 2466583299 Enrollment ID: I20100623000355 |
| Provider Name | Lisa B Newcomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326376096 PECOS PAC ID: 9436280286 Enrollment ID: I20100623000649 |
| Provider Name | Deepak B Bairagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386886398 PECOS PAC ID: 1052442696 Enrollment ID: I20100626000094 |
| Provider Name | Bruce L Cunningham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578590048 PECOS PAC ID: 8123159761 Enrollment ID: I20100626000121 |
| Provider Name | John C Halla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285874222 PECOS PAC ID: 8325020241 Enrollment ID: I20100626000166 |
| Provider Name | James C Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740454966 PECOS PAC ID: 6204991953 Enrollment ID: I20100629000152 |
| Provider Name | Benjamin J Vonende |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184680555 PECOS PAC ID: 3476685496 Enrollment ID: I20100709000324 |
| Provider Name | Shalamar D Sibley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154403103 PECOS PAC ID: 0042342891 Enrollment ID: I20100714001023 |
| Provider Name | Allison L Kohtz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336367408 PECOS PAC ID: 8022140870 Enrollment ID: I20100714001045 |
| Provider Name | Bazak Sharon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407099054 PECOS PAC ID: 6406988856 Enrollment ID: I20100720000808 |
| Provider Name | Drew A Rosielle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528011269 PECOS PAC ID: 3375561178 Enrollment ID: I20100724000119 |
| Provider Name | Celalettin Ustun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013010487 PECOS PAC ID: 6800837998 Enrollment ID: I20100724000203 |
| Provider Name | Gautam G Jha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538370622 PECOS PAC ID: 8224160353 Enrollment ID: I20100724000227 |
| Provider Name | Claudia K Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306877709 PECOS PAC ID: 4587796610 Enrollment ID: I20100724000250 |
| Provider Name | Katharine J Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831234889 PECOS PAC ID: 6709919673 Enrollment ID: I20100728001039 |
| Provider Name | Michael Brendan Osullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962547901 PECOS PAC ID: 2163555046 Enrollment ID: I20100728001141 |
| Provider Name | Mindy Kaye Dombrovski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093033805 PECOS PAC ID: 0345373239 Enrollment ID: I20100728001246 |
| Provider Name | Michael A Murati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851583512 PECOS PAC ID: 0244363810 Enrollment ID: I20100803000542 |
| Provider Name | Piyush Das |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265639140 PECOS PAC ID: 7214060763 Enrollment ID: I20100804000287 |
| Provider Name | Jason M Habeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598958613 PECOS PAC ID: 8729112990 Enrollment ID: I20100810001147 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811127905 PECOS PAC ID: 7416081591 Enrollment ID: I20100811000156 |
| Provider Name | Ivaylo L Krastev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205073848 PECOS PAC ID: 9335273465 Enrollment ID: I20100811000807 |
| Provider Name | Claudia S Cohn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215194972 PECOS PAC ID: 2860526589 Enrollment ID: I20100817001164 |
| Provider Name | Robert J Jungman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851555940 PECOS PAC ID: 5991839565 Enrollment ID: I20100818000324 |
| Provider Name | Brian M Idelkope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588802201 PECOS PAC ID: 8527192061 Enrollment ID: I20100818001318 |
| Provider Name | Jennifer J Remitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922298108 PECOS PAC ID: 8325130743 Enrollment ID: I20100818001357 |
| Provider Name | Shelley Eiler Thron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326365693 PECOS PAC ID: 7416081997 Enrollment ID: I20100819000497 |
| Provider Name | Sebahattin Cureoglu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669641304 PECOS PAC ID: 9830223262 Enrollment ID: I20100819001222 |
| Provider Name | Kristi Lee Werdin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528099538 PECOS PAC ID: 4688659634 Enrollment ID: I20100820000639 |
| Provider Name | Susan Elizabeth Kline |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285724708 PECOS PAC ID: 4688708084 Enrollment ID: I20100820000790 |
| Provider Name | David C Mair |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992898464 PECOS PAC ID: 8628102027 Enrollment ID: I20100820000841 |
| Provider Name | David W Macomber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023190543 PECOS PAC ID: 0446384713 Enrollment ID: I20100823000683 |
| Provider Name | David V Power |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386745933 PECOS PAC ID: 6305960691 Enrollment ID: I20100823001016 |
| Provider Name | Michelle M Dolan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033140223 PECOS PAC ID: 2163546441 Enrollment ID: I20100824000930 |
| Provider Name | Jamie Santilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467553008 PECOS PAC ID: 9335263516 Enrollment ID: I20100824001077 |
| Provider Name | Connie L Manske |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588778013 PECOS PAC ID: 2860516044 Enrollment ID: I20100824001115 |
| Provider Name | Minoo Shams Moorkani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568666923 PECOS PAC ID: 3678697869 Enrollment ID: I20100824001286 |
| Provider Name | Rosemary F Kelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811008543 PECOS PAC ID: 9830213024 Enrollment ID: I20100824001306 |
| Provider Name | Mark Yamaguchi |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1033313580 PECOS PAC ID: 6305946773 Enrollment ID: I20100824001312 |
| Provider Name | Katie L Pehl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659691673 PECOS PAC ID: 3971627175 Enrollment ID: I20100825000057 |
| Provider Name | Abdirahman M Madar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578608782 PECOS PAC ID: 8325162407 Enrollment ID: I20100825001173 |
| Provider Name | Tanya S Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720186893 PECOS PAC ID: 6406970565 Enrollment ID: I20100826000932 |
| Provider Name | Peter B Bitterman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912943275 PECOS PAC ID: 0749304715 Enrollment ID: I20100826001262 |
| Provider Name | Mukta Arora |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073557278 PECOS PAC ID: 6103940176 Enrollment ID: I20100826001270 |
| Provider Name | Ryan M Odonnell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336214212 PECOS PAC ID: 5496879058 Enrollment ID: I20100902001098 |
| Provider Name | Jacob L Hutchins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033397294 PECOS PAC ID: 2365566932 Enrollment ID: I20100902001161 |
| Provider Name | Heather A Thompson Buum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699864611 PECOS PAC ID: 8022133404 Enrollment ID: I20100909000574 |
| Provider Name | Paul R Bohjanen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235175449 PECOS PAC ID: 6901921386 Enrollment ID: I20100909000618 |
| Provider Name | Marshall I Hertz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396779864 PECOS PAC ID: 7113042433 Enrollment ID: I20100909001138 |
| Provider Name | Anne L Rumsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518919323 PECOS PAC ID: 4789709007 Enrollment ID: I20100909001233 |
| Provider Name | Sara Shumway |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164527503 PECOS PAC ID: 5193840379 Enrollment ID: I20100910000850 |
| Provider Name | Jay J Bauder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972737054 PECOS PAC ID: 1850416975 Enrollment ID: I20100914000037 |
| Provider Name | Lea H Ekochin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740424928 PECOS PAC ID: 9537284526 Enrollment ID: I20100914001066 |
| Provider Name | Arne Slungaard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922180116 PECOS PAC ID: 0143345991 Enrollment ID: I20100916000554 |
| Provider Name | Marie-claire Buckley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730116971 PECOS PAC ID: 3971628553 Enrollment ID: I20100920000854 |
| Provider Name | David H Mckenna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972697993 PECOS PAC ID: 6507981198 Enrollment ID: I20100920000884 |
| Provider Name | Erik J Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619051869 PECOS PAC ID: 5890810485 Enrollment ID: I20100920000986 |
| Provider Name | David W Hunter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114014578 PECOS PAC ID: 3274658737 Enrollment ID: I20100921000727 |
| Provider Name | Ositadinma C. Anene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194925313 PECOS PAC ID: 9739217795 Enrollment ID: I20100923001343 |
| Provider Name | Jennifer M Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194917302 PECOS PAC ID: 1355467507 Enrollment ID: I20100925000196 |
| Provider Name | Daniel Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386776961 PECOS PAC ID: 8224154372 Enrollment ID: I20100925000251 |
| Provider Name | Evelyn L Slomka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437388378 PECOS PAC ID: 3577689629 Enrollment ID: I20100925000280 |
| Provider Name | Amanda E Olson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285833616 PECOS PAC ID: 1658497607 Enrollment ID: I20100927001317 |
| Provider Name | Andrew B Maresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811163082 PECOS PAC ID: 6709902695 Enrollment ID: I20100928001686 |
| Provider Name | Anjali Dahiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275709420 PECOS PAC ID: 2961528856 Enrollment ID: I20100928001714 |
| Provider Name | Michael D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205898228 PECOS PAC ID: 6709078256 Enrollment ID: I20101004000225 |
| Provider Name | Jon S Hallberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912931411 PECOS PAC ID: 1456543602 Enrollment ID: I20101007000200 |
| Provider Name | Erin A Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215143383 PECOS PAC ID: 0446442545 Enrollment ID: I20101007000871 |
| Provider Name | John A Kriz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265609895 PECOS PAC ID: 0547452674 Enrollment ID: I20101007001247 |
| Provider Name | John L Clifton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922156405 PECOS PAC ID: 7517159650 Enrollment ID: I20101007001297 |
| Provider Name | Maryam L Moghaddam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811958424 PECOS PAC ID: 2769674803 Enrollment ID: I20101007001343 |
| Provider Name | Barbara Knoll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306838644 PECOS PAC ID: 3274527288 Enrollment ID: I20101011000048 |
| Provider Name | Robert P Himmerick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134389778 PECOS PAC ID: 0648462317 Enrollment ID: I20101013000583 |
| Provider Name | John A Corbo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053625434 PECOS PAC ID: 6002008778 Enrollment ID: I20101013000595 |
| Provider Name | Troy D Wolter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154547552 PECOS PAC ID: 4082806773 Enrollment ID: I20101013000910 |
| Provider Name | Thomas M Leventhal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275720898 PECOS PAC ID: 3870786106 Enrollment ID: I20101019001422 |
| Provider Name | Mark A Wolters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982612610 PECOS PAC ID: 6507059557 Enrollment ID: I20101021001462 |
| Provider Name | Dena Marie Wanner-perry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841442209 PECOS PAC ID: 6901099852 Enrollment ID: I20101022001264 |
| Provider Name | Mirna G Boumitri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053580092 PECOS PAC ID: 5799978409 Enrollment ID: I20101026000304 |
| Provider Name | Mothilal Sonia S Jain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932359619 PECOS PAC ID: 7315131869 Enrollment ID: I20101028001564 |
| Provider Name | Maren B Sanderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356377477 PECOS PAC ID: 3678767803 Enrollment ID: I20101102000668 |
| Provider Name | Thomas A Worwa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558679282 PECOS PAC ID: 6305030404 Enrollment ID: I20101103000070 |
| Provider Name | Sameh M Said |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134262843 PECOS PAC ID: 8224222054 Enrollment ID: I20101104001645 |
| Provider Name | Christopher M Erickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952576266 PECOS PAC ID: 9436343217 Enrollment ID: I20101105000520 |
| Provider Name | Barbara J Friedman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497846711 PECOS PAC ID: 9335334143 Enrollment ID: I20101105000962 |
| Provider Name | Obinna E Agujiobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780885319 PECOS PAC ID: 8426243957 Enrollment ID: I20101110000878 |
| Provider Name | Kiran Krishan Lassi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245320282 PECOS PAC ID: 7315949617 Enrollment ID: I20101115000219 |
| Provider Name | Bilal Shaukat Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457470155 PECOS PAC ID: 5496820383 Enrollment ID: I20101116001070 |
| Provider Name | Katherine G Shafto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063615474 PECOS PAC ID: 1254526247 Enrollment ID: I20101116001103 |
| Provider Name | Christopher Weight |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962612127 PECOS PAC ID: 7416142666 Enrollment ID: I20101117001207 |
| Provider Name | Elizabeth C Niemuth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588979082 PECOS PAC ID: 7517153117 Enrollment ID: I20101122000823 |
| Provider Name | Walter A Hinck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720011034 PECOS PAC ID: 8123076049 Enrollment ID: I20101122000890 |
| Provider Name | Joshua J Thom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144453242 PECOS PAC ID: 0547456857 Enrollment ID: I20101129001087 |
| Provider Name | Vidu Bala Mokkala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396918207 PECOS PAC ID: 0547457566 Enrollment ID: I20101202001249 |
| Provider Name | Rebecca Sue Hitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932400991 PECOS PAC ID: 5890982722 Enrollment ID: I20101204000100 |
| Provider Name | Courtney J Baechler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710021175 PECOS PAC ID: 7214124916 Enrollment ID: I20101207001003 |
| Provider Name | Rehana L Ahmed Saucedo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427243898 PECOS PAC ID: 8224225941 Enrollment ID: I20101207001143 |
| Provider Name | Sarah M Brumberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437465473 PECOS PAC ID: 3173710506 Enrollment ID: I20101209001392 |
| Provider Name | Thomas Vb Kozhimannil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801087853 PECOS PAC ID: 2567659683 Enrollment ID: I20101215000108 |
| Provider Name | Neal D Boeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902131246 PECOS PAC ID: 5395932420 Enrollment ID: I20101215000217 |
| Provider Name | Evidio Domingo Musibay |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831321785 PECOS PAC ID: 9234327313 Enrollment ID: I20101216000744 |
| Provider Name | Zacharia G Ogwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427367093 PECOS PAC ID: 9133317902 Enrollment ID: I20101221000062 |
| Provider Name | Kristine L Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083606263 PECOS PAC ID: 4183813389 Enrollment ID: I20110104000371 |
| Provider Name | Mohamed Hussein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639488166 PECOS PAC ID: 8527257096 Enrollment ID: I20110114000043 |
| Provider Name | Christina T Dunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265636963 PECOS PAC ID: 2668661984 Enrollment ID: I20110118000639 |
| Provider Name | Deborah L Leyh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609878347 PECOS PAC ID: 1355520586 Enrollment ID: I20110120000480 |
| Provider Name | Richard G Leyh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225030968 PECOS PAC ID: 9133308364 Enrollment ID: I20110120000518 |
| Provider Name | Elizabeth A Hines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912213158 PECOS PAC ID: 5395924443 Enrollment ID: I20110121000690 |
| Provider Name | Alicia K Harrison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710171228 PECOS PAC ID: 4284813338 Enrollment ID: I20110121000713 |
| Provider Name | Ali Arbabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003816554 PECOS PAC ID: 2062447980 Enrollment ID: I20110203001008 |
| Provider Name | Kyan Soon Ja Bodden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194034686 PECOS PAC ID: 4284814401 Enrollment ID: I20110204000789 |
| Provider Name | Sara E Ramel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932303633 PECOS PAC ID: 0749460970 Enrollment ID: I20110204000894 |
| Provider Name | Katherine A Majeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770891509 PECOS PAC ID: 1355521584 Enrollment ID: I20110204000928 |
| Provider Name | David J Dries |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770558520 PECOS PAC ID: 1658414115 Enrollment ID: I20110222001153 |
| Provider Name | Nghia H La |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013199553 PECOS PAC ID: 3870774847 Enrollment ID: I20110223001040 |
| Provider Name | Colleen M Zimmer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598065054 PECOS PAC ID: 2466633169 Enrollment ID: I20110301000771 |
| Provider Name | Maren E Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629080692 PECOS PAC ID: 6800078403 Enrollment ID: I20110302000940 |
| Provider Name | Donna L Dsouza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750512109 PECOS PAC ID: 1254513757 Enrollment ID: I20110304000111 |
| Provider Name | Erin Stepka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982710265 PECOS PAC ID: 0840231635 Enrollment ID: I20110304000136 |
| Provider Name | Kristen P Hook |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053465641 PECOS PAC ID: 1759563265 Enrollment ID: I20110304000303 |
| Provider Name | Veronica Lynn Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366751059 PECOS PAC ID: 9436331972 Enrollment ID: I20110304000619 |
| Provider Name | Douglas P Forgit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346572062 PECOS PAC ID: 7315134855 Enrollment ID: I20110309000820 |
| Provider Name | Michelle Lavelle Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063490134 PECOS PAC ID: 0345225124 Enrollment ID: I20110317000567 |
| Provider Name | Jenikka L Tomashek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992014682 PECOS PAC ID: 7012190796 Enrollment ID: I20110318000347 |
| Provider Name | Justin K Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487885745 PECOS PAC ID: 1850574443 Enrollment ID: I20110318000594 |
| Provider Name | Milan Za |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902817893 PECOS PAC ID: 0941398705 Enrollment ID: I20110321000714 |
| Provider Name | Alfred Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043243827 PECOS PAC ID: 8123194958 Enrollment ID: I20110323001033 |
| Provider Name | Huseyin Dincer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255344537 PECOS PAC ID: 7214094531 Enrollment ID: I20110329000963 |
| Provider Name | Renee K Haroldson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013975663 PECOS PAC ID: 8628142189 Enrollment ID: I20110330000975 |
| Provider Name | Sabeen Askari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194816918 PECOS PAC ID: 4587847470 Enrollment ID: I20110330000988 |
| Provider Name | Kristel A St Ores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477858587 PECOS PAC ID: 6002099835 Enrollment ID: I20110331000475 |
| Provider Name | Ann M Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518038959 PECOS PAC ID: 5193909901 Enrollment ID: I20110401000555 |
| Provider Name | Mohamed Abdihalim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912141243 PECOS PAC ID: 6204010994 Enrollment ID: I20110404000745 |
| Provider Name | Daniel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699768176 PECOS PAC ID: 5890694640 Enrollment ID: I20110405000174 |
| Provider Name | Heather C Lundberg |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376850396 PECOS PAC ID: 2961686688 Enrollment ID: I20110405000190 |
| Provider Name | Kidmealem L Zekarias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346430782 PECOS PAC ID: 2961686639 Enrollment ID: I20110405000831 |
| Provider Name | Sandra R Montezuma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285798470 PECOS PAC ID: 7113085895 Enrollment ID: I20110406000809 |
| Provider Name | Julie A Hoyez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942504782 PECOS PAC ID: 6608050141 Enrollment ID: I20110407000766 |
| Provider Name | Brian C Weitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790786564 PECOS PAC ID: 8921050295 Enrollment ID: I20110409000034 |
| Provider Name | Andrew P Wilson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386810562 PECOS PAC ID: 7214111533 Enrollment ID: I20110412000338 |
| Provider Name | Paul D Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154454858 PECOS PAC ID: 7315013513 Enrollment ID: I20110415000575 |
| Provider Name | Mary M Bazille |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700042702 PECOS PAC ID: 2466637368 Enrollment ID: I20110419000467 |
| Provider Name | Kelly J Scheller Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003119785 PECOS PAC ID: 4587849450 Enrollment ID: I20110420000140 |
| Provider Name | Michele G Stegeman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528031374 PECOS PAC ID: 1254516842 Enrollment ID: I20110425000842 |
| Provider Name | Amir A Moheet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093754921 PECOS PAC ID: 1355344482 Enrollment ID: I20110427000269 |
| Provider Name | John F Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548221146 PECOS PAC ID: 4385829787 Enrollment ID: I20110428000706 |
| Provider Name | Angela Reid |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457447658 PECOS PAC ID: 7315947496 Enrollment ID: I20110429000524 |
| Provider Name | Martin L Immerman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558333781 PECOS PAC ID: 9032002118 Enrollment ID: I20110516000559 |
| Provider Name | Benji K Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750616157 PECOS PAC ID: 6608052147 Enrollment ID: I20110517000484 |
| Provider Name | Peter F Bornstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487611547 PECOS PAC ID: 0345234118 Enrollment ID: I20110519000609 |
| Provider Name | Jason J Wirtz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255398830 PECOS PAC ID: 8729264122 Enrollment ID: I20110519000631 |
| Provider Name | Thomas C Winegarden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194707828 PECOS PAC ID: 5799733614 Enrollment ID: I20110523000028 |
| Provider Name | Katherine Marie Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184816506 PECOS PAC ID: 0941486237 Enrollment ID: I20110523000194 |
| Provider Name | Kara L Nachtsheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790091700 PECOS PAC ID: 4082890298 Enrollment ID: I20110523000528 |
| Provider Name | Nataliya Ishkova-volovets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780999177 PECOS PAC ID: 1951587120 Enrollment ID: I20110524000353 |
| Provider Name | Sarah L Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548575202 PECOS PAC ID: 1355527466 Enrollment ID: I20110525000094 |
| Provider Name | Richard L Byakika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407041445 PECOS PAC ID: 9537257555 Enrollment ID: I20110525000365 |
| Provider Name | Sophie Dojacques |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669406542 PECOS PAC ID: 2961477229 Enrollment ID: I20110527000291 |
| Provider Name | Tasma Harindhanavudhi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528277100 PECOS PAC ID: 9931386679 Enrollment ID: I20110607000466 |
| Provider Name | Sanjay Vasudeva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659348845 PECOS PAC ID: 2961417241 Enrollment ID: I20110607000750 |
| Provider Name | Dayuan Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679776223 PECOS PAC ID: 3375629645 Enrollment ID: I20110608000588 |
| Provider Name | Bharathi D Jagadeesan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255523221 PECOS PAC ID: 7416134945 Enrollment ID: I20110608000773 |
| Provider Name | Trisha R Prescott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487895660 PECOS PAC ID: 8123205655 Enrollment ID: I20110608000802 |
| Provider Name | Angela W Tai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336212810 PECOS PAC ID: 8022161819 Enrollment ID: I20110610000570 |
| Provider Name | Benjamin D Spilseth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609068717 PECOS PAC ID: 6608053830 Enrollment ID: I20110615000482 |
| Provider Name | Kristina F Jelacic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558666446 PECOS PAC ID: 9638357817 Enrollment ID: I20110620000043 |
| Provider Name | Lona G Caires |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639273113 PECOS PAC ID: 5799780714 Enrollment ID: I20110621000530 |
| Provider Name | Rachel A Baar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134253156 PECOS PAC ID: 2062690035 Enrollment ID: I20110621000538 |
| Provider Name | Kruti T Shukla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114173259 PECOS PAC ID: 9739232448 Enrollment ID: I20110621000544 |
| Provider Name | Johannah Mcmullen Scheurer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497920821 PECOS PAC ID: 0446438428 Enrollment ID: I20110621000648 |
| Provider Name | John E Houghland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760649826 PECOS PAC ID: 5496930554 Enrollment ID: I20110622000538 |
| Provider Name | Hashim B Nemat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760788830 PECOS PAC ID: 8022296912 Enrollment ID: I20110623000559 |
| Provider Name | Zuzan Cayci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447414024 PECOS PAC ID: 2264508423 Enrollment ID: I20110623000579 |
| Provider Name | Rahul Kaila |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053456723 PECOS PAC ID: 2466558770 Enrollment ID: I20110623000655 |
| Provider Name | Thanh Tam N Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477793263 PECOS PAC ID: 7719165273 Enrollment ID: I20110705000067 |
| Provider Name | Nora E Burkart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992969141 PECOS PAC ID: 1355529819 Enrollment ID: I20110705000074 |
| Provider Name | Michael S Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184885378 PECOS PAC ID: 5193903508 Enrollment ID: I20110706000352 |
| Provider Name | Binod K C |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043454176 PECOS PAC ID: 7911185251 Enrollment ID: I20110711000024 |
| Provider Name | Won Suk Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114189289 PECOS PAC ID: 6608054978 Enrollment ID: I20110711000442 |
| Provider Name | Andrew P.j. Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457595704 PECOS PAC ID: 9739357005 Enrollment ID: I20110713000308 |
| Provider Name | Derrick L Green |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184897043 PECOS PAC ID: 3870761703 Enrollment ID: I20110720000737 |
| Provider Name | Briar L Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275578452 PECOS PAC ID: 8628258043 Enrollment ID: I20110721000745 |
| Provider Name | Jeffrey B Rykken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225272990 PECOS PAC ID: 0547438343 Enrollment ID: I20110721000811 |
| Provider Name | Katherine A Daly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922162155 PECOS PAC ID: 1456529023 Enrollment ID: I20110726000558 |
| Provider Name | Naomi Fujioka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881736833 PECOS PAC ID: 5092983676 Enrollment ID: I20110726000700 |
| Provider Name | James Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427276732 PECOS PAC ID: 0143498733 Enrollment ID: I20110726000757 |
| Provider Name | Cuong Q Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790970341 PECOS PAC ID: 6305014994 Enrollment ID: I20110726000787 |
| Provider Name | Jeffrey A Macalena |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922141449 PECOS PAC ID: 3072781574 Enrollment ID: I20110728000385 |
| Provider Name | Jaclyn J Bohm |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306005111 PECOS PAC ID: 2466620968 Enrollment ID: I20110728000455 |
| Provider Name | Nolawit Tesfaye |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356517817 PECOS PAC ID: 2567630999 Enrollment ID: I20110729000183 |
| Provider Name | Judith L Mcelhiney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877203 PECOS PAC ID: 6103956651 Enrollment ID: I20110801000482 |
| Provider Name | Amy B Karger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629233135 PECOS PAC ID: 9335318757 Enrollment ID: I20110801000683 |
| Provider Name | Sandeep K Kalola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922271857 PECOS PAC ID: 2860661287 Enrollment ID: I20110801000712 |
| Provider Name | Andrew E Kummer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205098464 PECOS PAC ID: 7911176227 Enrollment ID: I20110802000760 |
| Provider Name | Daniel P Sipple |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699989731 PECOS PAC ID: 9638279573 Enrollment ID: I20110808000446 |
| Provider Name | Heather A Muster |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992825814 PECOS PAC ID: 5496856478 Enrollment ID: I20110808000728 |
| Provider Name | Abby Meyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477696995 PECOS PAC ID: 3577695816 Enrollment ID: I20110809000682 |
| Provider Name | Michael A Linden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639284870 PECOS PAC ID: 0446429484 Enrollment ID: I20110809000706 |
| Provider Name | Grace A Totoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538335302 PECOS PAC ID: 3072782929 Enrollment ID: I20110809000860 |
| Provider Name | Michael R Campoli |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730206541 PECOS PAC ID: 6709055684 Enrollment ID: I20110810000321 |
| Provider Name | Parastoo Fazeli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992980841 PECOS PAC ID: 6507035326 Enrollment ID: I20110812000353 |
| Provider Name | Saurabh Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336435189 PECOS PAC ID: 7214106038 Enrollment ID: I20110812000366 |
| Provider Name | Pawan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518114594 PECOS PAC ID: 5991974503 Enrollment ID: I20110815000938 |
| Provider Name | Ronald As Reilkoff |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003090358 PECOS PAC ID: 2365611860 Enrollment ID: I20110817000428 |
| Provider Name | Melissa L Gleaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801190244 PECOS PAC ID: 7810166378 Enrollment ID: I20110818000103 |
| Provider Name | Christine L Lange |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497912711 PECOS PAC ID: 0941470462 Enrollment ID: I20110818000916 |
| Provider Name | Lori M Creagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982996948 PECOS PAC ID: 1254501711 Enrollment ID: I20110819000474 |
| Provider Name | Melissa Elizabeth Brunsvold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407073224 PECOS PAC ID: 1153411038 Enrollment ID: I20110823000728 |
| Provider Name | Sunitha Tata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487818175 PECOS PAC ID: 5597935718 Enrollment ID: I20110825000742 |
| Provider Name | Kara Lynn Tomlinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518120591 PECOS PAC ID: 6507043619 Enrollment ID: I20110829000495 |
| Provider Name | Bryan J Trottier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659550309 PECOS PAC ID: 1951571082 Enrollment ID: I20110829000642 |
| Provider Name | James M Cain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629090469 PECOS PAC ID: 1759380470 Enrollment ID: I20110901000502 |
| Provider Name | Elizabeth J Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619135860 PECOS PAC ID: 1658541321 Enrollment ID: I20110907001296 |
| Provider Name | Meghan K Rothenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417087487 PECOS PAC ID: 3274703889 Enrollment ID: I20110908001855 |
| Provider Name | Karen Resch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790897460 PECOS PAC ID: 2769652312 Enrollment ID: I20110908002284 |
| Provider Name | Emil Lou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902062433 PECOS PAC ID: 7618148131 Enrollment ID: I20110913000907 |
| Provider Name | Marc Tompkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326195454 PECOS PAC ID: 1254482540 Enrollment ID: I20110914000781 |
| Provider Name | Andrew W Grande |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629289939 PECOS PAC ID: 1951572304 Enrollment ID: I20110915000677 |
| Provider Name | Emma L Duncanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518126333 PECOS PAC ID: 6103097357 Enrollment ID: I20110919000695 |
| Provider Name | Daniel W Giles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487988903 PECOS PAC ID: 7618148875 Enrollment ID: I20110919000753 |
| Provider Name | David Aamodt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578876496 PECOS PAC ID: 0244401461 Enrollment ID: I20110920000701 |
| Provider Name | Deanna Teoh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659407708 PECOS PAC ID: 7618027970 Enrollment ID: I20110920000844 |
| Provider Name | Erin K Brokl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811918337 PECOS PAC ID: 7618971854 Enrollment ID: I20110920000875 |
| Provider Name | Peter K Chweyah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568606903 PECOS PAC ID: 3375714454 Enrollment ID: I20110921000443 |
| Provider Name | Nathaniel L Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649432816 PECOS PAC ID: 3072784180 Enrollment ID: I20110921000858 |
| Provider Name | Natalie Marie Neuharth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457639569 PECOS PAC ID: 7810168937 Enrollment ID: I20110922000072 |
| Provider Name | Jacklyn Mae Ellickson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538395496 PECOS PAC ID: 5991976011 Enrollment ID: I20110922000086 |
| Provider Name | Joseph R Oberdorfer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881852721 PECOS PAC ID: 7416128483 Enrollment ID: I20110922000773 |
| Provider Name | David W Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487932984 PECOS PAC ID: 5193996916 Enrollment ID: I20110927000383 |
| Provider Name | Torfi Thorkell Hoskuldsson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518129071 PECOS PAC ID: 7810168671 Enrollment ID: I20110927000796 |
| Provider Name | Ghassan Elkadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740224948 PECOS PAC ID: 8820083918 Enrollment ID: I20110928000885 |
| Provider Name | Andrea L Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780962381 PECOS PAC ID: 8628240199 Enrollment ID: I20111004000881 |
| Provider Name | Julie Sturgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790063063 PECOS PAC ID: 2567634942 Enrollment ID: I20111006000550 |
| Provider Name | Franklin Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265540405 PECOS PAC ID: 1951454644 Enrollment ID: I20111011000500 |
| Provider Name | Michael Page |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144491523 PECOS PAC ID: 9335272186 Enrollment ID: I20111011000749 |
| Provider Name | Demian Gitnacht |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1679899579 PECOS PAC ID: 1456523471 Enrollment ID: I20111017000184 |
| Provider Name | Paige L Balgie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548558224 PECOS PAC ID: 4284806233 Enrollment ID: I20111017000454 |
| Provider Name | Charles P Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851602924 PECOS PAC ID: 1759553555 Enrollment ID: I20111019000838 |
| Provider Name | Shaista Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407951494 PECOS PAC ID: 1355347030 Enrollment ID: I20111021000261 |
| Provider Name | Kimberly D Yung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710265368 PECOS PAC ID: 1254504061 Enrollment ID: I20111021000557 |
| Provider Name | Andrea M Britt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447539580 PECOS PAC ID: 2769655588 Enrollment ID: I20111024000084 |
| Provider Name | Kimberly C Viskocil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033352851 PECOS PAC ID: 8224201744 Enrollment ID: I20111028000303 |
| Provider Name | Jean Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568647048 PECOS PAC ID: 6103993290 Enrollment ID: I20111031000347 |
| Provider Name | Richard T Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619152097 PECOS PAC ID: 9436214400 Enrollment ID: I20111031000759 |
| Provider Name | Kevan K Andish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700080587 PECOS PAC ID: 7618140021 Enrollment ID: I20111031000782 |
| Provider Name | Forum Kamdar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043548548 PECOS PAC ID: 0648443085 Enrollment ID: I20111101000329 |
| Provider Name | Edwin C Pereira |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083814628 PECOS PAC ID: 2062685332 Enrollment ID: I20111101000766 |
| Provider Name | Laura E Broder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881858363 PECOS PAC ID: 5799958989 Enrollment ID: I20111103000635 |
| Provider Name | Ian J Lalich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285955203 PECOS PAC ID: 6800069014 Enrollment ID: I20111103000860 |
| Provider Name | Felix D Zamora |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467646091 PECOS PAC ID: 9335312453 Enrollment ID: I20111104000114 |
| Provider Name | Prachi Agarwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073647863 PECOS PAC ID: 9830362961 Enrollment ID: I20111104000294 |
| Provider Name | Erin M Galbraith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750304259 PECOS PAC ID: 6901803667 Enrollment ID: I20111104000471 |
| Provider Name | Kathryn E Zika |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477865731 PECOS PAC ID: 7810160710 Enrollment ID: I20111108000903 |
| Provider Name | Chelsi L Dodd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407090772 PECOS PAC ID: 3678747573 Enrollment ID: I20111110000344 |
| Provider Name | Jeremy J Fleischmann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295904696 PECOS PAC ID: 6507912177 Enrollment ID: I20111110000468 |
| Provider Name | Rebecca L Gray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962448969 PECOS PAC ID: 8820033244 Enrollment ID: I20111110000599 |
| Provider Name | Kerry Lea Sackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326352840 PECOS PAC ID: 0244356129 Enrollment ID: I20111110000608 |
| Provider Name | Fredericus Van Kuijk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972699635 PECOS PAC ID: 9133120249 Enrollment ID: I20111111000318 |
| Provider Name | Corinna J Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205114691 PECOS PAC ID: 9335313139 Enrollment ID: I20111112000023 |
| Provider Name | Christina M Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548548654 PECOS PAC ID: 6103090717 Enrollment ID: I20111116000867 |
| Provider Name | Kimberly A Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427341247 PECOS PAC ID: 8729252333 Enrollment ID: I20111116000883 |
| Provider Name | Abigail R Wren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306137377 PECOS PAC ID: 2769656305 Enrollment ID: I20111117000315 |
| Provider Name | Kaydee E Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114984028 PECOS PAC ID: 4880643485 Enrollment ID: I20111121000969 |
| Provider Name | Kristina L Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023396736 PECOS PAC ID: 1759555956 Enrollment ID: I20111128000799 |
| Provider Name | Rhonda L Groebner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164482527 PECOS PAC ID: 3678748506 Enrollment ID: I20111205000588 |
| Provider Name | Heather C Beckwith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780879940 PECOS PAC ID: 0547435349 Enrollment ID: I20111206000498 |
| Provider Name | Thaddeus S Walczak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538180864 PECOS PAC ID: 9234304049 Enrollment ID: I20111206000685 |
| Provider Name | Margaret E Semrud-clikeman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902181514 PECOS PAC ID: 8022283621 Enrollment ID: I20111209000336 |
| Provider Name | Krista M Koch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689956922 PECOS PAC ID: 6406021856 Enrollment ID: I20111213000598 |
| Provider Name | Kelly E King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679840391 PECOS PAC ID: 4880869072 Enrollment ID: I20111216000577 |
| Provider Name | Nathan T Chomilo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063656593 PECOS PAC ID: 1456527456 Enrollment ID: I20111221000566 |
| Provider Name | Mark D Stephany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437386026 PECOS PAC ID: 1850567579 Enrollment ID: I20111230000349 |
| Provider Name | Jane M Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578878146 PECOS PAC ID: 1951577527 Enrollment ID: I20120103000347 |
| Provider Name | Katti L Woerner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043486590 PECOS PAC ID: 5597931170 Enrollment ID: I20120103000479 |
| Provider Name | Charlotte M Leitschuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952686206 PECOS PAC ID: 3870769474 Enrollment ID: I20120103000711 |
| Provider Name | Sara R Belshan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093084345 PECOS PAC ID: 8628244183 Enrollment ID: I20120104000621 |
| Provider Name | Kristin E Gravel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790076909 PECOS PAC ID: 6406022748 Enrollment ID: I20120109000141 |
| Provider Name | Nathaniel I Cree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821365305 PECOS PAC ID: 7719153063 Enrollment ID: I20120109000213 |
| Provider Name | Amit K Rauniyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326378225 PECOS PAC ID: 3375677792 Enrollment ID: I20120111000879 |
| Provider Name | Dustin G Leigh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104140714 PECOS PAC ID: 7214104355 Enrollment ID: I20120112000790 |
| Provider Name | Kathleen A Strawn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114208006 PECOS PAC ID: 3476720400 Enrollment ID: I20120116000096 |
| Provider Name | Darcy R Schubloom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679672968 PECOS PAC ID: 6103093133 Enrollment ID: I20120116000101 |
| Provider Name | Alicia M Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194009555 PECOS PAC ID: 8325215213 Enrollment ID: I20120117000729 |
| Provider Name | Tamara P Petrac Halatsis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902851876 PECOS PAC ID: 4981668282 Enrollment ID: I20120118000611 |
| Provider Name | Nicholas P Zeimet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760762892 PECOS PAC ID: 1759558588 Enrollment ID: I20120119000597 |
| Provider Name | Jaime Green |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790990976 PECOS PAC ID: 0244373827 Enrollment ID: I20120124000750 |
| Provider Name | Marie E Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942496492 PECOS PAC ID: 5294992533 Enrollment ID: I20120130000203 |
| Provider Name | Molly M Lehmann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174806012 PECOS PAC ID: 3274790514 Enrollment ID: I20120130000226 |
| Provider Name | Kenneth C Haycraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346304144 PECOS PAC ID: 1759339674 Enrollment ID: I20120131000743 |
| Provider Name | Kevin M Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578565560 PECOS PAC ID: 3375688328 Enrollment ID: I20120201000206 |
| Provider Name | Andrew A Hamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821259110 PECOS PAC ID: 2668639709 Enrollment ID: I20120201000709 |
| Provider Name | Lori L Miranda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942261276 PECOS PAC ID: 6608033550 Enrollment ID: I20120203000207 |
| Provider Name | Kimberly J Langer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073882734 PECOS PAC ID: 3971760836 Enrollment ID: I20120203000317 |
| Provider Name | Craig Allan Zlimen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902187602 PECOS PAC ID: 4385801265 Enrollment ID: I20120203000491 |
| Provider Name | Jonathan D Shelver |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407174857 PECOS PAC ID: 8022275908 Enrollment ID: I20120203000597 |
| Provider Name | Jeffrey S Renwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508878927 PECOS PAC ID: 9234396144 Enrollment ID: I20120206000057 |
| Provider Name | Michael Tressler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255595526 PECOS PAC ID: 8224295993 Enrollment ID: I20120208000244 |
| Provider Name | Kelly J Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538446083 PECOS PAC ID: 2062679756 Enrollment ID: I20120208000474 |
| Provider Name | Kirsten P Malvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861778151 PECOS PAC ID: 6608033006 Enrollment ID: I20120213000197 |
| Provider Name | Oluwakemi T Olowoyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023252731 PECOS PAC ID: 1658539911 Enrollment ID: I20120216000481 |
| Provider Name | Teresa J Duscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932367760 PECOS PAC ID: 5698933372 Enrollment ID: I20120227000661 |
| Provider Name | Heather K Jelinek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538430954 PECOS PAC ID: 5092974410 Enrollment ID: I20120305000312 |
| Provider Name | Wajahat Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952574592 PECOS PAC ID: 0840360921 Enrollment ID: I20120307000041 |
| Provider Name | Bradley Jay Segura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649390378 PECOS PAC ID: 1052465036 Enrollment ID: I20120313000503 |
| Provider Name | Barbara A Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073604484 PECOS PAC ID: 9133389828 Enrollment ID: I20120404000955 |
| Provider Name | Noah I Goldfarb |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417188939 PECOS PAC ID: 6204097983 Enrollment ID: I20120406000130 |
| Provider Name | Rebecca L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962448969 PECOS PAC ID: 8820033244 Enrollment ID: I20120406000180 |
| Provider Name | Thomas R White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518289859 PECOS PAC ID: 7416118815 Enrollment ID: I20120411000717 |
| Provider Name | Malinda M Jorgensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215161757 PECOS PAC ID: 7618138660 Enrollment ID: I20120418000429 |
| Provider Name | Daniel P Dewey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740467760 PECOS PAC ID: 2365529617 Enrollment ID: I20120521000563 |
| Provider Name | Eric Bomberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578880746 PECOS PAC ID: 0749443760 Enrollment ID: I20120531000239 |
| Provider Name | Adam P Foss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447576392 PECOS PAC ID: 8729242532 Enrollment ID: I20120607000098 |
| Provider Name | Santosh Dhital |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275762395 PECOS PAC ID: 6800050469 Enrollment ID: I20120611000398 |
| Provider Name | Rebekah Agnes Ann Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508131889 PECOS PAC ID: 0143484709 Enrollment ID: I20120611000429 |
| Provider Name | Kelly Renee Dietz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295877702 PECOS PAC ID: 0648434209 Enrollment ID: I20120611000480 |
| Provider Name | Michelle Delilah Carlson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689992356 PECOS PAC ID: 7214191881 Enrollment ID: I20120611000562 |
| Provider Name | Takashi Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323243 PECOS PAC ID: 2466616867 Enrollment ID: I20120615000106 |
| Provider Name | Mary E Logeais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952544181 PECOS PAC ID: 4789848961 Enrollment ID: I20120620000151 |
| Provider Name | Thomas M Hauth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215165055 PECOS PAC ID: 7517121700 Enrollment ID: I20120620000248 |
| Provider Name | Christy L Fink Amador |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073684650 PECOS PAC ID: 7416016977 Enrollment ID: I20120621000165 |
| Provider Name | Roy Joseph Cho |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063705580 PECOS PAC ID: 0345404414 Enrollment ID: I20120621000410 |
| Provider Name | Regina M Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437419868 PECOS PAC ID: 9133384290 Enrollment ID: I20120622000623 |
| Provider Name | Lucas B Ludeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205080744 PECOS PAC ID: 2668537069 Enrollment ID: I20120625000418 |
| Provider Name | Jacob J Haws |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811263551 PECOS PAC ID: 3577728567 Enrollment ID: I20120625000449 |
| Provider Name | Nicholas D Frank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942475454 PECOS PAC ID: 5193980514 Enrollment ID: I20120709000644 |
| Provider Name | Peter A Baggenstos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265694418 PECOS PAC ID: 9739344193 Enrollment ID: I20120710000267 |
| Provider Name | Keri Megan Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336416783 PECOS PAC ID: 1951567148 Enrollment ID: I20120716000071 |
| Provider Name | Mathew So |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215126503 PECOS PAC ID: 1254597487 Enrollment ID: I20120716000497 |
| Provider Name | Rade Tomic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548377658 PECOS PAC ID: 5991785487 Enrollment ID: I20120716000514 |
| Provider Name | Georgios Emmanuel Manousakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588854608 PECOS PAC ID: 5890951917 Enrollment ID: I20120718000205 |
| Provider Name | Paul E Drawz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528140019 PECOS PAC ID: 6103082011 Enrollment ID: I20120721000003 |
| Provider Name | Michael Grogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518015627 PECOS PAC ID: 6608044334 Enrollment ID: I20120723000798 |
