Atrius Health, Inc. - Medicare Mental Health Clinic in Boston, MA

Atrius Health, Inc. is a medicare enrolled mental health clinic (Internal Medicine) in Boston, Massachusetts. The current practice location for Atrius Health, Inc. is 133 Brookline Ave, Boston, Massachusetts. For appointments, you can reach them via phone at (617) 421-1000. The mailing address for Atrius Health, Inc. is 275 Grove St, Suite 3-300, Auburndale, Massachusetts and phone number is (617) 559-8374.

Atrius Health, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1871639914. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (617) 421-1000.

Contact Information

Atrius Health, Inc.
133 Brookline Ave
Boston
MA 02215-3904
(617) 421-1000
(617) 421-6084

Map and Direction


Mental Health Clinic Profile

Full NameAtrius Health, Inc.
SpecialityInternal Medicine
Location133 Brookline Ave, Boston, Massachusetts
Authorized Official Name and PositionChristopher Andreoli (PRESIDENT)
Authorized Official Contact6175598042
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Atrius Health, Inc.
275 Grove St
Suite 3-300
Auburndale
MA 02466-2272

Ph: (617) 559-8374
Atrius Health, Inc.
133 Brookline Ave
Boston
MA 02215-3904

Ph: (617) 421-1000

NPI Details:

NPI Number1871639914
Provider Enumeration Date01/29/2007
Last Update Date12/18/2023
Certification Date12/18/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4789588641
Medicare Enrollment IDO20031121000582

Medical Identifiers

Medical identifiers for Atrius Health, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871639914NPI-NPPES
42732OtherMABEACON HEALTH PLAN
M16856OtherMABLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207K00000XAllergy & Immunology (* (Not Available))Secondary
207N00000XDermatology (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207RH0003XInternal Medicine - Hematology & Oncology (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Atrius Health, Inc. acts as a billing entity for following providers:
Provider NameJennifer Limongiello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255393658
PECOS PAC ID: 1850204132
Enrollment ID: I20031112000168
Provider NameJames M Donovan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1013961051
PECOS PAC ID: 9436054848
Enrollment ID: I20031126000611
Provider NameMichael John Malone
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1285671479
PECOS PAC ID: 4385540863
Enrollment ID: I20031208000686
Provider NameVandhana Sharda
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1841290475
PECOS PAC ID: 7315843331
Enrollment ID: I20031210000726
Provider NameTu Mai Tran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740338524
PECOS PAC ID: 9638075484
Enrollment ID: I20031211000337
Provider NameKevin Edward Mccarthy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1851302590
PECOS PAC ID: 7214835180
Enrollment ID: I20031230000253
Provider NameEdward F Rabe
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902827231
PECOS PAC ID: 0547169401
Enrollment ID: I20040108000798
Provider NameVeena Molagavalli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487600979
PECOS PAC ID: 8527961770
Enrollment ID: I20040127001007
Provider NameTanya M Hopkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376539262
PECOS PAC ID: 6608779947
Enrollment ID: I20040202000634
Provider NameBenjamin A Kruskal
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245218353
PECOS PAC ID: 3971498379
Enrollment ID: I20040216000821
Provider NameIrving S Epstein
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972557833
PECOS PAC ID: 2163317330
Enrollment ID: I20040217000512
Provider NameJames C Chou
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1285661652
PECOS PAC ID: 5294621876
Enrollment ID: I20040223000657
Provider NameDonald H Perlo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366555260
PECOS PAC ID: 7315833480
Enrollment ID: I20040225000710
Provider NameHenry K Rosenkranz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1205875176
PECOS PAC ID: 3072400977
Enrollment ID: I20040304000175
Provider NameJane F Fogg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710067509
PECOS PAC ID: 2062300072
Enrollment ID: I20040310000084
Provider NameSusan M Leighton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730110313
PECOS PAC ID: 5193613115
Enrollment ID: I20040310000209
Provider NameMarc A Rosenthal
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1346225083
PECOS PAC ID: 0749170678
Enrollment ID: I20040316000918
Provider NameMary L Ryan
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1578584843
PECOS PAC ID: 6608767488
Enrollment ID: I20040322001330
Provider NameGary Goldman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1841251204
PECOS PAC ID: 5496646275
Enrollment ID: I20040322001352
Provider NameSteven W Dipillo
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1104807122
PECOS PAC ID: 9931091949
Enrollment ID: I20040325001198
Provider NameElizabeth P Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346200565
PECOS PAC ID: 3577455096
Enrollment ID: I20040329000376
Provider NameArthur B Haffner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548245277
PECOS PAC ID: 7113919648
Enrollment ID: I20040402000297
Provider NameMaureen A. Walsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548397268
PECOS PAC ID: 6002808482
Enrollment ID: I20040402001270
Provider NameMary E Cunningham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013975457
PECOS PAC ID: 4284628785
Enrollment ID: I20040408000907
Provider NameStephen J Saltzman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770541781
PECOS PAC ID: 0547254070
Enrollment ID: I20040408001093
Provider NameFrederic S Shmase
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730147646
PECOS PAC ID: 4385638600
Enrollment ID: I20040412000074
Provider NameWilliam F Boyd
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922066885
PECOS PAC ID: 8628062940
Enrollment ID: I20040412000110
Provider NameAmy W Margolis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497803779
PECOS PAC ID: 2466446422
Enrollment ID: I20040413000121
Provider NameJanet L Flory
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467411421
PECOS PAC ID: 3375537368
Enrollment ID: I20040413000354
Provider NameJeanne M Enneguess
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912965369
PECOS PAC ID: 9133113095
Enrollment ID: I20040413000958
Provider NameKrista S Chavez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932352895
PECOS PAC ID: 7315933991
Enrollment ID: I20040421000079
Provider NameSarah C Gates
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376580548
PECOS PAC ID: 2961499058
Enrollment ID: I20040429000907
Provider NameChristopher John Kwolek
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1689665309
PECOS PAC ID: 7315937356
Enrollment ID: I20040513000292
Provider NameAlexander P Rabin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548249758
PECOS PAC ID: 7810988037
Enrollment ID: I20040518001107
Provider NameAlan Berrick
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1427059831
PECOS PAC ID: 5597746354
Enrollment ID: I20040527000185
Provider NameSusan M Racine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316936495
PECOS PAC ID: 2365424694
Enrollment ID: I20040602000257
Provider NameLouis A Bley
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1285724526
PECOS PAC ID: 6406838408
Enrollment ID: I20040603000662
Provider NameAna C Domingues
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1356490908
PECOS PAC ID: 4385546084
Enrollment ID: I20040610000357
Provider NameMargaret Denise Mills
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457325722
PECOS PAC ID: 4183607815
Enrollment ID: I20040611001088
Provider NameRobin S Gross
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326155995
PECOS PAC ID: 0840274338
Enrollment ID: I20040614000947
Provider NameJames Demetroulakos
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1326011180
PECOS PAC ID: 4789668138
Enrollment ID: I20040615000400
Provider NameArielle L Adrien Jean
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1386691160
PECOS PAC ID: 1355326018
Enrollment ID: I20040618000850
Provider NameBruce M Weinstein
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396793543
PECOS PAC ID: 6507843208
Enrollment ID: I20040701000104
Provider NameKerry Anne Stone
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1851399125
PECOS PAC ID: 1658351887
Enrollment ID: I20040720001155
Provider NameKathy J Fabiszewski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104819051
PECOS PAC ID: 0941280093
Enrollment ID: I20040721000378
Provider NameSandra Maguire
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1932183662
PECOS PAC ID: 5395715346
Enrollment ID: I20040728000599
Provider NameDawn M Peters
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174599104
PECOS PAC ID: 3779553615
Enrollment ID: I20040728001345
Provider NameJeannine J Stanwood
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932269958
PECOS PAC ID: 5395715015
Enrollment ID: I20040729001047
Provider NameMary T Chou
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588623961
PECOS PAC ID: 8022088509
Enrollment ID: I20040730000684
Provider NameDanka Samardzic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942268438
PECOS PAC ID: 8123099538
Enrollment ID: I20040802000146
Provider NameMarcia M Walsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225068299
PECOS PAC ID: 1759352834
Enrollment ID: I20040803000638
Provider NameRenee Aversano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962402255
PECOS PAC ID: 5395716401
Enrollment ID: I20040803000800
Provider NameCelia M Repucci
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104075779
PECOS PAC ID: 5799756516
Enrollment ID: I20040804001498
Provider NamePatricia Lopresti
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1962625640
PECOS PAC ID: 4183695828
Enrollment ID: I20040804001696
Provider NameIda P Gorenburg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053386771
PECOS PAC ID: 4082685722
Enrollment ID: I20040804001701
Provider NameManju Sheth
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790731487
PECOS PAC ID: 6305817933
Enrollment ID: I20040805000495
Provider NameTao Yang
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1740278985
PECOS PAC ID: 0648242180
Enrollment ID: I20040806000354
Provider NameMichael J Ross
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1609832989
PECOS PAC ID: 7012989577
Enrollment ID: I20040806000481
Provider NameJoseph C Bergeron
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1487613444
PECOS PAC ID: 9739151135
Enrollment ID: I20040806000804
Provider NameMary C Gosney
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1023169919
PECOS PAC ID: 6800868019
Enrollment ID: I20040809000989
Provider NameMarlene S Odonnell
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1316910235
PECOS PAC ID: 1456323229
Enrollment ID: I20040811000969
Provider NameAdriana V Freeman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1740233675
PECOS PAC ID: 7416929104
Enrollment ID: I20040812000319
Provider NameAnna Loa Helgason
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679524144
PECOS PAC ID: 3173596715
Enrollment ID: I20040812001565
Provider NameJoseph F Audette
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1992789911
PECOS PAC ID: 9436122082
Enrollment ID: I20040813000053
Provider NameLynn Kari Hironaka
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902885791
PECOS PAC ID: 5597738245
Enrollment ID: I20040819000641
Provider NameRenee M Mckinney
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750329041
PECOS PAC ID: 5395719827
Enrollment ID: I20040821000012
Provider NameNancy F Radden
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831134105
PECOS PAC ID: 9638143670
Enrollment ID: I20040824001350
Provider NameDaniel S Mishkin
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1801822564
PECOS PAC ID: 4981670858
Enrollment ID: I20040902000921
Provider NameJane S Bae
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1841238318
PECOS PAC ID: 0648246256
Enrollment ID: I20040904000074
Provider NameWalter M Jo
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1043250004
PECOS PAC ID: 9133195696
Enrollment ID: I20040909000791
Provider NameHarsh C Sanchorawala
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1497783294
PECOS PAC ID: 7315913878
Enrollment ID: I20040909000829
Provider NameDenise M Morin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1306878830
PECOS PAC ID: 6901873447
Enrollment ID: I20040914000460
Provider NameOlga E Golub
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1275580912
PECOS PAC ID: 2860461183
Enrollment ID: I20041001000920
Provider NameIrena Maier
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1235161779
PECOS PAC ID: 5991774226
Enrollment ID: I20041001000952
Provider NameMarcy A Cheifetz
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1003825415
PECOS PAC ID: 3870495328
Enrollment ID: I20041001000984
Provider NameKatherine K Wang
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1912988486
PECOS PAC ID: 1153381710
Enrollment ID: I20041018000778
Provider NameLeslie S Eldeiry
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1801805221
PECOS PAC ID: 6709847262
Enrollment ID: I20041019001087
Provider NameMarcelo C Campos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790770121
PECOS PAC ID: 5890756837
Enrollment ID: I20041022000316
Provider NameDiane M Brockmeyer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467499574
PECOS PAC ID: 1951363381
Enrollment ID: I20041028000687
Provider NameMary A Grimanis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497868038
PECOS PAC ID: 3072576628
Enrollment ID: I20041105000098
Provider NameMark D Raizin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699702290
PECOS PAC ID: 3678536026
Enrollment ID: I20041108000427
Provider NameWilliam G. Griever
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316013006
PECOS PAC ID: 6507821394
Enrollment ID: I20041122000084
Provider NameJudit Saenz-badillos
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770563694
PECOS PAC ID: 1951366707
Enrollment ID: I20041122000475
Provider NameBrigida T Call
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568419356
