| Adventist Medical Group | |
|
820 West Diamond Avenue Gaithersburg MD 20878 | |
| (301) 315-3826 | |
| (301) 315-3728 |
| Full Name | Adventist Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 820 West Diamond Avenue, Gaithersburg, Maryland |
| Authorized Official Name and Position | James G Lee (CFO) |
| Authorized Official Contact | 3013153171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Medical Group 820 West Diamond Avenue Gaithersburg MD 20878 Ph: (301) 315-3826 | Adventist Medical Group 820 West Diamond Avenue Gaithersburg MD 20878 Ph: (301) 315-3826 |
| NPI Number | 1376623207 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 11/08/2016 |
| Medicare PECOS PAC ID | 4284631540 |
|---|---|
| Medicare Enrollment ID | O20061030000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376623207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jan Dixon Foushee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891775870 PECOS PAC ID: 8527966167 Enrollment ID: I20031222000133 |
| Provider Name | Thomas J Anthony |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588779862 PECOS PAC ID: 1456349539 Enrollment ID: I20040506001772 |
| Provider Name | Khalid H Ashai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912986035 PECOS PAC ID: 7517956790 Enrollment ID: I20040511001790 |
| Provider Name | Alfred C Burris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326039587 PECOS PAC ID: 4981682978 Enrollment ID: I20040707001152 |
| Provider Name | Radhey S Murarka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538238555 PECOS PAC ID: 2365421203 Enrollment ID: I20040715000405 |
| Provider Name | Thomas J Odar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457387458 PECOS PAC ID: 5698754331 Enrollment ID: I20040716000359 |
| Provider Name | Mohsin Ijaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497728760 PECOS PAC ID: 1557331790 Enrollment ID: I20040727000695 |
| Provider Name | Daniel Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043248297 PECOS PAC ID: 0840260972 Enrollment ID: I20040727001412 |
| Provider Name | Zina Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982659678 PECOS PAC ID: 8022088418 Enrollment ID: I20040731000326 |
| Provider Name | Niv Ad |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982673364 PECOS PAC ID: 0547238974 Enrollment ID: I20040922001051 |
| Provider Name | Sameer Sofat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083614903 PECOS PAC ID: 7810948049 Enrollment ID: I20050204000712 |
| Provider Name | Terrence P. Sheehan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174611784 PECOS PAC ID: 0547200107 Enrollment ID: I20050503001379 |
| Provider Name | Mohit Rastogi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1518958388 PECOS PAC ID: 0244275873 Enrollment ID: I20050624000026 |
| Provider Name | Michael S Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184650954 PECOS PAC ID: 9335150077 Enrollment ID: I20060510000013 |
| Provider Name | Nicole Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851344097 PECOS PAC ID: 9032122890 Enrollment ID: I20060720000249 |
| Provider Name | Ravjyot Chawla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164478129 PECOS PAC ID: 9234133430 Enrollment ID: I20060830000484 |
| Provider Name | Joel E Buzy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558316844 PECOS PAC ID: 3072519974 Enrollment ID: I20061017000516 |
| Provider Name | Cong Ning |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619981297 PECOS PAC ID: 8224035597 Enrollment ID: I20061030000189 |
| Provider Name | Daisy Lazarous |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952397382 PECOS PAC ID: 4486624012 Enrollment ID: I20061030000576 |
| Provider Name | Jie Kong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215040951 PECOS PAC ID: 3870594732 Enrollment ID: I20070122000076 |
| Provider Name | Vivek Bahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154389138 PECOS PAC ID: 1355444233 Enrollment ID: I20070314000130 |
| Provider Name | Rajendra Ravindra Shetty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588768741 PECOS PAC ID: 4880608587 Enrollment ID: I20070326000144 |
| Provider Name | Pirooz Saboortinat Mofrad |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699865758 PECOS PAC ID: 6507965266 Enrollment ID: I20070620000522 |
| Provider Name | Sean C Beinart |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083714661 PECOS PAC ID: 5698875839 Enrollment ID: I20070717000395 |
| Provider Name | Sridhar Chatrathi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447239561 PECOS PAC ID: 9335231117 Enrollment ID: I20070824000224 |
| Provider Name | Andrew T Catanzaro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003957176 PECOS PAC ID: 7214024157 Enrollment ID: I20071024000632 |