| Provider Name | Rakesh John |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1487800249 PECOS PAC ID: 7214193820 Enrollment ID: I20120726000362 |
| Provider Name | Khalid Amin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003011396 PECOS PAC ID: 3072779693 Enrollment ID: I20120726000443 |
| Provider Name | Helen Teresa Davido |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841412590 PECOS PAC ID: 2961674049 Enrollment ID: I20120731000033 |
| Provider Name | Matthew C Peterson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083840664 PECOS PAC ID: 1850547142 Enrollment ID: I20120801000576 |
| Provider Name | Barbara A Lehmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699000760 PECOS PAC ID: 5799931986 Enrollment ID: I20120802000707 |
| Provider Name | Jaime Nicole Wirth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386935229 PECOS PAC ID: 0648426718 Enrollment ID: I20120806000045 |
| Provider Name | Joan Laes |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1619104445 PECOS PAC ID: 3678729530 Enrollment ID: I20120808000440 |
| Provider Name | Sami Safadi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255664421 PECOS PAC ID: 7315193174 Enrollment ID: I20120809000632 |
| Provider Name | Eugene Drescher Dulaney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780616821 PECOS PAC ID: 7214000439 Enrollment ID: I20120809000936 |
| Provider Name | Benjamin A Gilloon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902919376 PECOS PAC ID: 5597880989 Enrollment ID: I20120810000007 |
| Provider Name | Thejaswi Karnayana Poonacha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639309560 PECOS PAC ID: 1355515206 Enrollment ID: I20120810000127 |
| Provider Name | Lisa M Guetzko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831388974 PECOS PAC ID: 0840446670 Enrollment ID: I20120810000460 |
| Provider Name | Amy B Vislisel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952537979 PECOS PAC ID: 6709032444 Enrollment ID: I20120810000651 |
| Provider Name | Lisa A Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740574995 PECOS PAC ID: 9537315288 Enrollment ID: I20120810000763 |
| Provider Name | Yetmwork D Berhanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639484843 PECOS PAC ID: 1658527338 Enrollment ID: I20120813000244 |
| Provider Name | Michael J Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609003292 PECOS PAC ID: 8628224110 Enrollment ID: I20120816000539 |
| Provider Name | Sarah L Elfering |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225205180 PECOS PAC ID: 7618013319 Enrollment ID: I20120820000756 |
| Provider Name | Bernard E Trappey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336382852 PECOS PAC ID: 8022265487 Enrollment ID: I20120821000196 |
| Provider Name | Gwenyth A Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104990191 PECOS PAC ID: 7517114762 Enrollment ID: I20120823000540 |
| Provider Name | Rochus K Voeller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750465290 PECOS PAC ID: 0446260863 Enrollment ID: I20120823000547 |
| Provider Name | Georgina M Greil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699949776 PECOS PAC ID: 4587811666 Enrollment ID: I20120824000102 |
| Provider Name | Tamas Alexy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477782316 PECOS PAC ID: 2466609334 Enrollment ID: I20120828000586 |
| Provider Name | Ingrid B Kaijage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285868190 PECOS PAC ID: 6709033483 Enrollment ID: I20120831000372 |
| Provider Name | Erich N Bryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740459551 PECOS PAC ID: 5799932489 Enrollment ID: I20120831000495 |
| Provider Name | Gara Alsaadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710128707 PECOS PAC ID: 3476700097 Enrollment ID: I20120904000215 |
| Provider Name | Jose Antonio Vega Peralta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447427588 PECOS PAC ID: 7012164544 Enrollment ID: I20120905000638 |
| Provider Name | Karim Thomas Sadak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881861235 PECOS PAC ID: 7618124165 Enrollment ID: I20120906000076 |
| Provider Name | Isaac T Marsolek |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073788519 PECOS PAC ID: 0345497897 Enrollment ID: I20120906000078 |
| Provider Name | Alexandra Danielle Zagoloff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376890525 PECOS PAC ID: 7315194867 Enrollment ID: I20120906000106 |
| Provider Name | Janet Rae Hume |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750500088 PECOS PAC ID: 7113174673 Enrollment ID: I20120906000136 |
| Provider Name | Jill J Colglazier |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184842957 PECOS PAC ID: 7911154471 Enrollment ID: I20120906000156 |
| Provider Name | Andrew J Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093783961 PECOS PAC ID: 5193788859 Enrollment ID: I20120906000169 |
| Provider Name | Zohar Sachs |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568623148 PECOS PAC ID: 3375791601 Enrollment ID: I20120912000099 |
| Provider Name | Bethany J Hanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841555927 PECOS PAC ID: 2860640117 Enrollment ID: I20120912000319 |
| Provider Name | Julianne M Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427304260 PECOS PAC ID: 0446408702 Enrollment ID: I20120912000498 |
| Provider Name | Jennifer Young Kendall Thomas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801061098 PECOS PAC ID: 7012185911 Enrollment ID: I20120912000533 |
| Provider Name | Taiwo N Ngwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619262110 PECOS PAC ID: 9830347061 Enrollment ID: I20120913000365 |
| Provider Name | Michelle C Naylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316187347 PECOS PAC ID: 4486802592 Enrollment ID: I20120914000452 |
| Provider Name | Susan S. Pleasants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427349463 PECOS PAC ID: 5991953945 Enrollment ID: I20120917000195 |
| Provider Name | Sara L Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073740668 PECOS PAC ID: 9234387192 Enrollment ID: I20120918000624 |
| Provider Name | Raquel A De La Mater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760747471 PECOS PAC ID: 1951559715 Enrollment ID: I20120919000875 |
| Provider Name | Holly M Bieda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548467343 PECOS PAC ID: 1456509066 Enrollment ID: I20120924000106 |
| Provider Name | Jennifer Hsia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174633184 PECOS PAC ID: 6204013550 Enrollment ID: I20120924000417 |
| Provider Name | Christina M Wiekamp |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1356615322 PECOS PAC ID: 5890944490 Enrollment ID: I20120925000383 |
| Provider Name | Heather A Podgorski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720297427 PECOS PAC ID: 2769631290 Enrollment ID: I20120927000209 |
| Provider Name | Anoshirvan Mazhari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396973921 PECOS PAC ID: 1456476670 Enrollment ID: I20121002000165 |
| Provider Name | Gloria A Swanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750525580 PECOS PAC ID: 6002065331 Enrollment ID: I20121002000578 |
| Provider Name | Katrina A Leone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487846978 PECOS PAC ID: 9638365737 Enrollment ID: I20121004000031 |
| Provider Name | Meghann R Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235421660 PECOS PAC ID: 0143479295 Enrollment ID: I20121004000322 |
| Provider Name | Sima I. Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043350366 PECOS PAC ID: 6800045964 Enrollment ID: I20121004000401 |
| Provider Name | Amy K Cole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396007415 PECOS PAC ID: 3971752064 Enrollment ID: I20121004000763 |
| Provider Name | Tyler G Ketterl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205128543 PECOS PAC ID: 1759530629 Enrollment ID: I20121009000643 |
| Provider Name | Liberty J Zyduck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336371780 PECOS PAC ID: 3971752791 Enrollment ID: I20121010000463 |
| Provider Name | Salman Mallick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578892113 PECOS PAC ID: 5698924322 Enrollment ID: I20121012000347 |
| Provider Name | Constance L Gilloon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316051626 PECOS PAC ID: 4486778362 Enrollment ID: I20121015000368 |
| Provider Name | Elizabeth Uchitelle |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720049828 PECOS PAC ID: 3870563240 Enrollment ID: I20121015000462 |
| Provider Name | Ali Mokhtarzadeh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225299647 PECOS PAC ID: 2860642402 Enrollment ID: I20121017000374 |
| Provider Name | Amy Denise Bandt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699007633 PECOS PAC ID: 4587794169 Enrollment ID: I20121019000053 |
| Provider Name | Julie A Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407118524 PECOS PAC ID: 8123278454 Enrollment ID: I20121023000559 |
| Provider Name | Kelly D Sander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821389677 PECOS PAC ID: 1759531965 Enrollment ID: I20121024000775 |
| Provider Name | Meghan E Harney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548497878 PECOS PAC ID: 1759531775 Enrollment ID: I20121026000543 |
| Provider Name | Naomi T Goloff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093040404 PECOS PAC ID: 0648420653 Enrollment ID: I20121029000801 |
| Provider Name | Claudia Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730384397 PECOS PAC ID: 6406970094 Enrollment ID: I20121030000111 |
| Provider Name | Carissa M Scanlan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083972517 PECOS PAC ID: 5991955890 Enrollment ID: I20121031000439 |
| Provider Name | Ahmed R. Shakir |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689899312 PECOS PAC ID: 3678751864 Enrollment ID: I20121106000327 |
| Provider Name | Gerald V Raymond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386686467 PECOS PAC ID: 8224171244 Enrollment ID: I20121106000475 |
| Provider Name | Livia T Hegerova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053605261 PECOS PAC ID: 5496906000 Enrollment ID: I20121107000764 |
| Provider Name | Kara Dianne Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841587193 PECOS PAC ID: 5294986535 Enrollment ID: I20121113000643 |
| Provider Name | Andrea J Greseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134437353 PECOS PAC ID: 7113178344 Enrollment ID: I20121115000242 |
| Provider Name | Umbreen Hasan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447464748 PECOS PAC ID: 4981780780 Enrollment ID: I20121120000143 |
| Provider Name | Prabhjot S Nijjar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669687711 PECOS PAC ID: 0547338535 Enrollment ID: I20121120000352 |
| Provider Name | Brian K Muthyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821230574 PECOS PAC ID: 5698924363 Enrollment ID: I20121121000503 |
| Provider Name | Amanda K Hilligoss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922361328 PECOS PAC ID: 1456502418 Enrollment ID: I20121121000532 |
| Provider Name | Jessica M Kealhofer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407148315 PECOS PAC ID: 4183875065 Enrollment ID: I20121127000700 |
| Provider Name | Vasudha Goel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104091834 PECOS PAC ID: 1759533607 Enrollment ID: I20121129000043 |
| Provider Name | Lavanya Bhoopathy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891027884 PECOS PAC ID: 4082878012 Enrollment ID: I20121129000449 |
| Provider Name | Kari M Vergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538418603 PECOS PAC ID: 7012169857 Enrollment ID: I20121130000423 |
| Provider Name | Shannon L Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972853208 PECOS PAC ID: 3375795115 Enrollment ID: I20121130000449 |
| Provider Name | Monica I Lupei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265694434 PECOS PAC ID: 4789836446 Enrollment ID: I20121204000490 |
| Provider Name | Thomas J Maust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629396619 PECOS PAC ID: 9133371891 Enrollment ID: I20121204000494 |
| Provider Name | Nasima R Soomar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295825537 PECOS PAC ID: 2264571546 Enrollment ID: I20121205000552 |
| Provider Name | Rachael O Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295025716 PECOS PAC ID: 9234381757 Enrollment ID: I20121210000049 |
| Provider Name | Sameer Nevile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447556584 PECOS PAC ID: 5991957425 Enrollment ID: I20121210000252 |
| Provider Name | Kenneth Wayne Crabb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023054681 PECOS PAC ID: 5092865535 Enrollment ID: I20121210000315 |
| Provider Name | Saima Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871727339 PECOS PAC ID: 4789736869 Enrollment ID: I20121210000414 |
| Provider Name | Elisa Marie Smith |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164419644 PECOS PAC ID: 1052456233 Enrollment ID: I20121210000488 |
| Provider Name | Shane Cameron Mcallister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538330980 PECOS PAC ID: 4688826993 Enrollment ID: I20121213000351 |
| Provider Name | Jon Charles Reich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376862318 PECOS PAC ID: 5294987426 Enrollment ID: I20121214000122 |
| Provider Name | Rumi Mohammed Faizer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720025455 PECOS PAC ID: 2961654132 Enrollment ID: I20121215000015 |
| Provider Name | Syed Z Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841492188 PECOS PAC ID: 2466538251 Enrollment ID: I20121215000018 |
| Provider Name | Rachel D Alvey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871703611 PECOS PAC ID: 9436301595 Enrollment ID: I20121218000531 |
| Provider Name | Jinal K Vakil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134472913 PECOS PAC ID: 6709038896 Enrollment ID: I20121219000268 |
| Provider Name | Stanton S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861669400 PECOS PAC ID: 5991978108 Enrollment ID: I20121221000035 |
| Provider Name | Yazmin M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538411855 PECOS PAC ID: 3577716570 Enrollment ID: I20121226000054 |
| Provider Name | Gail L Turnberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063404655 PECOS PAC ID: 4486807278 Enrollment ID: I20130103000061 |
| Provider Name | Emily Marie Luitjens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245587252 PECOS PAC ID: 2365695020 Enrollment ID: I20130104000392 |
| Provider Name | Joel R Clausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336493493 PECOS PAC ID: 9133372881 Enrollment ID: I20130109000393 |
| Provider Name | Mary Mackenburg Mohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073690012 PECOS PAC ID: 3577716158 Enrollment ID: I20130109000777 |
| Provider Name | Salahudin Maalim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447578083 PECOS PAC ID: 6204089881 Enrollment ID: I20130109000782 |
| Provider Name | Doina S Nistor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568795243 PECOS PAC ID: 8022261510 Enrollment ID: I20130111000397 |
| Provider Name | Archana Ramaswamy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164474870 PECOS PAC ID: 8921033572 Enrollment ID: I20130114000483 |
| Provider Name | Amit M Chaudhari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760760904 PECOS PAC ID: 3072783604 Enrollment ID: I20130115000097 |
| Provider Name | Aaron K Graumann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194042887 PECOS PAC ID: 4183877566 Enrollment ID: I20130115000289 |
| Provider Name | Rashi Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205848892 PECOS PAC ID: 2668478801 Enrollment ID: I20130116000315 |
| Provider Name | Rochelle D Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023306834 PECOS PAC ID: 7416101548 Enrollment ID: I20130125000234 |
| Provider Name | Adriana J Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902053952 PECOS PAC ID: 0941358808 Enrollment ID: I20130205000150 |
| Provider Name | Kimberly S Heckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811241326 PECOS PAC ID: 9931353612 Enrollment ID: I20130205000195 |
| Provider Name | Tracy A Roehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043563463 PECOS PAC ID: 2264686823 Enrollment ID: I20130206000465 |
| Provider Name | Linda D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760499909 PECOS PAC ID: 5092771956 Enrollment ID: I20130214000559 |
| Provider Name | Suma Jacob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932269396 PECOS PAC ID: 5991714446 Enrollment ID: I20130219000132 |
| Provider Name | Janell K Melhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871658625 PECOS PAC ID: 4183879091 Enrollment ID: I20130226000463 |
| Provider Name | Vicky L Therkildsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598093536 PECOS PAC ID: 1052454436 Enrollment ID: I20130227000601 |
| Provider Name | Balaji Krishnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477784288 PECOS PAC ID: 6204081615 Enrollment ID: I20130308000170 |
| Provider Name | David G Mainguy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376598953 PECOS PAC ID: 7113162314 Enrollment ID: I20130318000010 |
| Provider Name | Bhaskar C Kolla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659535615 PECOS PAC ID: 8325187982 Enrollment ID: I20130318000316 |
| Provider Name | Scott E Runde |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154355667 PECOS PAC ID: 2860485695 Enrollment ID: I20130318000436 |
| Provider Name | Julie S Ligday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780922047 PECOS PAC ID: 4385889427 Enrollment ID: I20130320000758 |
| Provider Name | Cassidy R Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881930204 PECOS PAC ID: 7810132545 Enrollment ID: I20130328000224 |
| Provider Name | Samantha M Sorensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750625166 PECOS PAC ID: 7618112350 Enrollment ID: I20130328000253 |
| Provider Name | Joyce A Wahr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821309337 PECOS PAC ID: 1658563689 Enrollment ID: I20130329000058 |
| Provider Name | Sithu Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275851354 PECOS PAC ID: 8123263670 Enrollment ID: I20130404000106 |
| Provider Name | Holly G Winters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811235104 PECOS PAC ID: 0345485835 Enrollment ID: I20130404000517 |
| Provider Name | Bahram Hormozdi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386800266 PECOS PAC ID: 6002051471 Enrollment ID: I20130408000264 |
| Provider Name | Megan M Sheeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396099008 PECOS PAC ID: 7810133246 Enrollment ID: I20130409000465 |
| Provider Name | Lyudmila M Islyamoua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821231168 PECOS PAC ID: 4688851678 Enrollment ID: I20130415000187 |
| Provider Name | Nadiya Beliveau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366694341 PECOS PAC ID: 8022283373 Enrollment ID: I20130418000329 |
| Provider Name | Rahul Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558517433 PECOS PAC ID: 3375714967 Enrollment ID: I20130418000357 |
| Provider Name | Harrison Wilson Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013924612 PECOS PAC ID: 2860595980 Enrollment ID: I20130423000209 |
| Provider Name | Adnan Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063737153 PECOS PAC ID: 4385881341 Enrollment ID: I20130510000253 |
| Provider Name | Kimberly R Thein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437128352 PECOS PAC ID: 0840437646 Enrollment ID: I20130515000570 |
| Provider Name | Elizabeth N Jeffrey |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356669394 PECOS PAC ID: 0345487054 Enrollment ID: I20130516000054 |
| Provider Name | John F Lesko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831196484 PECOS PAC ID: 0345324042 Enrollment ID: I20130516000678 |
| Provider Name | Sara M Mestad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578804670 PECOS PAC ID: 6800033416 Enrollment ID: I20130517000443 |
| Provider Name | Rebecca L Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265773204 PECOS PAC ID: 2668610122 Enrollment ID: I20130523000313 |
| Provider Name | Nadir Demirel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538391628 PECOS PAC ID: 1355589334 Enrollment ID: I20130603000639 |
| Provider Name | Emily Schafhauser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578889424 PECOS PAC ID: 1557509577 Enrollment ID: I20130604000348 |
| Provider Name | Nyan Pyae |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992033922 PECOS PAC ID: 6103019732 Enrollment ID: I20130604000539 |
| Provider Name | Amar Mahgoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609076355 PECOS PAC ID: 3971635384 Enrollment ID: I20130604000567 |
| Provider Name | Jae-woo Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144516774 PECOS PAC ID: 9931347838 Enrollment ID: I20130605000382 |
| Provider Name | Devon Elizabeth Whitehead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003037458 PECOS PAC ID: 9335387216 Enrollment ID: I20130606000524 |
| Provider Name | Bethany L Hart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972745586 PECOS PAC ID: 4082852884 Enrollment ID: I20130606000788 |
| Provider Name | Danielle M Jeffrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184060402 PECOS PAC ID: 8527206275 Enrollment ID: I20130607000528 |
| Provider Name | Kamran Darabi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508074402 PECOS PAC ID: 1052484185 Enrollment ID: I20130612000348 |
| Provider Name | Rachael Teece |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376739821 PECOS PAC ID: 9739328295 Enrollment ID: I20130614000047 |
| Provider Name | Elizabeth L Meier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952655326 PECOS PAC ID: 3779722020 Enrollment ID: I20130617000413 |
| Provider Name | Sarah M Lofgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689991028 PECOS PAC ID: 8224277421 Enrollment ID: I20130619000467 |
| Provider Name | Christina P Russell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255659538 PECOS PAC ID: 7012156219 Enrollment ID: I20130619000495 |
| Provider Name | Alla Kelly |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174750079 PECOS PAC ID: 3375783160 Enrollment ID: I20130627000566 |
| Provider Name | Ehren N Rudolph |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952628604 PECOS PAC ID: 7618117417 Enrollment ID: I20130627000610 |
| Provider Name | Lisa J Bradt Karrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639260086 PECOS PAC ID: 5799925541 Enrollment ID: I20130628000287 |
| Provider Name | Xiaoyu J Hou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053636886 PECOS PAC ID: 7315187176 Enrollment ID: I20130628000308 |
| Provider Name | Adam B Jeffers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255539748 PECOS PAC ID: 8325293038 Enrollment ID: I20130702000112 |
| Provider Name | Elizabeth Z Colsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487802021 PECOS PAC ID: 3678713278 Enrollment ID: I20130702000472 |
| Provider Name | Pradeep Dahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134431059 PECOS PAC ID: 6305086919 Enrollment ID: I20130702000598 |
| Provider Name | Craig E Eckfeldt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265625719 PECOS PAC ID: 4385884949 Enrollment ID: I20130703000243 |
| Provider Name | Reed A Matter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790002426 PECOS PAC ID: 7315187846 Enrollment ID: I20130705000411 |
| Provider Name | Amber Frank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720220601 PECOS PAC ID: 4284874710 Enrollment ID: I20130705000461 |
| Provider Name | Paul Bechard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689991556 PECOS PAC ID: 7719127240 Enrollment ID: I20130705000478 |
| Provider Name | Jeffrey T Pepin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699909663 PECOS PAC ID: 0446405005 Enrollment ID: I20130710000849 |
| Provider Name | James H Boyum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083877187 PECOS PAC ID: 1153584503 Enrollment ID: I20130711000346 |
| Provider Name | Thomas C Bryson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811101116 PECOS PAC ID: 0749436491 Enrollment ID: I20130715000353 |
| Provider Name | Michael B Pitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104072172 PECOS PAC ID: 9638200322 Enrollment ID: I20130716000588 |
| Provider Name | Alex Matthew Westenfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255313417 PECOS PAC ID: 4082603220 Enrollment ID: I20130717000427 |
| Provider Name | Siobhan M Flanagan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477880276 PECOS PAC ID: 1153561022 Enrollment ID: I20130717000772 |
| Provider Name | Kathleen Marie Pfister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952505448 PECOS PAC ID: 4880834753 Enrollment ID: I20130717000776 |
| Provider Name | Tate Alan Gisslen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629269121 PECOS PAC ID: 1254513724 Enrollment ID: I20130717000805 |
| Provider Name | Shashank Vats |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346482544 PECOS PAC ID: 6901047794 Enrollment ID: I20130719000539 |
| Provider Name | Elizabeth Ann Von Der Marwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619210812 PECOS PAC ID: 1759522576 Enrollment ID: I20130720000084 |
| Provider Name | Jennifer Lee Hedtke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114285012 PECOS PAC ID: 5991946725 Enrollment ID: I20130720000284 |
| Provider Name | Jonathan A Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003135328 PECOS PAC ID: 1254572969 Enrollment ID: I20130723000449 |
| Provider Name | Trent M Christensen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730446022 PECOS PAC ID: 1951542513 Enrollment ID: I20130724000081 |
| Provider Name | David Andrew Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760749485 PECOS PAC ID: 9931340593 Enrollment ID: I20130724000100 |
| Provider Name | Thomas Pavey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770726176 PECOS PAC ID: 5597932194 Enrollment ID: I20130724000583 |
| Provider Name | Thenappan Thenappan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1508842048 PECOS PAC ID: 6901832823 Enrollment ID: I20130724000730 |
| Provider Name | Nicholas L St. Ores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184981912 PECOS PAC ID: 8123269768 Enrollment ID: I20130724000920 |
| Provider Name | Erin M Scanlon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780902106 PECOS PAC ID: 6002057643 Enrollment ID: I20130724000969 |
| Provider Name | Elycia Rene Matushin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255698783 PECOS PAC ID: 3173764719 Enrollment ID: I20130724000990 |
| Provider Name | Annette K Nijjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912192600 PECOS PAC ID: 8820239346 Enrollment ID: I20130725000965 |
| Provider Name | Gillian G Schoenbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174963706 PECOS PAC ID: 5799926119 Enrollment ID: I20130729000171 |
| Provider Name | Henri Roukoz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144499187 PECOS PAC ID: 9931340353 Enrollment ID: I20130729000216 |
| Provider Name | Yukiko Nakajima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922389790 PECOS PAC ID: 1951543909 Enrollment ID: I20130805000296 |
| Provider Name | Sara J Burdash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578826707 PECOS PAC ID: 3779736574 Enrollment ID: I20130805000551 |
| Provider Name | Martina Richtsfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841450822 PECOS PAC ID: 5193967081 Enrollment ID: I20130805000995 |
| Provider Name | Ashenafi M Tamene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114168754 PECOS PAC ID: 0840432662 Enrollment ID: I20130807000631 |
| Provider Name | Kelly K White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417293572 PECOS PAC ID: 7810139581 Enrollment ID: I20130808000272 |
| Provider Name | Kuwe Rumicho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891010815 PECOS PAC ID: 7810149366 Enrollment ID: I20130808000411 |
| Provider Name | Joel C Strauch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407085616 PECOS PAC ID: 2668614348 Enrollment ID: I20130808000485 |
| Provider Name | David C Drage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053339697 PECOS PAC ID: 4688579006 Enrollment ID: I20130808000942 |
| Provider Name | Anna A Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679893184 PECOS PAC ID: 4688816317 Enrollment ID: I20130809000048 |
| Provider Name | Olutoyin E Akintola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912163148 PECOS PAC ID: 6305034307 Enrollment ID: I20130809000179 |
| Provider Name | Jane C Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548609019 PECOS PAC ID: 3173765625 Enrollment ID: I20130812000826 |
| Provider Name | Samar Malaeb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326216037 PECOS PAC ID: 8022250596 Enrollment ID: I20130813000312 |
| Provider Name | Abbie L Begnaud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396867909 PECOS PAC ID: 7315098324 Enrollment ID: I20130813000744 |
| Provider Name | Amy T Moeller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578706610 PECOS PAC ID: 5496902561 Enrollment ID: I20130813000933 |
| Provider Name | Al Gilbert V Galindez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689908253 PECOS PAC ID: 2769521665 Enrollment ID: I20130814000753 |
| Provider Name | Ashley K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982999397 PECOS PAC ID: 7416127097 Enrollment ID: I20130814000958 |
| Provider Name | Lara Hj Al Ejeilat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679889042 PECOS PAC ID: 8628210994 Enrollment ID: I20130815000764 |
| Provider Name | Matthew R Syzdek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699827972 PECOS PAC ID: 6103068317 Enrollment ID: I20130816000427 |
| Provider Name | Jodi L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689010357 PECOS PAC ID: 0042452286 Enrollment ID: I20130816000794 |
| Provider Name | Stephen Joseph Clappier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871850479 PECOS PAC ID: 1759523855 Enrollment ID: I20130819000746 |
| Provider Name | Jennifer Susan Needle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588685903 PECOS PAC ID: 1951349273 Enrollment ID: I20130820000170 |
| Provider Name | Raymond G Areaux |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447416946 PECOS PAC ID: 1153563200 Enrollment ID: I20130820000488 |
| Provider Name | Muna Senussi Sunni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114110566 PECOS PAC ID: 6305089418 Enrollment ID: I20130821000241 |
| Provider Name | Amy M Oneil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508129198 PECOS PAC ID: 7315183860 Enrollment ID: I20130821000540 |
| Provider Name | Rebecca Cogswell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861692519 PECOS PAC ID: 1658514658 Enrollment ID: I20130823000238 |
| Provider Name | Wojciech Kraszkiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003134636 PECOS PAC ID: 1759524705 Enrollment ID: I20130823000772 |
| Provider Name | Rita B Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316114275 PECOS PAC ID: 0648413609 Enrollment ID: I20130823000916 |
| Provider Name | Daniel T Kebed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003170952 PECOS PAC ID: 8325284847 Enrollment ID: I20130823001100 |
| Provider Name | Kristen A Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083056055 PECOS PAC ID: 4385887272 Enrollment ID: I20130824000134 |
| Provider Name | James Christopher Lorge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376749192 PECOS PAC ID: 7719134865 Enrollment ID: I20130827000196 |
| Provider Name | Arvin Thomas I Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770795411 PECOS PAC ID: 6103992292 Enrollment ID: I20130827000256 |
| Provider Name | Mary C Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588005441 PECOS PAC ID: 2466695283 Enrollment ID: I20130827000380 |
| Provider Name | Louis Kazaglis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477889798 PECOS PAC ID: 6103069893 Enrollment ID: I20130828000327 |
| Provider Name | Adam Maurice May |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407110307 PECOS PAC ID: 6608012463 Enrollment ID: I20130828000893 |
| Provider Name | Kathryn L Vaudreuil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821439910 PECOS PAC ID: 5799929683 Enrollment ID: I20130916000150 |
| Provider Name | Cara Koroscil Gaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053637835 PECOS PAC ID: 1557537990 Enrollment ID: I20130918000353 |
| Provider Name | Nikola Vuljaj |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386885317 PECOS PAC ID: 7810153921 Enrollment ID: I20130919000220 |
| Provider Name | Sean C Engel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518113646 PECOS PAC ID: 9234314386 Enrollment ID: I20130920000320 |
| Provider Name | Jeffery L Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114160058 PECOS PAC ID: 0345488227 Enrollment ID: I20130920000416 |
| Provider Name | Allison A Honke Karun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700832896 PECOS PAC ID: 8325010648 Enrollment ID: I20130925000029 |
| Provider Name | Dipi Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841451135 PECOS PAC ID: 1759525108 Enrollment ID: I20130925000130 |
| Provider Name | Yonatan Platt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346500923 PECOS PAC ID: 8729222179 Enrollment ID: I20130925000165 |
| Provider Name | Michael H Wall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023073160 PECOS PAC ID: 9931004678 Enrollment ID: I20130926000068 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20130926000149 |
| Provider Name | Nirmalla Mattson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417395302 PECOS PAC ID: 5698919918 Enrollment ID: I20130926000160 |
| Provider Name | Kathleen A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699108209 PECOS PAC ID: 0345474581 Enrollment ID: I20131002000089 |
| Provider Name | Marit E Thorsgard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841436383 PECOS PAC ID: 1658505532 Enrollment ID: I20131008001110 |
| Provider Name | Elizabeth L Courville |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831350826 PECOS PAC ID: 4486812815 Enrollment ID: I20131009001767 |
| Provider Name | Carmela J Claypool |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750403820 PECOS PAC ID: 2365676053 Enrollment ID: I20131011001524 |
| Provider Name | Tiffany N Ling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437581824 PECOS PAC ID: 0749414324 Enrollment ID: I20131015000648 |
| Provider Name | Cynthia S Fok |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730341231 PECOS PAC ID: 8426282831 Enrollment ID: I20131017000905 |
| Provider Name | Sagar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528327210 PECOS PAC ID: 0143454538 Enrollment ID: I20131018001095 |
| Provider Name | Jean K Tiffany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801154752 PECOS PAC ID: 4486889862 Enrollment ID: I20131022000268 |
| Provider Name | Ryan C Cusic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699091686 PECOS PAC ID: 2264667443 Enrollment ID: I20131023001741 |
| Provider Name | Kimberly A Gustafson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629410618 PECOS PAC ID: 7012142219 Enrollment ID: I20131023002341 |
| Provider Name | Sasha M Skendzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134561798 PECOS PAC ID: 7810122017 Enrollment ID: I20131024000006 |
| Provider Name | Andrew George Keenan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821239161 PECOS PAC ID: 6103078795 Enrollment ID: I20131025000200 |
| Provider Name | Daniel B Hayward |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821380577 PECOS PAC ID: 7315172483 Enrollment ID: I20131025000474 |
| Provider Name | Juan C Zeballos Chavez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841363223 PECOS PAC ID: 0446448260 Enrollment ID: I20131028000468 |
| Provider Name | Musa O Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376836270 PECOS PAC ID: 9739367590 Enrollment ID: I20131029000864 |
| Provider Name | Cristina S Albott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316237050 PECOS PAC ID: 4486889367 Enrollment ID: I20131030001741 |
| Provider Name | Lisa N Von Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093147142 PECOS PAC ID: 1759516503 Enrollment ID: I20131101000878 |
| Provider Name | Jerrod D Quarles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952638702 PECOS PAC ID: 4183859804 Enrollment ID: I20131104001583 |
| Provider Name | Danielle Brooke Morgan-goerke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972779759 PECOS PAC ID: 9436385929 Enrollment ID: I20131111000356 |
| Provider Name | Habiba Alero Ikoghode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669783106 PECOS PAC ID: 5890933824 Enrollment ID: I20131112001927 |
| Provider Name | Majid Shafiei |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841236049 PECOS PAC ID: 9335319144 Enrollment ID: I20131113000579 |
| Provider Name | Meysam A Kebriaei |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255452926 PECOS PAC ID: 8123254554 Enrollment ID: I20131113001192 |
| Provider Name | Karolina B Simenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952652810 PECOS PAC ID: 2567698624 Enrollment ID: I20131119001213 |
| Provider Name | Amy E Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205260122 PECOS PAC ID: 1153557087 Enrollment ID: I20131122000886 |
| Provider Name | Emad F Beshai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528069598 PECOS PAC ID: 3072614833 Enrollment ID: I20131126000188 |
| Provider Name | Megan T Fraser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588097091 PECOS PAC ID: 1456587229 Enrollment ID: I20131127000087 |
| Provider Name | Maria A. Ordonez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053577197 PECOS PAC ID: 9335296359 Enrollment ID: I20131202000828 |
| Provider Name | Brenda L Deutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528495397 PECOS PAC ID: 4880820430 Enrollment ID: I20131204000716 |
| Provider Name | Denise C Musser |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710312087 PECOS PAC ID: 7810124393 Enrollment ID: I20131206001223 |
| Provider Name | Ellissa A Kurk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013157551 PECOS PAC ID: 1153558671 Enrollment ID: I20131209000265 |
| Provider Name | Don M Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003118845 PECOS PAC ID: 9436386729 Enrollment ID: I20131211001888 |
| Provider Name | Veronica L Barnes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902231988 PECOS PAC ID: 7517194764 Enrollment ID: I20131212001865 |
| Provider Name | Clifford M Matushin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639143688 PECOS PAC ID: 2567569882 Enrollment ID: I20131213000744 |
| Provider Name | Tracie S Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548690902 PECOS PAC ID: 3577790575 Enrollment ID: I20131219001013 |
| Provider Name | Amanda L Schuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669715421 PECOS PAC ID: 8325275340 Enrollment ID: I20131219001553 |
| Provider Name | Todd M Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780924092 PECOS PAC ID: 3577709666 Enrollment ID: I20131224000275 |
| Provider Name | Matthew J Groschen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023370004 PECOS PAC ID: 4789811498 Enrollment ID: I20131227001655 |
| Provider Name | Sharon E Oconnor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568496867 PECOS PAC ID: 5890922538 Enrollment ID: I20131230000497 |
| Provider Name | Ian Chang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538451802 PECOS PAC ID: 1153559307 Enrollment ID: I20140114001507 |
| Provider Name | James C Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992065346 PECOS PAC ID: 0244468403 Enrollment ID: I20140115000020 |
| Provider Name | Chetan N Shenoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346571320 PECOS PAC ID: 4880870633 Enrollment ID: I20140115001232 |
| Provider Name | Sean M Sanford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487083044 PECOS PAC ID: 7719115807 Enrollment ID: I20140117000863 |
| Provider Name | Karla J Lind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023440294 PECOS PAC ID: 4486882446 Enrollment ID: I20140121000404 |
| Provider Name | David J Jewison |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003075383 PECOS PAC ID: 8325180078 Enrollment ID: I20140124000737 |
| Provider Name | Jill A Herges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376971515 PECOS PAC ID: 1052540200 Enrollment ID: I20140210001188 |
| Provider Name | Hayley Dee Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124457486 PECOS PAC ID: 2961631940 Enrollment ID: I20140218000000 |
| Provider Name | Ian M Melander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362264 PECOS PAC ID: 5496985376 Enrollment ID: I20140221000664 |
| Provider Name | Deborah S Cavanaugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720171283 PECOS PAC ID: 1557251899 Enrollment ID: I20140224000589 |
| Provider Name | Alayna Claire Pine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750610523 PECOS PAC ID: 5294876272 Enrollment ID: I20140306001069 |
| Provider Name | Kyle C Mairose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225398993 PECOS PAC ID: 1456581610 Enrollment ID: I20140308000148 |
| Provider Name | Anne-marie Leuck |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275728677 PECOS PAC ID: 3072744085 Enrollment ID: I20140314001115 |
| Provider Name | Mark D Bonin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619220019 PECOS PAC ID: 9830342773 Enrollment ID: I20140317002045 |
| Provider Name | Matthew R Casey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740227933 PECOS PAC ID: 4385656149 Enrollment ID: I20140324001233 |
| Provider Name | Ryan J Greiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710270665 PECOS PAC ID: 6002047685 Enrollment ID: I20140324002069 |
| Provider Name | Walid M Maalouli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912079609 PECOS PAC ID: 7416188941 Enrollment ID: I20140327000148 |
| Provider Name | Scott Daniel Shulman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770557316 PECOS PAC ID: 9032132527 Enrollment ID: I20140402002474 |
| Provider Name | Mandi Sue Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548506405 PECOS PAC ID: 8426202714 Enrollment ID: I20140407000259 |
| Provider Name | Joseph I Novik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174763312 PECOS PAC ID: 3173673530 Enrollment ID: I20140411000627 |
| Provider Name | Jason D C Holgers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922298801 PECOS PAC ID: 3577688662 Enrollment ID: I20140411001277 |
| Provider Name | Heidi J Ekman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710308234 PECOS PAC ID: 7911139506 Enrollment ID: I20140414001332 |
| Provider Name | Rachel L Fog |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407139868 PECOS PAC ID: 5597932533 Enrollment ID: I20140423001012 |
| Provider Name | Lidan Gu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164859443 PECOS PAC ID: 7618100819 Enrollment ID: I20140423001303 |
| Provider Name | Douglas P Friederich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710047253 PECOS PAC ID: 4688762867 Enrollment ID: I20140424000600 |
| Provider Name | Jeffery A Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982894010 PECOS PAC ID: 5395811954 Enrollment ID: I20140425000727 |
| Provider Name | Andrew Bunney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114246113 PECOS PAC ID: 5597998096 Enrollment ID: I20140508000511 |
| Provider Name | Linsey G Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710274667 PECOS PAC ID: 9638392897 Enrollment ID: I20140516000634 |
| Provider Name | Melissa S Engel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215199013 PECOS PAC ID: 2365612157 Enrollment ID: I20140516000912 |
| Provider Name | Karen L Laventure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548686934 PECOS PAC ID: 5395968481 Enrollment ID: I20140517000139 |
| Provider Name | Jonathan P Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003079112 PECOS PAC ID: 1153569710 Enrollment ID: I20140520002247 |
| Provider Name | Jake R Foley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912330150 PECOS PAC ID: 0749403780 Enrollment ID: I20140521000494 |
| Provider Name | Bartosz Jacek Grzywacz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386870251 PECOS PAC ID: 0941423800 Enrollment ID: I20140521001554 |
| Provider Name | Travis D Olives |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043447790 PECOS PAC ID: 5193948958 Enrollment ID: I20140523000532 |
| Provider Name | Sharena Deonarain |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619990199 PECOS PAC ID: 9335135979 Enrollment ID: I20140527000042 |
| Provider Name | Daniel David Miller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770745978 PECOS PAC ID: 9638330103 Enrollment ID: I20140527000481 |
| Provider Name | Daniel J Townsend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649530163 PECOS PAC ID: 3072736404 Enrollment ID: I20140603001354 |
| Provider Name | Amanda G Vander Wal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811249295 PECOS PAC ID: 5799908133 Enrollment ID: I20140603001798 |
| Provider Name | William Mark Gershan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821040403 PECOS PAC ID: 3375561996 Enrollment ID: I20140605000414 |
| Provider Name | Julia L Weinkauf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568620086 PECOS PAC ID: 9537316708 Enrollment ID: I20140606000058 |
| Provider Name | Helena B Molero Ramirez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780833483 PECOS PAC ID: 3678797974 Enrollment ID: I20140606000312 |
| Provider Name | Paul A Wratkowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083909733 PECOS PAC ID: 8820212137 Enrollment ID: I20140606000425 |
| Provider Name | Kristen Jones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225260003 PECOS PAC ID: 7214151588 Enrollment ID: I20140609000384 |
| Provider Name | Margareth Pierre-louis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063731065 PECOS PAC ID: 9032333208 Enrollment ID: I20140609000805 |
| Provider Name | Rachel Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386904092 PECOS PAC ID: 3476777665 Enrollment ID: I20140609001851 |
| Provider Name | Lauren B Haveman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851618169 PECOS PAC ID: 7517181753 Enrollment ID: I20140610001255 |
| Provider Name | Hope M Pogemiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841518578 PECOS PAC ID: 4688898844 Enrollment ID: I20140610001747 |
| Provider Name | Byron Philip Vaughn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255503223 PECOS PAC ID: 0648494716 Enrollment ID: I20140611000024 |
| Provider Name | Ronda Samir Farah |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386963536 PECOS PAC ID: 5496911935 Enrollment ID: I20140612000307 |
| Provider Name | Andrew C Nelson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760700777 PECOS PAC ID: 9436373586 Enrollment ID: I20140612000369 |
| Provider Name | Catherine Lenore Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235550575 PECOS PAC ID: 6608090659 Enrollment ID: I20140612000879 |
| Provider Name | David J Warren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841587128 PECOS PAC ID: 6204050248 Enrollment ID: I20140613002117 |
| Provider Name | Kamel Gharaibeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20140617000960 |
| Provider Name | Noelle Fae Hoven |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598057390 PECOS PAC ID: 9739303421 Enrollment ID: I20140619002217 |
| Provider Name | Jill A Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720337702 PECOS PAC ID: 5597916437 Enrollment ID: I20140620000268 |
| Provider Name | Ryan J Olmscheid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124430228 PECOS PAC ID: 5395960850 Enrollment ID: I20140626000315 |
| Provider Name | Vincent S Pureza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841550415 PECOS PAC ID: 6305061789 Enrollment ID: I20140626001473 |
| Provider Name | Justin R Howard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134360704 PECOS PAC ID: 9830314210 Enrollment ID: I20140626001516 |
| Provider Name | Adam G Kolb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053600478 PECOS PAC ID: 0840415287 Enrollment ID: I20140627000814 |
| Provider Name | Oliver T Phan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942463229 PECOS PAC ID: 4082862909 Enrollment ID: I20140630002198 |
| Provider Name | Haitham M Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851583579 PECOS PAC ID: 8224285614 Enrollment ID: I20140701001721 |
| Provider Name | Stephanie H Tkach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851608749 PECOS PAC ID: 3971728163 Enrollment ID: I20140701002312 |
| Provider Name | Teja Umesh Dyamenahalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407155922 PECOS PAC ID: 3577788629 Enrollment ID: I20140702002346 |
| Provider Name | Cyrus Jahansouz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073926705 PECOS PAC ID: 9830314988 Enrollment ID: I20140702002358 |
| Provider Name | Radha Rajasingham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013181130 PECOS PAC ID: 2466677521 Enrollment ID: I20140702002741 |
| Provider Name | Ryan Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881820074 PECOS PAC ID: 0446475495 Enrollment ID: I20140707000823 |
| Provider Name | Alexander A Boucher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194083675 PECOS PAC ID: 9133344195 Enrollment ID: I20140707001277 |
| Provider Name | Daniel F Pease |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396035176 PECOS PAC ID: 1658596630 Enrollment ID: I20140707001959 |