PECOS PAC ID: 5698731339
Enrollment ID: I20041206000047
Provider NameNobita Chatterjee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417981176
PECOS PAC ID: 1658338520
Enrollment ID: I20041213000261
Provider NameIqubal S Dhaliwal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770694556
PECOS PAC ID: 3173581105
Enrollment ID: I20041222000414
Provider NamePatricia L Birgeneau
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487636130
PECOS PAC ID: 2961460910
Enrollment ID: I20041222000502
Provider NameJohn Malolepszy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508993163
PECOS PAC ID: 6800708058
Enrollment ID: I20050110000229
Provider NameJeffrey S Cohen
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1154312346
PECOS PAC ID: 8224087093
Enrollment ID: I20050119000474
Provider NameElisabeth N Wallace
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497811822
PECOS PAC ID: 4385694736
Enrollment ID: I20050125000056
Provider NameMatthew J Collins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831157791
PECOS PAC ID: 5799736203
Enrollment ID: I20050202000268
Provider NameKaren E Klein
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1154309235
PECOS PAC ID: 3779534557
Enrollment ID: I20050209000513
Provider NameMartha K Richardson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1467567420
PECOS PAC ID: 7618928334
Enrollment ID: I20050209000922
Provider NamePatricia M Degroot
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1326096371
PECOS PAC ID: 3274585906
Enrollment ID: I20050210000664
Provider NameJulia Y Logan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1053343590
PECOS PAC ID: 2567414865
Enrollment ID: I20050215000626
Provider NameLinda M Cohen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144207887
PECOS PAC ID: 5799737888
Enrollment ID: I20050217000095
Provider NameStephanie S Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568439370
PECOS PAC ID: 6709838733
Enrollment ID: I20050217000424
Provider NameMoira A Cunningham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437120995
PECOS PAC ID: 4688627433
Enrollment ID: I20050222000334
Provider NameChristine Lui
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568428407
PECOS PAC ID: 4486607231
Enrollment ID: I20050222000351
Provider NameKaren D Wood
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659329506
PECOS PAC ID: 7416900287
Enrollment ID: I20050222000512
Provider NameFrancine M Monahan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902862246
PECOS PAC ID: 9032162805
Enrollment ID: I20050222000531
Provider NameJane A Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063615870
PECOS PAC ID: 1951354638
Enrollment ID: I20050222000693
Provider NameLeann R Canty
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205807781
PECOS PAC ID: 8628021615
Enrollment ID: I20050302000513
Provider NameDavid M Meenan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649217308
PECOS PAC ID: 9436102357
Enrollment ID: I20050302000806
Provider NameBrittanny L Boulanger
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1184600348
PECOS PAC ID: 9335193275
Enrollment ID: I20050303000722
Provider NameJeffrey K Levin Scherz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699702555
PECOS PAC ID: 3971557703
Enrollment ID: I20050304000280
Provider NameCheryl A Lucchetti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164582201
PECOS PAC ID: 1355395526
Enrollment ID: I20050310000280
Provider NameNahum Vishniavsky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972555373
PECOS PAC ID: 6305891870
Enrollment ID: I20050317000326
Provider NameRichard E Marshall
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770562324
PECOS PAC ID: 3476508524
Enrollment ID: I20050322000374
Provider NameJonathan S. Forman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386641785
PECOS PAC ID: 9537115514
Enrollment ID: I20050323000200
Provider NameJames A Goldman
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1780681981
PECOS PAC ID: 4486600467
Enrollment ID: I20050323000262
Provider NameSusan Wong
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1811051311
PECOS PAC ID: 4688620628
Enrollment ID: I20050323000654
Provider NameStephen A Jenkins
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1447238928
PECOS PAC ID: 4183670136
Enrollment ID: I20050323000800
Provider NameAlex Gonzalez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134101629
PECOS PAC ID: 3476509340
Enrollment ID: I20050323001059
Provider NameGiovanni A Dambrosio
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598738510
PECOS PAC ID: 6507812435
Enrollment ID: I20050324000008
Provider NameGilbert L Brodsky
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1699734657
PECOS PAC ID: 3476509241
Enrollment ID: I20050324000421
Provider NameJoseph A Hill
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1821182635
PECOS PAC ID: 1254387053
Enrollment ID: I20050324000650
Provider NameJames P Douglas Steele
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760565444
PECOS PAC ID: 9133175961
Enrollment ID: I20050324000841
Provider NameLeo R Muido
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093762676
PECOS PAC ID: 3870549512
Enrollment ID: I20050325000484
Provider NamePeter J Dimatteo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073570453
PECOS PAC ID: 5991751539
Enrollment ID: I20050325000558
Provider NameCarol L Rosenberg
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1659387744
PECOS PAC ID: 3870549470
Enrollment ID: I20050328000270
Provider NameJessica Small
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699736587
PECOS PAC ID: 4981650405
Enrollment ID: I20050329000100
Provider NameJulie M Jankelson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1265410609
PECOS PAC ID: 6709832157
Enrollment ID: I20050329000514
Provider NamePeter M Mciver
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699841387
PECOS PAC ID: 2769438159
Enrollment ID: I20050329000829
Provider NameSusan E Thomas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972513950
PECOS PAC ID: 0840263158
Enrollment ID: I20050329001223
Provider NameRichard F Horan
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1164412383
PECOS PAC ID: 6204882574
Enrollment ID: I20050330000122
Provider NameMary Jane Mccarron
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1770577678
PECOS PAC ID: 8628025822
Enrollment ID: I20050331000023
Provider NameGiovanni A Ferrante
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1104818103
PECOS PAC ID: 2466409693
Enrollment ID: I20050331000273
Provider NameJoseph F Horan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669440111
PECOS PAC ID: 3072560879
Enrollment ID: I20050404001078
Provider NameRalph A Iannuzzi
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1538193396
PECOS PAC ID: 6709859648
Enrollment ID: I20050405000496
Provider NameFrancis X Campion
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730150285
PECOS PAC ID: 1456308121
Enrollment ID: I20050405000535
Provider NameDavid B Krieger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346219326
PECOS PAC ID: 7618924382
Enrollment ID: I20050405000551
Provider NameRoderick H Crocker
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1053310367
PECOS PAC ID: 4981651668
Enrollment ID: I20050405000631
Provider NameRachel J Berger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326019456
PECOS PAC ID: 2466409156
Enrollment ID: I20050405000709
Provider NameMichael D Achey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578574703
PECOS PAC ID: 5193798494
Enrollment ID: I20050405001264
Provider NameMilton A Drake
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750354700
PECOS PAC ID: 4284681800
Enrollment ID: I20050406000360
Provider NameEllen Spar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285686386
PECOS PAC ID: 1052368537
Enrollment ID: I20050406000954
Provider NameNeil S Birnbaum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659378628
PECOS PAC ID: 3274580634
Enrollment ID: I20050407000352
Provider NameJonathan M Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003917626
PECOS PAC ID: 0345297735
Enrollment ID: I20050407000621
Provider NameElizabeth B Tarnell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942209390
PECOS PAC ID: 0941247258
Enrollment ID: I20050408000305
Provider NameJames K Piper
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1518913706
PECOS PAC ID: 2264479542
Enrollment ID: I20050408000887
Provider NameDouglas Michael Katz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780693820
PECOS PAC ID: 0941247084
Enrollment ID: I20050411001006
Provider NameMarcia F Dworkind
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174504526
PECOS PAC ID: 8123065281
Enrollment ID: I20050411001195
Provider NameMark T Boehnert
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1083690614
PECOS PAC ID: 9830136993
Enrollment ID: I20050411001217
Provider NameDavid J. Petillo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285669614
PECOS PAC ID: 4082651096
Enrollment ID: I20050412000362
Provider NameJoyce M Camac Weiser
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942271416
PECOS PAC ID: 9234176181
Enrollment ID: I20050412000765
Provider NameWendy H Farnsworth
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477588234
PECOS PAC ID: 0244277119
Enrollment ID: I20050412000926
Provider NameGeoffrey S Hirsowitz
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1649299744
PECOS PAC ID: 4385681253
Enrollment ID: I20050412000972
Provider NameJohn M Cornwell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023007259
PECOS PAC ID: 1951399468
Enrollment ID: I20050412001395
Provider NameGuy A Spinelli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104827450
PECOS PAC ID: 9335186139
Enrollment ID: I20050413000674
Provider NameHelen M Hunt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194793695
PECOS PAC ID: 1951348770
Enrollment ID: I20050413000790
Provider NameMichael Higgins
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730251661
PECOS PAC ID: 2668419177
Enrollment ID: I20050414001281
Provider NameSrdjan S Nedeljkovic
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1457347015
PECOS PAC ID: 1254379084
Enrollment ID: I20050421000492
Provider NamePeter A. Barrant
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215913835
PECOS PAC ID: 3779521547
Enrollment ID: I20050421000910
Provider NameNada G Samaha
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1457308181
PECOS PAC ID: 5092754457
Enrollment ID: I20050426001038
Provider NameSara F Kelly
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164491957
PECOS PAC ID: 4587603857
Enrollment ID: I20050426001171
Provider NameBradley M Denker
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1669438727
PECOS PAC ID: 6507836699
Enrollment ID: I20050426001306
Provider NameShyla Shrinath
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568435576
PECOS PAC ID: 8820037187
Enrollment ID: I20050427000475
Provider NameNsa E Henshaw
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427018605
PECOS PAC ID: 9234178419
Enrollment ID: I20050427000669
Provider NameRobert M Weiss
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1164405130
PECOS PAC ID: 5092754150
Enrollment ID: I20050427001330
Provider NameNancy A Jurczak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245461235
PECOS PAC ID: 8123067238
Enrollment ID: I20050428000255
Provider NameThomas P Kaegi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578552121
PECOS PAC ID: 6901798784
Enrollment ID: I20050502001172
Provider NameRoss C Reel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891723011
PECOS PAC ID: 5799724316
Enrollment ID: I20050503000204
Provider NameCristina J Diaz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1144214867
PECOS PAC ID: 7416997002
Enrollment ID: I20050503000787
Provider NameSusan K Millet
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730270240
PECOS PAC ID: 1850331455
Enrollment ID: I20050503000894
Provider NameJonathan R Ellis
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1932155637
PECOS PAC ID: 4880667187
Enrollment ID: I20050503000907
Provider NameChristina L Wei
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639167257
PECOS PAC ID: 0749220317
Enrollment ID: I20050504000031
Provider NameCarol A Burd
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114998036
PECOS PAC ID: 2961442769
Enrollment ID: I20050511000632
Provider NameAnne M Mccaffrey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639149404
PECOS PAC ID: 2466493994
Enrollment ID: I20050516000365
Provider NameDeborah M Jonas
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932106143
PECOS PAC ID: 3870534936
Enrollment ID: I20050518001139
Provider NameCatherine M Devine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770557142
PECOS PAC ID: 2163463951
Enrollment ID: I20050523000291
Provider NameBrian B Bloom
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164403580
PECOS PAC ID: 6406898154
Enrollment ID: I20050524000364
Provider NameAndrea M Forde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760451025
PECOS PAC ID: 1153363429
Enrollment ID: I20050526000259
Provider NameMelissa C Bartick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841213824
PECOS PAC ID: 7719920651
Enrollment ID: I20050602000339
Provider NameBarbara T Peters
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609834563
PECOS PAC ID: 6709829666
Enrollment ID: I20050602000478
Provider NameAhmed S Basheer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467416958
PECOS PAC ID: 2365485091
Enrollment ID: I20050603000699
Provider NameMarilyn S Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003813536
PECOS PAC ID: 1254375520
Enrollment ID: I20050616001189
Provider NameKaren C Dasilva
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851364889
PECOS PAC ID: 6305880691
Enrollment ID: I20050617000041
Provider NameStewart H Lecker
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1184661134
PECOS PAC ID: 7113961327
Enrollment ID: I20050617000287
Provider NameRobert G Atkind
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831236405
PECOS PAC ID: 4789629619
Enrollment ID: I20050622000305
Provider NameDebra A Bradford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043289200
PECOS PAC ID: 7911942446