| Provider Name | Shubir Sofat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003816836 PECOS PAC ID: 0547330169 Enrollment ID: I20080609000103 |
| Provider Name | Bobby David |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114993771 PECOS PAC ID: 4587634134 Enrollment ID: I20080723000115 |
| Provider Name | Daniel L Griffen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083640080 PECOS PAC ID: 0345315339 Enrollment ID: I20080827000053 |
| Provider Name | Dennis C Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922036359 PECOS PAC ID: 9638188816 Enrollment ID: I20080902000499 |
| Provider Name | Anees Ahsan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073572186 PECOS PAC ID: 5193892560 Enrollment ID: I20080926000329 |
| Provider Name | Alan Schneider |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073692885 PECOS PAC ID: 0244307619 Enrollment ID: I20080926000368 |
| Provider Name | Gorgonia V Ferrer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912025651 PECOS PAC ID: 0840367231 Enrollment ID: I20080926000503 |
| Provider Name | Frank N Gravino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194820928 PECOS PAC ID: 5193893881 Enrollment ID: I20081008000241 |
| Provider Name | Aaron Kenigsberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902901747 PECOS PAC ID: 8325106354 Enrollment ID: I20081021000182 |
| Provider Name | Johnnilyn Kutten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417110933 PECOS PAC ID: 0749348332 Enrollment ID: I20081027000351 |
| Provider Name | Tanveer A Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336129840 PECOS PAC ID: 6800859141 Enrollment ID: I20081203000553 |
| Provider Name | Hector P C Asuncion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407848823 PECOS PAC ID: 3173684859 Enrollment ID: I20081213000102 |
| Provider Name | Laurence Kelley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083676498 PECOS PAC ID: 2466511357 Enrollment ID: I20090519000279 |
| Provider Name | David M Brill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164483822 PECOS PAC ID: 0648339531 Enrollment ID: I20090529000438 |
| Provider Name | Robert Dibianco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760444152 PECOS PAC ID: 8123177730 Enrollment ID: I20090601000048 |
| Provider Name | Daniel Fernicola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033171442 PECOS PAC ID: 4587714357 Enrollment ID: I20090622000038 |
| Provider Name | Jonathan Rhee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952518979 PECOS PAC ID: 5799837928 Enrollment ID: I20090717000510 |
| Provider Name | James Cockrell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932161338 PECOS PAC ID: 5092874982 Enrollment ID: I20090803000227 |
| Provider Name | Tuesday Cook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396902227 PECOS PAC ID: 2769547207 Enrollment ID: I20090903000156 |
| Provider Name | Andrew K Sanderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144431552 PECOS PAC ID: 7911081914 Enrollment ID: I20091028000484 |
| Provider Name | Shaun K Khosla |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801805494 PECOS PAC ID: 0042358939 Enrollment ID: I20091113000240 |
| Provider Name | Purnima P Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144388422 PECOS PAC ID: 2668511296 Enrollment ID: I20091120000158 |
| Provider Name | Sharmila K Matippa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710198494 PECOS PAC ID: 8921141656 Enrollment ID: I20100203000725 |
| Provider Name | Wayne L Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013992908 PECOS PAC ID: 9931234655 Enrollment ID: I20100320000010 |
| Provider Name | Brett Gamma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215980255 PECOS PAC ID: 0446207823 Enrollment ID: I20100330000164 |
| Provider Name | Steven W Boyce |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871517938 PECOS PAC ID: 6406985811 Enrollment ID: I20100524000558 |
| Provider Name | Luis Dibos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679577639 PECOS PAC ID: 7618032269 Enrollment ID: I20100603000069 |
| Provider Name | Paul S Massimiano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629037833 PECOS PAC ID: 2264424621 Enrollment ID: I20100615000549 |
| Provider Name | Alexander S Asser |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861656670 PECOS PAC ID: 1658566237 Enrollment ID: I20101109000477 |
| Provider Name | Veronica L Linares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376675892 PECOS PAC ID: 2466648829 Enrollment ID: I20101124000199 |
| Provider Name | Jose Bonelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396829628 PECOS PAC ID: 3274721022 Enrollment ID: I20101221000991 |
| Provider Name | Mark Ritter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265579387 PECOS PAC ID: 3476741794 Enrollment ID: I20101230000264 |