| Provider Name | Nicholas H Jubert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225320831 PECOS PAC ID: 4183849110 Enrollment ID: I20140708001787 |
| Provider Name | Darcia M Dierking |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780741942 PECOS PAC ID: 3678667995 Enrollment ID: I20140710001365 |
| Provider Name | Omar T Orozco Herrera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215215199 PECOS PAC ID: 2062637705 Enrollment ID: I20140714000276 |
| Provider Name | Ryan P Brady |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639303704 PECOS PAC ID: 5294950978 Enrollment ID: I20140714001817 |
| Provider Name | Julie M Ottosen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053550434 PECOS PAC ID: 7810112596 Enrollment ID: I20140714001867 |
| Provider Name | Rekha Kalidindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750678942 PECOS PAC ID: 4981829678 Enrollment ID: I20140714002376 |
| Provider Name | Zachary K Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689992174 PECOS PAC ID: 3870723778 Enrollment ID: I20140716000368 |
| Provider Name | Matthew B Ambrose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255523320 PECOS PAC ID: 4789800202 Enrollment ID: I20140718001042 |
| Provider Name | Aparna Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720315906 PECOS PAC ID: 4880832823 Enrollment ID: I20140723001921 |
| Provider Name | Esra Sit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962785063 PECOS PAC ID: 6608092838 Enrollment ID: I20140724001574 |
| Provider Name | Asad Nazir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346567633 PECOS PAC ID: 8921255878 Enrollment ID: I20140724002232 |
| Provider Name | Andrea M Rowland-fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932491149 PECOS PAC ID: 3375769417 Enrollment ID: I20140724002554 |
| Provider Name | Thomas Von Soukup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891087953 PECOS PAC ID: 8224265749 Enrollment ID: I20140724002620 |
| Provider Name | Suzanne G Jasberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679891196 PECOS PAC ID: 0941426043 Enrollment ID: I20140725001548 |
| Provider Name | Elliot G Arsoniadis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225328388 PECOS PAC ID: 1557587409 Enrollment ID: I20140729002272 |
| Provider Name | Caren Blacker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871857458 PECOS PAC ID: 9032355854 Enrollment ID: I20140729002799 |
| Provider Name | Laura J Hagemeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831489483 PECOS PAC ID: 9739306358 Enrollment ID: I20140805002355 |
| Provider Name | Mueni C Mualuko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083027536 PECOS PAC ID: 2567689706 Enrollment ID: I20140811002720 |
| Provider Name | Katherine T Janssen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205196854 PECOS PAC ID: 8820215957 Enrollment ID: I20140813000512 |
| Provider Name | Kirsten E White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104110170 PECOS PAC ID: 2466695093 Enrollment ID: I20140814001374 |
| Provider Name | Michon E Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851733919 PECOS PAC ID: 0042437006 Enrollment ID: I20140814002040 |
| Provider Name | Jason S Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659661478 PECOS PAC ID: 5597982397 Enrollment ID: I20140818001727 |
| Provider Name | Vlad C Vasile |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740544675 PECOS PAC ID: 3274779129 Enrollment ID: I20140818001867 |
| Provider Name | Viola M Tracy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366694655 PECOS PAC ID: 6709024326 Enrollment ID: I20140818001957 |
| Provider Name | Christopher Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326359456 PECOS PAC ID: 6507002144 Enrollment ID: I20140820001181 |
| Provider Name | Jacob J Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265871701 PECOS PAC ID: 9931341278 Enrollment ID: I20140821000325 |
| Provider Name | Jeff Werner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417152885 PECOS PAC ID: 7113180258 Enrollment ID: I20140821002741 |
| Provider Name | Kari Lynn Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427211655 PECOS PAC ID: 7416114442 Enrollment ID: I20140825000415 |
| Provider Name | Colleen E Lane |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659717312 PECOS PAC ID: 3779722251 Enrollment ID: I20140828001400 |
| Provider Name | Dawn M Violette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356750822 PECOS PAC ID: 2860610870 Enrollment ID: I20140903001882 |
| Provider Name | Jared G Bird |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467898155 PECOS PAC ID: 9931341534 Enrollment ID: I20140904002002 |
| Provider Name | Yogesh N V Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508148511 PECOS PAC ID: 3072731900 Enrollment ID: I20140905001356 |
| Provider Name | Andrew N Rosenbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336580935 PECOS PAC ID: 4880836147 Enrollment ID: I20140909001392 |
| Provider Name | Anna S Masters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366574592 PECOS PAC ID: 8224207741 Enrollment ID: I20140916001381 |
| Provider Name | Janna R Gewirtz O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518306703 PECOS PAC ID: 4385887009 Enrollment ID: I20140916001560 |
| Provider Name | Laurel E Stephenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467610634 PECOS PAC ID: 9638324627 Enrollment ID: I20140916002410 |
| Provider Name | Sarah B Kinsella |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740509371 PECOS PAC ID: 6002035342 Enrollment ID: I20140918000345 |
| Provider Name | Sarah K Leadley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316263767 PECOS PAC ID: 9133342728 Enrollment ID: I20140919000334 |
| Provider Name | Rebecca Sara Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055949 PECOS PAC ID: 2062631286 Enrollment ID: I20140919000582 |
| Provider Name | Isahaq M Abdullahi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780904532 PECOS PAC ID: 9234358482 Enrollment ID: I20140919001840 |
| Provider Name | Kristina M Krohn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316265564 PECOS PAC ID: 7416176565 Enrollment ID: I20140922002872 |
| Provider Name | Matthew H Foehrenbacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750672812 PECOS PAC ID: 8022237023 Enrollment ID: I20140923001876 |
| Provider Name | Carla E Cerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346664794 PECOS PAC ID: 4082834031 Enrollment ID: I20140925002047 |
| Provider Name | Eric J Nitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295078061 PECOS PAC ID: 8820218712 Enrollment ID: I20140926001489 |
| Provider Name | Rebecca L Markowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164740072 PECOS PAC ID: 1951543685 Enrollment ID: I20140929000290 |
| Provider Name | Rolf G Hallberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386936151 PECOS PAC ID: 3779738778 Enrollment ID: I20140929000588 |
| Provider Name | Amanda J Dubuque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568874931 PECOS PAC ID: 8729208681 Enrollment ID: I20140929000841 |
| Provider Name | Nicole M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477964336 PECOS PAC ID: 3870713746 Enrollment ID: I20140929001016 |
| Provider Name | Ann C Molitor Eder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235540014 PECOS PAC ID: 0446470314 Enrollment ID: I20140929001333 |
| Provider Name | Jonathan M Hauff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518308956 PECOS PAC ID: 7214157064 Enrollment ID: I20140930001676 |
| Provider Name | Assefa M Ayalew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912240235 PECOS PAC ID: 5597985358 Enrollment ID: I20140930001982 |
| Provider Name | Christy M Boraas Alsleben |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750544581 PECOS PAC ID: 9830353234 Enrollment ID: I20141001001409 |
| Provider Name | Kurt W Prins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730446873 PECOS PAC ID: 4789835588 Enrollment ID: I20141002001768 |
| Provider Name | Melissa Ny Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346539632 PECOS PAC ID: 4486874005 Enrollment ID: I20141002002035 |
| Provider Name | Tammie S Burnoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669884359 PECOS PAC ID: 7719107283 Enrollment ID: I20141003001842 |
| Provider Name | Mandy Marie Reckward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528470572 PECOS PAC ID: 2860612397 Enrollment ID: I20141006001588 |
| Provider Name | Karam Makram Obeid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114138237 PECOS PAC ID: 6608760178 Enrollment ID: I20141007000811 |
| Provider Name | Jacy A Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265831317 PECOS PAC ID: 7810117132 Enrollment ID: I20141008000564 |
| Provider Name | Mahmoud A Khalifa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467517920 PECOS PAC ID: 8628973468 Enrollment ID: I20141008002464 |
| Provider Name | Katherine A Kondziolka |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326447038 PECOS PAC ID: 9234359530 Enrollment ID: I20141009000486 |
| Provider Name | Vishnu Laalitha Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164714002 PECOS PAC ID: 5597985770 Enrollment ID: I20141010000958 |
| Provider Name | Debra A Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881683175 PECOS PAC ID: 8820219934 Enrollment ID: I20141014001504 |
| Provider Name | Nathan P Strudle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386965226 PECOS PAC ID: 9234350364 Enrollment ID: I20141015000116 |
| Provider Name | Anthony R Palmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083023477 PECOS PAC ID: 3779704804 Enrollment ID: I20141015000169 |
| Provider Name | Matthew D Sorensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417365479 PECOS PAC ID: 8921229063 Enrollment ID: I20141015000304 |
| Provider Name | Natalie A Hahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255746459 PECOS PAC ID: 1254552318 Enrollment ID: I20141015001193 |
| Provider Name | Kyle R Sell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437567682 PECOS PAC ID: 7315168499 Enrollment ID: I20141015001595 |
| Provider Name | Hugo R Klaers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225444383 PECOS PAC ID: 0042431058 Enrollment ID: I20141016000514 |
| Provider Name | Brianna M Bren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588079933 PECOS PAC ID: 0840411898 Enrollment ID: I20141016001716 |
| Provider Name | Shannon M Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053727321 PECOS PAC ID: 2062633019 Enrollment ID: I20141016001968 |
| Provider Name | Paari Murugan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548593205 PECOS PAC ID: 6002037991 Enrollment ID: I20141017000553 |
| Provider Name | Jaya Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013172717 PECOS PAC ID: 5395916555 Enrollment ID: I20141020001275 |
| Provider Name | Bipin Barun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558503037 PECOS PAC ID: 1658550611 Enrollment ID: I20141020001566 |
| Provider Name | Deanna Downs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831533868 PECOS PAC ID: 9032330873 Enrollment ID: I20141021001184 |
| Provider Name | Misbil F Hagi-salaad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508265984 PECOS PAC ID: 0749401586 Enrollment ID: I20141021001291 |
| Provider Name | Christine H Peltier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528474392 PECOS PAC ID: 7517188048 Enrollment ID: I20141024001431 |
| Provider Name | Melissa A Gulden-maleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457750937 PECOS PAC ID: 7113148529 Enrollment ID: I20141029000847 |
| Provider Name | Eusebio Emmanuel S Ferrer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538173406 PECOS PAC ID: 0042248791 Enrollment ID: I20141029001347 |
| Provider Name | Inga Dembinskaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568722908 PECOS PAC ID: 1759502958 Enrollment ID: I20141030002503 |
| Provider Name | Judith A Wiltse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134411135 PECOS PAC ID: 1850513961 Enrollment ID: I20141105000752 |
| Provider Name | Heidi M Haider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356753909 PECOS PAC ID: 5496977415 Enrollment ID: I20141106001752 |
| Provider Name | Wolfgang Bernd Gaertner |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083857148 PECOS PAC ID: 7911129804 Enrollment ID: I20141108000168 |
| Provider Name | Jonathan D Gale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588829428 PECOS PAC ID: 3173752870 Enrollment ID: I20141110000063 |
| Provider Name | Hung Canh Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982997375 PECOS PAC ID: 5597994616 Enrollment ID: I20141111000516 |
| Provider Name | Aaron T Jagelski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548261357 PECOS PAC ID: 8527045764 Enrollment ID: I20141111000707 |
| Provider Name | Adalberto Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861753774 PECOS PAC ID: 8022268432 Enrollment ID: I20141112001546 |
| Provider Name | Kathleen M Miley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186062 PECOS PAC ID: 8022230721 Enrollment ID: I20141113000833 |
| Provider Name | Natasha A Tennessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710387220 PECOS PAC ID: 7911129614 Enrollment ID: I20141113000875 |
| Provider Name | Vivek Biala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720211840 PECOS PAC ID: 8224286547 Enrollment ID: I20141113001958 |
| Provider Name | Jessica M Cici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972737997 PECOS PAC ID: 7719109073 Enrollment ID: I20141121000355 |
| Provider Name | Alexander M Hubbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508209842 PECOS PAC ID: 1052633047 Enrollment ID: I20141202001160 |
| Provider Name | Richard J Mastenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619386083 PECOS PAC ID: 8123340114 Enrollment ID: I20141202001220 |
| Provider Name | Vaishnavi A Parnerkar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972730703 PECOS PAC ID: 3577885581 Enrollment ID: I20141202001712 |
| Provider Name | Sarah A Mcintire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184916280 PECOS PAC ID: 3375865314 Enrollment ID: I20141203000324 |
| Provider Name | Srikanth R Dakoji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689932436 PECOS PAC ID: 7719209766 Enrollment ID: I20141203000765 |
| Provider Name | Janet L Quarshie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083029466 PECOS PAC ID: 2062734957 Enrollment ID: I20141203002347 |
| Provider Name | Scott C Repa |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720309404 PECOS PAC ID: 9032431960 Enrollment ID: I20141204000976 |
| Provider Name | Betsy A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568879260 PECOS PAC ID: 5597087387 Enrollment ID: I20141205001076 |
| Provider Name | Chrystia C Lilley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447576376 PECOS PAC ID: 0244552065 Enrollment ID: I20141205001919 |
| Provider Name | Laura L Hilker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497162721 PECOS PAC ID: 0547582009 Enrollment ID: I20141211001556 |
| Provider Name | Laura K Dryjanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962805119 PECOS PAC ID: 2365764867 Enrollment ID: I20141212001054 |
| Provider Name | Seena S George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201221 PECOS PAC ID: 9335462761 Enrollment ID: I20141216001169 |
| Provider Name | Kelsey C Leonardsmith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992047385 PECOS PAC ID: 2466775671 Enrollment ID: I20141219000317 |
| Provider Name | Charito Manahan Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013103332 PECOS PAC ID: 5890984454 Enrollment ID: I20141219000422 |
| Provider Name | Jacob Waxman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972946937 PECOS PAC ID: 8820238322 Enrollment ID: I20141224001241 |
| Provider Name | Emily E Bunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720482565 PECOS PAC ID: 9537482559 Enrollment ID: I20141226000028 |
| Provider Name | Leah M Paquin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659777241 PECOS PAC ID: 3870816606 Enrollment ID: I20141230001877 |
| Provider Name | Dominic A Rossini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912137944 PECOS PAC ID: 0941523591 Enrollment ID: I20150106002378 |
| Provider Name | Emily M Utech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568704286 PECOS PAC ID: 8628391281 Enrollment ID: I20150107000029 |
| Provider Name | Leigh L Marasco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497160196 PECOS PAC ID: 8729301247 Enrollment ID: I20150107002498 |
| Provider Name | Blaine Minton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700224250 PECOS PAC ID: 4385885854 Enrollment ID: I20150112000450 |
| Provider Name | Srivani Neshangi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205119880 PECOS PAC ID: 3072837558 Enrollment ID: I20150112001381 |
| Provider Name | Loretta V Pfannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295095784 PECOS PAC ID: 8325362536 Enrollment ID: I20150116001937 |
| Provider Name | Carrie Kneisl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326305855 PECOS PAC ID: 8820252885 Enrollment ID: I20150128002090 |
| Provider Name | Elizabeth J Rowland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598164386 PECOS PAC ID: 1254655046 Enrollment ID: I20150129001020 |
| Provider Name | Kirsten J Bock |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871904029 PECOS PAC ID: 6507180114 Enrollment ID: I20150129002346 |
| Provider Name | Laura E Desouza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568717452 PECOS PAC ID: 0941525489 Enrollment ID: I20150204001740 |
| Provider Name | Abby J Montague |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285929448 PECOS PAC ID: 9739404039 Enrollment ID: I20150209000583 |
| Provider Name | Kruti J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043574262 PECOS PAC ID: 7012232218 Enrollment ID: I20150210002426 |
| Provider Name | Kaycie R Lindeman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215325402 PECOS PAC ID: 8820313539 Enrollment ID: I20150220000620 |
| Provider Name | Brian A Erickson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1457443673 PECOS PAC ID: 0840185013 Enrollment ID: I20150220001219 |
| Provider Name | Jane O Martins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508264268 PECOS PAC ID: 5294050936 Enrollment ID: I20150220001501 |
| Provider Name | Angela D Sarkissian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134359888 PECOS PAC ID: 2163672015 Enrollment ID: I20150220002209 |
| Provider Name | Anne Gregerson Griffiths |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205083995 PECOS PAC ID: 3678898343 Enrollment ID: I20150221000303 |
| Provider Name | Courtney E Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013222694 PECOS PAC ID: 9335306760 Enrollment ID: I20150226000515 |
| Provider Name | Sheilagh Maguiness |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679796429 PECOS PAC ID: 9234298316 Enrollment ID: I20150304002248 |
| Provider Name | Debra A Gutzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346209343 PECOS PAC ID: 1557687696 Enrollment ID: I20150306001907 |
| Provider Name | Megan L Borgos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164764569 PECOS PAC ID: 0547586653 Enrollment ID: I20150309002015 |
| Provider Name | Jessica L Novak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497167506 PECOS PAC ID: 8628395498 Enrollment ID: I20150317000661 |
| Provider Name | Mirza Salman Ahmed Baig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538485925 PECOS PAC ID: 8729205869 Enrollment ID: I20150320000725 |
| Provider Name | Jackline Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861882029 PECOS PAC ID: 1153648217 Enrollment ID: I20150330000972 |
| Provider Name | Caroline Barusya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770717639 PECOS PAC ID: 0749464774 Enrollment ID: I20150401001308 |
| Provider Name | Peter Igarashi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225007792 PECOS PAC ID: 0042353385 Enrollment ID: I20150401002178 |
| Provider Name | Shelly Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973760 PECOS PAC ID: 9739406687 Enrollment ID: I20150402001233 |
| Provider Name | Antonette M Trapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174914428 PECOS PAC ID: 1850619669 Enrollment ID: I20150407001727 |
| Provider Name | Alisse J Zignego |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063811552 PECOS PAC ID: 0042538803 Enrollment ID: I20150408000747 |
| Provider Name | Sarah Jayne Anderson Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316265176 PECOS PAC ID: 7719205574 Enrollment ID: I20150408000978 |
| Provider Name | Kristin Lieberman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053413708 PECOS PAC ID: 0648267682 Enrollment ID: I20150410001347 |
| Provider Name | Olga V Formogey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922498310 PECOS PAC ID: 2769700202 Enrollment ID: I20150414001535 |
| Provider Name | Billy D Wyatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437132958 PECOS PAC ID: 1153398193 Enrollment ID: I20150428001784 |
| Provider Name | Jennifer L Rickard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598925455 PECOS PAC ID: 7113246935 Enrollment ID: I20150429001111 |
| Provider Name | Roberto Carlos Blanco Duarte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558389197 PECOS PAC ID: 0840242855 Enrollment ID: I20150504001616 |
| Provider Name | Scott E Cooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538123781 PECOS PAC ID: 9638125255 Enrollment ID: I20150513002032 |
| Provider Name | Tetyana N Mettler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770729337 PECOS PAC ID: 7719207877 Enrollment ID: I20150513002485 |
| Provider Name | Michelle L Monson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841452992 PECOS PAC ID: 3577710284 Enrollment ID: I20150514001873 |
| Provider Name | Inemienyu N Evbakhare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225307135 PECOS PAC ID: 6901063312 Enrollment ID: I20150515000443 |
| Provider Name | Sarah K Hallman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093104093 PECOS PAC ID: 1557681335 Enrollment ID: I20150519000295 |
| Provider Name | Christina L Boull |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225222862 PECOS PAC ID: 3678893419 Enrollment ID: I20150519002337 |
| Provider Name | Zachary P Kaltenborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790077873 PECOS PAC ID: 3971823667 Enrollment ID: I20150520001810 |
| Provider Name | Mark H Luquette |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154305324 PECOS PAC ID: 9931242625 Enrollment ID: I20150521001369 |
| Provider Name | Prashant Shrestha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457587578 PECOS PAC ID: 5092035691 Enrollment ID: I20150521002423 |
| Provider Name | Kyle R Shipley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841408200 PECOS PAC ID: 6507995339 Enrollment ID: I20150521002513 |
| Provider Name | Caroline L Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689664534 PECOS PAC ID: 0446277016 Enrollment ID: I20150521002607 |
| Provider Name | Alexander E Gurfinkel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861679987 PECOS PAC ID: 0749500213 Enrollment ID: I20150522002114 |
| Provider Name | Florin M Orza |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1215918685 PECOS PAC ID: 7113902636 Enrollment ID: I20150526001713 |
| Provider Name | Emilian Viorel Racila |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609010164 PECOS PAC ID: 8527388974 Enrollment ID: I20150526002055 |
| Provider Name | Steve W Pals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467842419 PECOS PAC ID: 8123348422 Enrollment ID: I20150528001589 |
| Provider Name | John F Brunner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740423870 PECOS PAC ID: 2365680204 Enrollment ID: I20150528002417 |
| Provider Name | Surbhi Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649400680 PECOS PAC ID: 8628398849 Enrollment ID: I20150528002487 |
| Provider Name | Alok L Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558509034 PECOS PAC ID: 7012186570 Enrollment ID: I20150529000159 |
| Provider Name | Marie Hickey Swanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548529761 PECOS PAC ID: 5193046209 Enrollment ID: I20150601002803 |
| Provider Name | Tirtha R Kharel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861669848 PECOS PAC ID: 7911172390 Enrollment ID: I20150602000263 |
| Provider Name | Ryan T Whitesell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245465301 PECOS PAC ID: 2466690540 Enrollment ID: I20150602002888 |
| Provider Name | Andrew Johnson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962729111 PECOS PAC ID: 4981925849 Enrollment ID: I20150603001748 |
| Provider Name | Nimesh Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588864151 PECOS PAC ID: 6800089251 Enrollment ID: I20150603001788 |
| Provider Name | Justin Y Yee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457618878 PECOS PAC ID: 5294056156 Enrollment ID: I20150603001920 |
| Provider Name | Umesh Goswami |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114188406 PECOS PAC ID: 9335460278 Enrollment ID: I20150604000699 |
| Provider Name | Daraspreet Kainth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497915904 PECOS PAC ID: 1658692215 Enrollment ID: I20150608001462 |
| Provider Name | Lorri Ann Kenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346671278 PECOS PAC ID: 5395066617 Enrollment ID: I20150611001089 |
| Provider Name | Dana M Hagen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538556287 PECOS PAC ID: 9133430457 Enrollment ID: I20150612000992 |
| Provider Name | Veena R Iyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932426004 PECOS PAC ID: 0941511141 Enrollment ID: I20150615001242 |
| Provider Name | Rebecca Powell Stepan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205220993 PECOS PAC ID: 2668783895 Enrollment ID: I20150615001888 |
| Provider Name | Melissa R Dalhoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942680236 PECOS PAC ID: 4284945411 Enrollment ID: I20150615001962 |
| Provider Name | Jonathan R Strutt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407084205 PECOS PAC ID: 6507012770 Enrollment ID: I20150616000416 |
| Provider Name | Nathaniel David Meuser-herr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336408244 PECOS PAC ID: 9638480809 Enrollment ID: I20150616000532 |
| Provider Name | Lihong Bu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447541644 PECOS PAC ID: 0547571580 Enrollment ID: I20150618000052 |
| Provider Name | Bridget Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689068421 PECOS PAC ID: 8022329770 Enrollment ID: I20150622001504 |
| Provider Name | Tamar K Newberry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548498793 PECOS PAC ID: 3971814633 Enrollment ID: I20150622001705 |
| Provider Name | Tasha A Freitag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639342009 PECOS PAC ID: 6305097007 Enrollment ID: I20150622001837 |
| Provider Name | Carlton R Kimmerle |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1932427606 PECOS PAC ID: 4082925763 Enrollment ID: I20150622002227 |
| Provider Name | Matthew Adam Rischall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750607248 PECOS PAC ID: 5890006415 Enrollment ID: I20150623000895 |
| Provider Name | Aaron Daniel Corfield |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740544527 PECOS PAC ID: 3375761083 Enrollment ID: I20150623001351 |
| Provider Name | Eric Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679899389 PECOS PAC ID: 6800037623 Enrollment ID: I20150623002728 |
| Provider Name | Sean Thomas O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134411192 PECOS PAC ID: 0042437618 Enrollment ID: I20150625001929 |
| Provider Name | Kathryn B Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811257330 PECOS PAC ID: 8325350622 Enrollment ID: I20150629002540 |
| Provider Name | Gurumurthy Hiremath Mallikarjun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952557332 PECOS PAC ID: 1153546429 Enrollment ID: I20150630000342 |
| Provider Name | Calla R Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134411283 PECOS PAC ID: 8123330065 Enrollment ID: I20150706002316 |
| Provider Name | Nathan J Rodgers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790009595 PECOS PAC ID: 7719299668 Enrollment ID: I20150706002503 |
| Provider Name | Kelly Michelle Galey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386759918 PECOS PAC ID: 8820221476 Enrollment ID: I20150707002241 |
| Provider Name | Jane Yuet Ching Hui |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1396186078 PECOS PAC ID: 5698087468 Enrollment ID: I20150708000485 |
| Provider Name | Colleen L Rivard Hunt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205098399 PECOS PAC ID: 2860704681 Enrollment ID: I20150708001777 |
| Provider Name | Rena Dawn Singleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833826 PECOS PAC ID: 9739491457 Enrollment ID: I20150708002243 |
| Provider Name | Mark A Traynham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760793269 PECOS PAC ID: 3476865940 Enrollment ID: I20150713000623 |
| Provider Name | Joss J Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255383022 PECOS PAC ID: 2365445582 Enrollment ID: I20150713000798 |
| Provider Name | Mona A Abdel-bary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689067860 PECOS PAC ID: 1254643745 Enrollment ID: I20150713001113 |
| Provider Name | Katherine Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427289982 PECOS PAC ID: 4789996273 Enrollment ID: I20150713001166 |
| Provider Name | Orren Wexler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013159011 PECOS PAC ID: 6901060359 Enrollment ID: I20150716000387 |
| Provider Name | Mitchell A Timmons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285806182 PECOS PAC ID: 3173791621 Enrollment ID: I20150716000957 |
| Provider Name | Michelle D Dewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528469251 PECOS PAC ID: 2769795962 Enrollment ID: I20150716002948 |
| Provider Name | Deqa Y Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780942078 PECOS PAC ID: 1052624038 Enrollment ID: I20150720002796 |
| Provider Name | Kevin Q Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407090632 PECOS PAC ID: 2668793514 Enrollment ID: I20150722005555 |
| Provider Name | Maleka Khambaty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598021933 PECOS PAC ID: 6406169218 Enrollment ID: I20150723006967 |
| Provider Name | Nora L Mcpherson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740435171 PECOS PAC ID: 5193038883 Enrollment ID: I20150724009883 |
| Provider Name | Liu Ying Luo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528318136 PECOS PAC ID: 6507170156 Enrollment ID: I20150728003233 |
| Provider Name | Kristina L Whitesell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578798880 PECOS PAC ID: 4688988116 Enrollment ID: I20150728006263 |
| Provider Name | Jimmie Stewart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467414649 PECOS PAC ID: 4981662889 Enrollment ID: I20150729006660 |
| Provider Name | Poonam Kafle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740437797 PECOS PAC ID: 8426221755 Enrollment ID: I20150729007439 |
| Provider Name | Joel Beachey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114333721 PECOS PAC ID: 8729204136 Enrollment ID: I20150729008688 |
| Provider Name | Beth A Caven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558743617 PECOS PAC ID: 0648584847 Enrollment ID: I20150731016424 |
| Provider Name | Bryan M Donald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396064465 PECOS PAC ID: 5698089555 Enrollment ID: I20150805008603 |
| Provider Name | William Guntars Mantyh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750797460 PECOS PAC ID: 9133346273 Enrollment ID: I20150805008857 |
| Provider Name | Charles Vang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457771750 PECOS PAC ID: 2466766373 Enrollment ID: I20150806010120 |
| Provider Name | Jessica J Torres |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972987113 PECOS PAC ID: 7214241025 Enrollment ID: I20150806010372 |
| Provider Name | Leela R Krummel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124439658 PECOS PAC ID: 9739493529 Enrollment ID: I20150807013414 |
| Provider Name | Abby E Wagstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366827552 PECOS PAC ID: 4688989346 Enrollment ID: I20150811003678 |
| Provider Name | Kathryn A Aune |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043503352 PECOS PAC ID: 5698080364 Enrollment ID: I20150811003976 |
| Provider Name | Lauren Angela Katkish Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043553753 PECOS PAC ID: 4284949959 Enrollment ID: I20150811004103 |
| Provider Name | Frank M Grund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548372162 PECOS PAC ID: 4981919560 Enrollment ID: I20150811004536 |
| Provider Name | Nana A Wilmot-desouza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396009247 PECOS PAC ID: 4385959972 Enrollment ID: I20150811005077 |
| Provider Name | Kyle C Sinclair |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548571318 PECOS PAC ID: 5193954022 Enrollment ID: I20150812008275 |
| Provider Name | Nicholas Kho Yan Lim Chow Tom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710159363 PECOS PAC ID: 9931414448 Enrollment ID: I20150812008782 |
| Provider Name | Christopher David Streib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629231881 PECOS PAC ID: 4587884440 Enrollment ID: I20150813011144 |
| Provider Name | Sarah N Stroik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679955884 PECOS PAC ID: 8325353717 Enrollment ID: I20150813011429 |
| Provider Name | Avinash Srikanth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205086816 PECOS PAC ID: 3375703945 Enrollment ID: I20150818003146 |
| Provider Name | Hilary Claire Reich |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306167978 PECOS PAC ID: 9537474606 Enrollment ID: I20150818006068 |
| Provider Name | Aaron Pinion |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255642294 PECOS PAC ID: 3476868431 Enrollment ID: I20150819009016 |
| Provider Name | Ashley M Strobel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366766925 PECOS PAC ID: 2062723117 Enrollment ID: I20150820009874 |
| Provider Name | Margaret J Vargo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407249543 PECOS PAC ID: 9032424031 Enrollment ID: I20150820010177 |
| Provider Name | Jessica B Connolly Russow |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952786576 PECOS PAC ID: 3072828995 Enrollment ID: I20150820010930 |
| Provider Name | Shannon Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659409563 PECOS PAC ID: 5193030021 Enrollment ID: I20150820011218 |
| Provider Name | Susan M Shafii |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154570851 PECOS PAC ID: 5698909000 Enrollment ID: I20150824000695 |
| Provider Name | Obsa A Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609139856 PECOS PAC ID: 7618283433 Enrollment ID: I20150825002889 |
| Provider Name | Patricia T Hickey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417216656 PECOS PAC ID: 2567778301 Enrollment ID: I20150825003582 |
| Provider Name | Eric David Hyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831450170 PECOS PAC ID: 8527374388 Enrollment ID: I20150825004478 |
| Provider Name | Evan Mckay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164780292 PECOS PAC ID: 3971819731 Enrollment ID: I20150825004533 |
| Provider Name | Loren Khoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245673227 PECOS PAC ID: 9931415650 Enrollment ID: I20150826000633 |
| Provider Name | Gennadiy V Shevchenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093005498 PECOS PAC ID: 6204142763 Enrollment ID: I20150828000258 |
| Provider Name | Joseph Charlton Desrosier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487997573 PECOS PAC ID: 1557677077 Enrollment ID: I20150828002032 |
| Provider Name | Scott J Gorham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831575299 PECOS PAC ID: 2062728462 Enrollment ID: I20150831002389 |
| Provider Name | Ellen C Ingolfsland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801155023 PECOS PAC ID: 7911213160 Enrollment ID: I20150902001028 |
| Provider Name | James T Regan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699017285 PECOS PAC ID: 0941516157 Enrollment ID: I20150902003212 |
| Provider Name | Laura Anne Dalsanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154686582 PECOS PAC ID: 9032425178 Enrollment ID: I20150903001182 |
| Provider Name | Manit Singla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356605968 PECOS PAC ID: 7113233255 Enrollment ID: I20150903001230 |
| Provider Name | Benjamin Joseph Hoffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063640100 PECOS PAC ID: 7810203973 Enrollment ID: I20150903001676 |
| Provider Name | Niloo Krueger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376856500 PECOS PAC ID: 5890001952 Enrollment ID: I20150903001792 |
| Provider Name | Britt K Erickson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225294762 PECOS PAC ID: 0749445955 Enrollment ID: I20150908002882 |
| Provider Name | Carrie R Lucio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879916 PECOS PAC ID: 4688981459 Enrollment ID: I20150911001416 |
| Provider Name | Michelle L Schorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212107 PECOS PAC ID: 6103133871 Enrollment ID: I20150911001887 |
| Provider Name | Scott Meyer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124123880 PECOS PAC ID: 0840234076 Enrollment ID: I20150914000971 |
| Provider Name | Kristi E White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003252842 PECOS PAC ID: 4880901156 Enrollment ID: I20150918000971 |
| Provider Name | Jeremy R Van't Hof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833909 PECOS PAC ID: 0446568448 Enrollment ID: I20150924000839 |
| Provider Name | Egla Maiyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952787905 PECOS PAC ID: 2365750247 Enrollment ID: I20150925000842 |
| Provider Name | Eric F Stokes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174906382 PECOS PAC ID: 0042528861 Enrollment ID: I20150929000376 |
| Provider Name | Twila J Jesso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043552896 PECOS PAC ID: 4587972161 Enrollment ID: I20150930003337 |
| Provider Name | Sean Tracy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225444938 PECOS PAC ID: 0547485195 Enrollment ID: I20151001001465 |
| Provider Name | Thomas J Hewett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447588546 PECOS PAC ID: 6507174059 Enrollment ID: I20151001002609 |
| Provider Name | Hannah M Holwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932304110 PECOS PAC ID: 8729396205 Enrollment ID: I20151002000372 |
| Provider Name | Kristin B Rodreick Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942429667 PECOS PAC ID: 9234447731 Enrollment ID: I20151002001265 |
| Provider Name | Sudarshan Setty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558555144 PECOS PAC ID: 0840425872 Enrollment ID: I20151006000304 |
| Provider Name | Matthew A Armfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447517115 PECOS PAC ID: 5597077602 Enrollment ID: I20151006001494 |
| Provider Name | Christina M Heringlake Jaspers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598057952 PECOS PAC ID: 3476861733 Enrollment ID: I20151006002067 |
| Provider Name | Christina M Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124388681 PECOS PAC ID: 3072821339 Enrollment ID: I20151006002202 |
| Provider Name | Dominique Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376929547 PECOS PAC ID: 1850609165 Enrollment ID: I20151007000990 |
| Provider Name | Matthew K Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700229507 PECOS PAC ID: 4183932494 Enrollment ID: I20151007001161 |
| Provider Name | Oana Dickinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225380421 PECOS PAC ID: 5496063695 Enrollment ID: I20151008001423 |
| Provider Name | Caroline G Ferris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376576652 PECOS PAC ID: 6103821848 Enrollment ID: I20151009001438 |
| Provider Name | Megan Leigh Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336430453 PECOS PAC ID: 0941425003 Enrollment ID: I20151021001603 |
| Provider Name | Ashley J Thersleff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720456577 PECOS PAC ID: 0648589226 Enrollment ID: I20151021002712 |
| Provider Name | Eric John Waldron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215298179 PECOS PAC ID: 7214187244 Enrollment ID: I20151026002773 |
| Provider Name | Aimee M Merino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235557562 PECOS PAC ID: 3870802119 Enrollment ID: I20151027002403 |
| Provider Name | Brent D Bauman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407117328 PECOS PAC ID: 7719296078 Enrollment ID: I20151027003206 |
| Provider Name | Elizabeth Irene Pierpont |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093183436 PECOS PAC ID: 2860702065 Enrollment ID: I20151029002496 |
| Provider Name | Beth K Thielen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831458793 PECOS PAC ID: 3971813189 Enrollment ID: I20151029002921 |
| Provider Name | Jane Nofer Poskanzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033425491 PECOS PAC ID: 0749590958 Enrollment ID: I20151030000021 |
| Provider Name | Jeffrey L Mills |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609247048 PECOS PAC ID: 9032429188 Enrollment ID: I20151102002689 |
| Provider Name | Jena L Uherka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346671914 PECOS PAC ID: 3678880226 Enrollment ID: I20151103000466 |
| Provider Name | Olga M Epstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659525459 PECOS PAC ID: 0840479234 Enrollment ID: I20151104000965 |
| Provider Name | Julie A Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639550817 PECOS PAC ID: 5294045159 Enrollment ID: I20151104001721 |
| Provider Name | David I Smith |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316239361 PECOS PAC ID: 6103136924 Enrollment ID: I20151106002002 |
| Provider Name | Diane Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609290717 PECOS PAC ID: 4688984396 Enrollment ID: I20151110000417 |
| Provider Name | Siatta Bree Dunbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528358793 PECOS PAC ID: 3072749308 Enrollment ID: I20151112000299 |
| Provider Name | Rebecca A Niles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952708273 PECOS PAC ID: 2466776794 Enrollment ID: I20151112000712 |
| Provider Name | Megan A Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518336379 PECOS PAC ID: 1951611482 Enrollment ID: I20151112000851 |
| Provider Name | Carla M Vossen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861552010 PECOS PAC ID: 6800858796 Enrollment ID: I20151119002999 |
| Provider Name | Heather M Goetteman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700256757 PECOS PAC ID: 8628378577 Enrollment ID: I20151124002439 |
| Provider Name | Traci L Hakanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225166135 PECOS PAC ID: 0840590634 Enrollment ID: I20151201000490 |
| Provider Name | Janice L James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407187511 PECOS PAC ID: 1951601400 Enrollment ID: I20151204002283 |
| Provider Name | Julia E Casper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275909095 PECOS PAC ID: 5597066977 Enrollment ID: I20151209002546 |
| Provider Name | Hannah L Williamson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811036320 PECOS PAC ID: 2668773623 Enrollment ID: I20151216000526 |
| Provider Name | Sarah Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790154441 PECOS PAC ID: 6103127055 Enrollment ID: I20151217001557 |
| Provider Name | Megan G Berger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871856005 PECOS PAC ID: 6800198268 Enrollment ID: I20151231001967 |
| Provider Name | Lauren B Hoerl Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306219217 PECOS PAC ID: 4385946474 Enrollment ID: I20160106001784 |
| Provider Name | Susan C Metcalf |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881923548 PECOS PAC ID: 9537461629 Enrollment ID: I20160106001853 |
| Provider Name | Marcie T Singh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326413071 PECOS PAC ID: 7911209051 Enrollment ID: I20160107000419 |
| Provider Name | Brooke L Kaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013382472 PECOS PAC ID: 7012219835 Enrollment ID: I20160111000756 |
| Provider Name | Karen M Dahl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700050374 PECOS PAC ID: 3072815703 Enrollment ID: I20160112001333 |
| Provider Name | Michelle L Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780971564 PECOS PAC ID: 6103128772 Enrollment ID: I20160113002840 |
| Provider Name | Robert M Laporte |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255315891 PECOS PAC ID: 1759276322 Enrollment ID: I20160114000609 |
| Provider Name | James G Ciemny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285840439 PECOS PAC ID: 6507169075 Enrollment ID: I20160119000023 |
| Provider Name | Katherine Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891895256 PECOS PAC ID: 8921098302 Enrollment ID: I20160121001963 |
| Provider Name | Noreen L Cooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417181520 PECOS PAC ID: 2466755582 Enrollment ID: I20160125000984 |
| Provider Name | Jennifer A Schnarr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962717421 PECOS PAC ID: 4082917018 Enrollment ID: I20160125001480 |
| Provider Name | Erin Swartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639571292 PECOS PAC ID: 7517260524 Enrollment ID: I20160126001160 |
| Provider Name | Mary K Helmin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972625168 PECOS PAC ID: 1355644360 Enrollment ID: I20160126001440 |
| Provider Name | Brian S Hilliard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659715613 PECOS PAC ID: 2466755483 Enrollment ID: I20160126001690 |
| Provider Name | Kathryn L Marvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669837340 PECOS PAC ID: 4981908316 Enrollment ID: I20160205000704 |
| Provider Name | Jessica A Skelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396115614 PECOS PAC ID: 1759685761 Enrollment ID: I20160212000020 |
| Provider Name | Michelle Lee Gustafson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700823952 PECOS PAC ID: 4385948108 Enrollment ID: I20160215001453 |
| Provider Name | Megan T Elgethun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558785311 PECOS PAC ID: 9931324654 Enrollment ID: I20160217002165 |
| Provider Name | Kacy Berquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033577036 PECOS PAC ID: 4284939364 Enrollment ID: I20160226002260 |
| Provider Name | Kristin E Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801251509 PECOS PAC ID: 3476859968 Enrollment ID: I20160309001467 |
| Provider Name | Ellen A Overson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770903429 PECOS PAC ID: 4486958105 Enrollment ID: I20160310000409 |
| Provider Name | James R Verner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073956041 PECOS PAC ID: 1850695693 Enrollment ID: I20160310001580 |
| Provider Name | Kathryn A Baxstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386987535 PECOS PAC ID: 9436455656 Enrollment ID: I20160314001235 |
| Provider Name | Brooke E Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033576046 PECOS PAC ID: 8628374857 Enrollment ID: I20160314001537 |
| Provider Name | John G Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154478741 PECOS PAC ID: 1658677729 Enrollment ID: I20160316000393 |
| Provider Name | Ruth Friedrichsdorf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447686985 PECOS PAC ID: 9931406949 Enrollment ID: I20160318000015 |
| Provider Name | James P Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912326323 PECOS PAC ID: 9739480526 Enrollment ID: I20160318000028 |
| Provider Name | Rohan R Lall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255582987 PECOS PAC ID: 0749590388 Enrollment ID: I20160318001205 |
| Provider Name | Laura R Baartman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699130708 PECOS PAC ID: 3577860550 Enrollment ID: I20160318002052 |
| Provider Name | Mollie Lyle Alpern |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1467794644 PECOS PAC ID: 3678870557 Enrollment ID: I20160323002330 |
| Provider Name | Jodi A Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467819045 PECOS PAC ID: 0749587343 Enrollment ID: I20160325000694 |
| Provider Name | Marc W Nolan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679916837 PECOS PAC ID: 8224335633 Enrollment ID: I20160330001915 |
| Provider Name | Renae H Witta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770974578 PECOS PAC ID: 0345547501 Enrollment ID: I20160401002062 |
| Provider Name | Kathryn Ann Cunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831364587 PECOS PAC ID: 8426118860 Enrollment ID: I20160405001240 |
| Provider Name | Yvette N Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912365198 PECOS PAC ID: 0042518151 Enrollment ID: I20160406000011 |
| Provider Name | Jenna N Brandt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679977607 PECOS PAC ID: 7214235217 Enrollment ID: I20160407000514 |
| Provider Name | Timothy R Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386005601 PECOS PAC ID: 6406154434 Enrollment ID: I20160407001439 |
| Provider Name | Ruth A Verner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164865135 PECOS PAC ID: 4981902574 Enrollment ID: I20160414002037 |
| Provider Name | Jarrod N Yamanaka |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700206273 PECOS PAC ID: 5597063032 Enrollment ID: I20160415001414 |