Enrollment ID: I20050624000152
Provider NameHelen C Jenest
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407857378
PECOS PAC ID: 4183669575
Enrollment ID: I20050627000358
Provider NameSuzanne L Russell-curtis
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1679797708
PECOS PAC ID: 0042255440
Enrollment ID: I20050627000432
Provider NameHelen P Mastro
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1730152638
PECOS PAC ID: 8224073549
Enrollment ID: I20050627000734
Provider NameNancy S Loughridge
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1386715878
PECOS PAC ID: 7911943105
Enrollment ID: I20050628000844
Provider NameSharon A Siwiec
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548226731
PECOS PAC ID: 0941246045
Enrollment ID: I20050629000368
Provider NameMary R Connolly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447365515
PECOS PAC ID: 2668418708
Enrollment ID: I20050629000650
Provider NameLynne B Markinac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710956354
PECOS PAC ID: 0648216796
Enrollment ID: I20050629000750
Provider NameMary E Cain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053372813
PECOS PAC ID: 1052357126
Enrollment ID: I20050629000864
Provider NamePatricia A Moran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174583223
PECOS PAC ID: 2769428838
Enrollment ID: I20050629000877
Provider NameJohn Danziger
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1730161142
PECOS PAC ID: 4789650284
Enrollment ID: I20050629000917
Provider NameCheryl Y Boland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528037132
PECOS PAC ID: 5395781157
Enrollment ID: I20050701000085
Provider NameSandra S Yoon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164402954
PECOS PAC ID: 3678519485
Enrollment ID: I20050701000465
Provider NameJohn B Lazor
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1821089921
PECOS PAC ID: 6709822281
Enrollment ID: I20050706000871
Provider NameJanine Clifford Murphy
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1942270368
PECOS PAC ID: 3577509900
Enrollment ID: I20050707000214
Provider NameEllen S Sigman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306947668
PECOS PAC ID: 0648216085
Enrollment ID: I20050707000248
Provider NameJonathan S Friedes
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1780606160
PECOS PAC ID: 6103862578
Enrollment ID: I20050707000495
Provider NameTatiana Slavsky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124060736
PECOS PAC ID: 4688610066
Enrollment ID: I20050707000567
Provider NameCharles T Buzanis
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1487764965
PECOS PAC ID: 2264478569
Enrollment ID: I20050707000766
Provider NameGigi L Anchan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1346225208
PECOS PAC ID: 2860428083
Enrollment ID: I20050711000512
Provider NameEric M Anderson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1205812443
PECOS PAC ID: 4284660150
Enrollment ID: I20050712000682
Provider NamePhoebe S Lewit Olhava
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568414696
PECOS PAC ID: 0042246936
Enrollment ID: I20050712000904
Provider NameHyman Glick
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1699830075
PECOS PAC ID: 5799711198
Enrollment ID: I20050715000825
Provider NameChristopher M Andreoli
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1134112188
PECOS PAC ID: 9739116831
Enrollment ID: I20050720000629
Provider NameSonia Beauvais
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891733218
PECOS PAC ID: 7315974078
Enrollment ID: I20050725000547
Provider NameAlan H Green
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1689698441
PECOS PAC ID: 2062449671
Enrollment ID: I20050725001012
Provider NameMadeline Figueroa
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1316986409
PECOS PAC ID: 9638106255
Enrollment ID: I20050725001073
Provider NameMichele Coviello
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558441105
PECOS PAC ID: 2860429412
Enrollment ID: I20050726000090
Provider NameJoann S Ganim
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568440477
PECOS PAC ID: 2567499148
Enrollment ID: I20050726000267
Provider NameMelinda D Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033111711
PECOS PAC ID: 0042248569
Enrollment ID: I20050727000209
Provider NameSheena John
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396784823
PECOS PAC ID: 8123056504
Enrollment ID: I20050727000711
Provider NameKara K Erdody
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982673240
PECOS PAC ID: 4587692991
Enrollment ID: I20050727000958
Provider NamePatricia E Tonra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487710836
PECOS PAC ID: 3375571748
Enrollment ID: I20050728000196
Provider NameJung Yoon Choi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801995055
PECOS PAC ID: 9032147301
Enrollment ID: I20050728000275
Provider NameMargaret Ullmann Weil
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1952374894
PECOS PAC ID: 3779511704
Enrollment ID: I20050801000796
Provider NameYanping Wen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295767721
PECOS PAC ID: 1355379264
Enrollment ID: I20050802000303
Provider NameJoseph C Hannan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1275513822
PECOS PAC ID: 5193767408
Enrollment ID: I20050802000643
Provider NameKee Y Chung
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356329148
PECOS PAC ID: 8426086018
Enrollment ID: I20050804000029
Provider NamePamela Lee Mok
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134107733
PECOS PAC ID: 3476581067
Enrollment ID: I20050804000059
Provider NameMichael S Glazier
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306824941
PECOS PAC ID: 4385673912
Enrollment ID: I20050804000424
Provider NameDavid B Rubin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225065493
PECOS PAC ID: 4587694211
Enrollment ID: I20050812000746
Provider NameRiad K Mortada
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902974256
PECOS PAC ID: 1456381094
Enrollment ID: I20050815000202
Provider NameOurania G Madias
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891742698
PECOS PAC ID: 2264462282
Enrollment ID: I20050818000544
Provider NameSteven Lampert
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1457364176
PECOS PAC ID: 0143250092
Enrollment ID: I20050819000527
Provider NameKaren J Allard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194719245
PECOS PAC ID: 0143250977
Enrollment ID: I20050822000180
Provider NameMichael P Kenney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306800875
PECOS PAC ID: 6406887298
Enrollment ID: I20050822000725
Provider NameDaniel G Tarlin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124130091
PECOS PAC ID: 9830120542
Enrollment ID: I20050823000313
Provider NameChristopher A Teitleman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457352338
PECOS PAC ID: 2466483136
Enrollment ID: I20050823000797
Provider NameSung K Anderson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891793766
PECOS PAC ID: 5991736548
Enrollment ID: I20050824000357
Provider NameJeffrey R Garber
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1841230372
PECOS PAC ID: 7618908666
Enrollment ID: I20050830000082
Provider NameJames E Phillips
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1912988189
PECOS PAC ID: 3577594464
Enrollment ID: I20050831000058
Provider NameJulie L Stepanian
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558358408
PECOS PAC ID: 0042242919
Enrollment ID: I20050831000732
Provider NameChristopher P Deangelis
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376534388
PECOS PAC ID: 4486686151
Enrollment ID: I20050901000647
Provider NameDonald G Keamy
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1568453660
PECOS PAC ID: 9436181955
Enrollment ID: I20050906000933
Provider NameJohn S Whyman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164480315
PECOS PAC ID: 5496787855
Enrollment ID: I20050907000175
Provider NameConstance S Barr
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740280643
PECOS PAC ID: 7416980404
Enrollment ID: I20050912000056
Provider NameJohn J Adams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699875161
PECOS PAC ID: 1052344041
Enrollment ID: I20050912000059
Provider NameMark J Eubanks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619955465
PECOS PAC ID: 5991738817
Enrollment ID: I20050912001245
Provider NameAnne Kofke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396961934
PECOS PAC ID: 4789617655
Enrollment ID: I20050913000218
Provider NameRichard H Blair
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225075914
PECOS PAC ID: 1951334184
Enrollment ID: I20050916000840
Provider NameAlan D Brush
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043281942
PECOS PAC ID: 2769415868
Enrollment ID: I20050917000397
Provider NameMark B Stockman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518975267
PECOS PAC ID: 4385677483
Enrollment ID: I20050917000407
Provider NameMary S Tarmina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427019017
PECOS PAC ID: 5294769006
Enrollment ID: I20050921000710
Provider NameRichard H Feit
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1003842055
PECOS PAC ID: 0840224499
Enrollment ID: I20050922000732
Provider NameWalid G Bader
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134184161
PECOS PAC ID: 6204860562
Enrollment ID: I20050926000702
Provider NameMahnoosh Eslami
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871545509
PECOS PAC ID: 6800820002
Enrollment ID: I20050926001069
Provider NamePaul J Feiss
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336113067
PECOS PAC ID: 4385679562
Enrollment ID: I20050927001395
Provider NameMary A Fischer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760525646
PECOS PAC ID: 9436184306
Enrollment ID: I20050929000040
Provider NameJames P Roseto
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194768531
PECOS PAC ID: 1759316540
Enrollment ID: I20050929001093
Provider NameVera T Fajtova
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1750491312
PECOS PAC ID: 4082649751
Enrollment ID: I20050930000507
Provider NameRebecca K Schwartz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679518526
PECOS PAC ID: 2163457797
Enrollment ID: I20051003000012
Provider NameMaitreyi G Sharma
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1174570543
PECOS PAC ID: 7719912153
Enrollment ID: I20051004000851
Provider NameArun Mukherjee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205817806
PECOS PAC ID: 4880619048
Enrollment ID: I20051007000116
Provider NameSteven J Shields
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1336235324
PECOS PAC ID: 3173549011
Enrollment ID: I20051019000976
Provider NameEyiuche N Okeke
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1275502890
PECOS PAC ID: 9537185335
Enrollment ID: I20051020000935
Provider NameJoyce N Callaghan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154474575
PECOS PAC ID: 8123044617
Enrollment ID: I20051024000831
Provider NameAntoine W Badlissi
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1912995945
PECOS PAC ID: 0648297143
Enrollment ID: I20051024001030
Provider NamePrashant Wadhwa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609855865
PECOS PAC ID: 3072530146
Enrollment ID: I20051027000933
Provider NameElizabeth Kass
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710906169
PECOS PAC ID: 1951328897
Enrollment ID: I20051029000115
Provider NameAndrew W Chapman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1144214776
PECOS PAC ID: 5193743565
Enrollment ID: I20051103000857
Provider NameMichael K. Pinnolis
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1700860475
PECOS PAC ID: 1850319195
Enrollment ID: I20051105000037
Provider NameEvan B Gold
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760441034
PECOS PAC ID: 6204818883
Enrollment ID: I20051105000230
Provider NameNancy G Houser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548229420
PECOS PAC ID: 1759309966
Enrollment ID: I20051107000334
Provider NameNicolette C Fontaine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841287174
PECOS PAC ID: 0446278592
Enrollment ID: I20051107000798
Provider NameVenkata G Satyam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851344774
PECOS PAC ID: 5890713978
Enrollment ID: I20051107001109
Provider NameArtur Zembowicz
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1285610014
PECOS PAC ID: 9931127883
Enrollment ID: I20051109000346
Provider NameKambiz Zandi Nejad
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1164469789
PECOS PAC ID: 4981623147
Enrollment ID: I20051116000765
Provider NameKam Ling L Ma
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1033232376
PECOS PAC ID: 2567482250
Enrollment ID: I20051123000581
Provider NameDianne Healy Quadros
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1376528992
PECOS PAC ID: 1658391008
Enrollment ID: I20051130000180
Provider NameJoan Handel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376502526
PECOS PAC ID: 0143240564
Enrollment ID: I20051130000712
Provider NameGregory A Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942213509
PECOS PAC ID: 2264452523
Enrollment ID: I20051201000118
Provider NameBeverly E Ketchen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689633489
PECOS PAC ID: 2668493594
Enrollment ID: I20051207000705
Provider NameCecilia M Mullen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538160684
PECOS PAC ID: 3678594512
Enrollment ID: I20051207000774
Provider NameKalana K Mordarski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396704003
PECOS PAC ID: 6406877224
Enrollment ID: I20051208000443
Provider NameChristine G Florence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699744979
PECOS PAC ID: 4789605544
Enrollment ID: I20051208000686
Provider NamePaula J Cassford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275513525
PECOS PAC ID: 1658305057
Enrollment ID: I20051208000807
Provider NameDonna L Gerry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871552836
PECOS PAC ID: 2961423413
Enrollment ID: I20051212000578
Provider NameSusan Louise Adamson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316916604
PECOS PAC ID: 3577584960
Enrollment ID: I20051213000599