| Provider Name | Cary D Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992700629 PECOS PAC ID: 8325227994 Enrollment ID: I20110128000065 |
| Provider Name | Richard Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760436505 PECOS PAC ID: 9335322080 Enrollment ID: I20110318000073 |
| Provider Name | Farid H Quraishi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386967636 PECOS PAC ID: 9739364381 Enrollment ID: I20110505000330 |
| Provider Name | Michael J Berard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366459877 PECOS PAC ID: 8628255395 Enrollment ID: I20110606000491 |
| Provider Name | Ravi Ajmera |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205877131 PECOS PAC ID: 1456313949 Enrollment ID: I20110725000630 |
| Provider Name | Jared A Hershenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467598458 PECOS PAC ID: 3779752050 Enrollment ID: I20110802000509 |
| Provider Name | Aldrin O Ceballos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811275423 PECOS PAC ID: 6901078880 Enrollment ID: I20111019000457 |
| Provider Name | Anthony Rongione |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1831168269 PECOS PAC ID: 3072649052 Enrollment ID: I20111202000152 |
| Provider Name | Anibal Cravchik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124358163 PECOS PAC ID: 7911172887 Enrollment ID: I20111206000107 |
| Provider Name | William Weigold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326085531 PECOS PAC ID: 3072593664 Enrollment ID: I20111213000076 |
| Provider Name | Jennifer B O Neil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548427271 PECOS PAC ID: 2062688013 Enrollment ID: I20111222000345 |
| Provider Name | Anoma Bandara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043303183 PECOS PAC ID: 5698959526 Enrollment ID: I20120111000014 |
| Provider Name | Babar Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952505877 PECOS PAC ID: 5698875482 Enrollment ID: I20120201000165 |
| Provider Name | Perpetual N Guwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588853436 PECOS PAC ID: 1759465362 Enrollment ID: I20120203000481 |
| Provider Name | Helma Parikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013294263 PECOS PAC ID: 2163680513 Enrollment ID: I20120215000261 |
| Provider Name | Marcellus Cephas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134116007 PECOS PAC ID: 8527954957 Enrollment ID: I20120223000105 |
| Provider Name | Avni Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982775417 PECOS PAC ID: 1254436157 Enrollment ID: I20120508000054 |
| Provider Name | Neil Roy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548418981 PECOS PAC ID: 5395900286 Enrollment ID: I20120627000108 |
| Provider Name | Arshad M Sheikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467445791 PECOS PAC ID: 0446163968 Enrollment ID: I20120807000134 |
| Provider Name | Aderonke O Omotade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568571305 PECOS PAC ID: 3577623180 Enrollment ID: I20120920000089 |
| Provider Name | Kirsten Ricci |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326296567 PECOS PAC ID: 0244489987 Enrollment ID: I20121012000461 |
| Provider Name | Oyesola Akintan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760712913 PECOS PAC ID: 9739333725 Enrollment ID: I20130128000436 |
| Provider Name | Shanique T Cartwright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265692115 PECOS PAC ID: 4587801998 Enrollment ID: I20130502000183 |
| Provider Name | Milap A Nowrangi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902065410 PECOS PAC ID: 1153507843 Enrollment ID: I20130604000336 |
| Provider Name | Nino Dgebuadze |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679779409 PECOS PAC ID: 1850559261 Enrollment ID: I20130625000073 |
| Provider Name | Sam Stanford Parsia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528286275 PECOS PAC ID: 3072681436 Enrollment ID: I20130710000068 |
| Provider Name | Tracy Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639339864 PECOS PAC ID: 6305087735 Enrollment ID: I20130729000356 |
| Provider Name | Marissa Leslie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417039975 PECOS PAC ID: 3971746082 Enrollment ID: I20130821000209 |
| Provider Name | Su Young Seh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861708059 PECOS PAC ID: 2062692387 Enrollment ID: I20130909000494 |
| Provider Name | Linda Nabha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558520601 PECOS PAC ID: 9537303995 Enrollment ID: I20130925000297 |
| Provider Name | Hamza Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194745489 PECOS PAC ID: 1658390919 Enrollment ID: I20131017000074 |
| Provider Name | Surendra Kandel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336420306 PECOS PAC ID: 3779748066 Enrollment ID: I20140227001841 |