| Provider Name | Kay L Ingraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952721565 PECOS PAC ID: 7315245776 Enrollment ID: I20160419000247 |
| Provider Name | Nicholas E Ingraham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033539648 PECOS PAC ID: 3870898083 Enrollment ID: I20160419000268 |
| Provider Name | Laura E Moench |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104146406 PECOS PAC ID: 0244539146 Enrollment ID: I20160427001706 |
| Provider Name | Grace C Macomber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285939215 PECOS PAC ID: 7911184882 Enrollment ID: I20160428000554 |
| Provider Name | Jenna M Stark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386009892 PECOS PAC ID: 7416256151 Enrollment ID: I20160429001461 |
| Provider Name | Jared G Nyabuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255695797 PECOS PAC ID: 9133368822 Enrollment ID: I20160504001589 |
| Provider Name | Selome G Gezahegn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134489388 PECOS PAC ID: 0345549754 Enrollment ID: I20160505000982 |
| Provider Name | Demetrios Thomas Andrisani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912327115 PECOS PAC ID: 8224337654 Enrollment ID: I20160505001870 |
| Provider Name | Pezhman Samimian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770744880 PECOS PAC ID: 9830235720 Enrollment ID: I20160506000119 |
| Provider Name | Stephanie R Norgaard-erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225496128 PECOS PAC ID: 4486943685 Enrollment ID: I20160511001163 |
| Provider Name | Brian S Martell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689991432 PECOS PAC ID: 9931419793 Enrollment ID: I20160511002723 |
| Provider Name | Umair U Rehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285074450 PECOS PAC ID: 5193946192 Enrollment ID: I20160512002144 |
| Provider Name | Robert Englander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821061540 PECOS PAC ID: 3072766724 Enrollment ID: I20160513001191 |
| Provider Name | Lauren R Klein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841633385 PECOS PAC ID: 6507155512 Enrollment ID: I20160516000197 |
| Provider Name | Cory Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699092445 PECOS PAC ID: 1355580671 Enrollment ID: I20160517000260 |
| Provider Name | Tanya L Velishek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770937781 PECOS PAC ID: 9830488766 Enrollment ID: I20160517001485 |
| Provider Name | Emily Berg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487959946 PECOS PAC ID: 0648452425 Enrollment ID: I20160517002717 |
| Provider Name | Jeffrey Chuy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992083679 PECOS PAC ID: 5294024782 Enrollment ID: I20160524000266 |
| Provider Name | Jill D Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649634072 PECOS PAC ID: 2769771120 Enrollment ID: I20160525001384 |
| Provider Name | William M Huepfel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225457740 PECOS PAC ID: 7911202783 Enrollment ID: I20160525002352 |
| Provider Name | Timothy Meehan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558686030 PECOS PAC ID: 4486811395 Enrollment ID: I20160525002962 |
| Provider Name | Mark Robidoux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699194548 PECOS PAC ID: 0648560045 Enrollment ID: I20160525003261 |
| Provider Name | Anst-bidry Gelin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710320015 PECOS PAC ID: 6608002134 Enrollment ID: I20160525003288 |
| Provider Name | Hiba Bashir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497875074 PECOS PAC ID: 6406034388 Enrollment ID: I20160526001234 |
| Provider Name | Reza Talaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487886271 PECOS PAC ID: 8426353103 Enrollment ID: I20160526001340 |
| Provider Name | Danesh Kella |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144535097 PECOS PAC ID: 8123318433 Enrollment ID: I20160527000700 |
| Provider Name | Amber Nicole Boler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720426786 PECOS PAC ID: 8527366624 Enrollment ID: I20160601001041 |
| Provider Name | Guru Trikudanathan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740410638 PECOS PAC ID: 3678863792 Enrollment ID: I20160602000333 |
| Provider Name | Lee S Shuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285703181 PECOS PAC ID: 1153571898 Enrollment ID: I20160603001165 |
| Provider Name | Michael Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700027166 PECOS PAC ID: 9234262148 Enrollment ID: I20160603001177 |
| Provider Name | Shamar Young |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528389574 PECOS PAC ID: 1355585878 Enrollment ID: I20160603001449 |
| Provider Name | Matthew Lentz Goers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033552583 PECOS PAC ID: 5799075693 Enrollment ID: I20160606001583 |
| Provider Name | Joseph M Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326339631 PECOS PAC ID: 6406151539 Enrollment ID: I20160608000323 |
| Provider Name | Elizabeth P Kratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780038299 PECOS PAC ID: 0345530887 Enrollment ID: I20160613000339 |
| Provider Name | John J Vanstraten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164712873 PECOS PAC ID: 1557652955 Enrollment ID: I20160615000292 |
| Provider Name | Glenn M Paetow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568805190 PECOS PAC ID: 2769773019 Enrollment ID: I20160617000007 |
| Provider Name | Kerri Harting |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487674040 PECOS PAC ID: 8022016906 Enrollment ID: I20160620002332 |
| Provider Name | An L Church |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083813182 PECOS PAC ID: 6406010487 Enrollment ID: I20160621001766 |
| Provider Name | Winifred Sidibe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114358520 PECOS PAC ID: 2466681085 Enrollment ID: I20160627001551 |
| Provider Name | Esther Chinedu Enu - Adediran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912347774 PECOS PAC ID: 5991937682 Enrollment ID: I20160628001282 |
| Provider Name | Michael O Esan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538504139 PECOS PAC ID: 3476859794 Enrollment ID: I20160629000563 |
| Provider Name | Lindsay Paige Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134576655 PECOS PAC ID: 1658662226 Enrollment ID: I20160629001251 |
| Provider Name | David A Wacker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386969327 PECOS PAC ID: 0749572394 Enrollment ID: I20160630000861 |
| Provider Name | Elizabeth Herrity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679923072 PECOS PAC ID: 5092007443 Enrollment ID: I20160706001088 |
| Provider Name | Anteneh Girma Zewde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356684609 PECOS PAC ID: 2860784022 Enrollment ID: I20160707002375 |
| Provider Name | Daniel Jarvis Wheeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861758773 PECOS PAC ID: 2365754801 Enrollment ID: I20160708000601 |
| Provider Name | Danielle J Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841645942 PECOS PAC ID: 0547552689 Enrollment ID: I20160711000056 |
| Provider Name | Armin Rashidi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285950089 PECOS PAC ID: 6901035377 Enrollment ID: I20160711000561 |
| Provider Name | Mai Nhia Moua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306204391 PECOS PAC ID: 3779875711 Enrollment ID: I20160712000768 |
| Provider Name | Kristine L Duhamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669827523 PECOS PAC ID: 3476845280 Enrollment ID: I20160714000414 |
| Provider Name | Paul C Jou |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356608319 PECOS PAC ID: 9234434671 Enrollment ID: I20160714001201 |
| Provider Name | Evan K Moser-bleil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326307786 PECOS PAC ID: 9436456357 Enrollment ID: I20160715000299 |
| Provider Name | Wendy S Sabinske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750737441 PECOS PAC ID: 7214229921 Enrollment ID: I20160715001089 |
| Provider Name | Ratan K Banik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992063853 PECOS PAC ID: 7517250145 Enrollment ID: I20160720000743 |
| Provider Name | Takako Araki |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689834392 PECOS PAC ID: 5193034437 Enrollment ID: I20160721001465 |
| Provider Name | Paul Edward Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861807216 PECOS PAC ID: 3779700174 Enrollment ID: I20160725002060 |
| Provider Name | Brian Joy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861565459 PECOS PAC ID: 3577729052 Enrollment ID: I20160726002719 |
| Provider Name | William Nguyen Binh Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801274329 PECOS PAC ID: 6709181126 Enrollment ID: I20160726003307 |
| Provider Name | Miriam Cedar Shapiro |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528294501 PECOS PAC ID: 5193966653 Enrollment ID: I20160727001152 |
| Provider Name | Jennifer M Svendsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972982718 PECOS PAC ID: 2466758131 Enrollment ID: I20160727001893 |
| Provider Name | Patricia A White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740639517 PECOS PAC ID: 5395038392 Enrollment ID: I20160728001698 |
| Provider Name | Aazim K Omer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134382690 PECOS PAC ID: 3678626025 Enrollment ID: I20160728002386 |
| Provider Name | Yasser Chebli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366704553 PECOS PAC ID: 3173832359 Enrollment ID: I20160728002488 |
| Provider Name | Sarah C Kiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457694416 PECOS PAC ID: 8527363365 Enrollment ID: I20160728002625 |
| Provider Name | Benjamin Robert Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861724387 PECOS PAC ID: 2860628153 Enrollment ID: I20160729001358 |
| Provider Name | Aarti D Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396005617 PECOS PAC ID: 8921391897 Enrollment ID: I20160729001452 |
| Provider Name | Margaret O Enadeghe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265723373 PECOS PAC ID: 0345542320 Enrollment ID: I20160729002205 |
| Provider Name | Alyssa Marie Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750709986 PECOS PAC ID: 8921304668 Enrollment ID: I20160801001148 |
| Provider Name | Deepak Somashekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710116918 PECOS PAC ID: 6901118843 Enrollment ID: I20160801001484 |
| Provider Name | Collin Torok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558523944 PECOS PAC ID: 7911156948 Enrollment ID: I20160801001831 |
| Provider Name | Bruno Perossa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346657889 PECOS PAC ID: 5092934513 Enrollment ID: I20160801001980 |
| Provider Name | Arianne K Baldomero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750640504 PECOS PAC ID: 8426355546 Enrollment ID: I20160801002147 |
| Provider Name | Sergey G Gurevich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578839015 PECOS PAC ID: 6103110911 Enrollment ID: I20160802001453 |
| Provider Name | Maureen A Looby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285991315 PECOS PAC ID: 5395040737 Enrollment ID: I20160802003096 |
| Provider Name | Arthur T Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427404987 PECOS PAC ID: 7810281516 Enrollment ID: I20160803000869 |
| Provider Name | Lester Fahrner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295995900 PECOS PAC ID: 7618115981 Enrollment ID: I20160803001810 |
| Provider Name | Jodelle M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124480041 PECOS PAC ID: 0547554016 Enrollment ID: I20160805000534 |
| Provider Name | Thuy D Nguyen Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255718573 PECOS PAC ID: 8123322625 Enrollment ID: I20160808000593 |
| Provider Name | Jessica A Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922455591 PECOS PAC ID: 0547554925 Enrollment ID: I20160808001635 |
| Provider Name | Derek W Eklund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255774733 PECOS PAC ID: 6800194580 Enrollment ID: I20160810001586 |
| Provider Name | Daniel Joseph Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194104075 PECOS PAC ID: 5597060905 Enrollment ID: I20160810001741 |
| Provider Name | Matthew S Runde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598144891 PECOS PAC ID: 8628372786 Enrollment ID: I20160810002581 |
| Provider Name | Chen T Chau |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992061519 PECOS PAC ID: 1658665831 Enrollment ID: I20160810002638 |
| Provider Name | Anne D Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053770784 PECOS PAC ID: 5890089775 Enrollment ID: I20160816001789 |
| Provider Name | Stacie Marie Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720304439 PECOS PAC ID: 8820394299 Enrollment ID: I20160816003028 |
| Provider Name | Luke Schwartz Moretti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386099505 PECOS PAC ID: 4880989599 Enrollment ID: I20160819001127 |
| Provider Name | Tara Y Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427252329 PECOS PAC ID: 0244525996 Enrollment ID: I20160819002222 |
| Provider Name | Parisa Salehi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083973630 PECOS PAC ID: 1951606631 Enrollment ID: I20160820000205 |
| Provider Name | Elizabeth J Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043668494 PECOS PAC ID: 8729373311 Enrollment ID: I20160822001056 |
| Provider Name | Madhuri Vasudev Rao |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295997641 PECOS PAC ID: 0840585329 Enrollment ID: I20160823001478 |
| Provider Name | Joshua R Rhein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710182621 PECOS PAC ID: 7810282324 Enrollment ID: I20160823002216 |
| Provider Name | Lee Ann Bera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457797896 PECOS PAC ID: 0042448458 Enrollment ID: I20160823003161 |
| Provider Name | Syed Murfad Peer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427464072 PECOS PAC ID: 7517183049 Enrollment ID: I20160824002796 |
| Provider Name | Lauren Anneliese Engelmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679863021 PECOS PAC ID: 4082833835 Enrollment ID: I20160825000851 |
| Provider Name | Jena M Labine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366893331 PECOS PAC ID: 4082909353 Enrollment ID: I20160825001069 |
| Provider Name | Rupendra Dev Thaku Shrestha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194993774 PECOS PAC ID: 2961695119 Enrollment ID: I20160826000186 |
| Provider Name | Nancy L Middlestead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326498635 PECOS PAC ID: 2163717315 Enrollment ID: I20160826000735 |
| Provider Name | Michelle E Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962850065 PECOS PAC ID: 4284929316 Enrollment ID: I20160829000126 |
| Provider Name | Sara E Wildenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437476876 PECOS PAC ID: 8628373552 Enrollment ID: I20160829000743 |
| Provider Name | Jennifer Cavanagh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033213376 PECOS PAC ID: 3577665645 Enrollment ID: I20160829000892 |
| Provider Name | Hyun Don Yun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508090473 PECOS PAC ID: 8921254996 Enrollment ID: I20160829001421 |
| Provider Name | Christie M Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053780486 PECOS PAC ID: 8123313202 Enrollment ID: I20160829001567 |
| Provider Name | Jennifer L Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942587233 PECOS PAC ID: 8426343484 Enrollment ID: I20160830001204 |
| Provider Name | James M Flaherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336427913 PECOS PAC ID: 5698089860 Enrollment ID: I20160830001692 |
| Provider Name | Mithun R Suresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326483702 PECOS PAC ID: 7315242856 Enrollment ID: I20160830002979 |
| Provider Name | Jonathan Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323128 PECOS PAC ID: 4183866353 Enrollment ID: I20160902001217 |
| Provider Name | Jonathan E Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790074888 PECOS PAC ID: 3971822453 Enrollment ID: I20160907000832 |
| Provider Name | Margaret A Koeritzer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073066676 PECOS PAC ID: 3173819802 Enrollment ID: I20160907001093 |
| Provider Name | Kirsten M Haas Camitsch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518347640 PECOS PAC ID: 0840586582 Enrollment ID: I20160907001270 |
| Provider Name | Jeffrey P Kendall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992776686 PECOS PAC ID: 1951371731 Enrollment ID: I20160907002013 |
| Provider Name | Larissa Beyerlein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902110232 PECOS PAC ID: 2567695349 Enrollment ID: I20160908000552 |
| Provider Name | Hyoung Won W Choi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174839542 PECOS PAC ID: 0749576239 Enrollment ID: I20160909000499 |
| Provider Name | Brennen D Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376753277 PECOS PAC ID: 0749467280 Enrollment ID: I20160909002480 |
| Provider Name | Roxanne Rene Felt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710244751 PECOS PAC ID: 8123251543 Enrollment ID: I20160914001406 |
| Provider Name | Fernando Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013350636 PECOS PAC ID: 6103112305 Enrollment ID: I20160915000134 |
| Provider Name | Casey Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831541564 PECOS PAC ID: 9436445582 Enrollment ID: I20160915002018 |
| Provider Name | Daniel Wb Brody |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174753313 PECOS PAC ID: 3678702784 Enrollment ID: I20160916000233 |
| Provider Name | Laura E Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992174825 PECOS PAC ID: 4082919675 Enrollment ID: I20160916000689 |
| Provider Name | Elizabeth Catherine Neil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598083081 PECOS PAC ID: 1254570021 Enrollment ID: I20160916001425 |
| Provider Name | Nadar A Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427469923 PECOS PAC ID: 8426354911 Enrollment ID: I20160919000164 |
| Provider Name | Batul K Mehdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225483605 PECOS PAC ID: 9234426396 Enrollment ID: I20160919000236 |
| Provider Name | Erin M Gorham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407309214 PECOS PAC ID: 4486941549 Enrollment ID: I20160919000358 |
| Provider Name | Kelly M Vevea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093268393 PECOS PAC ID: 3072800150 Enrollment ID: I20160919000980 |
| Provider Name | Melissa E Kitzman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730592759 PECOS PAC ID: 2860712452 Enrollment ID: I20160919001590 |
| Provider Name | Benjamin E Henkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083032486 PECOS PAC ID: 4486959798 Enrollment ID: I20160919002153 |
| Provider Name | Amelia Rose Dewit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326490467 PECOS PAC ID: 8022305051 Enrollment ID: I20160920000133 |
| Provider Name | Sarah S L Entinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073966115 PECOS PAC ID: 8123315918 Enrollment ID: I20160922000003 |
| Provider Name | Allison P Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750709739 PECOS PAC ID: 4284930439 Enrollment ID: I20160926000701 |
| Provider Name | Jessica M Heimkes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265718100 PECOS PAC ID: 4789971359 Enrollment ID: I20160926000708 |
| Provider Name | Risha L Moskalewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093032567 PECOS PAC ID: 8820231566 Enrollment ID: I20160927002278 |
| Provider Name | Katharine R Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659710390 PECOS PAC ID: 4587960778 Enrollment ID: I20161003000639 |
| Provider Name | Jonathan H Schoenecker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205289899 PECOS PAC ID: 1850688029 Enrollment ID: I20161003001511 |
| Provider Name | Yuriy Zgherea |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891941373 PECOS PAC ID: 2567680531 Enrollment ID: I20161003001895 |
| Provider Name | Lynnsie M Schramm |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770038598 PECOS PAC ID: 7315235579 Enrollment ID: I20161004002092 |
| Provider Name | Hlee Moua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861949661 PECOS PAC ID: 2264720366 Enrollment ID: I20161005000789 |
| Provider Name | Nitika Ghattaura |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356748495 PECOS PAC ID: 4082902069 Enrollment ID: I20161006000688 |
| Provider Name | Caleb J St Cyr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295024958 PECOS PAC ID: 9335318914 Enrollment ID: I20161010001439 |
| Provider Name | Ashley N Junghans Rutelonis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992109037 PECOS PAC ID: 5890083430 Enrollment ID: I20161013001351 |
| Provider Name | Indrani R Saha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649409665 PECOS PAC ID: 0446404107 Enrollment ID: I20161013001488 |
| Provider Name | Alison B Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902172901 PECOS PAC ID: 6002111341 Enrollment ID: I20161017001928 |
| Provider Name | Anna Sofi E Asmundsson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659719797 PECOS PAC ID: 6204132426 Enrollment ID: I20161017002465 |
| Provider Name | Katherine E Cummins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932363983 PECOS PAC ID: 1153619408 Enrollment ID: I20161019001901 |
| Provider Name | Maureen E Stoesz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619424777 PECOS PAC ID: 0143508176 Enrollment ID: I20161026001977 |
| Provider Name | Tan D Ngo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487815064 PECOS PAC ID: 7517139736 Enrollment ID: I20161028000014 |
| Provider Name | Nicole M Siddons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467803403 PECOS PAC ID: 7113205923 Enrollment ID: I20161031000174 |
| Provider Name | Richard M Belle Isle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871790451 PECOS PAC ID: 0143484378 Enrollment ID: I20161103000131 |
| Provider Name | Kathryn E Monpas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629421714 PECOS PAC ID: 9032497433 Enrollment ID: I20161104000733 |
| Provider Name | Stefania R Werner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215301627 PECOS PAC ID: 2365720760 Enrollment ID: I20161104000881 |
| Provider Name | Chime Yangzom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639624927 PECOS PAC ID: 4880972215 Enrollment ID: I20161104001794 |
| Provider Name | Stephen Contag |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710963707 PECOS PAC ID: 8123029774 Enrollment ID: I20161115000596 |
| Provider Name | Marian L Keillor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295283075 PECOS PAC ID: 8325327331 Enrollment ID: I20161115002495 |
| Provider Name | Christopher M Kobe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093192494 PECOS PAC ID: 0941508527 Enrollment ID: I20161116001265 |
| Provider Name | Debra A Naegele |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114168663 PECOS PAC ID: 8628357530 Enrollment ID: I20161117000770 |
| Provider Name | Christine Bachmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255707410 PECOS PAC ID: 4385934140 Enrollment ID: I20161117001033 |
| Provider Name | Christopher D Elness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649622200 PECOS PAC ID: 8426337205 Enrollment ID: I20161118000658 |
| Provider Name | Kelly M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295289064 PECOS PAC ID: 4981983632 Enrollment ID: I20161121000541 |
| Provider Name | Jessica L Mcalpine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144779612 PECOS PAC ID: 0941580112 Enrollment ID: I20161205001005 |
| Provider Name | Jacqueline Steffenhagen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306928940 PECOS PAC ID: 6305126459 Enrollment ID: I20161206001971 |
| Provider Name | Kelly M Awes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619429180 PECOS PAC ID: 4587944665 Enrollment ID: I20161207000455 |
| Provider Name | Jennifer E Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164879755 PECOS PAC ID: 5698055671 Enrollment ID: I20161208001752 |
| Provider Name | Jennifer N Ihbe-eberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225418528 PECOS PAC ID: 2365722360 Enrollment ID: I20161208002454 |
| Provider Name | Sumit Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336452572 PECOS PAC ID: 2264627553 Enrollment ID: I20161208002529 |
| Provider Name | Elizabeth J Swartout |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528513512 PECOS PAC ID: 5698055564 Enrollment ID: I20161212000569 |
| Provider Name | Shannon Jk Hagen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124100797 PECOS PAC ID: 0941580542 Enrollment ID: I20161216000151 |
| Provider Name | Rebecca P Spaeth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275080947 PECOS PAC ID: 5092096628 Enrollment ID: I20161220000007 |
| Provider Name | Kendall M Sexe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396120572 PECOS PAC ID: 4981985355 Enrollment ID: I20161222000494 |
| Provider Name | Ani C Anwer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417215708 PECOS PAC ID: 1658682448 Enrollment ID: I20170103000273 |
| Provider Name | Chase W Shutak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811332844 PECOS PAC ID: 3870899198 Enrollment ID: I20170103000413 |
| Provider Name | Marshall A Mazepa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174569354 PECOS PAC ID: 2163663519 Enrollment ID: I20170103001822 |
| Provider Name | Michaela M Monetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033585914 PECOS PAC ID: 8628359700 Enrollment ID: I20170104000073 |
| Provider Name | Wen Zhong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356381537 PECOS PAC ID: 7810980752 Enrollment ID: I20170104001399 |
| Provider Name | Haruka M Torok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518150580 PECOS PAC ID: 8820144132 Enrollment ID: I20170104001817 |
| Provider Name | Clarence Shannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851516165 PECOS PAC ID: 6204092208 Enrollment ID: I20170105001533 |
| Provider Name | Surabhi Thakar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063722767 PECOS PAC ID: 4789965575 Enrollment ID: I20170110002826 |
| Provider Name | Elissa M Downs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104116722 PECOS PAC ID: 5698070449 Enrollment ID: I20170111002663 |
| Provider Name | Jodi A Wieczorek |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1780126474 PECOS PAC ID: 1153603824 Enrollment ID: I20170113000632 |
| Provider Name | Alicia H Keeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598039463 PECOS PAC ID: 4284895624 Enrollment ID: I20170117000894 |
| Provider Name | Andrea Marie Balsimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912352188 PECOS PAC ID: 0345522819 Enrollment ID: I20170117001967 |
| Provider Name | Neil Eric Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457332934 PECOS PAC ID: 0042276933 Enrollment ID: I20170117002543 |
| Provider Name | Angela J Chircop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831633130 PECOS PAC ID: 6901188424 Enrollment ID: I20170118001364 |
| Provider Name | Thomas G Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316495401 PECOS PAC ID: 4284916727 Enrollment ID: I20170118002240 |
| Provider Name | Kristan M Lam |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386028181 PECOS PAC ID: 4789998618 Enrollment ID: I20170119001119 |
| Provider Name | Clifford Kebaya Ongubo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245781871 PECOS PAC ID: 8022390400 Enrollment ID: I20170119001205 |
| Provider Name | Jeremy R Allred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821485095 PECOS PAC ID: 2961708193 Enrollment ID: I20170124001301 |
| Provider Name | Darrell W Randle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285662056 PECOS PAC ID: 9830002989 Enrollment ID: I20170124001449 |
| Provider Name | Erin M Whitcomb-crafton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669763454 PECOS PAC ID: 3971885062 Enrollment ID: I20170125002182 |
| Provider Name | Nicholas M Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922365709 PECOS PAC ID: 2961784061 Enrollment ID: I20170125002251 |
| Provider Name | Danielle M Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649576703 PECOS PAC ID: 7315220977 Enrollment ID: I20170207000330 |
| Provider Name | Kylie M Vincent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245772953 PECOS PAC ID: 8820371248 Enrollment ID: I20170209001699 |
| Provider Name | Princess Cramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780047266 PECOS PAC ID: 0840573275 Enrollment ID: I20170209002065 |
| Provider Name | Kenneth Ray Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083927917 PECOS PAC ID: 3779866934 Enrollment ID: I20170214000140 |
| Provider Name | Valor Hopes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780651620 PECOS PAC ID: 2163705351 Enrollment ID: I20170214001326 |
| Provider Name | Johanes I Prawira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337706 PECOS PAC ID: 9830368786 Enrollment ID: I20170216001155 |
| Provider Name | Vanessa N Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487104378 PECOS PAC ID: 3072896091 Enrollment ID: I20170216001203 |
| Provider Name | Michael Joseph Schnaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336569961 PECOS PAC ID: 6103122676 Enrollment ID: I20170216002513 |
| Provider Name | Nicholas Alexander Zorko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972990182 PECOS PAC ID: 2466755293 Enrollment ID: I20170216002633 |
| Provider Name | Jacob Sundberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629456215 PECOS PAC ID: 1355646365 Enrollment ID: I20170216002758 |
| Provider Name | Pilar A Boril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493396 PECOS PAC ID: 5092099788 Enrollment ID: I20170223002375 |
| Provider Name | Atsuko Ishikawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528070547 PECOS PAC ID: 3274609359 Enrollment ID: I20170302001139 |
| Provider Name | Jennifer A Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023557352 PECOS PAC ID: 3072897446 Enrollment ID: I20170302001156 |
| Provider Name | Natalie N. Jacobson-dunlop |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598934689 PECOS PAC ID: 2961687330 Enrollment ID: I20170303000141 |
| Provider Name | Sarah Myer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114465135 PECOS PAC ID: 0345524443 Enrollment ID: I20170309002307 |
| Provider Name | Susan Cuny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225576101 PECOS PAC ID: 7214211317 Enrollment ID: I20170309002509 |
| Provider Name | Megan L Brozovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417121641 PECOS PAC ID: 4789968702 Enrollment ID: I20170310000942 |
| Provider Name | Caroline W Kuria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801346093 PECOS PAC ID: 6406130426 Enrollment ID: I20170310001005 |
| Provider Name | Lindsey A Dahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420070 PECOS PAC ID: 5496030496 Enrollment ID: I20170313002248 |
| Provider Name | Christin L Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730621467 PECOS PAC ID: 6103101761 Enrollment ID: I20170322000149 |
| Provider Name | Jamie Fort |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568589083 PECOS PAC ID: 3375711542 Enrollment ID: I20170327002753 |
| Provider Name | Cody W Wendlandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972915882 PECOS PAC ID: 8325334964 Enrollment ID: I20170328000417 |
| Provider Name | Andrew Sundblad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447411772 PECOS PAC ID: 3375781487 Enrollment ID: I20170329000219 |
| Provider Name | Loren Nathan Bach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205279650 PECOS PAC ID: 7618272865 Enrollment ID: I20170406000489 |
| Provider Name | Karli Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851729743 PECOS PAC ID: 4880823905 Enrollment ID: I20170406003168 |
| Provider Name | Molly C Vaishnav |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093191645 PECOS PAC ID: 3779869425 Enrollment ID: I20170411001893 |
| Provider Name | Stacy A Rivers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245761709 PECOS PAC ID: 7618253170 Enrollment ID: I20170417002146 |
| Provider Name | Dawn M Bozicevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659386266 PECOS PAC ID: 5698051092 Enrollment ID: I20170420000177 |
| Provider Name | Michael Farrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083665913 PECOS PAC ID: 1951383983 Enrollment ID: I20170502000986 |
| Provider Name | Ashley M Zilles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871858639 PECOS PAC ID: 2062731755 Enrollment ID: I20170502002455 |
| Provider Name | Kieran Gary Leong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952668410 PECOS PAC ID: 1355667536 Enrollment ID: I20170503000809 |
| Provider Name | Suzanne Elizabeth Shane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291434 PECOS PAC ID: 8123293081 Enrollment ID: I20170503000936 |
| Provider Name | Michael C R Andrews |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063791853 PECOS PAC ID: 5799062568 Enrollment ID: I20170503002100 |
| Provider Name | Oladi Bentho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922398221 PECOS PAC ID: 7810203932 Enrollment ID: I20170510000668 |
| Provider Name | Timothy Andrew Joseph |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013328236 PECOS PAC ID: 5597065433 Enrollment ID: I20170510000857 |
| Provider Name | Samuel C Dudley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568575173 PECOS PAC ID: 3274602420 Enrollment ID: I20170510001046 |
| Provider Name | Samuel J Luchsinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285908525 PECOS PAC ID: 3577868603 Enrollment ID: I20170510001178 |
| Provider Name | Christopher J Kaczmarczyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912325689 PECOS PAC ID: 8224337266 Enrollment ID: I20170511001685 |
| Provider Name | Navneet Kaur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932467339 PECOS PAC ID: 8022314020 Enrollment ID: I20170515000808 |
| Provider Name | Jason A Bartos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366755878 PECOS PAC ID: 1355646290 Enrollment ID: I20170515001048 |
| Provider Name | Oksana Prychyna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861768343 PECOS PAC ID: 9931404076 Enrollment ID: I20170515001341 |
| Provider Name | Cresta W Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235146556 PECOS PAC ID: 9436181393 Enrollment ID: I20170516001984 |
| Provider Name | Cory Nordman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679771521 PECOS PAC ID: 2961689427 Enrollment ID: I20170517000985 |
| Provider Name | Hayder Abbood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922448141 PECOS PAC ID: 2668768649 Enrollment ID: I20170518002310 |
| Provider Name | Lydia Nyakonu Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013457381 PECOS PAC ID: 5698042711 Enrollment ID: I20170522000571 |
| Provider Name | Adetola Oluwagbenga Ladejobi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043639370 PECOS PAC ID: 9032338231 Enrollment ID: I20170522001579 |
| Provider Name | Sandra Hyams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396295044 PECOS PAC ID: 7315214384 Enrollment ID: I20170522002896 |
| Provider Name | Natalia Genere |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235578956 PECOS PAC ID: 0345464574 Enrollment ID: I20170522002918 |
| Provider Name | Anthony D Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013329689 PECOS PAC ID: 1052617503 Enrollment ID: I20170523002750 |
| Provider Name | Viraj Jayesh Mehta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992047617 PECOS PAC ID: 1951604487 Enrollment ID: I20170524002263 |
| Provider Name | Jay Haggerty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861784589 PECOS PAC ID: 7012217441 Enrollment ID: I20170525001593 |
| Provider Name | David M Mills |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194145946 PECOS PAC ID: 1951609312 Enrollment ID: I20170526000084 |
| Provider Name | Daniel Keys |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710159975 PECOS PAC ID: 2466696919 Enrollment ID: I20170530000632 |
| Provider Name | Ilknur Can |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558514661 PECOS PAC ID: 3274800917 Enrollment ID: I20170530001739 |
| Provider Name | Colette R Brogan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073057840 PECOS PAC ID: 7113294794 Enrollment ID: I20170602000488 |
| Provider Name | Mary A Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659704450 PECOS PAC ID: 9032487426 Enrollment ID: I20170607001014 |
| Provider Name | Holly R Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104227289 PECOS PAC ID: 0941578397 Enrollment ID: I20170608000219 |
| Provider Name | Barrett P Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720407612 PECOS PAC ID: 7618275884 Enrollment ID: I20170608000459 |
| Provider Name | Patricia Ann Fenstermacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043626047 PECOS PAC ID: 8426275884 Enrollment ID: I20170608000807 |
| Provider Name | Carol Brooke Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144237579 PECOS PAC ID: 2466720826 Enrollment ID: I20170608000855 |
| Provider Name | Lindsay G Otte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013386994 PECOS PAC ID: 7315248309 Enrollment ID: I20170608000962 |
| Provider Name | Benjamin T Webber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780094912 PECOS PAC ID: 1759688096 Enrollment ID: I20170608000965 |
| Provider Name | Nathaniel Thomas Gaeckle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477874865 PECOS PAC ID: 2961689351 Enrollment ID: I20170608001015 |
| Provider Name | Pawel Andrzej Mroz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740575125 PECOS PAC ID: 8224338884 Enrollment ID: I20170608001458 |
| Provider Name | Shannon Marie Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508397290 PECOS PAC ID: 3173891454 Enrollment ID: I20170608001939 |
| Provider Name | Rupa P Austria |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861835217 PECOS PAC ID: 6901101773 Enrollment ID: I20170608002122 |
| Provider Name | Amy J Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619376860 PECOS PAC ID: 5597071902 Enrollment ID: I20170608002390 |
| Provider Name | Christopher Thomas Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710272042 PECOS PAC ID: 1355581653 Enrollment ID: I20170608002623 |
| Provider Name | Andrew T Babcock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609134436 PECOS PAC ID: 3870898992 Enrollment ID: I20170609000332 |
| Provider Name | Raghavendra R Nayak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043654072 PECOS PAC ID: 7113222951 Enrollment ID: I20170609001284 |
| Provider Name | Christopher Thomas Wilke |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790077584 PECOS PAC ID: 2163727926 Enrollment ID: I20170612001310 |
| Provider Name | Ana Claudia F Rosa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184913261 PECOS PAC ID: 0840568069 Enrollment ID: I20170612002844 |
| Provider Name | Don B Stott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275821449 PECOS PAC ID: 2769787829 Enrollment ID: I20170612002973 |
| Provider Name | Andrew W Shaffer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609039742 PECOS PAC ID: 4486885951 Enrollment ID: I20170612003026 |
| Provider Name | Christine E Ohl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174935712 PECOS PAC ID: 1456577758 Enrollment ID: I20170613001650 |
| Provider Name | Marat Yanavitski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558599712 PECOS PAC ID: 7810265998 Enrollment ID: I20170613002626 |
| Provider Name | Stephanie E Standal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588007116 PECOS PAC ID: 2769787597 Enrollment ID: I20170613002963 |
| Provider Name | Joseph Zabell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164747085 PECOS PAC ID: 2466767579 Enrollment ID: I20170620000487 |
| Provider Name | Erin Marie Gutowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447670963 PECOS PAC ID: 7719283936 Enrollment ID: I20170620002579 |
| Provider Name | Bronwyn Jane Southwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508155847 PECOS PAC ID: 8729366901 Enrollment ID: I20170621000508 |
| Provider Name | Matej Bajzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902242977 PECOS PAC ID: 0749558492 Enrollment ID: I20170621001111 |
| Provider Name | Justin R Cohenour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336526797 PECOS PAC ID: 7618276205 Enrollment ID: I20170621001931 |
| Provider Name | Andrew Lawrence Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518251198 PECOS PAC ID: 5294003828 Enrollment ID: I20170622001438 |
| Provider Name | Molly F Wyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144665027 PECOS PAC ID: 4183922909 Enrollment ID: I20170623000023 |
| Provider Name | Megan Paulsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588958490 PECOS PAC ID: 8729356233 Enrollment ID: I20170623001433 |
| Provider Name | Kathryn M Pendleton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659666287 PECOS PAC ID: 4486955846 Enrollment ID: I20170627001881 |
| Provider Name | Aneliya M Miltcheva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205378403 PECOS PAC ID: 5991074379 Enrollment ID: I20170627003340 |
| Provider Name | Michael M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689077877 PECOS PAC ID: 5597051623 Enrollment ID: I20170628002277 |
| Provider Name | Christopher James Tignanelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477780245 PECOS PAC ID: 3072738509 Enrollment ID: I20170628002837 |
| Provider Name | Sarah Nicole Olson Venning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003255472 PECOS PAC ID: 6406125723 Enrollment ID: I20170629002920 |
| Provider Name | Reem Mahdawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396151056 PECOS PAC ID: 3971805854 Enrollment ID: I20170630001375 |
| Provider Name | Brinda Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013394030 PECOS PAC ID: 2769787357 Enrollment ID: I20170630001599 |
| Provider Name | Smarika Sapkota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417362617 PECOS PAC ID: 7911129242 Enrollment ID: I20170630002488 |
| Provider Name | Scott D White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629496229 PECOS PAC ID: 6103124375 Enrollment ID: I20170703000586 |
| Provider Name | Michael A Sundberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306111414 PECOS PAC ID: 8426296765 Enrollment ID: I20170703000907 |
| Provider Name | Dawn Marie Pedrotty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720371685 PECOS PAC ID: 6305136623 Enrollment ID: I20170705003379 |
| Provider Name | Alexandra G Hartley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467831669 PECOS PAC ID: 2961795067 Enrollment ID: I20170712000459 |
| Provider Name | Kelsey Ms Scampoli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043753049 PECOS PAC ID: 3779853387 Enrollment ID: I20170714000008 |
| Provider Name | Jeremy Scott Markowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033438601 PECOS PAC ID: 6901176478 Enrollment ID: I20170717003576 |
| Provider Name | Scott Wavinak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063831733 PECOS PAC ID: 9739488669 Enrollment ID: I20170718003544 |
| Provider Name | Matthew Yocum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497199236 PECOS PAC ID: 8426354812 Enrollment ID: I20170724002812 |
| Provider Name | Arpit Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982991170 PECOS PAC ID: 7911127204 Enrollment ID: I20170724003712 |
| Provider Name | Andrew Yoowon Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407118359 PECOS PAC ID: 3274835939 Enrollment ID: I20170724003992 |
| Provider Name | Pierre Tawfik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467839878 PECOS PAC ID: 2062717929 Enrollment ID: I20170727000059 |
| Provider Name | Eugenia Shmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003102989 PECOS PAC ID: 0143477695 Enrollment ID: I20170727003786 |
| Provider Name | Catherine E. Porter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154564409 PECOS PAC ID: 9537302740 Enrollment ID: I20170728001281 |
| Provider Name | Rachel M Cafferty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194137471 PECOS PAC ID: 2163728163 Enrollment ID: I20170731000879 |
| Provider Name | John Thomas Egan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063723310 PECOS PAC ID: 6103064332 Enrollment ID: I20170731002129 |
| Provider Name | Derek John Przybylski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003265349 PECOS PAC ID: 3375814965 Enrollment ID: I20170731002928 |
| Provider Name | Angelique M Ruff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295020311 PECOS PAC ID: 4486870557 Enrollment ID: I20170731002948 |
| Provider Name | Mark L Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023464468 PECOS PAC ID: 4587945845 Enrollment ID: I20170807000590 |
| Provider Name | Brenna L Radermacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619499860 PECOS PAC ID: 6507137775 Enrollment ID: I20170807000837 |
| Provider Name | Steven Richmond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285012187 PECOS PAC ID: 3072884253 Enrollment ID: I20170807001116 |
| Provider Name | Adam Mattox |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922269448 PECOS PAC ID: 1759683295 Enrollment ID: I20170809000077 |
| Provider Name | Afanwi Lumsina Kube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306367172 PECOS PAC ID: 6800167834 Enrollment ID: I20170809000706 |
| Provider Name | Allison Joan Yarusso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376987651 PECOS PAC ID: 5597072496 Enrollment ID: I20170810001768 |
| Provider Name | Jeremy P Berman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578881439 PECOS PAC ID: 3476706227 Enrollment ID: I20170810002663 |
| Provider Name | Christina L Fanola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942461637 PECOS PAC ID: 1254500457 Enrollment ID: I20170810002794 |
| Provider Name | Benjamin Charles Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922444942 PECOS PAC ID: 8224335898 Enrollment ID: I20170810003368 |
| Provider Name | George W Heckert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588001523 PECOS PAC ID: 8527384726 Enrollment ID: I20170811001131 |
| Provider Name | Jason William Denbo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1346432572 PECOS PAC ID: 2163746827 Enrollment ID: I20170811001569 |
| Provider Name | Sameer V Dongre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336582501 PECOS PAC ID: 4284933649 Enrollment ID: I20170811001730 |
| Provider Name | Robert W Gould |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740218916 PECOS PAC ID: 0345147021 Enrollment ID: I20170811002046 |
| Provider Name | Andrew Jose Garcia |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801214499 PECOS PAC ID: 7315246261 Enrollment ID: I20170812000001 |
| Provider Name | Vincent Daniel Vallera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316380868 PECOS PAC ID: 0244546828 Enrollment ID: I20170812000068 |
| Provider Name | John Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497283253 PECOS PAC ID: 9830460690 Enrollment ID: I20170812000359 |
| Provider Name | Melanie Rebecca Bourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588051213 PECOS PAC ID: 5294006052 Enrollment ID: I20170812000397 |
| Provider Name | Nhat Anh Ngo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003193509 PECOS PAC ID: 8224276050 Enrollment ID: I20170814000170 |
| Provider Name | Jonathan C Homans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588919526 PECOS PAC ID: 6709192313 Enrollment ID: I20170814000409 |
| Provider Name | Kenneth R Leeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992225866 PECOS PAC ID: 1759652530 Enrollment ID: I20170814000757 |
| Provider Name | Craig F Tschautscher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316301096 PECOS PAC ID: 6507158227 Enrollment ID: I20170814000764 |
| Provider Name | Brenda Aika Shoo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992993455 PECOS PAC ID: 4082930540 Enrollment ID: I20170814001263 |
| Provider Name | Abigail K Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295180586 PECOS PAC ID: 2961794680 Enrollment ID: I20170814002210 |
| Provider Name | Lindsay N Williams Palaniappan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568816189 PECOS PAC ID: 0749572535 Enrollment ID: I20170814002604 |
| Provider Name | Georgios Christopoulos |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003294422 PECOS PAC ID: 3779804257 Enrollment ID: I20170814003283 |
| Provider Name | Jacob Jennings Orme |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275997926 PECOS PAC ID: 7214220177 Enrollment ID: I20170814003337 |
| Provider Name | Jonathan Snitzer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1831456953 PECOS PAC ID: 2961774740 Enrollment ID: I20170815001989 |
| Provider Name | Syed Akbar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780979955 PECOS PAC ID: 5890003446 Enrollment ID: I20170815002983 |
| Provider Name | Jiwan K Thapa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518123355 PECOS PAC ID: 1052555901 Enrollment ID: I20170816002014 |
| Provider Name | Avraham Sofer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386969152 PECOS PAC ID: 3678714011 Enrollment ID: I20170816002280 |
| Provider Name | John A Keegan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932281763 PECOS PAC ID: 7214977933 Enrollment ID: I20170816003655 |
| Provider Name | Elizabeth Ann Bodnia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790191732 PECOS PAC ID: 7810113818 Enrollment ID: I20170819000143 |
| Provider Name | James Edward Hougas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780812651 PECOS PAC ID: 6406095686 Enrollment ID: I20170819000205 |