Provider NameJonathan S Levine
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1497812101
PECOS PAC ID: 1759302144
Enrollment ID: I20051213000605
Provider NameJennifer H Lee
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1457398653
PECOS PAC ID: 6800819855
Enrollment ID: I20060105000503
Provider NameNathan W Samuels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184638629
PECOS PAC ID: 6608899547
Enrollment ID: I20060106000344
Provider NameHazel E Dunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487613576
PECOS PAC ID: 8224051586
Enrollment ID: I20060112000592
Provider NameMonica S Ruehli
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1477622959
PECOS PAC ID: 9335163427
Enrollment ID: I20060117000081
Provider NameElizabeth B Caronna
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174514855
PECOS PAC ID: 7810911864
Enrollment ID: I20060118000318
Provider NameSusan Bove
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497719124
PECOS PAC ID: 2466476353
Enrollment ID: I20060118000671
Provider NameRichard E Whitehead
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811958648
PECOS PAC ID: 7416946116
Enrollment ID: I20060120000324
Provider NameJoanne Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174592497
PECOS PAC ID: 1355365040
Enrollment ID: I20060120000544
Provider NameGail M Libowsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255390019
PECOS PAC ID: 4183648892
Enrollment ID: I20060120000691
Provider NameMargaret A Duggan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467671313
PECOS PAC ID: 5193749752
Enrollment ID: I20060123000109
Provider NameCarmen I Cuevas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437207289
PECOS PAC ID: 6901820588
Enrollment ID: I20060123000308
Provider NameLinda A Campelia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477522647
PECOS PAC ID: 7911921440
Enrollment ID: I20060123000883
Provider NameWen Yee Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396701777
PECOS PAC ID: 0648294116
Enrollment ID: I20060124000074
Provider NameJianjun J Wu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952371650
PECOS PAC ID: 4284658675
Enrollment ID: I20060125000039
Provider NameMegan J Collyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215097464
PECOS PAC ID: 9133143407
Enrollment ID: I20060125000738
Provider NamePaula J Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144227554
PECOS PAC ID: 2466466818
Enrollment ID: I20060206000572
Provider NameNancy T. Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023043932
PECOS PAC ID: 3072528439
Enrollment ID: I20060207000633
Provider NameAngela D Mergel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073577722
PECOS PAC ID: 9638184401
Enrollment ID: I20060215000425
Provider NameMarina Freyman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215916408
PECOS PAC ID: 8921014440
Enrollment ID: I20060221000618
Provider NameJennifer L Bell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225128291
PECOS PAC ID: 7012923303
Enrollment ID: I20060223000429
Provider NameJeanine E Marrocco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023002649
PECOS PAC ID: 8729094818
Enrollment ID: I20060227000605
Provider NameJameila Y Haddawi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134195787
PECOS PAC ID: 2860472537
Enrollment ID: I20060309000088
Provider NameJessica R Rubinstein
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003805599
PECOS PAC ID: 1052328416
Enrollment ID: I20060310000089
Provider NameElisa L Valente
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1316999683
PECOS PAC ID: 9830106293
Enrollment ID: I20060310000130
Provider NameMary K Barker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215908132
PECOS PAC ID: 4486662764
Enrollment ID: I20060328000628
Provider NameDonald M Moore
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1558437244
PECOS PAC ID: 0446292502
Enrollment ID: I20060330000634
Provider NameJack S Krushell
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1558328609
PECOS PAC ID: 0042228116
Enrollment ID: I20060331000057
Provider NameJames L Hayes
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548226517
PECOS PAC ID: 0143238253
Enrollment ID: I20060331000291
Provider NameMei L Mellott
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1427095470
PECOS PAC ID: 9436167418
Enrollment ID: I20060403000345
Provider NameMichael S Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457345175
PECOS PAC ID: 7810906617
Enrollment ID: I20060405000640
Provider NameRonald B Etskovitz
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1578587085
PECOS PAC ID: 6709895535
Enrollment ID: I20060406000191
Provider NameSanjay Shrivastava
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1639187479
PECOS PAC ID: 8224047071
Enrollment ID: I20060406000327
Provider NameJoyce R Child
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1003822529
PECOS PAC ID: 0840209607
Enrollment ID: I20060406000447
Provider NameHolly M Thomas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114020328
PECOS PAC ID: 1456360072
Enrollment ID: I20060410000654
Provider NameHolly L Hunt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770725251
PECOS PAC ID: 6709895048
Enrollment ID: I20060413000291
Provider NameRene S Psichos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184621617
PECOS PAC ID: 5092724344
Enrollment ID: I20060413000377
Provider NameAllison Goodman Orourke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083689467
PECOS PAC ID: 4486663622
Enrollment ID: I20060417000144
Provider NameMichael H Ayer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770649584
PECOS PAC ID: 6406865658
Enrollment ID: I20060417000221
Provider NameJillien Lochridge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043272156
PECOS PAC ID: 9133138209
Enrollment ID: I20060418000542
Provider NameHelen M Dajer
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1326145996
PECOS PAC ID: 8123037041
Enrollment ID: I20060420000253
Provider NameJean M Sarno
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841254364
PECOS PAC ID: 1850301755
Enrollment ID: I20060421000170
Provider NameNuala A Heespelink
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679536569
PECOS PAC ID: 0648280594
Enrollment ID: I20060424000002
Provider NameKaren E Mccarthy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386608503
PECOS PAC ID: 2466462312
Enrollment ID: I20060424000004
Provider NameLisa S Mckeown
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1467550137
PECOS PAC ID: 4183634033
Enrollment ID: I20060424000007
Provider NameSteven A Morgenstern
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053377390
PECOS PAC ID: 3274543517
Enrollment ID: I20060501000493
Provider NameMead F Northrop
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982630968
PECOS PAC ID: 8123039997
Enrollment ID: I20060508000595
Provider NameRaj R Gupta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346215605
PECOS PAC ID: 6305857160
Enrollment ID: I20060509000359
Provider NameSharlene W Wing
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629032099
PECOS PAC ID: 5799796314
Enrollment ID: I20060511000059
Provider NameDenise L Farrell-sanseverino
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1760532378
PECOS PAC ID: 2062423502
Enrollment ID: I20060511000228
Provider NameLinda M Rice
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1780737593
PECOS PAC ID: 7315958865
Enrollment ID: I20060511000295
Provider NameMichael S Shusterman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780680488
PECOS PAC ID: 9739190299
Enrollment ID: I20060511000337
Provider NameElizabeth N Bwogi
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1699721571
PECOS PAC ID: 9830100163
Enrollment ID: I20060525000159
Provider NameRebecca M Joyce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053366450
PECOS PAC ID: 9436161122
Enrollment ID: I20060621000059
Provider NameMandira Ray
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1659338606
PECOS PAC ID: 9931112927
Enrollment ID: I20060714000273
Provider NameDyan Bhatia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376590950
PECOS PAC ID: 1254304553
Enrollment ID: I20060801000068
Provider NameElisabeth S Herron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154364404
PECOS PAC ID: 7810900123
Enrollment ID: I20060802000402
Provider NameArash Tabaee
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1962499608
PECOS PAC ID: 6507828878
Enrollment ID: I20060810000417
Provider NameAmanda K Geary
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740236421
PECOS PAC ID: 2062415946
Enrollment ID: I20060815000021
Provider NameSamar Choubah
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1588698245
PECOS PAC ID: 5991738122
Enrollment ID: I20060818000055
Provider NameDavid S Yassa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013951656
PECOS PAC ID: 8820092802
Enrollment ID: I20060905000554
Provider NameCarol Hong Richon
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1255374872
PECOS PAC ID: 2769486406
Enrollment ID: I20060911000620
Provider NameSarah B Zifcak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952369555
PECOS PAC ID: 4486659778
Enrollment ID: I20060920000077
Provider NamePriya T Wagner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912963554
PECOS PAC ID: 4880699073
Enrollment ID: I20060921000366
Provider NameStephen J Ferzoco
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1508823808
PECOS PAC ID: 2466457338
Enrollment ID: I20060927000411
Provider NameKatherine J Hanaway
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1457375727
PECOS PAC ID: 1850396771
Enrollment ID: I20060928000263
Provider NameElliot D Suarez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073595294
PECOS PAC ID: 4587669312
Enrollment ID: I20060928000463
Provider NameCecilia T Hurst
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1033177795
PECOS PAC ID: 6002812500
Enrollment ID: I20061005000408
Provider NameJulie A Krutiak
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1487677043
PECOS PAC ID: 1153327614
Enrollment ID: I20061006000273
Provider NameAnil R Gullapalli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144272659
PECOS PAC ID: 2860407392
Enrollment ID: I20061006000334
Provider NameAllison T Leonard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497706899
PECOS PAC ID: 2567421027
Enrollment ID: I20061017000357
Provider NameMichael S Whitner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730159971
PECOS PAC ID: 0648277798
Enrollment ID: I20061102000096
Provider NameDavid W Kindelberger
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1518985035
PECOS PAC ID: 4082611827
Enrollment ID: I20061108000578
Provider NameSvetlana A Shkuratov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255347597
PECOS PAC ID: 0042218786
Enrollment ID: I20061113000489
Provider NameJeanine G Reczek
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1417044553
PECOS PAC ID: 7911905963
Enrollment ID: I20061129000366
Provider NameSigal Dagiely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295813509
PECOS PAC ID: 1850399858
Enrollment ID: I20061130000252
Provider NameAnne B Dixon
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205881794
PECOS PAC ID: 0345265849
Enrollment ID: I20061202000104
Provider NameMeredith P Gilson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528058781
PECOS PAC ID: 1658371455
Enrollment ID: I20061229000159
Provider NameClemence St-cyr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598867087
PECOS PAC ID: 9436159928
Enrollment ID: I20070108000046
Provider NameSreelekha Gopinath
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497853337
PECOS PAC ID: 1850391921
Enrollment ID: I20070115000121
Provider NameRamya Prabhakar
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1194751396
PECOS PAC ID: 0941202741
Enrollment ID: I20070207000512
Provider NameJudith E Paprin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881754398
PECOS PAC ID: 5193827426
Enrollment ID: I20070216000391
Provider NameJulie L Wentworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487719951
PECOS PAC ID: 7315049376
Enrollment ID: I20070221000350
Provider NameJeffrey R Ristaino
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629058979
PECOS PAC ID: 7113020058
Enrollment ID: I20070313000496
Provider NameMichelle M Barr
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720142714
PECOS PAC ID: 5092810622
Enrollment ID: I20070410000449
Provider NamePeggy P. Chou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528056520
PECOS PAC ID: 1951331255
Enrollment ID: I20070413000351
Provider NameJeffrey Gorvine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376553636
PECOS PAC ID: 9931189248
Enrollment ID: I20070418000413
Provider NameMatthew W Benz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356369763
PECOS PAC ID: 6507962453
Enrollment ID: I20070509000493
Provider NameCaitlin L Mann
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558478164
PECOS PAC ID: 8022115567
Enrollment ID: I20070518000015
Provider NameCatherine C Davis
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366476038
PECOS PAC ID: 9133226558
Enrollment ID: I20070521000059
Provider NameCarolyn L Siegal
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1851459093
PECOS PAC ID: 8022912559
Enrollment ID: I20070522000112
Provider NameRana M Levitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649267766
PECOS PAC ID: 5698872679
Enrollment ID: I20070526000002
Provider NameJahansouz Shokri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710980230
PECOS PAC ID: 3375594526
Enrollment ID: I20070612000835
Provider NameChien H Lin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750399374
PECOS PAC ID: 9032114806
Enrollment ID: I20070612000837
Provider NameMarcus W Tjia
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376605089
PECOS PAC ID: 2961502075
Enrollment ID: I20070702000575
Provider NameGregg A. Miller
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902820756
PECOS PAC ID: 5395845135
Enrollment ID: I20070710000427
Provider NameKaren R Ashworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336276898
PECOS PAC ID: 2860593761
Enrollment ID: I20070723000266
Provider NameDavid R Dobroski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588646061