| Provider Name | Edner Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396171385 PECOS PAC ID: 3678700549 Enrollment ID: I20140311000666 |
| Provider Name | Bindu P Koshy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326186172 PECOS PAC ID: 1951580711 Enrollment ID: I20140618000675 |
| Provider Name | Nisha M. Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235360926 PECOS PAC ID: 2466361605 Enrollment ID: I20140624001282 |
| Provider Name | Lakshya Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831513274 PECOS PAC ID: 1456576461 Enrollment ID: I20140708001055 |
| Provider Name | Michael C Flanagan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1275516320 PECOS PAC ID: 8820213671 Enrollment ID: I20140710001561 |
| Provider Name | Woojoong Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598081267 PECOS PAC ID: 1658599865 Enrollment ID: I20140902000263 |
| Provider Name | Kasey Y Morrison |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134362502 PECOS PAC ID: 1254569023 Enrollment ID: I20140925000778 |
| Provider Name | Mitra Hashemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225354905 PECOS PAC ID: 0648491787 Enrollment ID: I20141015000343 |
| Provider Name | Sherif R Selim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336377480 PECOS PAC ID: 3375764343 Enrollment ID: I20141016002604 |
| Provider Name | Rajeev J Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114173754 PECOS PAC ID: 4688818719 Enrollment ID: I20150127000599 |
| Provider Name | Jasmine Sawhney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457503203 PECOS PAC ID: 9638347446 Enrollment ID: I20150311002094 |
| Provider Name | Sharnell S Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386808996 PECOS PAC ID: 5395998769 Enrollment ID: I20150319002218 |
| Provider Name | Kathleen J Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558483867 PECOS PAC ID: 2163680133 Enrollment ID: I20150402001653 |
| Provider Name | Jill A Burgholzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538440862 PECOS PAC ID: 2365698214 Enrollment ID: I20150430001583 |
| Provider Name | Chidiadi Agoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710370945 PECOS PAC ID: 7618296351 Enrollment ID: I20150501000918 |
| Provider Name | Sheikh Parviz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346215621 PECOS PAC ID: 2466480934 Enrollment ID: I20150505000238 |
| Provider Name | Efigenio Bautista |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427032705 PECOS PAC ID: 2860388014 Enrollment ID: I20150603000948 |
| Provider Name | Jenna N Benyounes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407147952 PECOS PAC ID: 7012227606 Enrollment ID: I20151111001217 |
| Provider Name | Ndidiamaka Nwaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639487036 PECOS PAC ID: 4880994011 Enrollment ID: I20151119002535 |
| Provider Name | Valarie L Harbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881844595 PECOS PAC ID: 1052571627 Enrollment ID: I20151207002257 |
| Provider Name | Cecilia Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750631776 PECOS PAC ID: 4880846377 Enrollment ID: I20151216001172 |
| Provider Name | Nicole M Fromm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780810309 PECOS PAC ID: 3779888540 Enrollment ID: I20160217000344 |
| Provider Name | Barbra L Bonsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710384482 PECOS PAC ID: 8729384763 Enrollment ID: I20160317000023 |
| Provider Name | Ramesh K Thapar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942255732 PECOS PAC ID: 0143218420 Enrollment ID: I20160411000055 |
| Provider Name | Catherine D Daily |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871820084 PECOS PAC ID: 1759672132 Enrollment ID: I20160614002600 |
| Provider Name | Chad Lennon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427373687 PECOS PAC ID: 1355632001 Enrollment ID: I20160628000267 |
| Provider Name | Kurt A Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508156068 PECOS PAC ID: 1355633652 Enrollment ID: I20160707000081 |
| Provider Name | Syed I Ahmed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629059639 PECOS PAC ID: 6204058746 Enrollment ID: I20160808000464 |
| Provider Name | Fooroogh Nasiri Manesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710326061 PECOS PAC ID: 4284866732 Enrollment ID: I20160924000198 |
| Provider Name | Wenyan Huang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629209879 PECOS PAC ID: 4587892369 Enrollment ID: I20160929001549 |
| Provider Name | Vera Ogembo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023477932 PECOS PAC ID: 0446527782 Enrollment ID: I20170517001113 |
| Provider Name | Daniel Berhanu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942643929 PECOS PAC ID: 1254645807 Enrollment ID: I20170816002413 |