| Provider Name | Marie Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417311895 PECOS PAC ID: 4183914302 Enrollment ID: I20170821001900 |
| Provider Name | Maleeha Faisal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730522004 PECOS PAC ID: 8527364090 Enrollment ID: I20170821003297 |
| Provider Name | Hilary Wilde |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023548559 PECOS PAC ID: 1355613621 Enrollment ID: I20170821003390 |
| Provider Name | Brett Gregory Aplin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215164959 PECOS PAC ID: 4981900461 Enrollment ID: I20170821003512 |
| Provider Name | Jaimi L Weber |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1336594498 PECOS PAC ID: 4587958095 Enrollment ID: I20170821003523 |
| Provider Name | Ariel A Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811211337 PECOS PAC ID: 2860641453 Enrollment ID: I20170823003137 |
| Provider Name | Sasha Strul |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023374964 PECOS PAC ID: 0547404584 Enrollment ID: I20170823004347 |
| Provider Name | Christopher C Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669554358 PECOS PAC ID: 1456453778 Enrollment ID: I20170824000678 |
| Provider Name | Fardows Salim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114344587 PECOS PAC ID: 4183926116 Enrollment ID: I20170824001375 |
| Provider Name | Sarah M Krueger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598008716 PECOS PAC ID: 4082933189 Enrollment ID: I20170825001687 |
| Provider Name | Joel S Jurantee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548560659 PECOS PAC ID: 3678709839 Enrollment ID: I20170825002385 |
| Provider Name | Kayla Marie Fuller Stinger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487182432 PECOS PAC ID: 5496027328 Enrollment ID: I20170828000813 |
| Provider Name | Keith Wirth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336568617 PECOS PAC ID: 6406150267 Enrollment ID: I20170828003956 |
| Provider Name | John Robert Fischer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497867972 PECOS PAC ID: 0941220909 Enrollment ID: I20170829002159 |
| Provider Name | John Mccormick-deaton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699074229 PECOS PAC ID: 8921225962 Enrollment ID: I20170830001183 |
| Provider Name | Matthew Richard Soule |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437393113 PECOS PAC ID: 5395041800 Enrollment ID: I20170830003748 |
| Provider Name | Alessio N/a Giubellino |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629410808 PECOS PAC ID: 5890068464 Enrollment ID: I20170901000395 |
| Provider Name | Edriss Ali Charaf |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629267588 PECOS PAC ID: 3072652783 Enrollment ID: I20170901001102 |
| Provider Name | Amanjit Baadh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003061367 PECOS PAC ID: 3870750029 Enrollment ID: I20170905001562 |
| Provider Name | Katie-anne Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225588668 PECOS PAC ID: 2860765385 Enrollment ID: I20170906000085 |
| Provider Name | Donald J Fahey-ahrndt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295180917 PECOS PAC ID: 3779863618 Enrollment ID: I20170906003351 |
| Provider Name | Bonnie Kathleen Keane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508248121 PECOS PAC ID: 5991019440 Enrollment ID: I20170908000243 |
| Provider Name | Loann M Heuring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831456805 PECOS PAC ID: 6002189321 Enrollment ID: I20170908001759 |
| Provider Name | Robert Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649672411 PECOS PAC ID: 1850512427 Enrollment ID: I20170911000093 |
| Provider Name | Patricia Marie Peters Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497874663 PECOS PAC ID: 3678846664 Enrollment ID: I20170913004013 |
| Provider Name | Ziad Hector Nahas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649388505 PECOS PAC ID: 7517048515 Enrollment ID: I20170915001594 |
| Provider Name | Jon Michael Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710414610 PECOS PAC ID: 5799059564 Enrollment ID: I20170918000492 |
| Provider Name | Clair Bernard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700300381 PECOS PAC ID: 7012281785 Enrollment ID: I20170919001531 |
| Provider Name | Thuy Tien B Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418302 PECOS PAC ID: 4183921786 Enrollment ID: I20170919003752 |
| Provider Name | Connie N Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992016562 PECOS PAC ID: 3476869959 Enrollment ID: I20170920000742 |
| Provider Name | Jennilynn M Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174990089 PECOS PAC ID: 6002180668 Enrollment ID: I20170920001434 |
| Provider Name | Bridget M Kingsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386167286 PECOS PAC ID: 5799059267 Enrollment ID: I20170921002333 |
| Provider Name | Katherine L Braaten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942723713 PECOS PAC ID: 3476827684 Enrollment ID: I20170926002954 |
| Provider Name | Claire Kathleen Mcneil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447670948 PECOS PAC ID: 8527363308 Enrollment ID: I20170926003860 |
| Provider Name | Opeyemi Agboola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558775429 PECOS PAC ID: 0648544726 Enrollment ID: I20170928001695 |
| Provider Name | David Allen Supik |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154767366 PECOS PAC ID: 0345532701 Enrollment ID: I20170929000727 |
| Provider Name | Christine Conelea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710393046 PECOS PAC ID: 8820216534 Enrollment ID: I20171002001881 |
| Provider Name | Justin Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528479888 PECOS PAC ID: 7113240417 Enrollment ID: I20171003005253 |
| Provider Name | Marley Roseanne Abrams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538558762 PECOS PAC ID: 9931426871 Enrollment ID: I20171004001867 |
| Provider Name | Kirsten Mccarthy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558883710 PECOS PAC ID: 5092080846 Enrollment ID: I20171005000040 |
| Provider Name | Michael Macintire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962769125 PECOS PAC ID: 8729206164 Enrollment ID: I20171005000099 |
| Provider Name | Robert Kent Brownawell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063775260 PECOS PAC ID: 2264683606 Enrollment ID: I20171007000160 |
| Provider Name | Nicholas Kim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073837506 PECOS PAC ID: 8820317399 Enrollment ID: I20171009000028 |
| Provider Name | Hannah Balfanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003334319 PECOS PAC ID: 9638444268 Enrollment ID: I20171009001483 |
| Provider Name | Brianna M. Koopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205389798 PECOS PAC ID: 1355636531 Enrollment ID: I20171009002044 |
| Provider Name | Nasreen S Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992182158 PECOS PAC ID: 3678877719 Enrollment ID: I20171009002310 |
| Provider Name | Lora M H Wichser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518301241 PECOS PAC ID: 6103132774 Enrollment ID: I20171013001073 |
| Provider Name | Carolyn Firth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255638649 PECOS PAC ID: 3971788258 Enrollment ID: I20171017000098 |
| Provider Name | Molly Schull |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902329030 PECOS PAC ID: 3375819428 Enrollment ID: I20171018000769 |
| Provider Name | Catherine A Passe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073050704 PECOS PAC ID: 7517233521 Enrollment ID: I20171018003579 |
| Provider Name | Bennett Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831416569 PECOS PAC ID: 5395980510 Enrollment ID: I20171019001402 |
| Provider Name | Traci Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003100900 PECOS PAC ID: 9335364082 Enrollment ID: I20171023000160 |
| Provider Name | Nicholas Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609392695 PECOS PAC ID: 7618243460 Enrollment ID: I20171023000252 |
| Provider Name | Clair Bernard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700300381 PECOS PAC ID: 7012281785 Enrollment ID: I20171023001407 |
| Provider Name | Theang T Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528412038 PECOS PAC ID: 7315228475 Enrollment ID: I20171023002010 |
| Provider Name | Stephanie A Boysen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982120085 PECOS PAC ID: 3870869563 Enrollment ID: I20171025000451 |
| Provider Name | Steven L Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255759403 PECOS PAC ID: 5890093595 Enrollment ID: I20171027001996 |
| Provider Name | Kathleen P Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649681115 PECOS PAC ID: 3678870284 Enrollment ID: I20171027002077 |
| Provider Name | Thomas Broback |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063930493 PECOS PAC ID: 0941576433 Enrollment ID: I20171027002584 |
| Provider Name | Julie Ann Everson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730617069 PECOS PAC ID: 2163798679 Enrollment ID: I20171030000215 |
| Provider Name | Erin Galegher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982132536 PECOS PAC ID: 1153687462 Enrollment ID: I20171101003637 |
| Provider Name | Alexandra Morgan Kramme |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073063970 PECOS PAC ID: 5496011637 Enrollment ID: I20171103002627 |
| Provider Name | Alanna Jade Jirschele |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497265698 PECOS PAC ID: 4385900554 Enrollment ID: I20171106000694 |
| Provider Name | Goran Klak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154660488 PECOS PAC ID: 7214173533 Enrollment ID: I20171107001467 |
| Provider Name | Tiffany J Radke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730588823 PECOS PAC ID: 9638399470 Enrollment ID: I20171110000621 |
| Provider Name | Jane Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093732547 PECOS PAC ID: 6305975319 Enrollment ID: I20171110000858 |
| Provider Name | Erin Marie Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164952479 PECOS PAC ID: 5890051627 Enrollment ID: I20171113000336 |
| Provider Name | Angelica Badaru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407937766 PECOS PAC ID: 3476560731 Enrollment ID: I20171115003902 |
| Provider Name | Roma Teekamdas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245673714 PECOS PAC ID: 8527346857 Enrollment ID: I20171127001621 |
| Provider Name | Hannah Mareen Stafford |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881110310 PECOS PAC ID: 6800153057 Enrollment ID: I20171127002270 |
| Provider Name | Anthony P Liebhard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609255645 PECOS PAC ID: 3577868496 Enrollment ID: I20171201002553 |
| Provider Name | Vanessa Marie Hauge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386191948 PECOS PAC ID: 3173880929 Enrollment ID: I20171201002787 |
| Provider Name | Jessica Whelan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679866099 PECOS PAC ID: 4981844131 Enrollment ID: I20171204001450 |
| Provider Name | Kim S Christenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285076646 PECOS PAC ID: 3274760418 Enrollment ID: I20171207002189 |
| Provider Name | Karin L Muldowney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346752359 PECOS PAC ID: 8527325059 Enrollment ID: I20171207002953 |
| Provider Name | Jacob D Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528412210 PECOS PAC ID: 4284926197 Enrollment ID: I20171220000979 |
| Provider Name | David Leonard Ortiz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619312246 PECOS PAC ID: 0345545273 Enrollment ID: I20171221001498 |
| Provider Name | Amber Marie Stutz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952748758 PECOS PAC ID: 1759686686 Enrollment ID: I20171222000034 |
| Provider Name | Eric E Steinbrueck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134485022 PECOS PAC ID: 9133436207 Enrollment ID: I20180103000344 |
| Provider Name | Caitlin Ann Lutgen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477077840 PECOS PAC ID: 7214295849 Enrollment ID: I20180103000553 |
| Provider Name | Jeremy Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295189991 PECOS PAC ID: 4284993882 Enrollment ID: I20180104001381 |
| Provider Name | Linda Marie Rinehart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255716916 PECOS PAC ID: 0648539148 Enrollment ID: I20180108002437 |
| Provider Name | Jaclyn M Schultz-czarniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770551178 PECOS PAC ID: 1850686619 Enrollment ID: I20180109003035 |
| Provider Name | Andrew G Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467839332 PECOS PAC ID: 1456655141 Enrollment ID: I20180110000042 |
| Provider Name | Becca C Sample |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538600440 PECOS PAC ID: 4284993619 Enrollment ID: I20180110003047 |
| Provider Name | Rebecca D Pilarzyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447760087 PECOS PAC ID: 0143589465 Enrollment ID: I20180112001544 |
| Provider Name | Lidia Zylowska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417157231 PECOS PAC ID: 5890826242 Enrollment ID: I20180118001559 |
| Provider Name | Carrie Lynn Sommars Maruska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194915587 PECOS PAC ID: 3375802408 Enrollment ID: I20180118002210 |
| Provider Name | Patrick T Mccarthy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053706622 PECOS PAC ID: 4082913124 Enrollment ID: I20180124002474 |
| Provider Name | Rebecca A Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124533617 PECOS PAC ID: 8729348404 Enrollment ID: I20180130000155 |
| Provider Name | Lucas R. Frohreich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710402706 PECOS PAC ID: 6709146376 Enrollment ID: I20180131001040 |
| Provider Name | Anil Chauhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336380815 PECOS PAC ID: 5294977567 Enrollment ID: I20180205001833 |
| Provider Name | Jennifer L Oleary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669982831 PECOS PAC ID: 2264792563 Enrollment ID: I20180206001579 |
| Provider Name | Scott Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700930344 PECOS PAC ID: 2062681059 Enrollment ID: I20180207001598 |
| Provider Name | Amy Reed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285602805 PECOS PAC ID: 8628064201 Enrollment ID: I20180208002443 |
| Provider Name | Rahul Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497910186 PECOS PAC ID: 3870768385 Enrollment ID: I20180208002910 |
| Provider Name | Patrick Henry Nachman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912075144 PECOS PAC ID: 5395871016 Enrollment ID: I20180212000012 |
| Provider Name | Kendall R Mceachron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053798728 PECOS PAC ID: 2264736024 Enrollment ID: I20180219001986 |
| Provider Name | Karl W Eckberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356738850 PECOS PAC ID: 7618273939 Enrollment ID: I20180221002662 |
| Provider Name | Mehria Sayad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669829206 PECOS PAC ID: 6204197767 Enrollment ID: I20180223001567 |
| Provider Name | Justin Halbe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356667984 PECOS PAC ID: 8123347713 Enrollment ID: I20180306002750 |
| Provider Name | Brian J Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164440319 PECOS PAC ID: 7113816471 Enrollment ID: I20180308000536 |
| Provider Name | Elizabeth Victoria Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255847943 PECOS PAC ID: 5395006274 Enrollment ID: I20180312000800 |
| Provider Name | Harumi L Hachiya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760436166 PECOS PAC ID: 1951324326 Enrollment ID: I20180314000430 |
| Provider Name | Kristin A Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750783908 PECOS PAC ID: 0345566428 Enrollment ID: I20180320000140 |
| Provider Name | Lashonda W Soma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831330851 PECOS PAC ID: 7214155076 Enrollment ID: I20180320002414 |
| Provider Name | Asrar A Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497161202 PECOS PAC ID: 4486873247 Enrollment ID: I20180321001687 |
| Provider Name | Katie Jane Halverson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194231654 PECOS PAC ID: 9234491739 Enrollment ID: I20180321001826 |
| Provider Name | Nicole Ann Witowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558878363 PECOS PAC ID: 7810259272 Enrollment ID: I20180322001580 |
| Provider Name | Rao Watson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386953479 PECOS PAC ID: 2668784349 Enrollment ID: I20180328002734 |
| Provider Name | David M Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386637882 PECOS PAC ID: 6901707355 Enrollment ID: I20180329001546 |
| Provider Name | Jamie R Hackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104340751 PECOS PAC ID: 7810259868 Enrollment ID: I20180403000486 |
| Provider Name | Kelly Ann Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992216618 PECOS PAC ID: 5597028506 Enrollment ID: I20180404001000 |
| Provider Name | Mona King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235513250 PECOS PAC ID: 1254647886 Enrollment ID: I20180404002591 |
| Provider Name | Lerraughn M Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760724975 PECOS PAC ID: 2163715780 Enrollment ID: I20180404002833 |
| Provider Name | Jennifer S Gioia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952644841 PECOS PAC ID: 8022371913 Enrollment ID: I20180405001633 |
| Provider Name | Riley J Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437659190 PECOS PAC ID: 1850654641 Enrollment ID: I20180409001188 |
| Provider Name | Ann E Zaiser |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1043339740 PECOS PAC ID: 5092942748 Enrollment ID: I20180409001985 |
| Provider Name | Jessica Ann Hane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114374881 PECOS PAC ID: 9537446117 Enrollment ID: I20180412002915 |
| Provider Name | Melissa A Yunker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861847956 PECOS PAC ID: 3476816893 Enrollment ID: I20180418001361 |
| Provider Name | Rawson James Valentine |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356304075 PECOS PAC ID: 1658321641 Enrollment ID: I20180418001575 |
| Provider Name | Brian Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316263064 PECOS PAC ID: 9032339627 Enrollment ID: I20180423002386 |
| Provider Name | Nicholas Kucher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518385848 PECOS PAC ID: 2466722442 Enrollment ID: I20180424000425 |
| Provider Name | Lillian Elizabeth Medhus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265933766 PECOS PAC ID: 7618231721 Enrollment ID: I20180425001963 |
| Provider Name | Louis Eduardo Velasco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629102363 PECOS PAC ID: 4486679008 Enrollment ID: I20180426001655 |
| Provider Name | Winnie T Chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780028530 PECOS PAC ID: 9335447838 Enrollment ID: I20180426002133 |
| Provider Name | Georgios Pongas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487974770 PECOS PAC ID: 9133490311 Enrollment ID: I20180501000991 |
| Provider Name | Sahar Lotfi-emran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639523053 PECOS PAC ID: 2961766621 Enrollment ID: I20180503002217 |
| Provider Name | Matthew Bobel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851788046 PECOS PAC ID: 3476858630 Enrollment ID: I20180507001546 |
| Provider Name | Elliot George Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326494659 PECOS PAC ID: 3274897863 Enrollment ID: I20180508000013 |
| Provider Name | Stephanie L Piche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073013181 PECOS PAC ID: 1658635115 Enrollment ID: I20180509000371 |
| Provider Name | Jan K Czyzyk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285617407 PECOS PAC ID: 3870764004 Enrollment ID: I20180514002492 |
| Provider Name | Sean A Ohl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215319694 PECOS PAC ID: 5294030078 Enrollment ID: I20180517003189 |
| Provider Name | Benjamin Arthur Kooiker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053548933 PECOS PAC ID: 5597917740 Enrollment ID: I20180518000665 |
| Provider Name | Katherine L Malmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306340898 PECOS PAC ID: 4082979125 Enrollment ID: I20180521001494 |
| Provider Name | Amit Bhargava |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679796999 PECOS PAC ID: 6103925334 Enrollment ID: I20180521002316 |
| Provider Name | Ilitch Diaz Gutierrez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629209366 PECOS PAC ID: 7911132105 Enrollment ID: I20180522002742 |
| Provider Name | Akilan Selvaraju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992955751 PECOS PAC ID: 1557655420 Enrollment ID: I20180524000001 |
| Provider Name | Rishi A Nigam |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205268455 PECOS PAC ID: 3375848419 Enrollment ID: I20180524002964 |
| Provider Name | Elena K Geiger Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891210191 PECOS PAC ID: 7315202728 Enrollment ID: I20180605001507 |
| Provider Name | Ancil James Abney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922493600 PECOS PAC ID: 9931464393 Enrollment ID: I20180606000176 |
| Provider Name | Robben Andrew Schat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164765822 PECOS PAC ID: 6103121124 Enrollment ID: I20180606000910 |
| Provider Name | Joan Beckman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699034140 PECOS PAC ID: 4183840960 Enrollment ID: I20180606001093 |
| Provider Name | Susan M Lou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316387277 PECOS PAC ID: 5991003998 Enrollment ID: I20180606001970 |
| Provider Name | Jerry W Tu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477963734 PECOS PAC ID: 8921377326 Enrollment ID: I20180613000269 |
| Provider Name | Carlos Joaquin Gonzalez Quesada |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356635478 PECOS PAC ID: 9830321942 Enrollment ID: I20180613002001 |
| Provider Name | Michael H Bambenek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215323787 PECOS PAC ID: 1759683832 Enrollment ID: I20180613003478 |
| Provider Name | Gregg A Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053751909 PECOS PAC ID: 7810296431 Enrollment ID: I20180614000245 |
| Provider Name | Olufunmilola Okanla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841626132 PECOS PAC ID: 4981959954 Enrollment ID: I20180614001748 |
| Provider Name | Megan A Brandeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720466188 PECOS PAC ID: 2264738889 Enrollment ID: I20180616000025 |
| Provider Name | Bryan D Hinck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467728881 PECOS PAC ID: 6507168556 Enrollment ID: I20180618000771 |
| Provider Name | Najla Hatem El Jurdi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538424536 PECOS PAC ID: 7416202338 Enrollment ID: I20180618002691 |
| Provider Name | Zachary J Beatty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164866489 PECOS PAC ID: 8628373842 Enrollment ID: I20180619000529 |
| Provider Name | Yao Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073933545 PECOS PAC ID: 5698070951 Enrollment ID: I20180619000533 |
| Provider Name | Nirjhar Dutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104292978 PECOS PAC ID: 6002193950 Enrollment ID: I20180619000551 |
| Provider Name | Kevin H Boegel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669815320 PECOS PAC ID: 7315242435 Enrollment ID: I20180619003651 |
| Provider Name | Jason Carroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033417571 PECOS PAC ID: 4789843285 Enrollment ID: I20180620003349 |
| Provider Name | Craig Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467667774 PECOS PAC ID: 7618021429 Enrollment ID: I20180621000799 |
| Provider Name | Asmaa Ferdjallah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013250836 PECOS PAC ID: 6002109113 Enrollment ID: I20180626002356 |
| Provider Name | Joseph Woolley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790162063 PECOS PAC ID: 1557667797 Enrollment ID: I20180627000119 |
| Provider Name | Zachary Royce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326307760 PECOS PAC ID: 8325340938 Enrollment ID: I20180628003496 |
| Provider Name | Eric Jonathan Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104172782 PECOS PAC ID: 3870716343 Enrollment ID: I20180629000734 |
| Provider Name | Kelsey E Gelhaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235559659 PECOS PAC ID: 3476858804 Enrollment ID: I20180702001587 |
| Provider Name | Kushal Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518233642 PECOS PAC ID: 6305127390 Enrollment ID: I20180702002014 |
| Provider Name | Guang Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609286277 PECOS PAC ID: 0446506695 Enrollment ID: I20180702002155 |
| Provider Name | Justin Gross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558676817 PECOS PAC ID: 1355573643 Enrollment ID: I20180703000252 |
| Provider Name | Sumit Sean Sood |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063858769 PECOS PAC ID: 3678870730 Enrollment ID: I20180706001019 |
| Provider Name | Tori L Bahr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790195923 PECOS PAC ID: 7618272451 Enrollment ID: I20180710000205 |
| Provider Name | Abijah Muthyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528465655 PECOS PAC ID: 7214291764 Enrollment ID: I20180710001309 |
| Provider Name | Roy Lee Joe Kao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407058076 PECOS PAC ID: 5395918072 Enrollment ID: I20180710001872 |
| Provider Name | Nick Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023490414 PECOS PAC ID: 5092007328 Enrollment ID: I20180712000035 |
| Provider Name | Jetter Thomas Robertson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760802508 PECOS PAC ID: 1254636160 Enrollment ID: I20180712000663 |
| Provider Name | Sara Balster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346738325 PECOS PAC ID: 6002162559 Enrollment ID: I20180713000398 |
| Provider Name | Victoria C Valena |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851360671 PECOS PAC ID: 3971850470 Enrollment ID: I20180714000000 |
| Provider Name | Prajwal Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629457023 PECOS PAC ID: 0648576496 Enrollment ID: I20180716001658 |
| Provider Name | Jereoha C Nwobodo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316358518 PECOS PAC ID: 7012264237 Enrollment ID: I20180719000980 |
| Provider Name | Kylie G Fowler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326314030 PECOS PAC ID: 6406135235 Enrollment ID: I20180719002792 |
| Provider Name | Oksana Ag Bohn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720349384 PECOS PAC ID: 3870890999 Enrollment ID: I20180719002826 |
| Provider Name | Steven C Severson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780060129 PECOS PAC ID: 2961759048 Enrollment ID: I20180719003942 |
| Provider Name | Christopher Steevens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992094064 PECOS PAC ID: 1951607555 Enrollment ID: I20180720001003 |
| Provider Name | Camille Robichaux |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548647340 PECOS PAC ID: 2163779125 Enrollment ID: I20180720002989 |
| Provider Name | Alex J Asp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831570373 PECOS PAC ID: 5597012575 Enrollment ID: I20180723000700 |
| Provider Name | David A Skansberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295817872 PECOS PAC ID: 5193072197 Enrollment ID: I20180723001353 |
| Provider Name | Brian Betts |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114055860 PECOS PAC ID: 9436337540 Enrollment ID: I20180724000546 |
| Provider Name | Mark A Mcgill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437595238 PECOS PAC ID: 5193967578 Enrollment ID: I20180724000953 |
| Provider Name | Richie K Huynh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801282447 PECOS PAC ID: 8820369010 Enrollment ID: I20180724001132 |
| Provider Name | Alistair Phillips |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730139825 PECOS PAC ID: 1951392901 Enrollment ID: I20180725000528 |
| Provider Name | Danielle M Quallich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396122065 PECOS PAC ID: 8426354663 Enrollment ID: I20180725000917 |
| Provider Name | Mark A Welnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255698221 PECOS PAC ID: 2769771138 Enrollment ID: I20180725002558 |
| Provider Name | Alethea Schaffer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053802835 PECOS PAC ID: 9234486861 Enrollment ID: I20180727000515 |
| Provider Name | Dennis Ea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114450988 PECOS PAC ID: 9638447964 Enrollment ID: I20180728000016 |
| Provider Name | Sadik Abdikadir Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811377229 PECOS PAC ID: 6305193996 Enrollment ID: I20180730000213 |
| Provider Name | Khalid Abdiaziz Mohamood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275950461 PECOS PAC ID: 7214160415 Enrollment ID: I20180730002514 |
| Provider Name | Elliot Mohr Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639512866 PECOS PAC ID: 0749538304 Enrollment ID: I20180730003395 |
| Provider Name | Zaki H Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700058849 PECOS PAC ID: 9335336361 Enrollment ID: I20180731000760 |
| Provider Name | Jennifer Kay Rieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174015986 PECOS PAC ID: 9739437237 Enrollment ID: I20180731001385 |
| Provider Name | Robert Ward |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124552096 PECOS PAC ID: 8628341401 Enrollment ID: I20180731003689 |
| Provider Name | Fiona C. He |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730440140 PECOS PAC ID: 8426271032 Enrollment ID: I20180801000440 |
| Provider Name | Cameron Blegen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548791585 PECOS PAC ID: 3375812308 Enrollment ID: I20180801003575 |
| Provider Name | Kairav Pramesh Vakil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467600403 PECOS PAC ID: 3678889045 Enrollment ID: I20180802000500 |
| Provider Name | Jennifer Lynn Altnow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437607488 PECOS PAC ID: 6204184427 Enrollment ID: I20180804000005 |
| Provider Name | Sheila Kathleen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710218151 PECOS PAC ID: 5991941692 Enrollment ID: I20180804000198 |
| Provider Name | Haley L Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659802510 PECOS PAC ID: 2163791989 Enrollment ID: I20180806001704 |
| Provider Name | Alyson Ann Montplaisir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467952986 PECOS PAC ID: 5496003576 Enrollment ID: I20180806003114 |
| Provider Name | Ryan Michael Finn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558898684 PECOS PAC ID: 7810269008 Enrollment ID: I20180806003180 |
| Provider Name | Benjamin Eli Rosenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346771920 PECOS PAC ID: 8820367790 Enrollment ID: I20180808001130 |
| Provider Name | Chee N Vang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043720451 PECOS PAC ID: 8123376084 Enrollment ID: I20180809000006 |
| Provider Name | Russ Patrick Gervais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760917660 PECOS PAC ID: 4385916782 Enrollment ID: I20180809000471 |
| Provider Name | Amanda M Termuhlen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043208697 PECOS PAC ID: 7012102882 Enrollment ID: I20180809004511 |
| Provider Name | Joshua Theodore Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992237754 PECOS PAC ID: 1850649674 Enrollment ID: I20180809005149 |
| Provider Name | Mohamad Adada |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528590734 PECOS PAC ID: 3678843620 Enrollment ID: I20180809005876 |
| Provider Name | Michael Klajda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134650039 PECOS PAC ID: 4284906017 Enrollment ID: I20180810002512 |
| Provider Name | Danqing Hu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578927117 PECOS PAC ID: 0042502551 Enrollment ID: I20180814000017 |
| Provider Name | Anna V Subramaniam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184156150 PECOS PAC ID: 9335411057 Enrollment ID: I20180814000138 |
| Provider Name | Alik Sunil Widge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952535155 PECOS PAC ID: 5799914776 Enrollment ID: I20180814003056 |
| Provider Name | Gabriel Jerome Greseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609367150 PECOS PAC ID: 8921357526 Enrollment ID: I20180815000903 |
| Provider Name | William Ashley Smoot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568698942 PECOS PAC ID: 8224189691 Enrollment ID: I20180815002446 |
| Provider Name | Meghan Fanta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356738546 PECOS PAC ID: 0042569527 Enrollment ID: I20180816000444 |
| Provider Name | Oloruntobi Moses Rahaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881013704 PECOS PAC ID: 4082963509 Enrollment ID: I20180816002184 |
| Provider Name | Emily M Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043693393 PECOS PAC ID: 4587913959 Enrollment ID: I20180817000934 |
| Provider Name | Rachel M. Bialostosky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821525668 PECOS PAC ID: 6103175542 Enrollment ID: I20180820000451 |
| Provider Name | Damon R Olson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114283173 PECOS PAC ID: 3678796109 Enrollment ID: I20180822003097 |
| Provider Name | Jill C Crosby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184067217 PECOS PAC ID: 1557671427 Enrollment ID: I20180823000002 |
| Provider Name | Abbie J Metzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114452471 PECOS PAC ID: 4981973476 Enrollment ID: I20180824001813 |
| Provider Name | Rebecca Rathjen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356749907 PECOS PAC ID: 4183973043 Enrollment ID: I20180827000548 |
| Provider Name | Matthew D Torgeson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497192066 PECOS PAC ID: 4789811662 Enrollment ID: I20180827002200 |
| Provider Name | Doha Ibrahim Salem |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295232718 PECOS PAC ID: 2961751946 Enrollment ID: I20180827002362 |
| Provider Name | Matthew Joseph Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891175618 PECOS PAC ID: 3375892185 Enrollment ID: I20180827003199 |
| Provider Name | Jennifer S Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487189718 PECOS PAC ID: 4880952134 Enrollment ID: I20180828000781 |
| Provider Name | Ashley Marie Enke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891280137 PECOS PAC ID: 8123377983 Enrollment ID: I20180828001274 |
| Provider Name | Aditya Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588955843 PECOS PAC ID: 7517289648 Enrollment ID: I20180828002760 |
| Provider Name | Katelyn E Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801389911 PECOS PAC ID: 2769732494 Enrollment ID: I20180830000722 |
| Provider Name | Mohammad Taha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588862346 PECOS PAC ID: 9537354279 Enrollment ID: I20180831000927 |
| Provider Name | Timothy Edmiston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982021549 PECOS PAC ID: 7517267313 Enrollment ID: I20180831001024 |
| Provider Name | Emily Diane Escue |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407295124 PECOS PAC ID: 5890919013 Enrollment ID: I20180901000044 |
| Provider Name | Joseph Decker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871940619 PECOS PAC ID: 0446500086 Enrollment ID: I20180901000166 |
| Provider Name | Melissa Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003144767 PECOS PAC ID: 2769434729 Enrollment ID: I20180904003401 |
| Provider Name | Steven Alex Rizzi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053841569 PECOS PAC ID: 6709136187 Enrollment ID: I20180905002876 |
| Provider Name | Sarwat Khalil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982950218 PECOS PAC ID: 8123269941 Enrollment ID: I20180906000693 |
| Provider Name | Nicole Roeder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568737716 PECOS PAC ID: 5698094761 Enrollment ID: I20180910001647 |
| Provider Name | Nicholas Alexander Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801270798 PECOS PAC ID: 9032403530 Enrollment ID: I20180913000078 |
| Provider Name | Thomas Paul Ladas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750777918 PECOS PAC ID: 5395095236 Enrollment ID: I20180913002194 |
| Provider Name | Anne Hope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164686291 PECOS PAC ID: 9537221197 Enrollment ID: I20180914000271 |
| Provider Name | Breeanna Marie Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609252410 PECOS PAC ID: 5799084265 Enrollment ID: I20180915000012 |
| Provider Name | Melissa A Plesac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659750503 PECOS PAC ID: 2365748803 Enrollment ID: I20180917000162 |
| Provider Name | Brian J Gahlon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407341696 PECOS PAC ID: 8820349590 Enrollment ID: I20180919000639 |
| Provider Name | Brian F Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679950968 PECOS PAC ID: 1153680566 Enrollment ID: I20180919002856 |
| Provider Name | Sarah Marie Nolan-holicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023508439 PECOS PAC ID: 0143571737 Enrollment ID: I20180920001655 |
| Provider Name | Andrew Kamps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477967008 PECOS PAC ID: 0840581872 Enrollment ID: I20180925001336 |
| Provider Name | Elmira Basaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841511441 PECOS PAC ID: 3870734320 Enrollment ID: I20180926000126 |
| Provider Name | Justin C Boeke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073933321 PECOS PAC ID: 7012212384 Enrollment ID: I20180927001976 |
| Provider Name | Travis Fahrenkamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194168500 PECOS PAC ID: 7012223613 Enrollment ID: I20181001001266 |
| Provider Name | Khanh Xong Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841261088 PECOS PAC ID: 5294865713 Enrollment ID: I20181001002908 |
| Provider Name | Katie R Thorsness |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467872119 PECOS PAC ID: 3173839412 Enrollment ID: I20181002001943 |
| Provider Name | Scott Thomas Mcewen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972746568 PECOS PAC ID: 4880900067 Enrollment ID: I20181003000364 |
| Provider Name | Jennifer J Weinberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174830194 PECOS PAC ID: 4082901681 Enrollment ID: I20181003001799 |
| Provider Name | Taylor Kristine Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730624479 PECOS PAC ID: 1456603364 Enrollment ID: I20181003003352 |
| Provider Name | Laurent Grignon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538366752 PECOS PAC ID: 9638301849 Enrollment ID: I20181005000882 |
| Provider Name | Andrew Scott Jensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245610633 PECOS PAC ID: 9537448675 Enrollment ID: I20181009000049 |
| Provider Name | Bertina L Haug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922585983 PECOS PAC ID: 0648522375 Enrollment ID: I20181009000220 |
| Provider Name | Yauhen Alexander Tarbunou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265721757 PECOS PAC ID: 8527310267 Enrollment ID: I20181009000832 |
| Provider Name | Stephanie Lynae Gulbranson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043793144 PECOS PAC ID: 2062764608 Enrollment ID: I20181010001405 |
| Provider Name | Douglas Sheafor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669438610 PECOS PAC ID: 7517970148 Enrollment ID: I20181012000040 |
| Provider Name | Jenna L. Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720495484 PECOS PAC ID: 5799902276 Enrollment ID: I20181012002132 |
| Provider Name | Danielle Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538551247 PECOS PAC ID: 1658679352 Enrollment ID: I20181016000017 |
| Provider Name | Jacob Willem Ijdo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720075872 PECOS PAC ID: 0941338115 Enrollment ID: I20181018000212 |
| Provider Name | Shemal M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346627080 PECOS PAC ID: 0941504492 Enrollment ID: I20181018001134 |
| Provider Name | Steven D Skolasinski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396005864 PECOS PAC ID: 7416252341 Enrollment ID: I20181024002446 |
| Provider Name | Sujatha Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386600625 PECOS PAC ID: 2961452578 Enrollment ID: I20181025001417 |
| Provider Name | Carmen Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689928871 PECOS PAC ID: 1658624309 Enrollment ID: I20181025001672 |
| Provider Name | Kevin J Dirksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063992857 PECOS PAC ID: 8527311299 Enrollment ID: I20181025002306 |
| Provider Name | Prasuna Gnana Dubagunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376573014 PECOS PAC ID: 7618930017 Enrollment ID: I20181030000731 |
| Provider Name | Karissa L Conforte |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548744519 PECOS PAC ID: 4082967518 Enrollment ID: I20181030000916 |
| Provider Name | Eric Scholten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003110313 PECOS PAC ID: 9436308350 Enrollment ID: I20181031000903 |
| Provider Name | Adriana Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952712333 PECOS PAC ID: 6901102029 Enrollment ID: I20181102000506 |
| Provider Name | Daniel Seth Shapiro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578663829 PECOS PAC ID: 0143203414 Enrollment ID: I20181102000677 |
| Provider Name | Kate Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427538875 PECOS PAC ID: 2860745031 Enrollment ID: I20181106000259 |
| Provider Name | Leah Jeane Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225503055 PECOS PAC ID: 6103170337 Enrollment ID: I20181107000183 |
| Provider Name | Mark Daniel Folkertsma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902162985 PECOS PAC ID: 1850520339 Enrollment ID: I20181107000896 |
| Provider Name | John D Schempf |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659758308 PECOS PAC ID: 8325343163 Enrollment ID: I20181110000275 |
| Provider Name | Benjamin L Zhang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275911414 PECOS PAC ID: 2163727751 Enrollment ID: I20181113000837 |
| Provider Name | Amanda Leigh Schlesinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992144083 PECOS PAC ID: 5395099212 Enrollment ID: I20181113001202 |
| Provider Name | Charles J. Ryan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083672000 PECOS PAC ID: 2961587506 Enrollment ID: I20181114002562 |
| Provider Name | Kerwin T Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639367865 PECOS PAC ID: 1456545177 Enrollment ID: I20181115000458 |
| Provider Name | Kahoua Caroline Lochungvu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609288828 PECOS PAC ID: 0941570394 Enrollment ID: I20181115001431 |
| Provider Name | Joan D Lund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356463418 PECOS PAC ID: 3577707124 Enrollment ID: I20181115001866 |
| Provider Name | Harsh Rai Aggarwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427210673 PECOS PAC ID: 9830327501 Enrollment ID: I20181115002920 |
| Provider Name | Jessica Jarnot |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356761639 PECOS PAC ID: 9537464466 Enrollment ID: I20181116000127 |
| Provider Name | Noelle Felz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770072795 PECOS PAC ID: 0941554364 Enrollment ID: I20181121000022 |
| Provider Name | Parveen Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558522003 PECOS PAC ID: 0143498550 Enrollment ID: I20181127001487 |
| Provider Name | Joshua Allan Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710372032 PECOS PAC ID: 6204126758 Enrollment ID: I20181128001745 |
| Provider Name | Jessica Shaheen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518200914 PECOS PAC ID: 7618272881 Enrollment ID: I20181130001593 |
| Provider Name | Rupesh Ranjan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861766693 PECOS PAC ID: 7214252915 Enrollment ID: I20181201000293 |
| Provider Name | Christopher Erickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477647261 PECOS PAC ID: 2264525161 Enrollment ID: I20181205001233 |
| Provider Name | Kelly Hoyt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205363645 PECOS PAC ID: 8022352707 Enrollment ID: I20181206001978 |
| Provider Name | Kayleigh Lynn Lawrence |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700353109 PECOS PAC ID: 2163766734 Enrollment ID: I20181208000062 |
| Provider Name | Hilary Brooke Stoffel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295288827 PECOS PAC ID: 9436493020 Enrollment ID: I20181210000549 |
| Provider Name | Katherine G Henschel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821355041 PECOS PAC ID: 7113261520 Enrollment ID: I20181211002745 |
| Provider Name | Andrea Lynn Engdahl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427531326 PECOS PAC ID: 6204170673 Enrollment ID: I20181212001175 |
| Provider Name | Altressa Drummond |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891722849 PECOS PAC ID: 5496717456 Enrollment ID: I20181213001431 |
| Provider Name | Timothy Paul Capecchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508159054 PECOS PAC ID: 7315232956 Enrollment ID: I20181213001650 |
| Provider Name | Kayla R Ferrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093221400 PECOS PAC ID: 0143565408 Enrollment ID: I20181214002251 |
| Provider Name | Stephanie Alicia Terezakis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053550228 PECOS PAC ID: 5496807364 Enrollment ID: I20181218001662 |
| Provider Name | Nzube C Okonkwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154708022 PECOS PAC ID: 5991001471 Enrollment ID: I20181219003002 |
| Provider Name | Michael P Indergaard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487138293 PECOS PAC ID: 5193060093 Enrollment ID: I20181221000105 |
| Provider Name | Jessalyn Siewert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689143018 PECOS PAC ID: 6305181173 Enrollment ID: I20181226000253 |
| Provider Name | Kevin Mcelroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184151110 PECOS PAC ID: 6204106644 Enrollment ID: I20181228000615 |
| Provider Name | Massimo Griselli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659877181 PECOS PAC ID: 1052656527 Enrollment ID: I20190103000407 |
| Provider Name | Ossama Al Masalmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851654776 PECOS PAC ID: 0648571182 Enrollment ID: I20190103001138 |
| Provider Name | Adrienne Vargo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477819985 PECOS PAC ID: 2466695358 Enrollment ID: I20190103001859 |
| Provider Name | Ahmed M.a. Dirweesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619348430 PECOS PAC ID: 2062758477 Enrollment ID: I20190107000521 |
| Provider Name | Nandita Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639434806 PECOS PAC ID: 5991087371 Enrollment ID: I20190111000212 |
| Provider Name | Shannon M Goecke-watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205307659 PECOS PAC ID: 2062758873 Enrollment ID: I20190116001290 |
| Provider Name | Hollie Beth Pisseri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740301704 PECOS PAC ID: 6204720915 Enrollment ID: I20190123001466 |
| Provider Name | Eric Glen Trembath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689143414 PECOS PAC ID: 8426395443 Enrollment ID: I20190130000048 |
| Provider Name | Ruben J Crespo-diaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477908804 PECOS PAC ID: 8022355882 Enrollment ID: I20190131003419 |
| Provider Name | Melissa Luanne Masselink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538641592 PECOS PAC ID: 5890033831 Enrollment ID: I20190215002613 |
| Provider Name | Diane Menzies Alderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851860506 PECOS PAC ID: 5799023768 Enrollment ID: I20190218000913 |
| Provider Name | Molly Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023502697 PECOS PAC ID: 1951649946 Enrollment ID: I20190218001348 |
| Provider Name | Kristine Domingo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922426147 PECOS PAC ID: 3173820065 Enrollment ID: I20190219001899 |
| Provider Name | David Thomas Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427348291 PECOS PAC ID: 1951689702 Enrollment ID: I20190220000003 |
| Provider Name | Kamil N. Sayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124071865 PECOS PAC ID: 3375577455 Enrollment ID: I20190225001436 |
| Provider Name | Chimaobi Anugwom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477931483 PECOS PAC ID: 6800192311 Enrollment ID: I20190226000969 |
| Provider Name | Kelsey L Sjogren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124517511 PECOS PAC ID: 4587903091 Enrollment ID: I20190228000001 |
| Provider Name | Alissa Joelle Hoyme |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760956379 PECOS PAC ID: 4284973710 Enrollment ID: I20190228000946 |
| Provider Name | Courtney Burnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417349168 PECOS PAC ID: 1658647235 Enrollment ID: I20190312000178 |
| Provider Name | Nicholas Roffers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033689674 PECOS PAC ID: 6406195395 Enrollment ID: I20190312001539 |
| Provider Name | Mahsa Abassi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952620858 PECOS PAC ID: 8224278742 Enrollment ID: I20190312001713 |
| Provider Name | Rachel Nicole Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063977957 PECOS PAC ID: 4082954920 Enrollment ID: I20190313000177 |
| Provider Name | Admatha Winfred |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003105552 PECOS PAC ID: 8325358575 Enrollment ID: I20190325000142 |