PECOS PAC ID: 0840381182
Enrollment ID: I20070801000265
Provider NameCaroline Bevona
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1245225044
PECOS PAC ID: 8022109115
Enrollment ID: I20070803000107
Provider NameMichelle J Beaupre
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851303655
PECOS PAC ID: 3870684376
Enrollment ID: I20070814000016
Provider NameBeth E Goldbaum
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1518938620
PECOS PAC ID: 3678665676
Enrollment ID: I20070822000933
Provider NameMandeep S Dhadly
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730144981
PECOS PAC ID: 7719070259
Enrollment ID: I20070829000696
Provider NameDavid E Mcginnis
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1689634115
PECOS PAC ID: 0840266052
Enrollment ID: I20070911000215
Provider NameDahlia S. Riad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396736708
PECOS PAC ID: 1850364167
Enrollment ID: I20070918000342
Provider NameJennifer H Harrington Morrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891906186
PECOS PAC ID: 5395839484
Enrollment ID: I20070920000137
Provider NameCharlene M Weigel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912115387
PECOS PAC ID: 9133213044
Enrollment ID: I20070924000199
Provider NameCarol O Leary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225126832
PECOS PAC ID: 3870688120
Enrollment ID: I20071001000694
Provider NameDonna E Siracuse-lee
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1326023904
PECOS PAC ID: 0446347314
Enrollment ID: I20071025000190
Provider NameHaewook Han
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1053506618
PECOS PAC ID: 4587751672
Enrollment ID: I20071106000837
Provider NameSara L Smoller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306031174
PECOS PAC ID: 4587752225
Enrollment ID: I20071114000284
Provider NameElza M Riedl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245419035
PECOS PAC ID: 2062500424
Enrollment ID: I20071119000210
Provider NameDaniel H Slater
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518947282
PECOS PAC ID: 4284722398
Enrollment ID: I20071126000503
Provider NameNicole M. Lynch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821284456
PECOS PAC ID: 5991894776
Enrollment ID: I20071130000543
Provider NameJeremy J Cook
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1023221082
PECOS PAC ID: 1850481268
Enrollment ID: I20071221000008
Provider NameMarcelo Stephen Sampang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336328566
PECOS PAC ID: 3678653938
Enrollment ID: I20071228000160
Provider NameDebra A Landry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760519979
PECOS PAC ID: 3971683129
Enrollment ID: I20071231000377
Provider NameLakshmi Sivasankar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497799779
PECOS PAC ID: 9739280694
Enrollment ID: I20080104000024
Provider NameChristopher A Dowd
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467436410
PECOS PAC ID: 9931289352
Enrollment ID: I20080110000215
Provider NameEmily K Serrano
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609066794
PECOS PAC ID: 3375624737
Enrollment ID: I20080111000399
Provider NameMythily Meda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649469925
PECOS PAC ID: 3971684887
Enrollment ID: I20080117000133
Provider NameShuchi Gupta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487642732
PECOS PAC ID: 8426130477
Enrollment ID: I20080129000636
Provider NameCharles Chidi W Obasiolu
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1013022078
PECOS PAC ID: 8224111364
Enrollment ID: I20080212000470
Provider NameDaniel S Blander
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1720159627
PECOS PAC ID: 2668556317
Enrollment ID: I20080220000171
Provider NameRose K Felzani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104003797
PECOS PAC ID: 9537244173
Enrollment ID: I20080307000025
Provider NamePascale Carbonara
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194755850
PECOS PAC ID: 1254416514
Enrollment ID: I20080311000282
Provider NameThomas G Cody
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1225104912
PECOS PAC ID: 7214013549
Enrollment ID: I20080326000613
Provider NameJoo Y Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497724173
PECOS PAC ID: 5294811428
Enrollment ID: I20080327000556
Provider NameStephen R Lyle
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1598750234
PECOS PAC ID: 5799862744
Enrollment ID: I20080402000014
Provider NameYevgeniy F Drakhlin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487601118
PECOS PAC ID: 0345349288
Enrollment ID: I20080408000782
Provider NameElizabeth Levine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962412957
PECOS PAC ID: 5799884631
Enrollment ID: I20080409000023
Provider NameBeth A Cerce
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386668796
PECOS PAC ID: 5890894737
Enrollment ID: I20080409000025
Provider NameMary F Plantamura
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1003088121
PECOS PAC ID: 9032297957
Enrollment ID: I20080417000403
Provider NameJyoti Yadav
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1154402956
PECOS PAC ID: 8325083629
Enrollment ID: I20080506000686
Provider NameEric D Cortell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992791545
PECOS PAC ID: 1850491093
Enrollment ID: I20080509000297
Provider NameBryan Clark Bordeaux
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972560696
PECOS PAC ID: 5092721126
Enrollment ID: I20080521000258
Provider NameTonya M Spinale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457526006
PECOS PAC ID: 3173692621
Enrollment ID: I20080523000140
Provider NameJoanne M Wilkinson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174571020
PECOS PAC ID: 4082783543
Enrollment ID: I20080523000233
Provider NameKasia Filipek Moskal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1982702957
PECOS PAC ID: 4284710898
Enrollment ID: I20080605000829
Provider NameLaurie A Tarnell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497752034
PECOS PAC ID: 5799855359
Enrollment ID: I20080609000483
Provider NameBrian Stephen Dona
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952379976
PECOS PAC ID: 3779654785
Enrollment ID: I20080619000093
Provider NameMary E Odegaard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942291349
PECOS PAC ID: 8921170044
Enrollment ID: I20080708000018
Provider NameKapil Kumar
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1972602282
PECOS PAC ID: 7315019239
Enrollment ID: I20080709000227
Provider NameElisa I Choi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942268362
PECOS PAC ID: 3870665771
Enrollment ID: I20080710000015
Provider NameClaire Cronin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1720084833
PECOS PAC ID: 6204934581
Enrollment ID: I20080715000109
Provider NameKatrina Klaus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295841427
PECOS PAC ID: 9032282637
Enrollment ID: I20080715000569
Provider NameAngela V Turalba
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1992853220
PECOS PAC ID: 9133293996
Enrollment ID: I20080729000140
Provider NameMary A Vadnais
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1265605174
PECOS PAC ID: 7719051416
Enrollment ID: I20080729000562
Provider NameMirza Baig
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780683276
PECOS PAC ID: 7618939521
Enrollment ID: I20080730000607
Provider NameAshley D Eaton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700899200
PECOS PAC ID: 8426067190
Enrollment ID: I20080801000183
Provider NameEffie O'donnell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033253695
PECOS PAC ID: 9032283353
Enrollment ID: I20080805000584
Provider NameFern A Wirth
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1982692240
PECOS PAC ID: 9234203415
Enrollment ID: I20080806000361
Provider NameRachel Agrin-silva
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1083898753
PECOS PAC ID: 2264506278
Enrollment ID: I20080808000067
Provider NameAllen D Hamdan
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1164489217
PECOS PAC ID: 3779658596
Enrollment ID: I20080813000611
Provider NameAaron M Levine
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1619032315
PECOS PAC ID: 7214029339
Enrollment ID: I20080820000064
Provider NameJames P Hahn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194881052
PECOS PAC ID: 9436224847
Enrollment ID: I20080820000232
Provider NameLisa Larsson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326029638
PECOS PAC ID: 7113092149
Enrollment ID: I20080826000428
Provider NamePatrick L Bessette
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194816447
PECOS PAC ID: 5890860837
Enrollment ID: I20080826000480
Provider NameHilda Y Yue
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790946523
PECOS PAC ID: 6507932159
Enrollment ID: I20080904000425
Provider NameDawn R Osborne
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225050743
PECOS PAC ID: 9739255910
Enrollment ID: I20080912000177
Provider NameAnna W Rosenquist
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1922134758
PECOS PAC ID: 3375610140
Enrollment ID: I20080919000267
Provider NameNeely L Hines
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1225201114
PECOS PAC ID: 4385711043
Enrollment ID: I20080922000411
Provider NameJennifer L Shaw
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1427123157
PECOS PAC ID: 1759458375
Enrollment ID: I20080924000328
Provider NameThomas Isaac
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811939374
PECOS PAC ID: 8325115835
Enrollment ID: I20080925000398
Provider NameDhrumil Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194985846
PECOS PAC ID: 5395812606
Enrollment ID: I20080927000161
Provider NameElizabeth M Stankiewicz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528214772
PECOS PAC ID: 1557439197
Enrollment ID: I20081008000841
Provider NameRachael F Fawcett
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1801879945
PECOS PAC ID: 6507934007
Enrollment ID: I20081010000476
Provider NameScott W Mcdonough
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902058647
PECOS PAC ID: 7012085327
Enrollment ID: I20081014000023
Provider NameTammy J Boecher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639216138
PECOS PAC ID: 8729146063
Enrollment ID: I20081015000391
Provider NameDavid Z Grace
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619043304
PECOS PAC ID: 8820030984
Enrollment ID: I20081020000045
Provider NameJustin B Smith
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1437329190
PECOS PAC ID: 4789742404
Enrollment ID: I20081024000454
Provider NameMeghan K Bride
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710062161
PECOS PAC ID: 1052417359
Enrollment ID: I20081027000184
Provider NameMridul A Kontamwar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477743870
PECOS PAC ID: 9032277629
Enrollment ID: I20081027000333
Provider NameMarshall S Katz
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1124024013
PECOS PAC ID: 4183712961
Enrollment ID: I20081103000061
Provider NameMahmoud Moawad Elnaa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689860215
PECOS PAC ID: 6204995475
Enrollment ID: I20081103000159
Provider NameAnila G Jacob
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700829348
PECOS PAC ID: 2365473899
Enrollment ID: I20081104000297
Provider NameObli Cm Mani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174584908
PECOS PAC ID: 9234184870
Enrollment ID: I20081105000594
Provider NameCaroline Winneg
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1073779062
PECOS PAC ID: 6800805722
Enrollment ID: I20081106000685
Provider NameSarah M Kleinman
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1881843324
PECOS PAC ID: 8426117318
Enrollment ID: I20081106000749
Provider NameMaureen Marre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316059785
PECOS PAC ID: 1052470820
Enrollment ID: I20081107000583
Provider NameHenrietta Kernan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265585202
PECOS PAC ID: 0345309001
Enrollment ID: I20081110000591
Provider NameAmy N Ship
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972523397
PECOS PAC ID: 8426118407
Enrollment ID: I20081120000486
Provider NameSamy S Sidhom
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1043474208
PECOS PAC ID: 5496815482
Enrollment ID: I20081120000513
Provider NameCaitlin E Polillio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508083213
PECOS PAC ID: 5890855803
Enrollment ID: I20081120000756
Provider NameDaniel C Randall
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407866171
PECOS PAC ID: 2567355399
Enrollment ID: I20081128000001
Provider NameMark Vecchiotti
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1184640450
PECOS PAC ID: 5496835035
Enrollment ID: I20081206000144
Provider NameCynthia L Mazzoni
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588620892
PECOS PAC ID: 9032271127
Enrollment ID: I20081226000016
Provider NameRoberto D Cavalieros
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1649289133
PECOS PAC ID: 4082695499
Enrollment ID: I20081226000212
Provider NameEvelyn T. Kelly
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1497927685
PECOS PAC ID: 2567526221
Enrollment ID: I20090126000447
Provider NameBethany A Dunn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659578029
PECOS PAC ID: 5294899662
Enrollment ID: I20090129000355
Provider NameWedad Almasri
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598728297
PECOS PAC ID: 3971568981
Enrollment ID: I20090131000035
Provider NameLeonid Shturman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1104851435
PECOS PAC ID: 3678638343
Enrollment ID: I20090212000121
Provider NameMarina M Alfisher
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1417925207
PECOS PAC ID: 4284799735
Enrollment ID: I20090217000156
Provider NameMeaghan Luther
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184861643
PECOS PAC ID: 5698830099
Enrollment ID: I20090219000059
Provider NameDerek D Lichter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578700563
PECOS PAC ID: 1850457268
Enrollment ID: I20090311000109
Provider NameMollie K. Sherry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932256070