| Provider Name | Heather Tropiano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528463536 PECOS PAC ID: 3870867708 Enrollment ID: I20170915002582 |
| Provider Name | Mary Cobb |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730492836 PECOS PAC ID: 8224399159 Enrollment ID: I20180412001531 |
| Provider Name | Anne L Walsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104265255 PECOS PAC ID: 0345597977 Enrollment ID: I20180912002107 |
| Provider Name | Mary A Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265815567 PECOS PAC ID: 6002167988 Enrollment ID: I20180918000503 |
| Provider Name | Kimberly E Kallin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871963736 PECOS PAC ID: 9133429228 Enrollment ID: I20181030002405 |
| Provider Name | Sumeet Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851710461 PECOS PAC ID: 6901150671 Enrollment ID: I20181115001067 |
| Provider Name | Norman Godwin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972941805 PECOS PAC ID: 9830433101 Enrollment ID: I20181128001234 |
| Provider Name | Scott Lepre |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710043732 PECOS PAC ID: 0648343087 Enrollment ID: I20190215002136 |
| Provider Name | Mark A Scher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639144942 PECOS PAC ID: 6002851722 Enrollment ID: I20190403000598 |
| Provider Name | Aloke Finn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417922147 PECOS PAC ID: 7416058326 Enrollment ID: I20190619002336 |
| Provider Name | Michael A Landau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457702870 PECOS PAC ID: 9830479971 Enrollment ID: I20190821000618 |
| Provider Name | Kelechi Ndubuizu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871852822 PECOS PAC ID: 6002122462 Enrollment ID: I20190830000253 |
| Provider Name | Melissa Hardimon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467636514 PECOS PAC ID: 2567548696 Enrollment ID: I20190911002001 |
| Provider Name | John Francisco Trujillo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033475785 PECOS PAC ID: 0749403418 Enrollment ID: I20190913001275 |
| Provider Name | Mahjabeen Siraj Ismail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700291507 PECOS PAC ID: 1153542717 Enrollment ID: I20191031002546 |
| Provider Name | Ogechi Anyaoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205254422 PECOS PAC ID: 5193157824 Enrollment ID: I20191118001613 |
| Provider Name | Sandra Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700443199 PECOS PAC ID: 9335574599 Enrollment ID: I20200115002666 |
| Provider Name | Terri Loretta-bernice Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336307883 PECOS PAC ID: 9133371123 Enrollment ID: I20200122000741 |
| Provider Name | Kathryn Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548812001 PECOS PAC ID: 7113353384 Enrollment ID: I20200206001425 |
| Provider Name | Ina A Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073891768 PECOS PAC ID: 7618147505 Enrollment ID: I20200312001133 |
| Provider Name | Melsjan Shkullaku |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316246598 PECOS PAC ID: 6507081338 Enrollment ID: I20200326001955 |
| Provider Name | Sandrine Happi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619468162 PECOS PAC ID: 0345670113 Enrollment ID: I20200417002052 |
| Provider Name | Christopher Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619243367 PECOS PAC ID: 8628221595 Enrollment ID: I20200513001126 |
| Provider Name | Kumar Bahl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093978934 PECOS PAC ID: 4981748225 Enrollment ID: I20200701000068 |
| Provider Name | Tarik Ksaibati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780039636 PECOS PAC ID: 1456647643 Enrollment ID: I20200707001304 |
| Provider Name | Kathryn Mcdevitt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841719366 PECOS PAC ID: 4587991666 Enrollment ID: I20200710000263 |
| Provider Name | Nazaninsadat Hashemi Khia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588187843 PECOS PAC ID: 3274958459 Enrollment ID: I20200805000744 |
| Provider Name | T. Lydel Newsome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649705799 PECOS PAC ID: 9739452723 Enrollment ID: I20200904000210 |
| Provider Name | Lauren Newland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043875446 PECOS PAC ID: 6204255615 Enrollment ID: I20201005002413 |
| Provider Name | Ravikumar Bhalavat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447406624 PECOS PAC ID: 3173787306 Enrollment ID: I20201007003038 |
| Provider Name | Elnaz Balakhanlou |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003260407 PECOS PAC ID: 9830483684 Enrollment ID: I20201124002364 |
| Provider Name | Clara Ahaghotu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932707197 PECOS PAC ID: 1557774619 Enrollment ID: I20210108001595 |