| Provider Name | Elinor Florence Chase-andresen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902370620 PECOS PAC ID: 6103166418 Enrollment ID: I20190325001209 |
| Provider Name | Yuka Furuya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558655399 PECOS PAC ID: 4082834684 Enrollment ID: I20190327000096 |
| Provider Name | Oyedele A Adeyi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376008755 PECOS PAC ID: 6406196419 Enrollment ID: I20190328001505 |
| Provider Name | Jo E Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881164804 PECOS PAC ID: 2961743786 Enrollment ID: I20190404001317 |
| Provider Name | Jessica Jane Kolb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083029920 PECOS PAC ID: 6709172273 Enrollment ID: I20190408000606 |
| Provider Name | Brandon W Welsh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467730143 PECOS PAC ID: 3274830856 Enrollment ID: I20190408001050 |
| Provider Name | Salma Shaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164842456 PECOS PAC ID: 8224333646 Enrollment ID: I20190409000459 |
| Provider Name | Kelsey Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386103596 PECOS PAC ID: 8022359124 Enrollment ID: I20190417001509 |
| Provider Name | Maureen Stormont Cannon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457810855 PECOS PAC ID: 8123369261 Enrollment ID: I20190418000150 |
| Provider Name | Jodi Lynn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942762828 PECOS PAC ID: 1254672348 Enrollment ID: I20190418001902 |
| Provider Name | Scott Robert Gilles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346684750 PECOS PAC ID: 4587968540 Enrollment ID: I20190422000453 |
| Provider Name | Catherine J Steingraeber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801100102 PECOS PAC ID: 9133351844 Enrollment ID: I20190422002373 |
| Provider Name | Jonathan R Eklof |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982995973 PECOS PAC ID: 9638320708 Enrollment ID: I20190430002554 |
| Provider Name | Kateri K Daniele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962759019 PECOS PAC ID: 5496908485 Enrollment ID: I20190430002799 |
| Provider Name | Paige Holm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730647728 PECOS PAC ID: 7315289873 Enrollment ID: I20190502000994 |
| Provider Name | Kari Fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356809743 PECOS PAC ID: 8527300045 Enrollment ID: I20190503000116 |
| Provider Name | Derek Robert Volkel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487117669 PECOS PAC ID: 8628310075 Enrollment ID: I20190503001925 |
| Provider Name | Kathleen Suzanne Mahan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184068298 PECOS PAC ID: 0042585903 Enrollment ID: I20190503002439 |
| Provider Name | Jeffrey Charles Ames |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861810129 PECOS PAC ID: 9739484858 Enrollment ID: I20190506000252 |
| Provider Name | Patricia J Blonigen-heinen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346707049 PECOS PAC ID: 3971845371 Enrollment ID: I20190506001173 |
| Provider Name | Courtney Seaborg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801281944 PECOS PAC ID: 4385986603 Enrollment ID: I20190506002850 |
| Provider Name | Fnu Neha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437584091 PECOS PAC ID: 1052609997 Enrollment ID: I20190507000856 |
| Provider Name | Sarah Jane Raatz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437536042 PECOS PAC ID: 0840596151 Enrollment ID: I20190509000243 |
| Provider Name | Elliot Dean Backer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336407113 PECOS PAC ID: 8325289390 Enrollment ID: I20190509000439 |
| Provider Name | Vignesh V Williams Palaniappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316391717 PECOS PAC ID: 2163792003 Enrollment ID: I20190509000577 |
| Provider Name | Joseph Michael Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710320288 PECOS PAC ID: 9436393386 Enrollment ID: I20190514000735 |
| Provider Name | Amanda Torgeson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841639747 PECOS PAC ID: 0941593891 Enrollment ID: I20190514001670 |
| Provider Name | Caroline Halbach |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104211499 PECOS PAC ID: 0143506964 Enrollment ID: I20190514001702 |
| Provider Name | Abdel Ghani El Rafei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184079469 PECOS PAC ID: 2466706585 Enrollment ID: I20190514001775 |
| Provider Name | Raghu Gandhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558776930 PECOS PAC ID: 9133427370 Enrollment ID: I20190515001872 |
| Provider Name | Alexander James Patnoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548728389 PECOS PAC ID: 8527301357 Enrollment ID: I20190520001505 |
| Provider Name | Abdurkedir Woliyi Geda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780038216 PECOS PAC ID: 0143563981 Enrollment ID: I20190520001625 |
| Provider Name | Mckinley C Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104137181 PECOS PAC ID: 6103056759 Enrollment ID: I20190522001788 |
| Provider Name | Sophia Grace Burch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235796723 PECOS PAC ID: 8426391814 Enrollment ID: I20190529000776 |
| Provider Name | Isaac Milton Engholm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881940864 PECOS PAC ID: 4880828128 Enrollment ID: I20190530001323 |
| Provider Name | Vishal V Naik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417302126 PECOS PAC ID: 6901149285 Enrollment ID: I20190530001871 |
| Provider Name | Fahad Lodhi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053773176 PECOS PAC ID: 3870826050 Enrollment ID: I20190603000644 |
| Provider Name | Sara Hawks Monahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902268634 PECOS PAC ID: 1456643543 Enrollment ID: I20190604001372 |
| Provider Name | Rachel Mary Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295391878 PECOS PAC ID: 5294068318 Enrollment ID: I20190605000377 |
| Provider Name | Don Bambino Geno Tai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952854762 PECOS PAC ID: 6709126683 Enrollment ID: I20190606000237 |
| Provider Name | Timothy L Roach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104203397 PECOS PAC ID: 3476835448 Enrollment ID: I20190607000046 |
| Provider Name | Katie Kinzel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801169636 PECOS PAC ID: 7618200577 Enrollment ID: I20190607000354 |
| Provider Name | Anthony R Prisco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881048635 PECOS PAC ID: 6901139831 Enrollment ID: I20190610000702 |
| Provider Name | Michelle Hackner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205254497 PECOS PAC ID: 4587934740 Enrollment ID: I20190610001817 |
| Provider Name | Kristin Marie Mcbeath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073855367 PECOS PAC ID: 5799095170 Enrollment ID: I20190613001801 |
| Provider Name | Jessalyn A Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861854549 PECOS PAC ID: 8123311594 Enrollment ID: I20190614000224 |
| Provider Name | Callie R Becker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710229190 PECOS PAC ID: 4880913375 Enrollment ID: I20190614001336 |
| Provider Name | Keri Azuar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427060334 PECOS PAC ID: 5092807222 Enrollment ID: I20190614002138 |
| Provider Name | Bobbi Jo B. Krieg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033533955 PECOS PAC ID: 0648503078 Enrollment ID: I20190617002803 |
| Provider Name | Jacob C Deweerth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306265582 PECOS PAC ID: 3173826104 Enrollment ID: I20190618001845 |
| Provider Name | Yoon-hee Kim Cha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922023431 PECOS PAC ID: 3274577259 Enrollment ID: I20190618001899 |
| Provider Name | Leslie L Teng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679916423 PECOS PAC ID: 7012262579 Enrollment ID: I20190619000396 |
| Provider Name | Varun Aggarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801141502 PECOS PAC ID: 4385978725 Enrollment ID: I20190619000498 |
| Provider Name | Matthew S Manganaro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609118710 PECOS PAC ID: 9234431321 Enrollment ID: I20190619000866 |
| Provider Name | John M Sherwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821121088 PECOS PAC ID: 6800988700 Enrollment ID: I20190619001148 |
| Provider Name | Zhen Hua Geng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154779007 PECOS PAC ID: 2264728526 Enrollment ID: I20190620001350 |
| Provider Name | John A Coburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205273083 PECOS PAC ID: 3476797317 Enrollment ID: I20190620001507 |
| Provider Name | Shruti Vakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720391493 PECOS PAC ID: 1951531904 Enrollment ID: I20190620002046 |
| Provider Name | Brendan M O'shea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396972584 PECOS PAC ID: 4385888130 Enrollment ID: I20190621001041 |
| Provider Name | Andrew Caraganis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013271352 PECOS PAC ID: 8123267887 Enrollment ID: I20190621001271 |
| Provider Name | Ariana Jw Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780062760 PECOS PAC ID: 9739484155 Enrollment ID: I20190624000319 |
| Provider Name | Aaron K Ho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962745216 PECOS PAC ID: 8628291200 Enrollment ID: I20190626001646 |
| Provider Name | Paul Oler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063858793 PECOS PAC ID: 2163772831 Enrollment ID: I20190626001655 |
| Provider Name | Nissar Vahora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407299423 PECOS PAC ID: 4183864168 Enrollment ID: I20190626001823 |
| Provider Name | Ethan Greenberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225416944 PECOS PAC ID: 1759667561 Enrollment ID: I20190627000967 |
| Provider Name | David S Kurbatsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295288488 PECOS PAC ID: 2567759632 Enrollment ID: I20190627001541 |
| Provider Name | Richard James Mcgeehan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437511193 PECOS PAC ID: 3375836471 Enrollment ID: I20190628000400 |
| Provider Name | Robin Rae Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477968634 PECOS PAC ID: 6507143419 Enrollment ID: I20190628003008 |
| Provider Name | Jeremy O'keefe |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1093371775 PECOS PAC ID: 9436483054 Enrollment ID: I20190701001797 |
| Provider Name | Kallie Maass |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447626270 PECOS PAC ID: 4789918301 Enrollment ID: I20190701001891 |
| Provider Name | Iluonose N Amoni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215024146 PECOS PAC ID: 4587656558 Enrollment ID: I20190701002094 |
| Provider Name | Nicholas Lee Rudolph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104312834 PECOS PAC ID: 0143561126 Enrollment ID: I20190702000168 |
| Provider Name | Ashley Antolick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912358607 PECOS PAC ID: 9739475815 Enrollment ID: I20190702000497 |
| Provider Name | Oliver Garrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780035279 PECOS PAC ID: 1254628274 Enrollment ID: I20190702001428 |
| Provider Name | James M Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215354204 PECOS PAC ID: 7618270372 Enrollment ID: I20190703000160 |
| Provider Name | Andrea Smiens O'shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588922488 PECOS PAC ID: 7618116823 Enrollment ID: I20190703001927 |
| Provider Name | Matthew R Frank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568874758 PECOS PAC ID: 4880973221 Enrollment ID: I20190708000124 |
| Provider Name | Ashley N Phimister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497109193 PECOS PAC ID: 1456686930 Enrollment ID: I20190708000546 |
| Provider Name | Megan R Boyington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346622248 PECOS PAC ID: 2264767680 Enrollment ID: I20190708002046 |
| Provider Name | Malvi Bipin Savani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649704198 PECOS PAC ID: 0840566014 Enrollment ID: I20190709000726 |
| Provider Name | Leo Booker Laub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396199741 PECOS PAC ID: 6709121916 Enrollment ID: I20190709002364 |
| Provider Name | Kelsey Harms |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154980019 PECOS PAC ID: 4082949326 Enrollment ID: I20190710000097 |
| Provider Name | Narendran Neelakantachar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235419631 PECOS PAC ID: 0446544092 Enrollment ID: I20190710000451 |
| Provider Name | Alice Lehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033563572 PECOS PAC ID: 4082958715 Enrollment ID: I20190711000576 |
| Provider Name | Mehmet Gencturk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134508054 PECOS PAC ID: 9335444520 Enrollment ID: I20190711001260 |
| Provider Name | Shawn Alderman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760498414 PECOS PAC ID: 3577788181 Enrollment ID: I20190711003107 |
| Provider Name | Chiamaka P Nwankiti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437566437 PECOS PAC ID: 2961794631 Enrollment ID: I20190711003600 |
| Provider Name | Allyson Carol Maynard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962069864 PECOS PAC ID: 3173858214 Enrollment ID: I20190712000028 |
| Provider Name | Ryan Christopher Knoper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376836031 PECOS PAC ID: 7618274218 Enrollment ID: I20190712000645 |
| Provider Name | Carlos G Moscoso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083148969 PECOS PAC ID: 9537414263 Enrollment ID: I20190712002882 |
| Provider Name | William Hoyt Amundson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225304215 PECOS PAC ID: 2769795228 Enrollment ID: I20190715001651 |
| Provider Name | Joseph Maakaron |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417397316 PECOS PAC ID: 7517107444 Enrollment ID: I20190716000707 |
| Provider Name | Sara Jennerjohn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023670882 PECOS PAC ID: 1254666043 Enrollment ID: I20190716003660 |
| Provider Name | Terrie-ann Sanya Benjamin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1922241371 PECOS PAC ID: 5496043549 Enrollment ID: I20190717000426 |
| Provider Name | David M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750721593 PECOS PAC ID: 5597075135 Enrollment ID: I20190717001219 |
| Provider Name | Islam Zineldin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326402256 PECOS PAC ID: 8729372917 Enrollment ID: I20190717003021 |
| Provider Name | Aahd F Kubbara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942564398 PECOS PAC ID: 3870889033 Enrollment ID: I20190717004048 |
| Provider Name | Kelly L Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883338 PECOS PAC ID: 2365752623 Enrollment ID: I20190718000292 |
| Provider Name | Kyle William Yeager |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770926958 PECOS PAC ID: 7911296694 Enrollment ID: I20190718002914 |
| Provider Name | Amanda Jurvis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083063069 PECOS PAC ID: 3375834849 Enrollment ID: I20190719002734 |
| Provider Name | Catherine Ann Burrows |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083276976 PECOS PAC ID: 3072849645 Enrollment ID: I20190722000060 |
| Provider Name | Kellen J Albrecht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649705989 PECOS PAC ID: 6103162425 Enrollment ID: I20190722000522 |
| Provider Name | Leif E Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205053832 PECOS PAC ID: 3678602992 Enrollment ID: I20190722000668 |
| Provider Name | Alissa R Bauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932594710 PECOS PAC ID: 3072812486 Enrollment ID: I20190722002105 |
| Provider Name | Matthew C Hooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194258905 PECOS PAC ID: 5698049195 Enrollment ID: I20190723002851 |
| Provider Name | Nicholas J Lange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285650952 PECOS PAC ID: 3971780701 Enrollment ID: I20190724001386 |
| Provider Name | Anisha Rimal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003270489 PECOS PAC ID: 6002109162 Enrollment ID: I20190725000866 |
| Provider Name | Elliott Chinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477932705 PECOS PAC ID: 3870829039 Enrollment ID: I20190725000873 |
| Provider Name | Stephanie Marie Mackenthun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538548441 PECOS PAC ID: 4587969928 Enrollment ID: I20190725001437 |
| Provider Name | Taylor Lane Lachapelle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043879588 PECOS PAC ID: 7416283551 Enrollment ID: I20190726000058 |
| Provider Name | William M Engasser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366856445 PECOS PAC ID: 2466678057 Enrollment ID: I20190729001513 |
| Provider Name | Zachary Deutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396260840 PECOS PAC ID: 3577820406 Enrollment ID: I20190730000812 |
| Provider Name | Megan V Hilgers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821433731 PECOS PAC ID: 7810295508 Enrollment ID: I20190730001504 |
| Provider Name | Larissa Taylor Shiue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053815787 PECOS PAC ID: 7810245891 Enrollment ID: I20190730003144 |
| Provider Name | Kevin Anthony Brueske |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588028955 PECOS PAC ID: 9335475243 Enrollment ID: I20190731000535 |
| Provider Name | Nicholas B Zaban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366701690 PECOS PAC ID: 0941440028 Enrollment ID: I20190731000693 |
| Provider Name | Hani Siddeek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205255627 PECOS PAC ID: 1355621152 Enrollment ID: I20190731001356 |
| Provider Name | Carmen Gloria Avendano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356769996 PECOS PAC ID: 3072851336 Enrollment ID: I20190731003538 |
| Provider Name | Raluca Teona Gray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477997765 PECOS PAC ID: 1052676079 Enrollment ID: I20190731004009 |
| Provider Name | Ahmad R Hatem Al Samaraee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447593173 PECOS PAC ID: 7810292828 Enrollment ID: I20190801000035 |
| Provider Name | Kathryn Kauffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861889388 PECOS PAC ID: 0941536643 Enrollment ID: I20190801000900 |
| Provider Name | Jacob Scott Ankeny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841518032 PECOS PAC ID: 4486880911 Enrollment ID: I20190802000435 |
| Provider Name | Kate Follese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255785572 PECOS PAC ID: 7315274016 Enrollment ID: I20190802001702 |
| Provider Name | Arpana Rayannavar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689964900 PECOS PAC ID: 8628229655 Enrollment ID: I20190805001932 |
| Provider Name | Scott J Bray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962850149 PECOS PAC ID: 1951694207 Enrollment ID: I20190807000089 |
| Provider Name | Chee Lor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861999195 PECOS PAC ID: 9032467147 Enrollment ID: I20190808000102 |
| Provider Name | Brandon R Edlund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255821377 PECOS PAC ID: 3072851922 Enrollment ID: I20190808002149 |
| Provider Name | Timothy Franklin Steinmetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043203540 PECOS PAC ID: 6800797259 Enrollment ID: I20190808003919 |
| Provider Name | Julia Heneghan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497199046 PECOS PAC ID: 5597068254 Enrollment ID: I20190809000010 |
| Provider Name | Scott Lawrence Mcnairy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912096728 PECOS PAC ID: 9739416736 Enrollment ID: I20190814001761 |
| Provider Name | Katie Marie Clabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457910341 PECOS PAC ID: 5496082307 Enrollment ID: I20190814002686 |
| Provider Name | Ramachandra Pras Bongu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487003075 PECOS PAC ID: 1355634411 Enrollment ID: I20190814004062 |
| Provider Name | Stephanie V Aldrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144718917 PECOS PAC ID: 1951654987 Enrollment ID: I20190815000038 |
| Provider Name | Ariel B Stein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316492812 PECOS PAC ID: 7012255672 Enrollment ID: I20190815000088 |
| Provider Name | Nathaniel William Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881043602 PECOS PAC ID: 6204129935 Enrollment ID: I20190815003340 |
| Provider Name | Katherine E Hawkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336409978 PECOS PAC ID: 4880992346 Enrollment ID: I20190820001530 |
| Provider Name | Dustin Nickolas Golz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245617463 PECOS PAC ID: 2163712589 Enrollment ID: I20190820002352 |
| Provider Name | Matthew Martin Nygren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902461601 PECOS PAC ID: 0345578019 Enrollment ID: I20190820002531 |
| Provider Name | Shelly A Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114983749 PECOS PAC ID: 6103154786 Enrollment ID: I20190820003479 |
| Provider Name | Markus F Meyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003871955 PECOS PAC ID: 8123031291 Enrollment ID: I20190820003633 |
| Provider Name | Joseph Resch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568858132 PECOS PAC ID: 0244507382 Enrollment ID: I20190820003823 |
| Provider Name | Diana Lone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194111088 PECOS PAC ID: 2769786573 Enrollment ID: I20190821000786 |
| Provider Name | Amelia Rose Solei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861059719 PECOS PAC ID: 9537497169 Enrollment ID: I20190821000991 |
| Provider Name | Amy Jean Glaser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992887582 PECOS PAC ID: 2567790108 Enrollment ID: I20190821001317 |
| Provider Name | Matthew Mansh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760879654 PECOS PAC ID: 2062707524 Enrollment ID: I20190821002999 |
| Provider Name | Megan Wetterling |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093166431 PECOS PAC ID: 2860720398 Enrollment ID: I20190822000441 |
| Provider Name | Samantha Jane Barker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295894277 PECOS PAC ID: 1052414547 Enrollment ID: I20190822000588 |
| Provider Name | Audrey Wells Gurule |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1417122862 PECOS PAC ID: 4587702238 Enrollment ID: I20190823000017 |
| Provider Name | Courtney Elizabeth Pickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811541865 PECOS PAC ID: 7911235346 Enrollment ID: I20190823000489 |
| Provider Name | Katherine T Policht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518311224 PECOS PAC ID: 6800124140 Enrollment ID: I20190823001017 |
| Provider Name | Joseph Stephen Renier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093210049 PECOS PAC ID: 1951658251 Enrollment ID: I20190827004184 |
| Provider Name | Ellie Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861750572 PECOS PAC ID: 4385945047 Enrollment ID: I20190828000130 |
| Provider Name | Lulu Guo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326400086 PECOS PAC ID: 3577847573 Enrollment ID: I20190828001465 |
| Provider Name | Kathryn Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396245593 PECOS PAC ID: 3779845698 Enrollment ID: I20190829000270 |
| Provider Name | Anna M Budde |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841617081 PECOS PAC ID: 3375860372 Enrollment ID: I20190829002479 |
| Provider Name | Sameh M Hozayen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992060966 PECOS PAC ID: 3577846237 Enrollment ID: I20190829003648 |
| Provider Name | Autumn Michelle Phenow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154980068 PECOS PAC ID: 7911235866 Enrollment ID: I20190829004029 |
| Provider Name | Brienne L Sauvageau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994404 PECOS PAC ID: 9234468158 Enrollment ID: I20190831000259 |
| Provider Name | Susan E Orlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740782549 PECOS PAC ID: 3476804071 Enrollment ID: I20190903000763 |
| Provider Name | Alex Suginaka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629496112 PECOS PAC ID: 8921317918 Enrollment ID: I20190903001021 |
| Provider Name | Lindsey L Dawes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154975514 PECOS PAC ID: 1254660111 Enrollment ID: I20190903001725 |
| Provider Name | Jacob Francis Lentz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730573635 PECOS PAC ID: 7315207693 Enrollment ID: I20190903002525 |
| Provider Name | Sarah Vicenta Soma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356839336 PECOS PAC ID: 5193075398 Enrollment ID: I20190905000835 |
| Provider Name | Michael J Bowler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720475759 PECOS PAC ID: 3870827173 Enrollment ID: I20190905001150 |
| Provider Name | Ahmad Rayes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689906356 PECOS PAC ID: 5890015762 Enrollment ID: I20190905001485 |
| Provider Name | Anne Marie Kouri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639460439 PECOS PAC ID: 6709026719 Enrollment ID: I20190905001790 |
| Provider Name | Michael Fisher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679986137 PECOS PAC ID: 2466714290 Enrollment ID: I20190905001938 |
| Provider Name | Mckayla Schmitt |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144617366 PECOS PAC ID: 5698025450 Enrollment ID: I20190910001119 |
| Provider Name | Rose Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376906461 PECOS PAC ID: 7618261835 Enrollment ID: I20190910003444 |
| Provider Name | Samuel Kebede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790177129 PECOS PAC ID: 6204100977 Enrollment ID: I20190911000824 |
| Provider Name | Deepa Rosetta Ovian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194033407 PECOS PAC ID: 6305080797 Enrollment ID: I20190912001807 |
| Provider Name | Nakita Grace Natala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699114975 PECOS PAC ID: 9133439276 Enrollment ID: I20190912002114 |
| Provider Name | Amanda S Delaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154778942 PECOS PAC ID: 8123311222 Enrollment ID: I20190912003145 |
| Provider Name | Gail L Clifford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750336137 PECOS PAC ID: 1951369784 Enrollment ID: I20190913001064 |
| Provider Name | Tyson John Sievers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457795775 PECOS PAC ID: 7012246168 Enrollment ID: I20190916000296 |
| Provider Name | Toni M Dick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285124602 PECOS PAC ID: 5799036968 Enrollment ID: I20190916003604 |
| Provider Name | Susanne U Trost |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376622613 PECOS PAC ID: 9537167572 Enrollment ID: I20190917004288 |
| Provider Name | Mark Morishige |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619197639 PECOS PAC ID: 2769556059 Enrollment ID: I20190918000631 |
| Provider Name | Breanna Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013399112 PECOS PAC ID: 7911204508 Enrollment ID: I20190920001035 |
| Provider Name | James D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750878948 PECOS PAC ID: 5496005316 Enrollment ID: I20190923001469 |
| Provider Name | Paul Joseph Smaciarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497303911 PECOS PAC ID: 2860722345 Enrollment ID: I20190926000100 |
| Provider Name | Paul S Stadem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679060750 PECOS PAC ID: 3971852146 Enrollment ID: I20190926002284 |
| Provider Name | Kristin Alecia Verhoeven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659923688 PECOS PAC ID: 0840520045 Enrollment ID: I20191002000858 |
| Provider Name | Tsige Gebreslasse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992230072 PECOS PAC ID: 9638400732 Enrollment ID: I20191003001362 |
| Provider Name | Lisa Ann Philion Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386731958 PECOS PAC ID: 4880925775 Enrollment ID: I20191007003392 |
| Provider Name | Alexander Beaumont Herman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346635224 PECOS PAC ID: 7113294141 Enrollment ID: I20191009002895 |
| Provider Name | Brigitta Hope Aadland Keyler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992351738 PECOS PAC ID: 2163753831 Enrollment ID: I20191010000691 |
| Provider Name | Srinivasa Reddy Vaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184863938 PECOS PAC ID: 3971775974 Enrollment ID: I20191010001272 |
| Provider Name | Kristin Cora Greathouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053233 PECOS PAC ID: 4183955768 Enrollment ID: I20191011002435 |
| Provider Name | Anita Gul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376791038 PECOS PAC ID: 4385886845 Enrollment ID: I20191014002723 |
| Provider Name | Susan L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457506677 PECOS PAC ID: 0840356713 Enrollment ID: I20191016000828 |
| Provider Name | Victoria Rosina Pechacek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437718673 PECOS PAC ID: 2668703901 Enrollment ID: I20191017000870 |
| Provider Name | Carrie Oatman Macoskey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174538656 PECOS PAC ID: 9335470541 Enrollment ID: I20191018000812 |
| Provider Name | Zachary Lee Schroer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821641788 PECOS PAC ID: 3971835109 Enrollment ID: I20191021003042 |
| Provider Name | Colleen Lynn Quesnell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659707289 PECOS PAC ID: 4789819533 Enrollment ID: I20191022001249 |
| Provider Name | Jennifer D Richmond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639722739 PECOS PAC ID: 0345572426 Enrollment ID: I20191022001599 |
| Provider Name | Jean R Newby Lovelace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790988913 PECOS PAC ID: 4183667298 Enrollment ID: I20191024000849 |
| Provider Name | Matthew William Diehl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548529654 PECOS PAC ID: 7214244953 Enrollment ID: I20191024001026 |
| Provider Name | Bryan Anthony Eberle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073877338 PECOS PAC ID: 4587881560 Enrollment ID: I20191024001165 |
| Provider Name | Libbie L Nyarangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306498597 PECOS PAC ID: 7214264548 Enrollment ID: I20191029000519 |
| Provider Name | Crystal Sue Hambley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790126837 PECOS PAC ID: 6002050283 Enrollment ID: I20191031002723 |
| Provider Name | Shahnaz Sultan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790868925 PECOS PAC ID: 2769409903 Enrollment ID: I20191031003179 |
| Provider Name | Stephen Kelly Jacobsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679843585 PECOS PAC ID: 5496043663 Enrollment ID: I20191106000741 |
| Provider Name | Rachel Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578055315 PECOS PAC ID: 9537591854 Enrollment ID: I20191107000392 |
| Provider Name | Glen H Rebman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487181558 PECOS PAC ID: 4385998715 Enrollment ID: I20191107002271 |
| Provider Name | Merav Heettner Silverman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104484104 PECOS PAC ID: 5395177588 Enrollment ID: I20191108000750 |
| Provider Name | Jens Tamang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013559145 PECOS PAC ID: 0345672515 Enrollment ID: I20191111000592 |
| Provider Name | Devin Michael Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316594914 PECOS PAC ID: 1153753223 Enrollment ID: I20191111001156 |
| Provider Name | Anthony J Christnovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972923423 PECOS PAC ID: 0749585651 Enrollment ID: I20191112000010 |
| Provider Name | Lindsey K Wagenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548818370 PECOS PAC ID: 6002248994 Enrollment ID: I20191114001468 |
| Provider Name | Willis H Navarro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871538421 PECOS PAC ID: 6103978325 Enrollment ID: I20191118003173 |
| Provider Name | Amy C Klopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508007378 PECOS PAC ID: 5698822393 Enrollment ID: I20191120000485 |
| Provider Name | Kavisha Milesh Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346506961 PECOS PAC ID: 7315177052 Enrollment ID: I20191121000654 |
| Provider Name | Marit Leigh Throntveit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992340194 PECOS PAC ID: 4880026384 Enrollment ID: I20191121003215 |
| Provider Name | Meredith Nicole Stallone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821589680 PECOS PAC ID: 4688923717 Enrollment ID: I20191202000399 |
| Provider Name | Robert W Stuart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104880236 PECOS PAC ID: 7214820786 Enrollment ID: I20191204000063 |
| Provider Name | Jeffrey Yang Cui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356705412 PECOS PAC ID: 6002141272 Enrollment ID: I20191204002163 |
| Provider Name | Dorothy L Curran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972045581 PECOS PAC ID: 9931446077 Enrollment ID: I20191209002848 |
| Provider Name | Alissa J Pool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073163515 PECOS PAC ID: 7517390230 Enrollment ID: I20191210001577 |
| Provider Name | Holly Hieb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831483973 PECOS PAC ID: 1759504327 Enrollment ID: I20191211001525 |
| Provider Name | Douglas Michael Whiteside |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346280971 PECOS PAC ID: 6103852850 Enrollment ID: I20191212001290 |
| Provider Name | Nirmalla Mattson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417395302 PECOS PAC ID: 5698919918 Enrollment ID: I20191212001857 |
| Provider Name | Huseyin Tore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538504303 PECOS PAC ID: 5799080925 Enrollment ID: I20191212002239 |
| Provider Name | Emily J Zimmerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376738997 PECOS PAC ID: 7618301128 Enrollment ID: I20191216001770 |
| Provider Name | Rachel Stenach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649734864 PECOS PAC ID: 0446684989 Enrollment ID: I20191217000175 |
| Provider Name | Kathleen Van Zeeland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326509381 PECOS PAC ID: 2466793609 Enrollment ID: I20191219001317 |
| Provider Name | Heidi Phuyal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265898472 PECOS PAC ID: 3072947183 Enrollment ID: I20191226000975 |
| Provider Name | Dehua Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578790655 PECOS PAC ID: 8729302112 Enrollment ID: I20191231000523 |
| Provider Name | Brian A Conley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831394402 PECOS PAC ID: 6002076825 Enrollment ID: I20191231000965 |
| Provider Name | Sophie M Hapak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538694245 PECOS PAC ID: 6901148675 Enrollment ID: I20191231001096 |
| Provider Name | Amanda Rose Woelfel Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366099152 PECOS PAC ID: 9739513615 Enrollment ID: I20191231001341 |
| Provider Name | Lavanya Namballa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881030658 PECOS PAC ID: 9234446097 Enrollment ID: I20191231002108 |
| Provider Name | Megan M Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258289 PECOS PAC ID: 3971937707 Enrollment ID: I20200102001093 |
| Provider Name | Robert Hosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023338282 PECOS PAC ID: 1153624051 Enrollment ID: I20200107002156 |
| Provider Name | Alicia Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245875111 PECOS PAC ID: 8325473838 Enrollment ID: I20200110000316 |
| Provider Name | Katherine Marie Betzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427694926 PECOS PAC ID: 5890120109 Enrollment ID: I20200115000182 |
| Provider Name | Whitney Lea Finke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134404908 PECOS PAC ID: 2062659345 Enrollment ID: I20200121002324 |
| Provider Name | Nathan Bertelsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649437179 PECOS PAC ID: 9032387154 Enrollment ID: I20200122002289 |
| Provider Name | April Coming Hay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104278365 PECOS PAC ID: 3779878905 Enrollment ID: I20200128000196 |
| Provider Name | Yan Dong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043507577 PECOS PAC ID: 6305088410 Enrollment ID: I20200128002967 |
| Provider Name | Lindsay Nutting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194362343 PECOS PAC ID: 0244666808 Enrollment ID: I20200130002057 |
| Provider Name | Ashley Ashbacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083984850 PECOS PAC ID: 7315373719 Enrollment ID: I20200203002329 |
| Provider Name | Victor R Schuring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710532718 PECOS PAC ID: 0244666428 Enrollment ID: I20200206001731 |
| Provider Name | Jamie Leigh Engebretson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205169190 PECOS PAC ID: 1850727082 Enrollment ID: I20200207000526 |
| Provider Name | Yvonne Tora Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376101352 PECOS PAC ID: 8426484437 Enrollment ID: I20200211002886 |
| Provider Name | Amanda Wenzel Kalstabakken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649819665 PECOS PAC ID: 9830526292 Enrollment ID: I20200224002554 |
| Provider Name | Katherine Archbold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093115925 PECOS PAC ID: 9638506918 Enrollment ID: I20200226001357 |
| Provider Name | Lyuba Megits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417337130 PECOS PAC ID: 2466768395 Enrollment ID: I20200227000841 |
| Provider Name | Gwendolyn M Neumeister |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770064560 PECOS PAC ID: 4688001845 Enrollment ID: I20200227002025 |
| Provider Name | Sandra Germain Malone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174645220 PECOS PAC ID: 1759718703 Enrollment ID: I20200303002625 |
| Provider Name | Dreylana Shatori Hill Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871936906 PECOS PAC ID: 7911229281 Enrollment ID: I20200304001417 |
| Provider Name | Donovan Dewayne Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699069930 PECOS PAC ID: 4688893027 Enrollment ID: I20200313000852 |
| Provider Name | Hannah Deutschman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508350513 PECOS PAC ID: 9234478066 Enrollment ID: I20200316002386 |
| Provider Name | Michelle Marie Lembcke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235763186 PECOS PAC ID: 8729416060 Enrollment ID: I20200319000914 |
| Provider Name | Sapana Shakya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922639392 PECOS PAC ID: 5890123038 Enrollment ID: I20200320002736 |
| Provider Name | Stephanie Schwinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417985219 PECOS PAC ID: 8820139108 Enrollment ID: I20200321000408 |
| Provider Name | Megan Anne Dowdal-osborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023109436 PECOS PAC ID: 4183052350 Enrollment ID: I20200323000185 |
| Provider Name | Emily Jacobsma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063901338 PECOS PAC ID: 0244668309 Enrollment ID: I20200324001143 |
| Provider Name | Alexa Rae-stevens Hales |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821470766 PECOS PAC ID: 6507294683 Enrollment ID: I20200324001721 |
| Provider Name | Hillary Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275914715 PECOS PAC ID: 1355779398 Enrollment ID: I20200325001332 |
| Provider Name | Alexandra Laurel Alexander |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184006173 PECOS PAC ID: 2567891500 Enrollment ID: I20200326002331 |
| Provider Name | Nora L Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699166348 PECOS PAC ID: 6709215627 Enrollment ID: I20200327002979 |
| Provider Name | Mary Jane Voss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396393781 PECOS PAC ID: 5092144873 Enrollment ID: I20200330001815 |
| Provider Name | Laura Terese Goebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457985806 PECOS PAC ID: 0244669810 Enrollment ID: I20200402000290 |
| Provider Name | Hang T Vu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730140476 PECOS PAC ID: 7810921137 Enrollment ID: I20200402001375 |
| Provider Name | Brooke A Hendrickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720611452 PECOS PAC ID: 3476982000 Enrollment ID: I20200402003331 |
| Provider Name | Angela Pana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932596970 PECOS PAC ID: 6608205166 Enrollment ID: I20200403001338 |
| Provider Name | Rose Ellen Janecke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285147579 PECOS PAC ID: 7911336482 Enrollment ID: I20200403001571 |
| Provider Name | Joseph Kriz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295276921 PECOS PAC ID: 3375813371 Enrollment ID: I20200410001478 |
| Provider Name | Ryan Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952796252 PECOS PAC ID: 8022314756 Enrollment ID: I20200413001493 |
| Provider Name | Michael John Landgren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487176590 PECOS PAC ID: 9335579424 Enrollment ID: I20200413001600 |
| Provider Name | Julie Kovanda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063836468 PECOS PAC ID: 7012140809 Enrollment ID: I20200414000803 |
| Provider Name | Jason Nellis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457612350 PECOS PAC ID: 7315162146 Enrollment ID: I20200415000135 |
| Provider Name | Daniel H Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396277836 PECOS PAC ID: 4981945607 Enrollment ID: I20200420001637 |
| Provider Name | Kelly Jean Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013478775 PECOS PAC ID: 9931539632 Enrollment ID: I20200421000860 |
| Provider Name | Vicky Broderick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497880934 PECOS PAC ID: 6103092614 Enrollment ID: I20200421000880 |
| Provider Name | Greta I Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841821436 PECOS PAC ID: 3274963640 Enrollment ID: I20200427000950 |
| Provider Name | Kirsten Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184856593 PECOS PAC ID: 8224288238 Enrollment ID: I20200428001733 |
| Provider Name | Paula Patricia Daine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588007512 PECOS PAC ID: 4688004971 Enrollment ID: I20200429001731 |
| Provider Name | Mark T Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245625003 PECOS PAC ID: 9739484874 Enrollment ID: I20200502000009 |
| Provider Name | Emilee Kay Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053931964 PECOS PAC ID: 8123459344 Enrollment ID: I20200504000207 |
| Provider Name | Benjamin R Morgan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750505913 PECOS PAC ID: 1557412103 Enrollment ID: I20200504002679 |
| Provider Name | Patrick Bartholomew Herson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689170805 PECOS PAC ID: 5890717532 Enrollment ID: I20200506001537 |
| Provider Name | Traci Ann Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346659307 PECOS PAC ID: 9032540059 Enrollment ID: I20200507000726 |
| Provider Name | Nicole Kaul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205487980 PECOS PAC ID: 1153752019 Enrollment ID: I20200508000085 |
| Provider Name | Eileen Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467996462 PECOS PAC ID: 2466883368 Enrollment ID: I20200508001915 |
| Provider Name | Can Ozutemiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396195517 PECOS PAC ID: 3678846037 Enrollment ID: I20200508002157 |
| Provider Name | Jennifer L Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538587175 PECOS PAC ID: 6800199597 Enrollment ID: I20200509000212 |
| Provider Name | Abir Naguib Abdallah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295086643 PECOS PAC ID: 8820376825 Enrollment ID: I20200511001238 |
| Provider Name | William G Tenbrink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710419403 PECOS PAC ID: 9032450648 Enrollment ID: I20200514001579 |
| Provider Name | Luke Adam Monteagudo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992187173 PECOS PAC ID: 2860756723 Enrollment ID: I20200514002803 |
| Provider Name | Bryan P Labore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124559893 PECOS PAC ID: 6002169513 Enrollment ID: I20200519000247 |
| Provider Name | Erica M Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427581925 PECOS PAC ID: 2466717343 Enrollment ID: I20200520002955 |
| Provider Name | Amandeep Godara |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487094066 PECOS PAC ID: 1951602663 Enrollment ID: I20200520003103 |
| Provider Name | Nauroze A Faizi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114302940 PECOS PAC ID: 1355646258 Enrollment ID: I20200521000481 |
| Provider Name | Hem Hemantbhai Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316352446 PECOS PAC ID: 6204189673 Enrollment ID: I20200522002295 |
| Provider Name | Jessica Mary Solie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629160999 PECOS PAC ID: 9335560440 Enrollment ID: I20200528000120 |
| Provider Name | Sabine P Schmid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407060916 PECOS PAC ID: 9739288606 Enrollment ID: I20200603002707 |
| Provider Name | Rahel Nardos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912111592 PECOS PAC ID: 6103999354 Enrollment ID: I20200603002776 |
| Provider Name | Shahidali Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538513890 PECOS PAC ID: 6800140054 Enrollment ID: I20200604000496 |
| Provider Name | Prasanth Ravipati |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285048256 PECOS PAC ID: 2264653831 Enrollment ID: I20200608000480 |
| Provider Name | Andrew Nguyen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952721706 PECOS PAC ID: 2860793155 Enrollment ID: I20200608000494 |
| Provider Name | Sade M Finn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578099545 PECOS PAC ID: 5799057899 Enrollment ID: I20200609001866 |
| Provider Name | Amy Beckman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164809166 PECOS PAC ID: 1456655786 Enrollment ID: I20200615000808 |
| Provider Name | Amit Kulkarni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417374406 PECOS PAC ID: 2668605494 Enrollment ID: I20200615003423 |
| Provider Name | Muhammad Affan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285049213 PECOS PAC ID: 3779905021 Enrollment ID: I20200616000186 |
| Provider Name | Sacha Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891045258 PECOS PAC ID: 7517105679 Enrollment ID: I20200616001164 |
| Provider Name | Lucky Vang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053627364 PECOS PAC ID: 7517277205 Enrollment ID: I20200616001862 |
| Provider Name | Jens J Lillevold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770015752 PECOS PAC ID: 3375814767 Enrollment ID: I20200616002152 |
| Provider Name | Jennifer Marie Rathousky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265881528 PECOS PAC ID: 3274823786 Enrollment ID: I20200616003372 |
| Provider Name | Aditya Kler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144642869 PECOS PAC ID: 1850679077 Enrollment ID: I20200617000991 |
| Provider Name | Nishitha Radhakrishna Pillai |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1700173895 PECOS PAC ID: 0941622104 Enrollment ID: I20200617002378 |
| Provider Name | Lahn Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306223763 PECOS PAC ID: 8527480615 Enrollment ID: I20200618000646 |
| Provider Name | Nicholas Joseph Sausen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235526336 PECOS PAC ID: 8527365220 Enrollment ID: I20200618001639 |
| Provider Name | Paul Hoogervorst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568925600 PECOS PAC ID: 0547597833 Enrollment ID: I20200622000247 |
| Provider Name | Justin M Penny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023541604 PECOS PAC ID: 5496025124 Enrollment ID: I20200622001771 |
| Provider Name | Cynthia Lynn Nicholson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619381381 PECOS PAC ID: 6507171592 Enrollment ID: I20200623000776 |
| Provider Name | Rachel Stork Poeppelman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831537083 PECOS PAC ID: 8022312701 Enrollment ID: I20200623002716 |
| Provider Name | Alison Scharber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861926446 PECOS PAC ID: 3375815590 Enrollment ID: I20200624000973 |
| Provider Name | Florence John |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548614464 PECOS PAC ID: 6406148014 Enrollment ID: I20200624003412 |
| Provider Name | Mahmood Gharib |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174889729 PECOS PAC ID: 6800022617 Enrollment ID: I20200626000381 |
| Provider Name | Gregory Burton Carlson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609253632 PECOS PAC ID: 5799021358 Enrollment ID: I20200626000952 |
| Provider Name | Asitha D Jayawardena |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689093460 PECOS PAC ID: 6901108596 Enrollment ID: I20200626001664 |
| Provider Name | Mary Julia Thomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205273174 PECOS PAC ID: 9931400116 Enrollment ID: I20200629000986 |
| Provider Name | Takumi Yamada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205135381 PECOS PAC ID: 3173791951 Enrollment ID: I20200630002958 |
| Provider Name | Laura Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811512601 PECOS PAC ID: 1557784741 Enrollment ID: I20200707000502 |
| Provider Name | Margy Elise Mccullough-hicks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861805004 PECOS PAC ID: 9436460029 Enrollment ID: I20200714000070 |
| Provider Name | Daniel Patrick Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437537131 PECOS PAC ID: 1759687320 Enrollment ID: I20200715000620 |