PECOS PAC ID: 6406903632
Enrollment ID: I20090406000124
Provider NameHan-ting Lin
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1114019148
PECOS PAC ID: 6204914542
Enrollment ID: I20090429000632
Provider NameSean Sheeran
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1689627614
PECOS PAC ID: 4880763036
Enrollment ID: I20090504000245
Provider NameMartin M Dolan
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1326088386
PECOS PAC ID: 5092711184
Enrollment ID: I20090505000049
Provider NameDaniel A Chapman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215171228
PECOS PAC ID: 9739238205
Enrollment ID: I20090513000310
Provider NameBita Tabesh
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1033156708
PECOS PAC ID: 2961551056
Enrollment ID: I20090520000258
Provider NameErynn B Yang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1114135746
PECOS PAC ID: 5799835468
Enrollment ID: I20090618000458
Provider NameBruno J West
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720286073
PECOS PAC ID: 9931270337
Enrollment ID: I20090618000549
Provider NameSandra A Quintal
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1568602613
PECOS PAC ID: 2365593613
Enrollment ID: I20090625000563
Provider NameNiamh Carroll
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023149069
PECOS PAC ID: 0648321539
Enrollment ID: I20090707000160
Provider NameJasmin F Bhathena
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386626299
PECOS PAC ID: 4284786005
Enrollment ID: I20090708000702
Provider NameBeth J Plante
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1245259654
PECOS PAC ID: 4486707833
Enrollment ID: I20090801000036
Provider NameAnisha Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588866990
PECOS PAC ID: 5991859910
Enrollment ID: I20090810000653
Provider NameDana H Sackton
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1194942821
PECOS PAC ID: 3072667757
Enrollment ID: I20090814000104
Provider NameNancy Kim
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1396809885
PECOS PAC ID: 2365543832
Enrollment ID: I20090818000678
Provider NameGiovanna Leddy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295992600
PECOS PAC ID: 6709931520
Enrollment ID: I20090831000627
Provider NameChristopher Baranano
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1245449552
PECOS PAC ID: 2466508569
Enrollment ID: I20090915000158
Provider NameSabrina S Selim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760602114
PECOS PAC ID: 4082760103
Enrollment ID: I20090915000366
Provider NameJoseph P Deangelis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528247731
PECOS PAC ID: 5597837252
Enrollment ID: I20090919000059
Provider NameKara A Chisholm
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1548485741
PECOS PAC ID: 9234285693
Enrollment ID: I20090926000076
Provider NamePeter Britton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184695082
PECOS PAC ID: 4789720905
Enrollment ID: I20091001000364
Provider NameClara Dina Cokonis
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1013174903
PECOS PAC ID: 6800963240
Enrollment ID: I20091028000130
Provider NameMegan R Mays
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083751937
PECOS PAC ID: 0648318006
Enrollment ID: I20091105000424
Provider NameRoberto Mastroianni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174856744
PECOS PAC ID: 7618015991
Enrollment ID: I20091105000630
Provider NameTracy A Deleskey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942534003
PECOS PAC ID: 9931247277
Enrollment ID: I20091106000442
Provider NameDemetra M Panomitros
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366588626
PECOS PAC ID: 0244295285
Enrollment ID: I20091113000065
Provider NameAlla Borisovna Sherer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427383637
PECOS PAC ID: 6800935388
Enrollment ID: I20091121000021
Provider NameWen-chih Shih
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619931771
PECOS PAC ID: 3375682198
Enrollment ID: I20091208000031
Provider NameJennifer C Millen
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1831221795
PECOS PAC ID: 2264572866
Enrollment ID: I20091211000439
Provider NameJean J Kim
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1447258736
PECOS PAC ID: 4880734151
Enrollment ID: I20091217000075
Provider NameAndre Dejam
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1467594259
PECOS PAC ID: 5890835854
Enrollment ID: I20091223000059
Provider NameMarie G Cantave-ayer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124354691
PECOS PAC ID: 1951442714
Enrollment ID: I20091231000130
Provider NameColleen Silva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508192303
PECOS PAC ID: 3072654672
Enrollment ID: I20100105000155
Provider NameKathleen S Murphy
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1376513747
PECOS PAC ID: 7315088317
Enrollment ID: I20100113000547
Provider NameRachel A Perla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245202191
PECOS PAC ID: 8820131717
Enrollment ID: I20100201000248
Provider NameKaren B Shore
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1699975672
PECOS PAC ID: 1850435074
Enrollment ID: I20100225000349
Provider NameIngrid T Katz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043235740
PECOS PAC ID: 6204971401
Enrollment ID: I20100226000279
Provider NameMarcy B Hersh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215918172
PECOS PAC ID: 5698800944
Enrollment ID: I20100312000081
Provider NameMarina Borocov
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326372483
PECOS PAC ID: 8820123185
Enrollment ID: I20100312000145
Provider NameSubbuluxmi Natarajan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063599686
PECOS PAC ID: 5799711495
Enrollment ID: I20100315000357
Provider NameDeborah C Fiedler
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1407821895
PECOS PAC ID: 2769510585
Enrollment ID: I20100514000234
Provider NameIrina G Ohanian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154353423
PECOS PAC ID: 2466432760
Enrollment ID: I20100518000256
Provider NameElizabeth S Wade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689902629
PECOS PAC ID: 3274662911
Enrollment ID: I20100519000014
Provider NameTatjana Dujmic
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336289099
PECOS PAC ID: 2365571726
Enrollment ID: I20100522000105
Provider NameDiane G Bourque
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235395773
PECOS PAC ID: 2466581624
Enrollment ID: I20100526000389
Provider NameChristopher W Adams
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1871777615
PECOS PAC ID: 2264562057
Enrollment ID: I20100604000289
Provider NameMary E Coughlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699751123
PECOS PAC ID: 8224168612
Enrollment ID: I20100610001111
Provider NameAudrey Wagner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639127152
PECOS PAC ID: 5395876072
Enrollment ID: I20100624000094
Provider NameNaomi R Feingold
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1467503060
PECOS PAC ID: 0840322137
Enrollment ID: I20100722000327
Provider NameSteven W Paskal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568491454
PECOS PAC ID: 3971635269
Enrollment ID: I20100722000408
Provider NameErika Nielsen Santoro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497913438
PECOS PAC ID: 2365575370
Enrollment ID: I20100728000186
Provider NameKatie C Daley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831175868
PECOS PAC ID: 3072646587
Enrollment ID: I20100804001071
Provider NameJoseph M Ciccone
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1255505574
PECOS PAC ID: 3971636374
Enrollment ID: I20100805000745
Provider NameMary E Colpoys
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881749216
PECOS PAC ID: 9335272616
Enrollment ID: I20100806000729
Provider NameNandini Mani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851303242
PECOS PAC ID: 7214061613
Enrollment ID: I20100820000794
Provider NameErica T Ghosh
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1760696140
PECOS PAC ID: 1254455504
Enrollment ID: I20100824000642
Provider NameDavid A Pace
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871730150
PECOS PAC ID: 6305998378
Enrollment ID: I20100825000198
Provider NameEmily S Kachinsky
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1487807541
PECOS PAC ID: 8921140377
Enrollment ID: I20100830000390
Provider NameMary D Warzynski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316909013
PECOS PAC ID: 3072637586
Enrollment ID: I20100903000513
Provider NameMarlene V Lane
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1194795179
PECOS PAC ID: 7810011343
Enrollment ID: I20100903000722
Provider NameSandeep Jain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417915562
PECOS PAC ID: 7214052109
Enrollment ID: I20100915000949
Provider NameLily S Liu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245435163
PECOS PAC ID: 9032234927
Enrollment ID: I20100915000951
Provider NameFlorian Koci
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1780885285
PECOS PAC ID: 1355466095
Enrollment ID: I20100917000408
Provider NameMartin Tropper November
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1457383978
PECOS PAC ID: 9638294291
Enrollment ID: I20100920000521
Provider NameGeetha K Athappilly
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1730235318
PECOS PAC ID: 9436297868
Enrollment ID: I20100921001116
Provider NameShanthy Sridhar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639121627
PECOS PAC ID: 3274659313
Enrollment ID: I20100927001067
Provider NameEdgar L Ross
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1679538524
PECOS PAC ID: 6204952138
Enrollment ID: I20100928000946
Provider NameShirley W Chung
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174580823
PECOS PAC ID: 5698891471
Enrollment ID: I20100929001135
Provider NameDeborah S Eappen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1114974367
PECOS PAC ID: 1254457047
Enrollment ID: I20100929001244
Provider NameLars C Erickson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518957190
PECOS PAC ID: 7012959059
Enrollment ID: I20100929001420
Provider NamePaul Obrien
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1215978895
PECOS PAC ID: 4587856877
Enrollment ID: I20101005000653
Provider NameEmily G.h. Roan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881890259
PECOS PAC ID: 2264624501
Enrollment ID: I20101005001240
Provider NameCheryl A Brown
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1346306248
PECOS PAC ID: 1153513262
Enrollment ID: I20101007001008
Provider NameNaila Wahid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598762411
PECOS PAC ID: 6901098045
Enrollment ID: I20101007001403
Provider NameRashika S Mathews
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962468868
PECOS PAC ID: 2769674720
Enrollment ID: I20101008000334
Provider NameDeborah N Platek
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1760581334
PECOS PAC ID: 8729270798
Enrollment ID: I20101008000396
Provider NameTeresa A Borkowski
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1568496313
PECOS PAC ID: 5395937361
Enrollment ID: I20101008000501
Provider NameMichael D Klein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619065687
PECOS PAC ID: 2264624261
Enrollment ID: I20101008000787
Provider NameAlfredo J Selim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457395527
PECOS PAC ID: 7012109861
Enrollment ID: I20101012000329
Provider NameRachel E Negris
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942365937
PECOS PAC ID: 8123210986
Enrollment ID: I20101012000571
Provider NameStephen C Kaplan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629236849
PECOS PAC ID: 0547452336
Enrollment ID: I20101012000926
Provider NameAndrew R Angel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417927724
PECOS PAC ID: 5193917896
Enrollment ID: I20101013001026
Provider NameOliver O Kendall
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1649417924
PECOS PAC ID: 4183817745
Enrollment ID: I20101015000438
Provider NameMatthew Philip Bock
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1346494184
PECOS PAC ID: 3274726799
Enrollment ID: I20101015001292
Provider NameScott R Perman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669478368
PECOS PAC ID: 3476746934
Enrollment ID: I20101018000521
Provider NameAnjini Virmani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912959339
PECOS PAC ID: 5991998361
Enrollment ID: I20101018000707
Provider NameAida K Martinez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366647984
PECOS PAC ID: 5698968626
Enrollment ID: I20101021001172
Provider NameEliza M Meade
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1609032382
PECOS PAC ID: 9739372731
Enrollment ID: I20101022000623
Provider NameDiego L. Martinucci Canto
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1811161011
PECOS PAC ID: 0244423135
Enrollment ID: I20101025000093
Provider NameJonathan Peter Bickel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1922134212
PECOS PAC ID: 9032210703
Enrollment ID: I20101025000283
Provider NameJehane C Johnston
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235136508
PECOS PAC ID: 7113110982
Enrollment ID: I20101025001093
Provider NameRunna F Moussa Pervane
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215190087
PECOS PAC ID: 5193919801
Enrollment ID: I20101027000010
Provider NameJayme L Sloan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1487817847
PECOS PAC ID: 9830383892
Enrollment ID: I20101103000822
Provider NameAndrew Scott
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1457567471
PECOS PAC ID: 7810181732
Enrollment ID: I20101104000108
Provider NameStephen D Morris
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073621603
PECOS PAC ID: 8628262540
Enrollment ID: I20101104000121
Provider NameRandi J Kirstein
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538166335
PECOS PAC ID: 5092909804
Enrollment ID: I20101104001334
Provider NamePaul Mathew
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1245495050
PECOS PAC ID: 4981757028
Enrollment ID: I20101105000240
Provider NameJanet Li
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1003882564
PECOS PAC ID: 0547210783
Enrollment ID: I20101105000342