| Provider Name | Haiying Ye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932678216 PECOS PAC ID: 0244645778 Enrollment ID: I20210216001565 |
| Provider Name | Trevor Rishawn Marquis York |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174054456 PECOS PAC ID: 6608112370 Enrollment ID: I20210225000035 |
| Provider Name | Mary Bergmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104146281 PECOS PAC ID: 2961670690 Enrollment ID: I20210322000696 |
| Provider Name | Esther Vinolia Koilpillai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609337252 PECOS PAC ID: 3577963370 Enrollment ID: I20210616001316 |
| Provider Name | Rhamee Badr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548656531 PECOS PAC ID: 6800297128 Enrollment ID: I20210624000997 |
| Provider Name | Rhoda Jean Gottfried |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922212638 PECOS PAC ID: 1850588526 Enrollment ID: I20210712003756 |
| Provider Name | Adrian Dyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790280386 PECOS PAC ID: 7315294451 Enrollment ID: I20210722003983 |
| Provider Name | Dain Thorpe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538691084 PECOS PAC ID: 4587068085 Enrollment ID: I20210805001570 |
| Provider Name | Lindsey Prescher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144458449 PECOS PAC ID: 2769770643 Enrollment ID: I20210812002372 |
| Provider Name | Krupa Nataraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720511272 PECOS PAC ID: 7719382670 Enrollment ID: I20210816004067 |
| Provider Name | Bernard Vasseur |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1275593121 PECOS PAC ID: 3971532425 Enrollment ID: I20210923003097 |
| Provider Name | Colleen Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215532346 PECOS PAC ID: 5799173241 Enrollment ID: I20211102002460 |
| Provider Name | Katherine Anne Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356914634 PECOS PAC ID: 0941698393 Enrollment ID: I20211104000026 |
| Provider Name | Ogemdi Asaa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558877092 PECOS PAC ID: 9638568033 Enrollment ID: I20211104002759 |
| Provider Name | Carlin Williams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407084247 PECOS PAC ID: 3971877135 Enrollment ID: I20211110000516 |
| Provider Name | Roberta Ackom |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609368752 PECOS PAC ID: 5496091472 Enrollment ID: I20220124000024 |
| Provider Name | Hemant Chatrath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639306012 PECOS PAC ID: 7315090255 Enrollment ID: I20220127001572 |
| Provider Name | Shaina M French |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689862419 PECOS PAC ID: 3971685058 Enrollment ID: I20220129000321 |
| Provider Name | Bobby Ghosh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114156080 PECOS PAC ID: 2365720380 Enrollment ID: I20220209002661 |
| Provider Name | Maxine Cruz Am |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629731286 PECOS PAC ID: 2961896964 Enrollment ID: I20220308000089 |
| Provider Name | Toni Lee Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598333965 PECOS PAC ID: 4789079153 Enrollment ID: I20220322000765 |
| Provider Name | Omar Shams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093906133 PECOS PAC ID: 0042464828 Enrollment ID: I20220421001946 |
| Provider Name | Gloria Nwankwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740890862 PECOS PAC ID: 1355418583 Enrollment ID: I20220425000013 |
| Provider Name | Michelle Oetjens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821622937 PECOS PAC ID: 0446660385 Enrollment ID: I20220511000069 |
| Provider Name | Nkechi Onwuche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326409988 PECOS PAC ID: 2769860931 Enrollment ID: I20220531000396 |
| Provider Name | Bimu Risal Bhandary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821686718 PECOS PAC ID: 7719367911 Enrollment ID: I20220706001532 |
| Provider Name | Eleisha D Flanagan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366609273 PECOS PAC ID: 9830341551 Enrollment ID: I20220801000486 |
| Provider Name | Maranatha Gabaud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275988701 PECOS PAC ID: 7810280922 Enrollment ID: I20220810002733 |
| Provider Name | Basile M Njei |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336435965 PECOS PAC ID: 1456662030 Enrollment ID: I20221028000405 |
| Provider Name | Alexandru C Dinu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275687865 PECOS PAC ID: 6103924964 Enrollment ID: I20221109003137 |
| Provider Name | Josephine I Edokpayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902449473 PECOS PAC ID: 7618307729 Enrollment ID: I20221219000208 |