| Provider Name | Jacob John Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700266079 PECOS PAC ID: 5597076406 Enrollment ID: I20200715002278 |
| Provider Name | Jacob George Manske |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801277918 PECOS PAC ID: 6305136540 Enrollment ID: I20200715003275 |
| Provider Name | Justin M Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326455239 PECOS PAC ID: 7810114527 Enrollment ID: I20200716000249 |
| Provider Name | Rajat Kalra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346680188 PECOS PAC ID: 3678715026 Enrollment ID: I20200717000486 |
| Provider Name | Stefan Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952500191 PECOS PAC ID: 0345331435 Enrollment ID: I20200717000663 |
| Provider Name | Becca Marie Mahnesmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912527268 PECOS PAC ID: 8527482967 Enrollment ID: I20200720000494 |
| Provider Name | Deborah A Hudleston |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578959607 PECOS PAC ID: 8224333059 Enrollment ID: I20200721000780 |
| Provider Name | Luis Felipe Nascimento Kazmirczak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619255890 PECOS PAC ID: 2961826920 Enrollment ID: I20200723000506 |
| Provider Name | Viviane Tchonang Leuche |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184043192 PECOS PAC ID: 5799004685 Enrollment ID: I20200727000027 |
| Provider Name | Rajesh Thampy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417281452 PECOS PAC ID: 8628493293 Enrollment ID: I20200730001987 |
| Provider Name | Tiffany Albrecht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497109268 PECOS PAC ID: 0941577316 Enrollment ID: I20200731000405 |
| Provider Name | Heather Anne Bateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659906048 PECOS PAC ID: 5193140556 Enrollment ID: I20200731001780 |
| Provider Name | Rachel Beck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710481742 PECOS PAC ID: 1557625159 Enrollment ID: I20200803001135 |
| Provider Name | Julia Lister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376999722 PECOS PAC ID: 0840585659 Enrollment ID: I20200804000595 |
| Provider Name | Shannon R Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659804441 PECOS PAC ID: 4880939875 Enrollment ID: I20200804002345 |
| Provider Name | Bimaje Akpa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144583642 PECOS PAC ID: 6406164409 Enrollment ID: I20200804003417 |
| Provider Name | Karl Koivisto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962931451 PECOS PAC ID: 5496023459 Enrollment ID: I20200806001118 |
| Provider Name | Andrew J Redmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235572306 PECOS PAC ID: 4688815988 Enrollment ID: I20200807000795 |
| Provider Name | Julie Johnson Rolfes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174883995 PECOS PAC ID: 5698046647 Enrollment ID: I20200808000105 |
| Provider Name | Ahnalieza Marie Brill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184244139 PECOS PAC ID: 8426473299 Enrollment ID: I20200811000917 |
| Provider Name | Mackenzie C Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225554496 PECOS PAC ID: 3870857329 Enrollment ID: I20200811003757 |
| Provider Name | Michael K Wempe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780900647 PECOS PAC ID: 9436454287 Enrollment ID: I20200812003791 |
| Provider Name | Bethany Ann Sabol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346582558 PECOS PAC ID: 7214179555 Enrollment ID: I20200813002365 |
| Provider Name | Shontel Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225499353 PECOS PAC ID: 2062838626 Enrollment ID: I20200813002473 |
| Provider Name | Daniel E Kendrick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730479882 PECOS PAC ID: 7517212004 Enrollment ID: I20200814000110 |
| Provider Name | Kaitlin Barabash |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366892937 PECOS PAC ID: 6204120132 Enrollment ID: I20200814000184 |
| Provider Name | William Kirke Rogers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407020241 PECOS PAC ID: 4688802283 Enrollment ID: I20200814000739 |
| Provider Name | Gita P Byraiah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164876942 PECOS PAC ID: 4486945441 Enrollment ID: I20200817001948 |
| Provider Name | Ying Gibbens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548721434 PECOS PAC ID: 8426383944 Enrollment ID: I20200820001299 |
| Provider Name | Matthew Theodore Stuart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851824163 PECOS PAC ID: 6002232048 Enrollment ID: I20200820001976 |
| Provider Name | Alysse V Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437684602 PECOS PAC ID: 1951671684 Enrollment ID: I20200826002038 |
| Provider Name | Mung Ting Yung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962856708 PECOS PAC ID: 1254601610 Enrollment ID: I20200827001127 |
| Provider Name | Jeffrey J Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255864823 PECOS PAC ID: 5496172942 Enrollment ID: I20200828000507 |
| Provider Name | Brent Edward White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902163892 PECOS PAC ID: 6709019474 Enrollment ID: I20200828001140 |
| Provider Name | Rachel Koski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760802052 PECOS PAC ID: 0446675706 Enrollment ID: I20200831003210 |
| Provider Name | Matthew F Pullen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841633898 PECOS PAC ID: 8527359637 Enrollment ID: I20200902000631 |
| Provider Name | Allyson Stevenson-king |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568817146 PECOS PAC ID: 0244573939 Enrollment ID: I20200902000632 |
| Provider Name | Himanayani Mamillapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114451002 PECOS PAC ID: 2567727126 Enrollment ID: I20200908001242 |
| Provider Name | Geneva Tranchida |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235549890 PECOS PAC ID: 6901101146 Enrollment ID: I20200909001093 |
| Provider Name | Julie Duke |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043553803 PECOS PAC ID: 3870810120 Enrollment ID: I20200910000438 |
| Provider Name | Andrea Elliott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801114392 PECOS PAC ID: 5395011134 Enrollment ID: I20200910000533 |
| Provider Name | Dawn Mae Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528676871 PECOS PAC ID: 8820416662 Enrollment ID: I20200910003459 |
| Provider Name | Anne M White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578983672 PECOS PAC ID: 2860810611 Enrollment ID: I20200911000091 |
| Provider Name | Liam Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396935482 PECOS PAC ID: 7113182007 Enrollment ID: I20200914000410 |
| Provider Name | Sarah Anne Wernimont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275970402 PECOS PAC ID: 3476797531 Enrollment ID: I20200914001580 |
| Provider Name | Joshua A Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114289873 PECOS PAC ID: 8022373240 Enrollment ID: I20200915000127 |
| Provider Name | Kathryn N Barr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417565540 PECOS PAC ID: 8729406343 Enrollment ID: I20200915000522 |
| Provider Name | Sydney Alexis Schack-farnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124636816 PECOS PAC ID: 7517385842 Enrollment ID: I20200917001899 |
| Provider Name | Joseph Thomas Knapper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174889661 PECOS PAC ID: 7416262183 Enrollment ID: I20200921000009 |
| Provider Name | Emily A Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801276175 PECOS PAC ID: 0143532317 Enrollment ID: I20200921003065 |
| Provider Name | Luke J O'neil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114450368 PECOS PAC ID: 6901224096 Enrollment ID: I20200922003263 |
| Provider Name | Lindsey Sloan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073991840 PECOS PAC ID: 5991083933 Enrollment ID: I20200923000430 |
| Provider Name | Lauren Klein Mrachek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306231865 PECOS PAC ID: 6305158619 Enrollment ID: I20200923001004 |
| Provider Name | Erik A Kuross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932632155 PECOS PAC ID: 9739459330 Enrollment ID: I20200928001221 |
| Provider Name | Stephen A Selinsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528414869 PECOS PAC ID: 7315281029 Enrollment ID: I20200929000174 |
| Provider Name | Michael William Thorp |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407267248 PECOS PAC ID: 1153674114 Enrollment ID: I20200929003495 |
| Provider Name | Charmi Shah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922486109 PECOS PAC ID: 6800226283 Enrollment ID: I20200930000079 |
| Provider Name | Hayley Starr Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396373932 PECOS PAC ID: 1355760075 Enrollment ID: I20200930001110 |
| Provider Name | Ibrahim A Elemo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831478627 PECOS PAC ID: 0345465894 Enrollment ID: I20201001000532 |
| Provider Name | Amr El-bokl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568995322 PECOS PAC ID: 2264851799 Enrollment ID: I20201001001618 |
| Provider Name | Heidi Rose Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639784754 PECOS PAC ID: 4789003211 Enrollment ID: I20201001001731 |
| Provider Name | Kelsey Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841803970 PECOS PAC ID: 3173942653 Enrollment ID: I20201002000008 |
| Provider Name | Jill Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578511994 PECOS PAC ID: 3274715065 Enrollment ID: I20201016000302 |
| Provider Name | Nikolay Genchev Kolev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699951699 PECOS PAC ID: 5496837171 Enrollment ID: I20201027000317 |
| Provider Name | Sahar Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578917100 PECOS PAC ID: 1254751548 Enrollment ID: I20201027000972 |
| Provider Name | Gregory Goblirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821081316 PECOS PAC ID: 8628979077 Enrollment ID: I20201028001147 |
| Provider Name | Ryan Taylor Greene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649723511 PECOS PAC ID: 8123358157 Enrollment ID: I20201030001332 |
| Provider Name | Bauj S Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215540810 PECOS PAC ID: 3375953227 Enrollment ID: I20201103003044 |
| Provider Name | Ashley Carver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346699519 PECOS PAC ID: 5597050393 Enrollment ID: I20201105000069 |
| Provider Name | Kelly J Lamb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568993996 PECOS PAC ID: 6901156843 Enrollment ID: I20201105000203 |
| Provider Name | Margot Zarin-pass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356795926 PECOS PAC ID: 7810241973 Enrollment ID: I20201113000637 |
| Provider Name | Deirdre E Milligan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467984344 PECOS PAC ID: 8729323407 Enrollment ID: I20201118002278 |
| Provider Name | Sarah Halloran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629531363 PECOS PAC ID: 4486985157 Enrollment ID: I20201127000106 |
| Provider Name | Evan Jungbauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853769 PECOS PAC ID: 4183956568 Enrollment ID: I20201130001322 |
| Provider Name | Margaret Olubunmi Daramola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114126117 PECOS PAC ID: 4789729278 Enrollment ID: I20201207001203 |
| Provider Name | Ishmael Ching |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588817480 PECOS PAC ID: 2860640968 Enrollment ID: I20201216000336 |
| Provider Name | Jon Stoffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134783871 PECOS PAC ID: 3476888918 Enrollment ID: I20210106002447 |
| Provider Name | Melissa G Elumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366989154 PECOS PAC ID: 7416233424 Enrollment ID: I20210111001530 |
| Provider Name | Samuel Brian Goldfarb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740202027 PECOS PAC ID: 2860541372 Enrollment ID: I20210117000006 |
| Provider Name | Mark B Juckett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750357604 PECOS PAC ID: 2860557170 Enrollment ID: I20210118000488 |
| Provider Name | Kathleen Elizabeth Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346838687 PECOS PAC ID: 3870907348 Enrollment ID: I20210122002683 |
| Provider Name | Larry Lindenbaum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205922911 PECOS PAC ID: 0042402984 Enrollment ID: I20210126000228 |
| Provider Name | Vicky L Hedican-sime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801407192 PECOS PAC ID: 1254745680 Enrollment ID: I20210127000310 |
| Provider Name | Stephanie Marie Dombrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868944 PECOS PAC ID: 9436563780 Enrollment ID: I20210127001259 |
| Provider Name | Leah Christine Henke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326492182 PECOS PAC ID: 6002107075 Enrollment ID: I20210201002309 |
| Provider Name | John Christopher H Goodnow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184288524 PECOS PAC ID: 7517292964 Enrollment ID: I20210204002258 |
| Provider Name | Irene M Ottoson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619568912 PECOS PAC ID: 0749694529 Enrollment ID: I20210208001110 |
| Provider Name | Lindsey Ann Sahli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528664067 PECOS PAC ID: 8921413519 Enrollment ID: I20210211002699 |
| Provider Name | Bikash Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750541132 PECOS PAC ID: 6103096672 Enrollment ID: I20210216003365 |
| Provider Name | Mccartney E Renn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164027710 PECOS PAC ID: 6709291115 Enrollment ID: I20210217001948 |
| Provider Name | Rachel Oludiji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588282545 PECOS PAC ID: 1557776804 Enrollment ID: I20210218000843 |
| Provider Name | Simon M Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851917264 PECOS PAC ID: 6002221264 Enrollment ID: I20210219002555 |
| Provider Name | Lucas Kuzj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639632441 PECOS PAC ID: 9234464017 Enrollment ID: I20210222000750 |
| Provider Name | Claire Ryden Maxey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104421627 PECOS PAC ID: 3870909518 Enrollment ID: I20210304001068 |
| Provider Name | Alex C Hoover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407380090 PECOS PAC ID: 4385914589 Enrollment ID: I20210309001087 |
| Provider Name | Alexandra Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306447339 PECOS PAC ID: 3375959547 Enrollment ID: I20210312001481 |
| Provider Name | Caleb P Skipper |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356751564 PECOS PAC ID: 5092080119 Enrollment ID: I20210318001400 |
| Provider Name | Allison Groenewold Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780031195 PECOS PAC ID: 1759674898 Enrollment ID: I20210319001923 |
| Provider Name | Jennifer Marie Stong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922561307 PECOS PAC ID: 7315276730 Enrollment ID: I20210326001335 |
| Provider Name | Gia Xiong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548847361 PECOS PAC ID: 5991112021 Enrollment ID: I20210407001840 |
| Provider Name | Amanda Louise Stanhope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548845332 PECOS PAC ID: 6800203993 Enrollment ID: I20210408001447 |
| Provider Name | Siddhartha Sen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538513684 PECOS PAC ID: 0547552374 Enrollment ID: I20210409000451 |
| Provider Name | Kyle Maurer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053773671 PECOS PAC ID: 4981998549 Enrollment ID: I20210416001117 |
| Provider Name | Emily L Halverson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194250035 PECOS PAC ID: 6507110293 Enrollment ID: I20210420001245 |
| Provider Name | Valmiki Rishi Maharaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215355284 PECOS PAC ID: 5991007445 Enrollment ID: I20210420001474 |
| Provider Name | Jacob Torrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356704365 PECOS PAC ID: 3072859487 Enrollment ID: I20210429002733 |
| Provider Name | Rose Wadeeha Baumann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487182168 PECOS PAC ID: 7012286164 Enrollment ID: I20210503001165 |
| Provider Name | Matthias Zinn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609089994 PECOS PAC ID: 5991888372 Enrollment ID: I20210511001565 |
| Provider Name | William Sveen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609253020 PECOS PAC ID: 6608174271 Enrollment ID: I20210511001725 |
| Provider Name | Allyson Connor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750745832 PECOS PAC ID: 7517240765 Enrollment ID: I20210511002417 |
| Provider Name | Felicia T Hansell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447785167 PECOS PAC ID: 1557625480 Enrollment ID: I20210513000882 |
| Provider Name | Alexander Matthew Clayton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073976080 PECOS PAC ID: 8224320213 Enrollment ID: I20210513002394 |
| Provider Name | Phillip W Plager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992294722 PECOS PAC ID: 9032457635 Enrollment ID: I20210519000286 |
| Provider Name | Amit Justin Sood |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588079768 PECOS PAC ID: 3375765969 Enrollment ID: I20210519002474 |
| Provider Name | Arielle Skalisky |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891213419 PECOS PAC ID: 5890194971 Enrollment ID: I20210521000586 |
| Provider Name | Mehmet Levent Guler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255839692 PECOS PAC ID: 2466715222 Enrollment ID: I20210525001634 |
| Provider Name | Melissa E Hardy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952804734 PECOS PAC ID: 4587901848 Enrollment ID: I20210527001870 |
| Provider Name | Vinh-quang Do Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639530173 PECOS PAC ID: 4880992023 Enrollment ID: I20210603000592 |
| Provider Name | Daniel A Popa |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1114276706 PECOS PAC ID: 3577856061 Enrollment ID: I20210607001528 |
| Provider Name | Yasoda Meesala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548551039 PECOS PAC ID: 3870711468 Enrollment ID: I20210608001938 |
| Provider Name | Edward J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639602709 PECOS PAC ID: 4688007289 Enrollment ID: I20210608002720 |
| Provider Name | Amanda Marie Honsvall Hoefler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154855484 PECOS PAC ID: 3072846559 Enrollment ID: I20210609001170 |
| Provider Name | Daniel T Lotz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265828859 PECOS PAC ID: 2769790013 Enrollment ID: I20210609001837 |
| Provider Name | Hannah Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427583137 PECOS PAC ID: 8820365620 Enrollment ID: I20210610000271 |
| Provider Name | Serin Edwin Erayil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982084240 PECOS PAC ID: 4082973821 Enrollment ID: I20210616000018 |
| Provider Name | Elizabeth M Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558858761 PECOS PAC ID: 6002160231 Enrollment ID: I20210617001026 |
| Provider Name | Tyler J Lewandowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669961215 PECOS PAC ID: 7618224304 Enrollment ID: I20210617001124 |
| Provider Name | Luke A Krystosek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568857639 PECOS PAC ID: 2062718646 Enrollment ID: I20210617001797 |
| Provider Name | Kiril Dimitrov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639663750 PECOS PAC ID: 2668723446 Enrollment ID: I20210617002384 |
| Provider Name | Sanjal H Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265843379 PECOS PAC ID: 8224337019 Enrollment ID: I20210618000025 |
| Provider Name | Vikas Le-kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159000 PECOS PAC ID: 7315291606 Enrollment ID: I20210618000883 |
| Provider Name | Zachary Lauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043606999 PECOS PAC ID: 9133425887 Enrollment ID: I20210622000392 |
| Provider Name | Lisha Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780079640 PECOS PAC ID: 0042611550 Enrollment ID: I20210622001033 |
| Provider Name | Krista E Bratt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740711068 PECOS PAC ID: 0244563427 Enrollment ID: I20210623000341 |
| Provider Name | Alejandra Gutierrez Bernal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487074597 PECOS PAC ID: 6800297086 Enrollment ID: I20210624003373 |
| Provider Name | Erin Rose Karl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124510110 PECOS PAC ID: 9335499151 Enrollment ID: I20210628000055 |
| Provider Name | Stanley Kogan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245261510 PECOS PAC ID: 3072532555 Enrollment ID: I20210629002301 |
| Provider Name | Jessica Stoefen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427640051 PECOS PAC ID: 6709287568 Enrollment ID: I20210630002376 |
| Provider Name | Erica Blustein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508361775 PECOS PAC ID: 8921411513 Enrollment ID: I20210701001455 |
| Provider Name | Lauren Stribling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841645033 PECOS PAC ID: 7517253156 Enrollment ID: I20210706002859 |
| Provider Name | Phillip L Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437500261 PECOS PAC ID: 6002101086 Enrollment ID: I20210708001965 |
| Provider Name | Robert Thomas Galvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598119331 PECOS PAC ID: 0345574687 Enrollment ID: I20210713003968 |
| Provider Name | Akinbowale Ayeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639782626 PECOS PAC ID: 1951703867 Enrollment ID: I20210715000855 |
| Provider Name | Tooba Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356871073 PECOS PAC ID: 2668874462 Enrollment ID: I20210716000332 |
| Provider Name | Sandeep Sainathan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245486364 PECOS PAC ID: 3870897705 Enrollment ID: I20210720001018 |
| Provider Name | Kurtis J Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457748907 PECOS PAC ID: 1850641986 Enrollment ID: I20210722001106 |
| Provider Name | Thomas Mark Suszynski |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013336155 PECOS PAC ID: 9537562855 Enrollment ID: I20210724000054 |
| Provider Name | Mehrnoosh Tashakori |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366838732 PECOS PAC ID: 1759784929 Enrollment ID: I20210726002030 |
| Provider Name | Erica Ting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497280101 PECOS PAC ID: 0446527378 Enrollment ID: I20210726002799 |
| Provider Name | Mackenzie Kampa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912400797 PECOS PAC ID: 6901156249 Enrollment ID: I20210727002767 |
| Provider Name | Monika Kakol |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861807794 PECOS PAC ID: 7416255526 Enrollment ID: I20210728000731 |
| Provider Name | Gretchen L Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023074655 PECOS PAC ID: 2567865488 Enrollment ID: I20210729000559 |
| Provider Name | Megan Kristan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821483967 PECOS PAC ID: 6002148327 Enrollment ID: I20210729001369 |
| Provider Name | Solomon Amare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376030320 PECOS PAC ID: 8022352624 Enrollment ID: I20210730000663 |
| Provider Name | Saydra Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396179529 PECOS PAC ID: 3870880776 Enrollment ID: I20210730002200 |
| Provider Name | Ashley Evelyn Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194294439 PECOS PAC ID: 9739583543 Enrollment ID: I20210802000423 |
| Provider Name | Glen C Gross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467814467 PECOS PAC ID: 4880986884 Enrollment ID: I20210803003763 |
| Provider Name | Caitlin Quinn Barr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366930745 PECOS PAC ID: 5092052191 Enrollment ID: I20210804000325 |
| Provider Name | Eva Ssentongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790399772 PECOS PAC ID: 4284038118 Enrollment ID: I20210813001763 |
| Provider Name | Edward Wu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124419890 PECOS PAC ID: 5991109837 Enrollment ID: I20210813002295 |
| Provider Name | Michael Thomas Churchwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306075270 PECOS PAC ID: 9032341276 Enrollment ID: I20210816000986 |
| Provider Name | Amila William |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356585236 PECOS PAC ID: 9739493891 Enrollment ID: I20210816001644 |
| Provider Name | Thomas Byrd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033572474 PECOS PAC ID: 9739470808 Enrollment ID: I20210816002151 |
| Provider Name | Ludmil Lazarov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285826404 PECOS PAC ID: 1254407729 Enrollment ID: I20210816003909 |
| Provider Name | Thomas Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720374721 PECOS PAC ID: 4486972742 Enrollment ID: I20210818000244 |
| Provider Name | Jessica Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013312966 PECOS PAC ID: 4082916242 Enrollment ID: I20210818002072 |
| Provider Name | Alexandra Marquez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154767788 PECOS PAC ID: 5698170306 Enrollment ID: I20210818002884 |
| Provider Name | Sharon Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700318268 PECOS PAC ID: 5496022196 Enrollment ID: I20210818003587 |
| Provider Name | Benjamin Joseph Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326579517 PECOS PAC ID: 7517238520 Enrollment ID: I20210820002487 |
| Provider Name | Jessica Helena Randa Goldstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275796732 PECOS PAC ID: 6709004708 Enrollment ID: I20210823001077 |
| Provider Name | Claire Elizabeth Bourgeois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063902229 PECOS PAC ID: 1850635350 Enrollment ID: I20210823001592 |
| Provider Name | Munir J Abdalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962909390 PECOS PAC ID: 9335487511 Enrollment ID: I20210824002712 |
| Provider Name | Hector Marcano |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851504666 PECOS PAC ID: 3274665906 Enrollment ID: I20210825000809 |
| Provider Name | Alexander J Baxa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972009199 PECOS PAC ID: 5294086161 Enrollment ID: I20210826002454 |
| Provider Name | Abby Fredrickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376063370 PECOS PAC ID: 0547685125 Enrollment ID: I20210830002352 |
| Provider Name | Samantha Jan Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205363801 PECOS PAC ID: 4082982822 Enrollment ID: I20210901000251 |
| Provider Name | Nathan R Hendrickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306227632 PECOS PAC ID: 5496060170 Enrollment ID: I20210901000786 |
| Provider Name | Evan J Beacom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184111585 PECOS PAC ID: 5991056491 Enrollment ID: I20210902001488 |
| Provider Name | Michelle Stoffel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487040127 PECOS PAC ID: 2668740234 Enrollment ID: I20210902001775 |
| Provider Name | Toy Elaine Amanda Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306334040 PECOS PAC ID: 6305242033 Enrollment ID: I20210904000015 |
| Provider Name | Andrew Piropato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639673650 PECOS PAC ID: 7911245576 Enrollment ID: I20210908000032 |
| Provider Name | Chinyere Ihunnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821683525 PECOS PAC ID: 8729496351 Enrollment ID: I20210909000044 |
| Provider Name | Sapna Prabhakaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992938534 PECOS PAC ID: 1052717311 Enrollment ID: I20210913000194 |
| Provider Name | Pegah Entezari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639517881 PECOS PAC ID: 7214156702 Enrollment ID: I20210913002899 |
| Provider Name | Miheret Tamirat Gebreyohannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477043388 PECOS PAC ID: 6204232440 Enrollment ID: I20210914000172 |
| Provider Name | Kacie Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801419700 PECOS PAC ID: 4789080805 Enrollment ID: I20210914003654 |
| Provider Name | Trinh Ngoc To |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821450040 PECOS PAC ID: 3779870506 Enrollment ID: I20210917001023 |
| Provider Name | Chetan Narendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306132139 PECOS PAC ID: 7416277223 Enrollment ID: I20210917001505 |
| Provider Name | Caroline Sokomwuyoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356017255 PECOS PAC ID: 4981001872 Enrollment ID: I20210920001878 |
| Provider Name | Kimberly Jacobsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386945004 PECOS PAC ID: 4688976087 Enrollment ID: I20210921000498 |
| Provider Name | Sarah Raeann Kruell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194348177 PECOS PAC ID: 6305243007 Enrollment ID: I20210922003579 |
| Provider Name | Devon L. Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891133823 PECOS PAC ID: 4284970781 Enrollment ID: I20210923002938 |
| Provider Name | Ian Spicer Ramsay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538837430 PECOS PAC ID: 2860899366 Enrollment ID: I20210927001464 |
| Provider Name | Kejela Haji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407430473 PECOS PAC ID: 8820495260 Enrollment ID: I20210927003284 |
| Provider Name | Martin Allan Koyle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467546796 PECOS PAC ID: 8325027410 Enrollment ID: I20210930000703 |
| Provider Name | Kourtney Christine Dropps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740609445 PECOS PAC ID: 2163794777 Enrollment ID: I20210930002431 |
| Provider Name | Kristen Rose Cadieux |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528419595 PECOS PAC ID: 0042540643 Enrollment ID: I20211001001557 |
| Provider Name | Abdisamad Mohamed Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922538834 PECOS PAC ID: 6002185667 Enrollment ID: I20211006001516 |
| Provider Name | Melanie Faith Mccormick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275020331 PECOS PAC ID: 3678829421 Enrollment ID: I20211007000024 |
| Provider Name | Lauren Mcclure Yauch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295120020 PECOS PAC ID: 1557665635 Enrollment ID: I20211007000131 |
| Provider Name | Ramtin Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225244221 PECOS PAC ID: 8325193527 Enrollment ID: I20211007003342 |
| Provider Name | Courtney Lauren Marie Eskridge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649840240 PECOS PAC ID: 1850799560 Enrollment ID: I20211011002660 |
| Provider Name | Beatrice Ann Stoneburner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952079279 PECOS PAC ID: 6800294430 Enrollment ID: I20211012000531 |
| Provider Name | Shannon R Weas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902388192 PECOS PAC ID: 5294133823 Enrollment ID: I20211012000746 |
| Provider Name | Ashley Lane Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356862536 PECOS PAC ID: 0446658017 Enrollment ID: I20211012002305 |
| Provider Name | Curt Pinchuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275532871 PECOS PAC ID: 2668420399 Enrollment ID: I20211012003245 |
| Provider Name | Gladys Ayiera Ndege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659045391 PECOS PAC ID: 7719385293 Enrollment ID: I20211014000025 |
| Provider Name | Rebecca L Kummer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043717317 PECOS PAC ID: 3870844640 Enrollment ID: I20211014001555 |
| Provider Name | Azie J Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265012629 PECOS PAC ID: 1557769858 Enrollment ID: I20211015002568 |
| Provider Name | David E Karges |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326060021 PECOS PAC ID: 7810997160 Enrollment ID: I20211015002622 |
| Provider Name | Gary Gross |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760434252 PECOS PAC ID: 2860594330 Enrollment ID: I20211018001015 |
| Provider Name | Kathryn Christine Jenewein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073870192 PECOS PAC ID: 3274838214 Enrollment ID: I20211018002461 |
| Provider Name | Andrea Jean Louise Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639847437 PECOS PAC ID: 6800294182 Enrollment ID: I20211018002824 |
| Provider Name | Brian Van Wie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689345779 PECOS PAC ID: 5597153866 Enrollment ID: I20211020000118 |
| Provider Name | Edith N Nyangoma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265920680 PECOS PAC ID: 0244589349 Enrollment ID: I20211020000321 |
| Provider Name | Timothy J Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245906494 PECOS PAC ID: 8921496878 Enrollment ID: I20211026000476 |
| Provider Name | Fnu Shakuntulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710437470 PECOS PAC ID: 0941539860 Enrollment ID: I20211026001653 |
| Provider Name | Jason Ho |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215297411 PECOS PAC ID: 7618303843 Enrollment ID: I20211028001169 |
| Provider Name | Daniel S Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114536547 PECOS PAC ID: 6800200445 Enrollment ID: I20211103002593 |
| Provider Name | Lauren Haisley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124671045 PECOS PAC ID: 5193150563 Enrollment ID: I20211108002162 |
| Provider Name | Mustaf Mohamed Shariff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760986988 PECOS PAC ID: 6204189459 Enrollment ID: I20211110000177 |
| Provider Name | Mary Monica Streater |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962025924 PECOS PAC ID: 6709275860 Enrollment ID: I20211110001774 |
| Provider Name | Sonja Boatman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689161564 PECOS PAC ID: 9032465307 Enrollment ID: I20211111000490 |
| Provider Name | Swetha Padmini Karturi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841546009 PECOS PAC ID: 4183859838 Enrollment ID: I20211115002957 |
| Provider Name | Duong Tu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679776272 PECOS PAC ID: 7315267242 Enrollment ID: I20211116001155 |
| Provider Name | Tom Paul Vadakara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255771689 PECOS PAC ID: 9335439496 Enrollment ID: I20211117002613 |
| Provider Name | Brenda Shua Her |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972009603 PECOS PAC ID: 4082961420 Enrollment ID: I20211117002755 |
| Provider Name | Dillon C Euler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396946554 PECOS PAC ID: 4587980446 Enrollment ID: I20211129000283 |
| Provider Name | Tareq Al Saadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568967420 PECOS PAC ID: 2163812587 Enrollment ID: I20211129001732 |
| Provider Name | Anna Ruth Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023771243 PECOS PAC ID: 4587054812 Enrollment ID: I20211201000340 |
| Provider Name | Svetoslav Plamenov Hristov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336333590 PECOS PAC ID: 5890819841 Enrollment ID: I20211203000437 |
| Provider Name | Jason B Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255596037 PECOS PAC ID: 0749356137 Enrollment ID: I20211204000273 |
| Provider Name | Amy Pennig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831853225 PECOS PAC ID: 7810387636 Enrollment ID: I20211209000436 |
| Provider Name | Michael A Schirado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104852185 PECOS PAC ID: 4789661026 Enrollment ID: I20211210001482 |
| Provider Name | Lily Rkl Bastian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104140029 PECOS PAC ID: 5496145187 Enrollment ID: I20211213001534 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20211213002759 |
| Provider Name | Matthew H Wheelwright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063975894 PECOS PAC ID: 9234463217 Enrollment ID: I20211215000068 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20211218000127 |
| Provider Name | Brittany Lynn Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487311254 PECOS PAC ID: 7012308455 Enrollment ID: I20211220001605 |
| Provider Name | Scott E Ladd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770977027 PECOS PAC ID: 1153631163 Enrollment ID: I20211221000762 |
| Provider Name | Courtney Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720572449 PECOS PAC ID: 8325394174 Enrollment ID: I20211221001026 |
| Provider Name | Mackenzie Stice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629632799 PECOS PAC ID: 7810221496 Enrollment ID: I20211221001471 |
| Provider Name | David M Hanrahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033347125 PECOS PAC ID: 2163835398 Enrollment ID: I20211221002802 |
| Provider Name | Sulakshna Dhamija |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629383153 PECOS PAC ID: 0244474112 Enrollment ID: I20211222001077 |
| Provider Name | Mckenzie White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518454594 PECOS PAC ID: 8123379278 Enrollment ID: I20211228001807 |
| Provider Name | Hetal Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841283199 PECOS PAC ID: 7012958580 Enrollment ID: I20220106000431 |
| Provider Name | Ashley Jo Hundley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053917138 PECOS PAC ID: 7214329713 Enrollment ID: I20220113000036 |
| Provider Name | Anand Patani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396921342 PECOS PAC ID: 9436209608 Enrollment ID: I20220118000771 |
| Provider Name | Erin M Batdorff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245763077 PECOS PAC ID: 3476896614 Enrollment ID: I20220118000995 |
| Provider Name | Musaddiq Tariq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326465436 PECOS PAC ID: 7012338924 Enrollment ID: I20220125000874 |
| Provider Name | Adam Stivala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467738617 PECOS PAC ID: 7315376910 Enrollment ID: I20220125002548 |
| Provider Name | Kevin O Turner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184874125 PECOS PAC ID: 9739327719 Enrollment ID: I20220126002648 |
| Provider Name | Elizabeth Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437477981 PECOS PAC ID: 1557500451 Enrollment ID: I20220127000779 |
| Provider Name | Tina N Ozbeki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841687365 PECOS PAC ID: 8820303605 Enrollment ID: I20220127002652 |
| Provider Name | Kevin Charles Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669005948 PECOS PAC ID: 0648662429 Enrollment ID: I20220128001338 |
| Provider Name | Meera Srikanthan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841637220 PECOS PAC ID: 4385872217 Enrollment ID: I20220131002165 |
| Provider Name | Monica Campo Patino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326255787 PECOS PAC ID: 1759567019 Enrollment ID: I20220202000165 |
| Provider Name | Stephanie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649944042 PECOS PAC ID: 7012300528 Enrollment ID: I20220204001853 |
| Provider Name | Andrea Laurel Dupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679159990 PECOS PAC ID: 0446643860 Enrollment ID: I20220208001493 |
| Provider Name | Mohsan M Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285163212 PECOS PAC ID: 2062781750 Enrollment ID: I20220214002060 |
| Provider Name | William Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780785949 PECOS PAC ID: 9335176692 Enrollment ID: I20220216002753 |
| Provider Name | Sanjay Saluja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053374462 PECOS PAC ID: 0840241279 Enrollment ID: I20220217001713 |
| Provider Name | Michael Thomas Kalinoski-dubose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629432711 PECOS PAC ID: 7315230836 Enrollment ID: I20220218000972 |
| Provider Name | Brian P Flemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093000747 PECOS PAC ID: 7214226422 Enrollment ID: I20220222002584 |
| Provider Name | Kenneth Starks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487799110 PECOS PAC ID: 4789572546 Enrollment ID: I20220223002070 |
| Provider Name | Brent Ancona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740615236 PECOS PAC ID: 5395031322 Enrollment ID: I20220224002489 |
| Provider Name | Michael P Hafertepe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407388952 PECOS PAC ID: 0840541793 Enrollment ID: I20220302003015 |
| Provider Name | John D Millet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922444355 PECOS PAC ID: 3375845472 Enrollment ID: I20220307002551 |
| Provider Name | Manicia Shundreal Liddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568963866 PECOS PAC ID: 3779829908 Enrollment ID: I20220309000640 |
| Provider Name | Nicole Carpentier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457002321 PECOS PAC ID: 9830584846 Enrollment ID: I20220309001966 |
| Provider Name | Jenna Lanae Breidinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194478503 PECOS PAC ID: 7012302946 Enrollment ID: I20220311000781 |
| Provider Name | Mary Okafo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164985990 PECOS PAC ID: 4688917016 Enrollment ID: I20220317002784 |
| Provider Name | Jonathan Edward Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033606587 PECOS PAC ID: 4486049863 Enrollment ID: I20220322000928 |
| Provider Name | Gwendolyn Roberson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558504191 PECOS PAC ID: 4880901198 Enrollment ID: I20220324002449 |
| Provider Name | Alireza Nathani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932593175 PECOS PAC ID: 8628320009 Enrollment ID: I20220331002701 |
| Provider Name | Megan E Lindsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265814560 PECOS PAC ID: 7719287812 Enrollment ID: I20220404000403 |
| Provider Name | Timothy Richard Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194094045 PECOS PAC ID: 7911393756 Enrollment ID: I20220405000645 |
| Provider Name | Shannon M Welter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386873958 PECOS PAC ID: 4880080514 Enrollment ID: I20220406001461 |
| Provider Name | Mary Agnes Dahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609497973 PECOS PAC ID: 4486070208 Enrollment ID: I20220408000948 |
| Provider Name | Marshal Khant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306296645 PECOS PAC ID: 9436445772 Enrollment ID: I20220408001771 |
| Provider Name | Ryan B O'malley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174729131 PECOS PAC ID: 3870759707 Enrollment ID: I20220409000409 |
| Provider Name | Renee Zasada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730840976 PECOS PAC ID: 9537555834 Enrollment ID: I20220414001056 |
| Provider Name | Nimo Abdullahi Ahmed |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730832296 PECOS PAC ID: 5597152785 Enrollment ID: I20220418000620 |
| Provider Name | Everett H Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588004535 PECOS PAC ID: 5395055396 Enrollment ID: I20220418001627 |
| Provider Name | Fahma Osman Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538789276 PECOS PAC ID: 5698197317 Enrollment ID: I20220420002164 |
| Provider Name | Joella Kate Korpi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386301257 PECOS PAC ID: 8325435308 Enrollment ID: I20220421000118 |
| Provider Name | Srikrishna Vulava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821301367 PECOS PAC ID: 7517108889 Enrollment ID: I20220425001085 |
| Provider Name | Millicent Boa Amponsem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858769 PECOS PAC ID: 1658615570 Enrollment ID: I20220425002618 |
| Provider Name | Grishma Trivedi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548781479 PECOS PAC ID: 6305181231 Enrollment ID: I20220426000961 |
| Provider Name | Daniel Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063405561 PECOS PAC ID: 8527969989 Enrollment ID: I20220426001181 |
| Provider Name | Jenna Vanbeck |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184079535 PECOS PAC ID: 8325339369 Enrollment ID: I20220503000976 |
| Provider Name | Peter Thorne |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346775137 PECOS PAC ID: 3072883768 Enrollment ID: I20220503001007 |
| Provider Name | Christina Lauren Warner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871056531 PECOS PAC ID: 9739422205 Enrollment ID: I20220504001525 |
| Provider Name | Kelash Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326499542 PECOS PAC ID: 2466739560 Enrollment ID: I20220510001986 |
| Provider Name | Krista Cleary |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073668018 PECOS PAC ID: 3173878485 Enrollment ID: I20220512002468 |
| Provider Name | Robert J Dolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447782453 PECOS PAC ID: 6507139045 Enrollment ID: I20220513001665 |
| Provider Name | Pranava Sinha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649427816 PECOS PAC ID: 6103981865 Enrollment ID: I20220516000785 |
| Provider Name | Craig Becker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891177879 PECOS PAC ID: 9133436637 Enrollment ID: I20220516001473 |
| Provider Name | Joshua R Trujeque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497318679 PECOS PAC ID: 5698002830 Enrollment ID: I20220518002275 |
| Provider Name | Kevin Y Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518359298 PECOS PAC ID: 3173850310 Enrollment ID: I20220520002335 |
| Provider Name | Kelsey Lien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699395707 PECOS PAC ID: 2466877477 Enrollment ID: I20220523000086 |
| Provider Name | Angelica Nicole Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932604246 PECOS PAC ID: 0446682223 Enrollment ID: I20220523001065 |
| Provider Name | Omar Jibril |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518444181 PECOS PAC ID: 2365779204 Enrollment ID: I20220524002118 |
| Provider Name | Zako Mohamed Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720653652 PECOS PAC ID: 7810374279 Enrollment ID: I20220524002908 |
| Provider Name | Brian Berg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578650065 PECOS PAC ID: 9638556095 Enrollment ID: I20220524002912 |
| Provider Name | Venus Vakhshori |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023490380 PECOS PAC ID: 9133408610 Enrollment ID: I20220526000568 |
| Provider Name | Kenneth Aduba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437505245 PECOS PAC ID: 5991040297 Enrollment ID: I20220601002684 |
| Provider Name | Timothy K Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063874808 PECOS PAC ID: 8820497779 Enrollment ID: I20220601003005 |
| Provider Name | Gabriel Nicolas Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720576127 PECOS PAC ID: 0840535621 Enrollment ID: I20220602000120 |
| Provider Name | Stephanie Mae Wick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164919957 PECOS PAC ID: 8921348921 Enrollment ID: I20220604000265 |
| Provider Name | Rachel Witt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497135057 PECOS PAC ID: 0749536613 Enrollment ID: I20220606002876 |
| Provider Name | Arnes Huskic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174987275 PECOS PAC ID: 2466751284 Enrollment ID: I20220607002112 |
| Provider Name | Robert Talbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700172905 PECOS PAC ID: 3274762422 Enrollment ID: I20220609002655 |
| Provider Name | Patrick Hackler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205282746 PECOS PAC ID: 0345531091 Enrollment ID: I20220610001459 |
| Provider Name | Sean K Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609052000 PECOS PAC ID: 7416088489 Enrollment ID: I20220610001786 |
| Provider Name | Ashley C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770938607 PECOS PAC ID: 6305242959 Enrollment ID: I20220610002027 |
| Provider Name | Krista Yucuis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083192223 PECOS PAC ID: 7113305624 Enrollment ID: I20220610002137 |
| Provider Name | Alexandra Paige Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942863998 PECOS PAC ID: 5799012985 Enrollment ID: I20220613000303 |
| Provider Name | Dennis Heaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144453978 PECOS PAC ID: 6901944669 Enrollment ID: I20220613001256 |
| Provider Name | Vishnuvardhan Ganesan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952833428 PECOS PAC ID: 3375922891 Enrollment ID: I20220614000173 |
| Provider Name | Tamara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417364944 PECOS PAC ID: 6103046891 Enrollment ID: I20220614001076 |
| Provider Name | Sarah Kay Scharber Knack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770146953 PECOS PAC ID: 2365778032 Enrollment ID: I20220614001967 |
| Provider Name | Erica Sue Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578183042 PECOS PAC ID: 2769807858 Enrollment ID: I20220617001877 |
| Provider Name | Arianna Elisabeth Lofrano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942863287 PECOS PAC ID: 0345575403 Enrollment ID: I20220620001277 |
| Provider Name | Parrisha Laurence Roane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700389566 PECOS PAC ID: 2365821378 Enrollment ID: I20220622002165 |
| Provider Name | Kelsey Gagesch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548795305 PECOS PAC ID: 4082984257 Enrollment ID: I20220624001683 |
| Provider Name | Seth Laporte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528621109 PECOS PAC ID: 8729313085 Enrollment ID: I20220625000594 |
| Provider Name | Mo Valerie Paylen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508490558 PECOS PAC ID: 3577942168 Enrollment ID: I20220628003168 |
| Provider Name | Eamonn Maher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982130746 PECOS PAC ID: 3173895257 Enrollment ID: I20220629001049 |
| Provider Name | Jennifer Laroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942654983 PECOS PAC ID: 3870885254 Enrollment ID: I20220630000947 |
| Provider Name | Benjamin Richard Stanghelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104389568 PECOS PAC ID: 8921332958 Enrollment ID: I20220701000837 |