Provider NameMeredith J Mulhearn
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1194927509
PECOS PAC ID: 2163617630
Enrollment ID: I20101110000058
Provider NameMonica Gomez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174585368
PECOS PAC ID: 0345435889
Enrollment ID: I20101110001004
Provider NameCarissa Marie Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821307646
PECOS PAC ID: 2264627132
Enrollment ID: I20101117001009
Provider NameSilvina Padro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528022936
PECOS PAC ID: 4183659055
Enrollment ID: I20101118000192
Provider NameMichele F Greenwald
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1124006754
PECOS PAC ID: 7517153380
Enrollment ID: I20101119000429
Provider NameAllison Keel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114142932
PECOS PAC ID: 1052507787
Enrollment ID: I20101120000166
Provider NameHien Tue Tierney
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1265648919
PECOS PAC ID: 3779770474
Enrollment ID: I20101207000997
Provider NameSara L Ellison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356658769
PECOS PAC ID: 1951598424
Enrollment ID: I20101209000553
Provider NameAlan Barry Weitberg
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1730146036
PECOS PAC ID: 6507804465
Enrollment ID: I20101218000001
Provider NameSusan C Ryan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1942268875
PECOS PAC ID: 1759579311
Enrollment ID: I20101223000136
Provider NameCarol M Mcclendon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144296740
PECOS PAC ID: 8628267176
Enrollment ID: I20110113001015
Provider NameJillian M Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083923130
PECOS PAC ID: 1759560865
Enrollment ID: I20110121000170
Provider NameTroy J Dyer
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1124293394
PECOS PAC ID: 8426129735
Enrollment ID: I20110121000256
Provider NameLindsay J Johnson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1609026129
PECOS PAC ID: 3779762307
Enrollment ID: I20110127000795
Provider NameJeffrey A Yablonski
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962472126
PECOS PAC ID: 9234319518
Enrollment ID: I20110203000147
Provider NameJohn M Kauffman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1720052038
PECOS PAC ID: 0143400275
Enrollment ID: I20110207000982
Provider NameJames A Lombardo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1851390835
PECOS PAC ID: 1052498979
Enrollment ID: I20110215000107
Provider NameTara M Mcquaid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780718429
PECOS PAC ID: 4385825876
Enrollment ID: I20110216000522
Provider NameMargaret R Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568601078
PECOS PAC ID: 7315128303
Enrollment ID: I20110224000025
Provider NameMark P Dematteo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922044015
PECOS PAC ID: 5294916938
Enrollment ID: I20110301000014
Provider NameJennifer L Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083846760
PECOS PAC ID: 0648451393
Enrollment ID: I20110301000144
Provider NameMina Sehizadeh
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124332994
PECOS PAC ID: 8527240753
Enrollment ID: I20110309000996
Provider NameScott D. Hamelin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1427359579
PECOS PAC ID: 1557544608
Enrollment ID: I20110326000020
Provider NameDavid S Cunningham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407158769
PECOS PAC ID: 9537343363
Enrollment ID: I20110401000843
Provider NameLisa M Billings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083916928
PECOS PAC ID: 5890979223
Enrollment ID: I20110411000157
Provider NameSusan Caloggero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174634786
PECOS PAC ID: 2163608902
Enrollment ID: I20110512000500
Provider NameRebecca J Hill
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528037694
PECOS PAC ID: 1658392048
Enrollment ID: I20110519000480
Provider NameDavid T Thu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972818292
PECOS PAC ID: 2860679446
Enrollment ID: I20110608000177
Provider NameElaine E Metcalf
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1649366592
PECOS PAC ID: 6901084896
Enrollment ID: I20110623000484
Provider NameScott F Cameron
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1154645711
PECOS PAC ID: 4082892369
Enrollment ID: I20110711000548
Provider NameAndrew M Allmendinger
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972820942
PECOS PAC ID: 5799953832
Enrollment ID: I20110718000057
Provider NameAmy J Wu
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1891958831
PECOS PAC ID: 2769650266
Enrollment ID: I20110728000423
Provider NameWooseung Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457500688
PECOS PAC ID: 6002085396
Enrollment ID: I20110802000663
Provider NameCaitrin P Salvucci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629209135
PECOS PAC ID: 6204005416
Enrollment ID: I20110804000223
Provider NameKatelyn Scagnelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760634943
PECOS PAC ID: 4284803420
Enrollment ID: I20110804000621
Provider NameAvi J Grunin
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1215195318
PECOS PAC ID: 2062681703
Enrollment ID: I20110813000021
Provider NameRebecca S Hunter
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932309358
PECOS PAC ID: 9436328101
Enrollment ID: I20110815000370
Provider NameJordan R Gutweiler
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1811079536
PECOS PAC ID: 6709055486
Enrollment ID: I20110815000520
Provider NameWei Yang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407010705
PECOS PAC ID: 3476722174
Enrollment ID: I20110815000743
Provider NameEmilie A Tack
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235312448
PECOS PAC ID: 2062550916
Enrollment ID: I20110817000229
Provider NameChia A Haddad
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1366508202
PECOS PAC ID: 6103096599
Enrollment ID: I20110822000376
Provider NameStephanie L Blenner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518946466
PECOS PAC ID: 9931204013
Enrollment ID: I20110823000543
Provider NameMichal F Tomczak
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1295909661
PECOS PAC ID: 0244400489
Enrollment ID: I20110826000184
Provider NameChristina A Nordt
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770787616
PECOS PAC ID: 6507036647
Enrollment ID: I20110830000033
Provider NamePeter S Kim
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1174655914
PECOS PAC ID: 7810167863
Enrollment ID: I20110830000244
Provider NameShari Abramowitz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558346593
PECOS PAC ID: 1658541628
Enrollment ID: I20110830000465
Provider NameChris Sambaziotis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1578866513
PECOS PAC ID: 5395915151
Enrollment ID: I20110902000527
Provider NameRachel L Gross
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1811157522
PECOS PAC ID: 0446420244
Enrollment ID: I20110906000427
Provider NameJoe Kimura
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346271681
PECOS PAC ID: 4486711314
Enrollment ID: I20110912000181
Provider NameLauren A Hittner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1508025149
PECOS PAC ID: 9436320892
Enrollment ID: I20110915000758
Provider NameAnil Neeli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669619789
PECOS PAC ID: 2769653062
Enrollment ID: I20110919000028
Provider NameMichael S Shairs
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1790950772
PECOS PAC ID: 4183895410
Enrollment ID: I20110919000340
Provider NameCatherine M Lukas
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1295023471
PECOS PAC ID: 6800067927
Enrollment ID: I20110922000088
Provider NameJesse E Foote
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1932366465
PECOS PAC ID: 5092986067
Enrollment ID: I20110922000731
Provider NameDeborah R Schnipper
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1063650463
PECOS PAC ID: 5193997062
Enrollment ID: I20111019000308
Provider NameBrianne M Mahoney
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1881892701
PECOS PAC ID: 0042483604
Enrollment ID: I20111027000487
Provider NameSven-christian Carlsson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891008397
PECOS PAC ID: 8921292657
Enrollment ID: I20111109000034
Provider NamePatricia M Peters
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1184883548
PECOS PAC ID: 2466626197
Enrollment ID: I20111115000650
Provider NameRachel Jarrat
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1215989801
PECOS PAC ID: 4880663699
Enrollment ID: I20111214000196
Provider NameElizabeth A Dupuis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255317061
PECOS PAC ID: 2264607456
Enrollment ID: I20111216000672
Provider NameThomas J Hathaway
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1972581411
PECOS PAC ID: 4789859984
Enrollment ID: I20111216000719
Provider NameTaylor Lord
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194006726
PECOS PAC ID: 7618143777
Enrollment ID: I20111221000010
Provider NameAnna Riera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124311006
PECOS PAC ID: 1254508138
Enrollment ID: I20120117000606
Provider NameKathryn Pescatello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205114675
PECOS PAC ID: 6305013806
Enrollment ID: I20120125000027
Provider NameAnn Klinkusoom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942585831
PECOS PAC ID: 6103083951
Enrollment ID: I20120206000634
Provider NameJennifer L Denaro
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1336345628
PECOS PAC ID: 7416117635
Enrollment ID: I20120327000065
Provider NameAndrea C Kronman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427093525
PECOS PAC ID: 9234399049
Enrollment ID: I20120330000580
Provider NameErin J Riley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740558402
PECOS PAC ID: 6204097363
Enrollment ID: I20120417000368
Provider NameSara I Lozano
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1902021884
PECOS PAC ID: 9830259472
Enrollment ID: I20120504000567
Provider NameAlicia W Grimes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629341516
PECOS PAC ID: 5799948436
Enrollment ID: I20120517000050
Provider NameAmy L Kahn
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1710172903
PECOS PAC ID: 4688768534
Enrollment ID: I20120613000403
Provider NameKarim M Awad
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1295939189
PECOS PAC ID: 0244495067
Enrollment ID: I20120629000158
Provider NameAlicia M. Quesnel
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1306051289
PECOS PAC ID: 6709041411
Enrollment ID: I20120703000174
Provider NameMichelle A Lally
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679657845
PECOS PAC ID: 1850484262
Enrollment ID: I20120703000525
Provider NameSeth E Homer
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1598993735
PECOS PAC ID: 8820254048
Enrollment ID: I20120716000360
Provider NameBradley A Switzer
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1184779969
PECOS PAC ID: 2961668520
Enrollment ID: I20120725000984
Provider NameDavid J Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821373671
PECOS PAC ID: 9133385552
Enrollment ID: I20120730000159
Provider NameDavid M Dildine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508094772
PECOS PAC ID: 1557527843
Enrollment ID: I20120801000473
Provider NameMaria D Fung
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164457156
PECOS PAC ID: 1456507441
Enrollment ID: I20120807000486
Provider NameDouglas S Krakower
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1265568943
PECOS PAC ID: 1052568292
Enrollment ID: I20120823000421
Provider NameEmily K Coskun
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1326205790
PECOS PAC ID: 2466609078
Enrollment ID: I20120904000102
Provider NameAnissa E Dickerson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1821351404
PECOS PAC ID: 4587811054
Enrollment ID: I20120906000252
Provider NameHolly B Leith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023334786
PECOS PAC ID: 0749437218
Enrollment ID: I20120906000277
Provider NameJessica L Laprel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124227004
PECOS PAC ID: 3072761626
Enrollment ID: I20120924000655
Provider NameNicole M Larue
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457527277
PECOS PAC ID: 0547420762
Enrollment ID: I20121009000649
Provider NameCynthia J Cunningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619940285
PECOS PAC ID: 7416107107
Enrollment ID: I20121015000186
Provider NameJenna A Loughlin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174806947
PECOS PAC ID: 1456501006
Enrollment ID: I20121017000544
Provider NameHagen Yang
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1902015266
PECOS PAC ID: 4688824717
Enrollment ID: I20121025000237
Provider NameSusan E Elizabeth Chang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699942763
PECOS PAC ID: 9739339896
Enrollment ID: I20121025000529
Provider NameManjola U Van Alphen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871745125
PECOS PAC ID: 9234389354
Enrollment ID: I20121026000375
Provider NameCarolyn F Baxter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902152275
PECOS PAC ID: 3870743784
Enrollment ID: I20121030000054
Provider NameKatrina R Bubb-kelly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891041174
PECOS PAC ID: 1557511466
Enrollment ID: I20121030000105
Provider NameAmanda L Breneman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801145149
PECOS PAC ID: 0446400238
Enrollment ID: I20121102000181
Provider NameCheryl L Levin
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1326173154
PECOS PAC ID: 2961541602
Enrollment ID: I20121106000324
Provider NameSrinivas Bodapati
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841465655
PECOS PAC ID: 5698820637
Enrollment ID: I20121108000395
Provider NameMelissa B Draves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902100845
PECOS PAC ID: 8224280102
Enrollment ID: I20121129000341
Provider NameJenny W Wong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386993152
PECOS PAC ID: 7911159652
Enrollment ID: I20121204000319
Provider NameBrian B Guarnotta
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255319885