| Provider Name | Tiffany Yuh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790147072 PECOS PAC ID: 1456643766 Enrollment ID: I20230110001099 |
| Provider Name | Robert Gallegos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205870805 PECOS PAC ID: 2365436417 Enrollment ID: I20230125002524 |
| Provider Name | Neeraj Sardana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679783021 PECOS PAC ID: 2860538121 Enrollment ID: I20230307001326 |
| Provider Name | Antonie J Auguste |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508063165 PECOS PAC ID: 0042469843 Enrollment ID: I20230601001708 |
| Provider Name | Daryan Rei Namba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972096071 PECOS PAC ID: 8820334733 Enrollment ID: I20230606000115 |
| Provider Name | Shayna Bailey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124400254 PECOS PAC ID: 5991000101 Enrollment ID: I20230606001884 |
| Provider Name | Sreeker N Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952782476 PECOS PAC ID: 4789988718 Enrollment ID: I20230803002656 |
| Provider Name | Ethan Nathaniel Sales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154988053 PECOS PAC ID: 1456713775 Enrollment ID: I20230913001002 |
| Provider Name | Bryan M White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386715837 PECOS PAC ID: 6204056054 Enrollment ID: I20231017002242 |
| Provider Name | Anthony Darr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790070605 PECOS PAC ID: 6507151842 Enrollment ID: I20231017003596 |
| Provider Name | Samuel Ayodeji Adeyemo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326693722 PECOS PAC ID: 2567818719 Enrollment ID: I20231025001807 |
| Provider Name | Raymond Young |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851558167 PECOS PAC ID: 7416106265 Enrollment ID: I20231031002347 |
| Provider Name | Joy Accrombessi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598548885 PECOS PAC ID: 0840648689 Enrollment ID: I20231204003529 |
| Provider Name | Sandeep Shrestha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063767051 PECOS PAC ID: 7810290376 Enrollment ID: I20231214003620 |
| Provider Name | Youkam Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427797877 PECOS PAC ID: 5698124618 Enrollment ID: I20231215000094 |
| Provider Name | Nazia Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811334949 PECOS PAC ID: 3274751235 Enrollment ID: I20231215002771 |
| Provider Name | Christaina Wabeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801439146 PECOS PAC ID: 1759714686 Enrollment ID: I20231215003309 |
| Provider Name | Diana Zhong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376924365 PECOS PAC ID: 2163721861 Enrollment ID: I20231216000056 |
| Provider Name | Jared Antevil |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871578534 PECOS PAC ID: 7911152939 Enrollment ID: I20231228002119 |
| Provider Name | Hugo Bonatti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861609869 PECOS PAC ID: 6002976800 Enrollment ID: I20231228002216 |
| Provider Name | Sarah Welsh Burgdorf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801213780 PECOS PAC ID: 5193053346 Enrollment ID: I20231229000116 |
| Provider Name | Jian Min Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598773954 PECOS PAC ID: 9537245204 Enrollment ID: I20240118002556 |
| Provider Name | Lynn S Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740729029 PECOS PAC ID: 3971939547 Enrollment ID: I20240123000604 |
| Provider Name | Theresa Ezenwajiaku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053047977 PECOS PAC ID: 1850734161 Enrollment ID: I20240202003297 |
| Provider Name | Homam Ibrahim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114150257 PECOS PAC ID: 3971897489 Enrollment ID: I20240529001498 |
Family Care Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 702 Russell Ave Ste 100, Gaithersburg, MD 20877 Phone: 301-330-0006 Fax: 301-330-0444 | |
Embraced Strength Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Kentlands Blvd # 5206, Gaithersburg, MD 20878 Phone: 240-855-5428 Fax: 301-990-1141 | |
Chinese Culture And Community Service Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9318 Gaither Rd Ste 205, Gaithersburg, MD 20877 Phone: 240-393-5950 | |
Multi Healthcare & Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20217 Gentle Way, Gaithersburg, MD 20886 Phone: 240-723-1803 | |
Pan Asian Volunteer Health Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9318 Gaither Rd Ste 205, Gaithersburg, MD 20877 Phone: 240-393-5950 | |
Rochelle Wynne Austrian Ph.d.pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 981 Russell Ave, Gaithersburg, MD 20879 Phone: 301-840-1723 | |
Samorajczyk Psychological Services, Inc Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19205 Seneca Ridge Ct, Gaithersburg, MD 20886 Phone: 301-869-1755 Fax: 410-266-5950 |