| Provider Name | Lionel S Wininger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124552963 PECOS PAC ID: 5799046553 Enrollment ID: I20220705001012 |
| Provider Name | Bilal Alturkmani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649627621 PECOS PAC ID: 2264723105 Enrollment ID: I20220705001248 |
| Provider Name | Ligogo Cesar Muholeza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033848817 PECOS PAC ID: 3870973183 Enrollment ID: I20220705001368 |
| Provider Name | Azeez Abayomi Akinlolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609433861 PECOS PAC ID: 9638403702 Enrollment ID: I20220706000746 |
| Provider Name | Norman Nadir Aiad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154818250 PECOS PAC ID: 3173862638 Enrollment ID: I20220706003792 |
| Provider Name | John Alexander Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861997025 PECOS PAC ID: 9335493063 Enrollment ID: I20220712002341 |
| Provider Name | Andrea Patricia Espejo Freire |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154776961 PECOS PAC ID: 2860873593 Enrollment ID: I20220713000650 |
| Provider Name | Jonathan Zvi Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881006104 PECOS PAC ID: 7012135551 Enrollment ID: I20220713000975 |
| Provider Name | Edwin E Kwakugah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184033250 PECOS PAC ID: 5597035600 Enrollment ID: I20220719001313 |
| Provider Name | Roxanna Pourmirzaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881187151 PECOS PAC ID: 5193114171 Enrollment ID: I20220725003206 |
| Provider Name | Mounika Muttineni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659934651 PECOS PAC ID: 3678809647 Enrollment ID: I20220726001748 |
| Provider Name | Jeremy William Leclaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003548256 PECOS PAC ID: 3072995802 Enrollment ID: I20220726003746 |
| Provider Name | Kalkidan T Shiferaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467942151 PECOS PAC ID: 5193127934 Enrollment ID: I20220727001036 |
| Provider Name | Rachel Glad Hedstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518420165 PECOS PAC ID: 6507190709 Enrollment ID: I20220727002948 |
| Provider Name | Aaron Wasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114378676 PECOS PAC ID: 8123311305 Enrollment ID: I20220801000724 |
| Provider Name | Mackenzie Anne Lucca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659035392 PECOS PAC ID: 6204218605 Enrollment ID: I20220802001085 |
| Provider Name | Benjamin D Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619324043 PECOS PAC ID: 2264726397 Enrollment ID: I20220802001611 |
| Provider Name | Rheanne Maravelas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629429758 PECOS PAC ID: 1658650700 Enrollment ID: I20220802001664 |
| Provider Name | Brian Lefchak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265939961 PECOS PAC ID: 0244578078 Enrollment ID: I20220802004061 |
| Provider Name | Charanya Nalligoundanur Pasupathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853900 PECOS PAC ID: 6002144342 Enrollment ID: I20220803002505 |
| Provider Name | Donna J Coetzee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275198228 PECOS PAC ID: 7911234232 Enrollment ID: I20220808000876 |
| Provider Name | Thomas Briese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609303130 PECOS PAC ID: 4183993413 Enrollment ID: I20220808001311 |
| Provider Name | Avery Marie Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811457914 PECOS PAC ID: 6608109111 Enrollment ID: I20220808003285 |
| Provider Name | Erick Enrique Jimenez Granados |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487036851 PECOS PAC ID: 6800194358 Enrollment ID: I20220809001342 |
| Provider Name | Mark D Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385507 PECOS PAC ID: 3072738285 Enrollment ID: I20220809003262 |
| Provider Name | Sara Suzanne Kemp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790051167 PECOS PAC ID: 7517117757 Enrollment ID: I20220810000868 |
| Provider Name | Ryan Kimlong Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407317415 PECOS PAC ID: 4880929801 Enrollment ID: I20220810003363 |
| Provider Name | Jessica Joanne Padniewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225692007 PECOS PAC ID: 5496138372 Enrollment ID: I20220810003592 |
| Provider Name | Kayla L Tilkens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881258572 PECOS PAC ID: 1759615941 Enrollment ID: I20220811002127 |
| Provider Name | Mary Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891351862 PECOS PAC ID: 1153656509 Enrollment ID: I20220811002203 |
| Provider Name | Amel A Badr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528262904 PECOS PAC ID: 8820156466 Enrollment ID: I20220812000686 |
| Provider Name | Akinbolaji Akingbola |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1295228450 PECOS PAC ID: 1850642711 Enrollment ID: I20220818000649 |
| Provider Name | Amber Marie Servatius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740440312 PECOS PAC ID: 0244400430 Enrollment ID: I20220819001128 |
| Provider Name | Chen Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053808147 PECOS PAC ID: 2466700463 Enrollment ID: I20220822000733 |
| Provider Name | Roman Becicka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083007322 PECOS PAC ID: 4789958638 Enrollment ID: I20220823003889 |
| Provider Name | Rachael Lauren Mangaudis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194229500 PECOS PAC ID: 1951659085 Enrollment ID: I20220826000993 |
| Provider Name | Brianna Yund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912632597 PECOS PAC ID: 4880078591 Enrollment ID: I20220830002030 |
| Provider Name | Yanli Ding |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154680957 PECOS PAC ID: 7810129962 Enrollment ID: I20220831000605 |
| Provider Name | Tushar Murli Advani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881918415 PECOS PAC ID: 9739461484 Enrollment ID: I20220831000942 |
| Provider Name | Mai Ly Thor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902369705 PECOS PAC ID: 3274938907 Enrollment ID: I20220901001253 |
| Provider Name | Jeffrey Nathan Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285959213 PECOS PAC ID: 7214174101 Enrollment ID: I20220902000580 |
| Provider Name | Atul Kumar Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770920209 PECOS PAC ID: 2961706817 Enrollment ID: I20220905000406 |
| Provider Name | Teija Madhusoodanan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902338791 PECOS PAC ID: 2365712973 Enrollment ID: I20220912002302 |
| Provider Name | Samuel B Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740840784 PECOS PAC ID: 1456736412 Enrollment ID: I20220913000424 |
| Provider Name | Mary E Hanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366947913 PECOS PAC ID: 4183976517 Enrollment ID: I20220915003001 |
| Provider Name | Christine S Lambert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972980142 PECOS PAC ID: 6406155019 Enrollment ID: I20220916000312 |
| Provider Name | Nathan Mebrahtu Mesfin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417305400 PECOS PAC ID: 0648563338 Enrollment ID: I20220916002765 |
| Provider Name | Madhav Vijaykumar Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316384704 PECOS PAC ID: 4082919287 Enrollment ID: I20220920003187 |
| Provider Name | Elizabeth S Aby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033503040 PECOS PAC ID: 8729343983 Enrollment ID: I20220922003089 |
| Provider Name | Diana Akiko Cowdrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396241493 PECOS PAC ID: 9436406659 Enrollment ID: I20220928000822 |
| Provider Name | Keyn Mun Joshua Wong |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235490707 PECOS PAC ID: 9537545520 Enrollment ID: I20220928001692 |
| Provider Name | Bonnie Hope Bentson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790248433 PECOS PAC ID: 6002140100 Enrollment ID: I20220928002993 |
| Provider Name | Kenan Tayssir Raddawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699235333 PECOS PAC ID: 5496131385 Enrollment ID: I20220929002556 |
| Provider Name | Mickey Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942929658 PECOS PAC ID: 2769868587 Enrollment ID: I20221003000932 |
| Provider Name | Ryan Glen Etchison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326571696 PECOS PAC ID: 3971927237 Enrollment ID: I20221003002786 |
| Provider Name | Melissa A Gunderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700445301 PECOS PAC ID: 5698003259 Enrollment ID: I20221004003490 |
| Provider Name | Sathish Kumar Cullath Harikrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861421869 PECOS PAC ID: 1355348087 Enrollment ID: I20221007001024 |
| Provider Name | Anthony Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942923347 PECOS PAC ID: 8921474818 Enrollment ID: I20221018001121 |
| Provider Name | Ukana Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356628812 PECOS PAC ID: 8527293331 Enrollment ID: I20221019002100 |
| Provider Name | Evgeny Buharin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720467731 PECOS PAC ID: 4284998485 Enrollment ID: I20221028002531 |
| Provider Name | Phillip Lee Van |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639330533 PECOS PAC ID: 9335380161 Enrollment ID: I20221031000664 |
| Provider Name | Allison M Logemann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174057749 PECOS PAC ID: 4981957925 Enrollment ID: I20221103000624 |
| Provider Name | Molly Marie Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528784394 PECOS PAC ID: 5496122392 Enrollment ID: I20221107000894 |
| Provider Name | Roxanne Dujour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255642856 PECOS PAC ID: 2769507029 Enrollment ID: I20221108001957 |
| Provider Name | Mopelola Idowu Isola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073514808 PECOS PAC ID: 2567456221 Enrollment ID: I20221110001999 |
| Provider Name | Adam T Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306078191 PECOS PAC ID: 3779890546 Enrollment ID: I20221115000082 |
| Provider Name | Andrew Scarano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356607725 PECOS PAC ID: 0446473177 Enrollment ID: I20221115000160 |
| Provider Name | Scott C Biggerstaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326571548 PECOS PAC ID: 3779854617 Enrollment ID: I20221115000454 |
| Provider Name | Kristen A Bastug |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346806585 PECOS PAC ID: 2961736731 Enrollment ID: I20221115001446 |
| Provider Name | Megan Elizabeth Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457943847 PECOS PAC ID: 1557739950 Enrollment ID: I20221116000034 |
| Provider Name | Julia Elise Sobaszkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376262725 PECOS PAC ID: 8123496544 Enrollment ID: I20221116001101 |
| Provider Name | Alison Hockenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700435609 PECOS PAC ID: 8820466253 Enrollment ID: I20221116001249 |
| Provider Name | Robert Sean Tanouye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376837625 PECOS PAC ID: 6103136478 Enrollment ID: I20221117001812 |
| Provider Name | Mohsin Salih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326488594 PECOS PAC ID: 3274835020 Enrollment ID: I20221117003321 |
| Provider Name | Bryan A Roller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467848770 PECOS PAC ID: 4688910375 Enrollment ID: I20221119000335 |
| Provider Name | Ashley Marie Wolfgram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003537820 PECOS PAC ID: 3971971979 Enrollment ID: I20221123000716 |
| Provider Name | Ashley D Kunz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891284287 PECOS PAC ID: 1850648866 Enrollment ID: I20221129002993 |
| Provider Name | Casey Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528455326 PECOS PAC ID: 4587969753 Enrollment ID: I20221201001901 |
| Provider Name | Ramneesh Baweja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548525413 PECOS PAC ID: 8729344874 Enrollment ID: I20221209000826 |
| Provider Name | Jeremiah Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679968697 PECOS PAC ID: 8426366378 Enrollment ID: I20221209000873 |
| Provider Name | Laura Mary Tess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154039865 PECOS PAC ID: 1850760042 Enrollment ID: I20221209002296 |
| Provider Name | Lilian Omodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124799499 PECOS PAC ID: 1759750821 Enrollment ID: I20221212002479 |
| Provider Name | Erika Re'nee Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184334617 PECOS PAC ID: 6204205305 Enrollment ID: I20221213000310 |
| Provider Name | Nabil Karroum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104985118 PECOS PAC ID: 0749185973 Enrollment ID: I20221214001485 |
| Provider Name | Lauren Prest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881012235 PECOS PAC ID: 3971804147 Enrollment ID: I20221220000161 |
| Provider Name | Usama Sabzwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811055684 PECOS PAC ID: 3072515584 Enrollment ID: I20221221001417 |
| Provider Name | Emily Felzenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063684702 PECOS PAC ID: 5890872329 Enrollment ID: I20221222002211 |
| Provider Name | Carly Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194067660 PECOS PAC ID: 7618197005 Enrollment ID: I20221224000133 |
| Provider Name | Thomas Gerald Reimann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992331870 PECOS PAC ID: 3173946084 Enrollment ID: I20221229000501 |
| Provider Name | Matthew Jonathan Wesley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265894489 PECOS PAC ID: 3173812773 Enrollment ID: I20230103001998 |
| Provider Name | Chesney Burgweger Siems |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083101059 PECOS PAC ID: 8820344021 Enrollment ID: I20230105001418 |
| Provider Name | Ming Yuan Lien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588010177 PECOS PAC ID: 7719257617 Enrollment ID: I20230109002085 |
| Provider Name | Long Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588010870 PECOS PAC ID: 6406197136 Enrollment ID: I20230111001192 |
| Provider Name | Collin M Cousins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003310020 PECOS PAC ID: 7911300926 Enrollment ID: I20230117000063 |
| Provider Name | Alyssa Rose Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477263176 PECOS PAC ID: 4688045321 Enrollment ID: I20230117002151 |
| Provider Name | Sean Larsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467985200 PECOS PAC ID: 2860743911 Enrollment ID: I20230117002547 |
| Provider Name | Swathi Nemani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568824654 PECOS PAC ID: 8921305012 Enrollment ID: I20230117002579 |
| Provider Name | Michael Fu-yen Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245250802 PECOS PAC ID: 7113922030 Enrollment ID: I20230117003100 |
| Provider Name | John Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427062306 PECOS PAC ID: 5698769925 Enrollment ID: I20230123000377 |
| Provider Name | Matthew Rich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538656467 PECOS PAC ID: 5496002420 Enrollment ID: I20230125001218 |
| Provider Name | Maria Borrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235635772 PECOS PAC ID: 5890048292 Enrollment ID: I20230125002866 |
| Provider Name | Kalpana Vennila Gopalswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558789453 PECOS PAC ID: 1759686629 Enrollment ID: I20230126000515 |
| Provider Name | Steven Shuo Qi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548616428 PECOS PAC ID: 5597048330 Enrollment ID: I20230201000471 |
| Provider Name | Ajay Dhadwal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629206032 PECOS PAC ID: 6800921362 Enrollment ID: I20230201001619 |
| Provider Name | Kimberly Jo Lundeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437731361 PECOS PAC ID: 8527467125 Enrollment ID: I20230208000057 |
| Provider Name | Rachael W Starcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164914503 PECOS PAC ID: 8123374659 Enrollment ID: I20230214000667 |
| Provider Name | Sashi Niranjan Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068987 PECOS PAC ID: 6507119039 Enrollment ID: I20230215000632 |
| Provider Name | Zalaya Keyena Ivy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104314590 PECOS PAC ID: 6002288156 Enrollment ID: I20230217002193 |
| Provider Name | Michael Skulski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801871876 PECOS PAC ID: 8921058108 Enrollment ID: I20230217002258 |
| Provider Name | Tamara L Harvanko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568175966 PECOS PAC ID: 1658743653 Enrollment ID: I20230220001565 |
| Provider Name | Ancy S Mohan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134650419 PECOS PAC ID: 5092085191 Enrollment ID: I20230301002479 |
| Provider Name | Robert Daniel Odze |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205873999 PECOS PAC ID: 4385686708 Enrollment ID: I20230313002715 |
| Provider Name | Isadora L Felling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558077024 PECOS PAC ID: 3072987718 Enrollment ID: I20230321001750 |
| Provider Name | Sevak Keshishyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841586013 PECOS PAC ID: 4587910930 Enrollment ID: I20230322001585 |
| Provider Name | Samantha Rae Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679230577 PECOS PAC ID: 5799159257 Enrollment ID: I20230323001863 |
| Provider Name | Tolulope Oluwadamilola Odebunmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891258653 PECOS PAC ID: 9133453756 Enrollment ID: I20230323002656 |
| Provider Name | Jennifer F Wiseman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497877740 PECOS PAC ID: 4385018662 Enrollment ID: I20230328002821 |
| Provider Name | Aiham H Jbeli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912326950 PECOS PAC ID: 0749407740 Enrollment ID: I20230329000533 |
| Provider Name | Nora N Ekeanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154749844 PECOS PAC ID: 8628370467 Enrollment ID: I20230329003318 |
| Provider Name | Cathy Marie O'neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003955279 PECOS PAC ID: 6608834387 Enrollment ID: I20230403000311 |
| Provider Name | Tony Ghodadra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346217973 PECOS PAC ID: 8224006960 Enrollment ID: I20230403001126 |
| Provider Name | Maddie Marie Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760100424 PECOS PAC ID: 2860867769 Enrollment ID: I20230406001520 |
| Provider Name | Emily Claire Quigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548974447 PECOS PAC ID: 2769857416 Enrollment ID: I20230411000858 |
| Provider Name | Jennifer Michelle Vanhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760191944 PECOS PAC ID: 6002281300 Enrollment ID: I20230418001515 |
| Provider Name | Thomas Charles Mchale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336646306 PECOS PAC ID: 2365845526 Enrollment ID: I20230420001605 |
| Provider Name | Jennifer Real |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598779191 PECOS PAC ID: 6608884267 Enrollment ID: I20230421000306 |
| Provider Name | Elizabeth Hannah Frykman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811696057 PECOS PAC ID: 0547625626 Enrollment ID: I20230424002760 |
| Provider Name | Allison Mullarney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740656024 PECOS PAC ID: 0840566758 Enrollment ID: I20230425000047 |
| Provider Name | Amrith Shettigar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366007528 PECOS PAC ID: 6709110380 Enrollment ID: I20230425000738 |
| Provider Name | Sandhyarani Dasaraju |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659804094 PECOS PAC ID: 8022473172 Enrollment ID: I20230425002666 |
| Provider Name | Alesia Gene Autumn Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477587426 PECOS PAC ID: 1951655117 Enrollment ID: I20230501001522 |
| Provider Name | Minghao Zhong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467637025 PECOS PAC ID: 6103081575 Enrollment ID: I20230502001097 |
| Provider Name | Cameron S Mcdonald-hyman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457845828 PECOS PAC ID: 4789930785 Enrollment ID: I20230504001392 |
| Provider Name | Kyle Aaron Kitzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689162067 PECOS PAC ID: 0244581049 Enrollment ID: I20230504002903 |
| Provider Name | Kelli Dawn Guth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891313862 PECOS PAC ID: 8426413873 Enrollment ID: I20230508002327 |
| Provider Name | Michael Cole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982132528 PECOS PAC ID: 0749550937 Enrollment ID: I20230511002973 |
| Provider Name | Michael Muradian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245853779 PECOS PAC ID: 5991126195 Enrollment ID: I20230515002212 |
| Provider Name | Joseph J Menigo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386107191 PECOS PAC ID: 2769818475 Enrollment ID: I20230516002055 |
| Provider Name | Tyson A Burningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417584061 PECOS PAC ID: 1557773710 Enrollment ID: I20230517001975 |
| Provider Name | Andrea Lewis Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316633993 PECOS PAC ID: 7911363940 Enrollment ID: I20230517003554 |
| Provider Name | Vanessa Elene Slots |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740506203 PECOS PAC ID: 6406829217 Enrollment ID: I20230519002590 |
| Provider Name | Christopher James Kovaleski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992167142 PECOS PAC ID: 5597093450 Enrollment ID: I20230520000181 |
| Provider Name | Henrik Slots |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679899892 PECOS PAC ID: 2163668690 Enrollment ID: I20230520000222 |
| Provider Name | Hannah Scheel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699489997 PECOS PAC ID: 0749646545 Enrollment ID: I20230522001158 |
| Provider Name | Katie Elizabeth Farrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497456792 PECOS PAC ID: 9335505056 Enrollment ID: I20230522002289 |
| Provider Name | James P Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710472063 PECOS PAC ID: 4688926090 Enrollment ID: I20230522002890 |
| Provider Name | Alex Basara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326677253 PECOS PAC ID: 7810353422 Enrollment ID: I20230523002529 |
| Provider Name | Bar Ferents |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023570652 PECOS PAC ID: 0143686709 Enrollment ID: I20230524001167 |
| Provider Name | Alysen Demzik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437541299 PECOS PAC ID: 7416202270 Enrollment ID: I20230525002932 |
| Provider Name | Maarten L Galantowicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194257899 PECOS PAC ID: 6608146063 Enrollment ID: I20230526001606 |
| Provider Name | Ethan Andrew Pfantz Forsgren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487115663 PECOS PAC ID: 1456760602 Enrollment ID: I20230530000829 |
| Provider Name | Abiy Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154855104 PECOS PAC ID: 3274958384 Enrollment ID: I20230530002755 |
| Provider Name | Punita Grover |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184001729 PECOS PAC ID: 3971809666 Enrollment ID: I20230530003034 |
| Provider Name | Anupam Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982835567 PECOS PAC ID: 3375832587 Enrollment ID: I20230530003315 |
| Provider Name | Nicholas G Reason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093212391 PECOS PAC ID: 0446595201 Enrollment ID: I20230531001906 |
| Provider Name | Bethlehem Bekele Atoma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619597911 PECOS PAC ID: 9739546003 Enrollment ID: I20230531002715 |
| Provider Name | Logan Kathleen White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558002063 PECOS PAC ID: 9830576875 Enrollment ID: I20230601000709 |
| Provider Name | Hayley Hawkins Musial |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962031484 PECOS PAC ID: 6406273861 Enrollment ID: I20230601001103 |
| Provider Name | Anthony Rauschenbach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467072835 PECOS PAC ID: 0840612982 Enrollment ID: I20230601001548 |
| Provider Name | Milind Bhagat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245646108 PECOS PAC ID: 8022309137 Enrollment ID: I20230602000066 |
| Provider Name | Shelbi Olson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639799893 PECOS PAC ID: 3971921271 Enrollment ID: I20230605000834 |
| Provider Name | Carrie Bailey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730529546 PECOS PAC ID: 4981969557 Enrollment ID: I20230605002206 |
| Provider Name | John Maurer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285121152 PECOS PAC ID: 3072864982 Enrollment ID: I20230605002469 |
| Provider Name | Hannah Louise Heinzerling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760174312 PECOS PAC ID: 4688031628 Enrollment ID: I20230606002033 |
| Provider Name | Katherine Elisabeth Hoekstra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699858225 PECOS PAC ID: 2466433743 Enrollment ID: I20230606003125 |
| Provider Name | Jacqueline Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427581909 PECOS PAC ID: 7416220900 Enrollment ID: I20230607000828 |
| Provider Name | Nermine M Abdelwahab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871158600 PECOS PAC ID: 9436486750 Enrollment ID: I20230607001424 |
| Provider Name | Katlin F Vanderhoef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982232161 PECOS PAC ID: 7618334632 Enrollment ID: I20230607001632 |
| Provider Name | Cassidy Allison Huun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093217861 PECOS PAC ID: 1254798119 Enrollment ID: I20230607003411 |
| Provider Name | Sarah Copelas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073140877 PECOS PAC ID: 0941622898 Enrollment ID: I20230608001232 |
| Provider Name | Saad Jameel Gondal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306379243 PECOS PAC ID: 6406270214 Enrollment ID: I20230609002249 |
| Provider Name | Caroline Demro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427744820 PECOS PAC ID: 7719344308 Enrollment ID: I20230613003262 |
| Provider Name | Sean J Condon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346869930 PECOS PAC ID: 0446670384 Enrollment ID: I20230614000168 |
| Provider Name | Randal Rovinski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932620473 PECOS PAC ID: 6002180700 Enrollment ID: I20230614000604 |
| Provider Name | John Frank Galatowitsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922637461 PECOS PAC ID: 0648692129 Enrollment ID: I20230614004067 |
| Provider Name | Manaswita Tappata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346860616 PECOS PAC ID: 2466870811 Enrollment ID: I20230622000563 |
| Provider Name | Jelena Licina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316921687 PECOS PAC ID: 5092706366 Enrollment ID: I20230623001601 |
| Provider Name | Sophia Sarah Rose Frank |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447875349 PECOS PAC ID: 2365800372 Enrollment ID: I20230623001777 |
| Provider Name | Abdulla M Shereef Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396307724 PECOS PAC ID: 8921466780 Enrollment ID: I20230627000378 |
| Provider Name | Andrew Hoon Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972857159 PECOS PAC ID: 0345569935 Enrollment ID: I20230627000581 |
| Provider Name | Ismail Elbaz Younes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811419344 PECOS PAC ID: 8022389238 Enrollment ID: I20230628000373 |
| Provider Name | Gaurav Sanjay Suryawanshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164042446 PECOS PAC ID: 8123445418 Enrollment ID: I20230628002507 |
| Provider Name | Esther Zujia Chen Etchison |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134682081 PECOS PAC ID: 8022344282 Enrollment ID: I20230629001525 |
| Provider Name | Krupali Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942614045 PECOS PAC ID: 4082903299 Enrollment ID: I20230703000938 |
| Provider Name | Zahn Raubenheimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467912402 PECOS PAC ID: 4284969403 Enrollment ID: I20230705001008 |
| Provider Name | Sana Fatima Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598385668 PECOS PAC ID: 7810315884 Enrollment ID: I20230705002531 |
| Provider Name | James Austin Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437687167 PECOS PAC ID: 3476823915 Enrollment ID: I20230708000431 |
| Provider Name | James Arthur Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306378344 PECOS PAC ID: 1850660705 Enrollment ID: I20230711003910 |
| Provider Name | Zhilan Xiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235768862 PECOS PAC ID: 7012339005 Enrollment ID: I20230712003329 |
| Provider Name | Lauren Taylor Thornton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180034 PECOS PAC ID: 5698026466 Enrollment ID: I20230712003465 |
| Provider Name | Aparna Das |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447602297 PECOS PAC ID: 2264727866 Enrollment ID: I20230713001348 |
| Provider Name | Jonathan Cudnik |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285920538 PECOS PAC ID: 7113173337 Enrollment ID: I20230713002135 |
| Provider Name | Amanda Marie Kleppe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336678689 PECOS PAC ID: 7416226477 Enrollment ID: I20230713002262 |
| Provider Name | Benjamin Scott Levy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053745273 PECOS PAC ID: 9638421050 Enrollment ID: I20230713002678 |
| Provider Name | Shruthi Vinayaga Subramaniam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881223451 PECOS PAC ID: 0042635575 Enrollment ID: I20230717001389 |
| Provider Name | Alexandra Therese Tarabochia-gast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134651433 PECOS PAC ID: 9638440043 Enrollment ID: I20230718002302 |
| Provider Name | Matthew Gerard Traxler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962995316 PECOS PAC ID: 6002167764 Enrollment ID: I20230718002931 |
| Provider Name | Beau Rigstad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811517501 PECOS PAC ID: 5092138230 Enrollment ID: I20230719001575 |
| Provider Name | Waleed Saadedeen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871112284 PECOS PAC ID: 8224498415 Enrollment ID: I20230719003347 |
| Provider Name | Shruthi Ponnala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831711191 PECOS PAC ID: 9931569977 Enrollment ID: I20230721001836 |
| Provider Name | Mickey Mason Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093431918 PECOS PAC ID: 4385004365 Enrollment ID: I20230721003211 |
| Provider Name | Saiara Choudhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093202954 PECOS PAC ID: 1951789767 Enrollment ID: I20230724002726 |
| Provider Name | Mengxuan Tang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316472137 PECOS PAC ID: 6103162938 Enrollment ID: I20230725001265 |
| Provider Name | Gyongyi Okechuku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215261623 PECOS PAC ID: 5092946004 Enrollment ID: I20230726003058 |
| Provider Name | Matthew Charles Mcvay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593300 PECOS PAC ID: 3971903352 Enrollment ID: I20230727001817 |
| Provider Name | Katrina Joelle Christian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215535927 PECOS PAC ID: 6800257544 Enrollment ID: I20230728000116 |
| Provider Name | Aniruddha Sunit, Paranjpe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588185649 PECOS PAC ID: 9830468859 Enrollment ID: I20230801000866 |
| Provider Name | Michael J Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801424544 PECOS PAC ID: 7012339625 Enrollment ID: I20230801001487 |
| Provider Name | Adam S Nygard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871021816 PECOS PAC ID: 3173895232 Enrollment ID: I20230801001541 |
| Provider Name | Vanessa Moll |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346565702 PECOS PAC ID: 9931321106 Enrollment ID: I20230801002535 |
| Provider Name | Molly A Wingfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649709411 PECOS PAC ID: 1052683133 Enrollment ID: I20230802000432 |
| Provider Name | Julia Nell Harrison |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326668237 PECOS PAC ID: 5496172306 Enrollment ID: I20230803000091 |
| Provider Name | Anne Kathryn Wieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932887742 PECOS PAC ID: 8729449806 Enrollment ID: I20230806000036 |
| Provider Name | Dominic Jamil Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215566609 PECOS PAC ID: 9234553660 Enrollment ID: I20230808000983 |
| Provider Name | Sean M Mcnitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508480302 PECOS PAC ID: 8426461369 Enrollment ID: I20230808001688 |
| Provider Name | Scott Mauch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598290272 PECOS PAC ID: 3173893104 Enrollment ID: I20230808002941 |
| Provider Name | Sankalpa Bandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417324583 PECOS PAC ID: 0345596854 Enrollment ID: I20230808004036 |
| Provider Name | Trevor Everett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134654908 PECOS PAC ID: 0446520654 Enrollment ID: I20230809001624 |
| Provider Name | Anand Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629102918 PECOS PAC ID: 9436217858 Enrollment ID: I20230810000565 |
| Provider Name | Gregory Paul Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346878097 PECOS PAC ID: 8224450879 Enrollment ID: I20230810002383 |
| Provider Name | Jack Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104356500 PECOS PAC ID: 2668744426 Enrollment ID: I20230816003429 |
| Provider Name | Rashedat B Oshodi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104448638 PECOS PAC ID: 6204298532 Enrollment ID: I20230817002119 |
| Provider Name | Emily Digravina Moccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891472924 PECOS PAC ID: 7719340876 Enrollment ID: I20230823001478 |
| Provider Name | Katherine Blomquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568099745 PECOS PAC ID: 5799107421 Enrollment ID: I20230823001844 |
| Provider Name | Javier Andres Suarez Oliveros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275907156 PECOS PAC ID: 9739410002 Enrollment ID: I20230824001334 |
| Provider Name | Zane R Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437831930 PECOS PAC ID: 9739542663 Enrollment ID: I20230825000505 |
| Provider Name | Ravi Moghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497374227 PECOS PAC ID: 3577985381 Enrollment ID: I20230828001798 |
| Provider Name | Daniel Austin Huff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215565718 PECOS PAC ID: 0244653061 Enrollment ID: I20230830003857 |
| Provider Name | Michael A Lew |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720427768 PECOS PAC ID: 6204070964 Enrollment ID: I20230901001106 |
| Provider Name | Adrianne Leonardelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750968319 PECOS PAC ID: 3173986437 Enrollment ID: I20230905000616 |
| Provider Name | Jacob Laurence Tigner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952922148 PECOS PAC ID: 3971913989 Enrollment ID: I20230907001849 |
| Provider Name | Kirsten Lasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588293260 PECOS PAC ID: 1759704083 Enrollment ID: I20230911002808 |
| Provider Name | Natalia Betancourt-guzman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396250791 PECOS PAC ID: 3375928781 Enrollment ID: I20230912003479 |
| Provider Name | Laura Modl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093402273 PECOS PAC ID: 4688038268 Enrollment ID: I20230914004100 |
| Provider Name | Michael Keegan Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467746818 PECOS PAC ID: 7113146861 Enrollment ID: I20230917000036 |
| Provider Name | Yulanda King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184214132 PECOS PAC ID: 7416366786 Enrollment ID: I20230918002476 |
| Provider Name | Tory M Pressman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578094983 PECOS PAC ID: 5597119875 Enrollment ID: I20230921000733 |
| Provider Name | Tessa Maria Fontana Watt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144633488 PECOS PAC ID: 6305151929 Enrollment ID: I20230921000948 |
| Provider Name | Igor Sister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518149467 PECOS PAC ID: 4981787975 Enrollment ID: I20230921001719 |
| Provider Name | Karen Kay Powell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376961409 PECOS PAC ID: 7113147562 Enrollment ID: I20230925003166 |
| Provider Name | Angela Lisa Tuchtenhagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427739432 PECOS PAC ID: 9032563853 Enrollment ID: I20230928000301 |
| Provider Name | Timothy Clem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558705871 PECOS PAC ID: 5092011270 Enrollment ID: I20231003001722 |
| Provider Name | Colleen Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992583181 PECOS PAC ID: 7618322710 Enrollment ID: I20231010001573 |
| Provider Name | Titi Taiwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033851209 PECOS PAC ID: 1153776877 Enrollment ID: I20231016000744 |
| Provider Name | Caleb Jung-jye Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619434222 PECOS PAC ID: 3779818919 Enrollment ID: I20231016000889 |
| Provider Name | Jade Matraca Blaser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316574866 PECOS PAC ID: 1759736457 Enrollment ID: I20231016002922 |
| Provider Name | Hannah Marie James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083494694 PECOS PAC ID: 3173978624 Enrollment ID: I20231018002545 |
| Provider Name | Carrie Ann Warns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164205365 PECOS PAC ID: 4082060512 Enrollment ID: I20231019002236 |
| Provider Name | Lauren Ashley Hindt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821778804 PECOS PAC ID: 4587010996 Enrollment ID: I20231020002307 |
| Provider Name | John Rhodes Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679954192 PECOS PAC ID: 2860703832 Enrollment ID: I20231020002874 |
| Provider Name | William Brundidge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932633500 PECOS PAC ID: 1951667518 Enrollment ID: I20231020003050 |
| Provider Name | Andrew Thomas Thornton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043878713 PECOS PAC ID: 9234463282 Enrollment ID: I20231023002118 |
| Provider Name | Molly Laduch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588344220 PECOS PAC ID: 8921454018 Enrollment ID: I20231025003191 |
| Provider Name | Kali Jo Templin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932982410 PECOS PAC ID: 8729434675 Enrollment ID: I20231027003106 |
| Provider Name | Jessica Lee Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750002929 PECOS PAC ID: 4789030545 Enrollment ID: I20231031000443 |
| Provider Name | Quan Phung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609433689 PECOS PAC ID: 8921331695 Enrollment ID: I20231102001933 |
| Provider Name | Johnathone Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851915557 PECOS PAC ID: 8820419468 Enrollment ID: I20231102002333 |
| Provider Name | Elaine K Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750426979 PECOS PAC ID: 0143677609 Enrollment ID: I20231106002696 |
| Provider Name | William Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467863043 PECOS PAC ID: 9830409218 Enrollment ID: I20231107001539 |
| Provider Name | Janie Elizabeth Goodall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083838874 PECOS PAC ID: 9638253057 Enrollment ID: I20231110002158 |
| Provider Name | Samantha Rae Woehrle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629851332 PECOS PAC ID: 5890142822 Enrollment ID: I20231113000791 |
| Provider Name | Leyla Bille Warsame |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861844177 PECOS PAC ID: 3870824220 Enrollment ID: I20231113001730 |
| Provider Name | Amelia Anne Rooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861926925 PECOS PAC ID: 7214200724 Enrollment ID: I20231113002779 |
| Provider Name | Jennifer Ann Burvee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376264226 PECOS PAC ID: 1658728308 Enrollment ID: I20231117000174 |
| Provider Name | Kathaleen Jo Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376045575 PECOS PAC ID: 2466800750 Enrollment ID: I20231127003294 |
| Provider Name | Jungjin Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528488376 PECOS PAC ID: 7618228891 Enrollment ID: I20231128000498 |
| Provider Name | Nichole Lee Zimdars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548047434 PECOS PAC ID: 7315395563 Enrollment ID: I20231128002569 |
| Provider Name | Nancy Beal Waller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508833419 PECOS PAC ID: 7517315641 Enrollment ID: I20231129002092 |
| Provider Name | Suman Pal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831611615 PECOS PAC ID: 9234554882 Enrollment ID: I20231129002215 |
| Provider Name | Jay Geerdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568190825 PECOS PAC ID: 1254715972 Enrollment ID: I20231129003237 |
| Provider Name | Danielle Claire Hoven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609659689 PECOS PAC ID: 3476901562 Enrollment ID: I20231130000505 |
| Provider Name | Alex Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619466992 PECOS PAC ID: 4284988619 Enrollment ID: I20231204001983 |
| Provider Name | Erica Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518428192 PECOS PAC ID: 4880041342 Enrollment ID: I20231205002659 |
| Provider Name | Ali Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982929758 PECOS PAC ID: 6305070046 Enrollment ID: I20231206002153 |
| Provider Name | Sana Aaron Zekri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013371624 PECOS PAC ID: 1951735323 Enrollment ID: I20231215002123 |
| Provider Name | Colleen M Mcguire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376718403 PECOS PAC ID: 2567635626 Enrollment ID: I20231215002641 |
| Provider Name | Vijay Are |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710393780 PECOS PAC ID: 9234486317 Enrollment ID: I20231215002912 |
| Provider Name | Mandy Christensen-geraci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689454407 PECOS PAC ID: 4789034604 Enrollment ID: I20231219000868 |
| Provider Name | Faiza Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780337568 PECOS PAC ID: 1456722750 Enrollment ID: I20231220002057 |
| Provider Name | Rachel Anne Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407638828 PECOS PAC ID: 3072963529 Enrollment ID: I20231222002640 |
| Provider Name | Nicholas Charles Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902674773 PECOS PAC ID: 8022468503 Enrollment ID: I20231226000307 |
| Provider Name | Kelle Anne-kasner Kirk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477800928 PECOS PAC ID: 6002266459 Enrollment ID: I20231227001282 |
| Provider Name | Kathleen Ann Widmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366227910 PECOS PAC ID: 0446600704 Enrollment ID: I20231228001999 |
| Provider Name | Mavel Gutierrez-jaramillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649443680 PECOS PAC ID: 0547431249 Enrollment ID: I20231229001651 |
| Provider Name | Christopher Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114230323 PECOS PAC ID: 0941444798 Enrollment ID: I20240102000810 |
| Provider Name | Nickolas Alan Steer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710620810 PECOS PAC ID: 5890175475 Enrollment ID: I20240102001135 |
| Provider Name | John Daniel Rothpletz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740220409 PECOS PAC ID: 3971496142 Enrollment ID: I20240102001184 |
| Provider Name | Ashley Marie O'hearn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659874782 PECOS PAC ID: 1052761103 Enrollment ID: I20240102001909 |
| Provider Name | Maria Andersen Keeler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174765242 PECOS PAC ID: 4385095850 Enrollment ID: I20240109002353 |
| Provider Name | Tai J Mendenhall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346356938 PECOS PAC ID: 4789036476 Enrollment ID: I20240118001221 |
| Provider Name | Anisa Abdi Mohamud Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962085647 PECOS PAC ID: 2961804968 Enrollment ID: I20240122001676 |
| Provider Name | Khadra Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104276070 PECOS PAC ID: 4880046242 Enrollment ID: I20240122001894 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20240122003058 |
| Provider Name | Tague Michael Thorson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922595206 PECOS PAC ID: 6204185655 Enrollment ID: I20240123000656 |
| Provider Name | Walid Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417374372 PECOS PAC ID: 5496045767 Enrollment ID: I20240124003931 |
| Provider Name | George V Chesteen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083053573 PECOS PAC ID: 8729333646 Enrollment ID: I20240129001598 |
| Provider Name | Reed D Klompenhower |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821867912 PECOS PAC ID: 5294188785 Enrollment ID: I20240131004273 |
| Provider Name | Lisa J Lippold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306382007 PECOS PAC ID: 8224481536 Enrollment ID: I20240201003914 |
| Provider Name | Khoa Dang Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20240206001525 |
| Provider Name | Christopher T Holley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801113964 PECOS PAC ID: 1951556885 Enrollment ID: I20240207001588 |
| Provider Name | Dominique Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083369490 PECOS PAC ID: 4688022205 Enrollment ID: I20240214000160 |
| Provider Name | Bradley John Otto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841649084 PECOS PAC ID: 6800189697 Enrollment ID: I20240214000194 |
| Provider Name | Nicole White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346677937 PECOS PAC ID: 7214385962 Enrollment ID: I20240214001448 |
| Provider Name | Shee Xiong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932657624 PECOS PAC ID: 4385091073 Enrollment ID: I20240214003692 |
| Provider Name | Angelina Marie Mcdowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760267652 PECOS PAC ID: 2062856123 Enrollment ID: I20240216000030 |
| Provider Name | Donald Baracskay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760564207 PECOS PAC ID: 3072406891 Enrollment ID: I20240217000713 |
| Provider Name | Jihad Jbara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821301698 PECOS PAC ID: 7315181195 Enrollment ID: I20240220000209 |
| Provider Name | Kimberly Sue Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568239051 PECOS PAC ID: 4183068950 Enrollment ID: I20240220003008 |
| Provider Name | Daniel Zaiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871236794 PECOS PAC ID: 8729467659 Enrollment ID: I20240221001219 |
| Provider Name | Jennifer Mcgill-steskal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760245112 PECOS PAC ID: 5193160646 Enrollment ID: I20240223003767 |
| Provider Name | Kristine Kathryn Labolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598520678 PECOS PAC ID: 5193161693 Enrollment ID: I20240306003626 |
| Provider Name | Kyle Sterrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568166205 PECOS PAC ID: 0749626273 Enrollment ID: I20240307000144 |
| Provider Name | Angela Sharette Jones Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851156129 PECOS PAC ID: 9739525155 Enrollment ID: I20240307003391 |
| Provider Name | Laura Elizabeth Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215702683 PECOS PAC ID: 6406292630 Enrollment ID: I20240311002635 |
| Provider Name | Babatunde Safiriyu Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669073029 PECOS PAC ID: 3274979265 Enrollment ID: I20240313000858 |
| Provider Name | Darron Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649767658 PECOS PAC ID: 6406181452 Enrollment ID: I20240313001700 |
| Provider Name | Amit Aneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487891560 PECOS PAC ID: 7012059843 Enrollment ID: I20240326002486 |
| Provider Name | Sabo Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508106873 PECOS PAC ID: 4385889849 Enrollment ID: I20240326002926 |
| Provider Name | Benjamin Beatty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912324823 PECOS PAC ID: 7810118189 Enrollment ID: I20240327001036 |
| Provider Name | Rebecca Raymond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205260114 PECOS PAC ID: 3678877552 Enrollment ID: I20240401001654 |
| Provider Name | Paul Joseph Strain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124609201 PECOS PAC ID: 5193163699 Enrollment ID: I20240403001201 |
| Provider Name | Tierra Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306006 PECOS PAC ID: 5496100117 Enrollment ID: I20240405001207 |
| Provider Name | Carlos Alberto Cordero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952350530 PECOS PAC ID: 4284525122 Enrollment ID: I20240417001847 |
| Provider Name | Emma Muter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356953665 PECOS PAC ID: 3274974282 Enrollment ID: I20240508001876 |
| Provider Name | Nina Mena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306280664 PECOS PAC ID: 9133465222 Enrollment ID: I20240515003810 |
| Provider Name | Tonya King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144756586 PECOS PAC ID: 0446513220 Enrollment ID: I20240529002569 |
| Provider Name | Kyungjeen Paik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881196525 PECOS PAC ID: 4385067685 Enrollment ID: I20240604000976 |
| Provider Name | Haley Hong Zweber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659954600 PECOS PAC ID: 2062954746 Enrollment ID: I20240610002018 |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Mn Medical Center, Fairview Po Box 147, Minneapolis, MN 55440-0147 Ph: (612) 672-6724 | University Of Mn Medical Center, Fairview 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 672-6000 |