PECOS PAC ID: 8325290083
Enrollment ID: I20121204000482
Provider NameTaylor H Monica
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326275819
PECOS PAC ID: 1951569102
Enrollment ID: I20121206000114
Provider NameKendrah B Nealon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740474998
PECOS PAC ID: 5294987715
Enrollment ID: I20121210000108
Provider NameKaren S Bikofsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720337207
PECOS PAC ID: 6709038227
Enrollment ID: I20121210000151
Provider NameNorlyne Mondesir Whitehead
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508192410
PECOS PAC ID: 7113179581
Enrollment ID: I20121211000195
Provider NameLaurence A Gordon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174574198
PECOS PAC ID: 0840281457
Enrollment ID: I20130115000015
Provider NameJulia Nevarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033463039
PECOS PAC ID: 2163675588
Enrollment ID: I20130116000158
Provider NameDana M Mccabe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255564209
PECOS PAC ID: 5597918763
Enrollment ID: I20130122000163
Provider NameHye Young Im
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528291903
PECOS PAC ID: 1850545609
Enrollment ID: I20130204000342
Provider NameJenny Y Sun
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902035280
PECOS PAC ID: 3971757600
Enrollment ID: I20130206000012
Provider NameSusan M Dusenbery
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598987471
PECOS PAC ID: 9436241114
Enrollment ID: I20130207000048
Provider NameSimona Sava
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1750692240
PECOS PAC ID: 4284888652
Enrollment ID: I20130212000339
Provider NameAnna J Groskin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225264088
PECOS PAC ID: 2264686591
Enrollment ID: I20130213000493
Provider NameJillian Leigh Shannon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598001216
PECOS PAC ID: 5193970259
Enrollment ID: I20130222000030
Provider NameLinda Brenner Semela
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1922263771
PECOS PAC ID: 3779760517
Enrollment ID: I20130227000423
Provider NameGeorges S Almacari
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1326152216
PECOS PAC ID: 8123279437
Enrollment ID: I20130304000300
Provider NameMaureen D. Dobrowsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427309905
PECOS PAC ID: 4880849264
Enrollment ID: I20130311000325
Provider NameAlexandra Boyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437494283
PECOS PAC ID: 7517102841
Enrollment ID: I20130314000318
Provider NameElise R Bender
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003044272
PECOS PAC ID: 8426293556
Enrollment ID: I20130320000692
Provider NameAnne E Mccullough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982952081
PECOS PAC ID: 3678718590
Enrollment ID: I20130326000161
Provider NameBarbara E Dinenno
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972596054
PECOS PAC ID: 6608892237
Enrollment ID: I20130327000129
Provider NameKavya Singareddy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1356634778
PECOS PAC ID: 2668617176
Enrollment ID: I20130403000282
Provider NameSusan Pozaic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407808942
PECOS PAC ID: 1254512221
Enrollment ID: I20130417000413
Provider NameKathryn E Gantman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285984542
PECOS PAC ID: 1658518865
Enrollment ID: I20130507000601
Provider NameElizabeth I Molina Ortiz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023219524
PECOS PAC ID: 1759470222
Enrollment ID: I20130514000336
Provider NameAndrea Rhodes Morris
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295093045
PECOS PAC ID: 0446495667
Enrollment ID: I20130514000372
Provider NameKimberly P Liner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285962290
PECOS PAC ID: 1052559002
Enrollment ID: I20130603000308
Provider NameMargaret R Barsam
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598747412
PECOS PAC ID: 9335387117
Enrollment ID: I20130606000545
Provider NameDanielle A Macfarlane
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659614147
PECOS PAC ID: 6204074925
Enrollment ID: I20130607000238
Provider NameJuilet Paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578840526
PECOS PAC ID: 8123267770
Enrollment ID: I20130612000202
Provider NameKristen A Kiely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114277498
PECOS PAC ID: 1557501186
Enrollment ID: I20130702000749
Provider NameSuzanne R Longley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144563115
PECOS PAC ID: 2860632387
Enrollment ID: I20130705000295
Provider NameMaria W Fradinho
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1184850703
PECOS PAC ID: 8325280761
Enrollment ID: I20130814000168
Provider NameAnnette M Grace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285608760
PECOS PAC ID: 7012150006
Enrollment ID: I20130823000110
Provider NameJeffrey J Rock
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1417958158
PECOS PAC ID: 5890865281
Enrollment ID: I20130826000740
Provider NameAnne N. Hackman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316142748
PECOS PAC ID: 8628246949
Enrollment ID: I20130904000724
Provider NameSharon M Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851366579
PECOS PAC ID: 1759524960
Enrollment ID: I20130906000424
Provider NameStephen J Eyre
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1417129826
PECOS PAC ID: 2062655244
Enrollment ID: I20130909000306
Provider NameHubert L Roberts
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750601654
PECOS PAC ID: 8022252238
Enrollment ID: I20130910000059
Provider NamePhilip J Ciampa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215084181
PECOS PAC ID: 8628116928
Enrollment ID: I20130910000294
Provider NameScott A Kaplan
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1467680017
PECOS PAC ID: 4082858170
Enrollment ID: I20130911000089
Provider NameRevital Yehezkel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1073741633
PECOS PAC ID: 6608010681
Enrollment ID: I20130912000352
Provider NameDamaris D Nou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275770042
PECOS PAC ID: 1456599828
Enrollment ID: I20130919000519
Provider NameLinda Nancy Lee
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1366618464
PECOS PAC ID: 8123288552
Enrollment ID: I20130926000448
Provider NameRyan Tappin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548602956
PECOS PAC ID: 5092949313
Enrollment ID: I20130927000513
Provider NameYueling Moran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891079836
PECOS PAC ID: 2769616473
Enrollment ID: I20131014000264
Provider NameDarcy W Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831533538
PECOS PAC ID: 8628202173
Enrollment ID: I20131016000941
Provider NameLisa A Manning
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316288210
PECOS PAC ID: 1557595055
Enrollment ID: I20131017000402
Provider NameKaitlyn P Brennan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609218072
PECOS PAC ID: 2961637285
Enrollment ID: I20131022001919
Provider NameCaren A Lawson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003258658
PECOS PAC ID: 9931334521
Enrollment ID: I20131107001011
Provider NameBrenda A Pring
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1508183351
PECOS PAC ID: 3476788068
Enrollment ID: I20131107001048
Provider NameThomas J Snediker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215366042
PECOS PAC ID: 4688800402
Enrollment ID: I20131126000463
Provider NameAdetokunbo O Olotu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1538332861
PECOS PAC ID: 6406082221
Enrollment ID: I20131126000473
Provider NameLinda G Fidrocki
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023139375
PECOS PAC ID: 4789810516
Enrollment ID: I20131126000757
Provider NameElisha J Hisoler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407289895
PECOS PAC ID: 4688800360
Enrollment ID: I20131203000051
Provider NameLambia A Mitropoulos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497097232
PECOS PAC ID: 3072749688
Enrollment ID: I20131203001418
Provider NameKatie M Mcnamara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245663756
PECOS PAC ID: 8628204252
Enrollment ID: I20131203002164
Provider NameBrian Clifford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043401573
PECOS PAC ID: 5395971923
Enrollment ID: I20131204000122
Provider NameHaidang T Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033546700
PECOS PAC ID: 5991932048
Enrollment ID: I20131216001536
Provider NameNicolette A Oleng
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104142520
PECOS PAC ID: 5092943415
Enrollment ID: I20140110000657
Provider NameKelly L Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003248204
PECOS PAC ID: 2961630306
Enrollment ID: I20140110001167
Provider NameJoel B Krier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558527762
PECOS PAC ID: 2163611005
Enrollment ID: I20140207000081
Provider NameEumene Ching
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407832975
PECOS PAC ID: 8921237066
Enrollment ID: I20140212001076
Provider NameStephanie P Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972933307
PECOS PAC ID: 3971734641
Enrollment ID: I20140321000355
Provider NameChristine W Gaggin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275873184
PECOS PAC ID: 6901037498
Enrollment ID: I20140326001448
Provider NameLisa M. Fleming
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1104098482
PECOS PAC ID: 0143451328
Enrollment ID: I20140401001980
Provider NameRichard A. Klaich
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528289741
PECOS PAC ID: 4486887619
Enrollment ID: I20140423002121
Provider NameSara M. Barcia
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1932434966
PECOS PAC ID: 5799912283
Enrollment ID: I20140430000962
Provider NameLindsay S Brunel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194958074
PECOS PAC ID: 4082837844
Enrollment ID: I20140523000007
Provider NameLaura Z Lee
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932188414
PECOS PAC ID: 3779707948
Enrollment ID: I20140609000775
Provider NameDawn M Folan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972920858
PECOS PAC ID: 7810111770
Enrollment ID: I20140616000512
Provider NameFernando Jorge Martinez
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1255598165
PECOS PAC ID: 4981890340
Enrollment ID: I20140618001928
Provider NameTobin M Abraham
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1568629376
PECOS PAC ID: 3678711439
Enrollment ID: I20140623001839
Provider NameNeli Z Marcheva
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215368923
PECOS PAC ID: 0345465324
Enrollment ID: I20140707002110
Provider NameJohn D Chisholm
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639291792
PECOS PAC ID: 1759480528
Enrollment ID: I20140714000651
Provider NameHeidi Belle Prather
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1053630582
PECOS PAC ID: 3577788256
Enrollment ID: I20140714001779
Provider NameJessica L Wang
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1952538787
PECOS PAC ID: 6709044084
Enrollment ID: I20140725001887
Provider NameNana G Mcmahon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790746196
PECOS PAC ID: 7618193681
Enrollment ID: I20140728002006
Provider NameJane Fishler
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1134370968
PECOS PAC ID: 0143491936
Enrollment ID: I20140731000125
Provider NameLisa A Hill
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1932545324
PECOS PAC ID: 4385860188
Enrollment ID: I20140731001913
Provider NameGloria Lee Kazakov
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1730329160
PECOS PAC ID: 9931326659
Enrollment ID: I20140804001404
Provider NameGolrokh J Sepehr
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1790089159
PECOS PAC ID: 0840417432
Enrollment ID: I20140805001481
Provider NameErica Diane Dommasch
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1003136771
PECOS PAC ID: 5698907103
Enrollment ID: I20140808001835
Provider NameHarry A Ward
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861478505
PECOS PAC ID: 2961460118
Enrollment ID: I20140818000150
Provider NameJohanna Burke
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1629331616
PECOS PAC ID: 3870710734
Enrollment ID: I20140818000187
Provider NameElyse Plante
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255754644
PECOS PAC ID: 1456579010
Enrollment ID: I20140825001001
Provider NameEhsan Azimi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437475829
PECOS PAC ID: 6709004641
Enrollment ID: I20140905001767
Provider NameDana S Munday
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124437249
PECOS PAC ID: 6305064270
Enrollment ID: I20140908000116
Provider NameAllyson L Cohen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1215228598
PECOS PAC ID: 9638398241
Enrollment ID: I20140915000098
Provider NameNicole M Mcneil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194132225
PECOS PAC ID: 8325267966
Enrollment ID: I20140915000960
Provider NameMichael Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306830484
PECOS PAC ID: 1951405729
Enrollment ID: I20140916000244
Provider NameChristine A Miller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1861815441
PECOS PAC ID: 7416187786
Enrollment ID: I20141001000545
Provider NameNadereh Nasserhelali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871814079
PECOS PAC ID: 6103052972
Enrollment ID: I20141001001406
Provider NameLauren M Pincus
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497915516
PECOS PAC ID: 2062644057
Enrollment ID: I20141016000626
Provider NameNadaa B. Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114211240
PECOS PAC ID: 4284866120
Enrollment ID: I20141020001131
Provider NameLinda J Geib
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154720969
PECOS PAC ID: 4183845811
Enrollment ID: I20141022002167
Provider NameAnilkumar Katta
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1740444991
PECOS PAC ID: 2860634680
Enrollment ID: I20141023002249
Provider NameMeaghan E Callahan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902247257
PECOS PAC ID: 0840412896
Enrollment ID: I20141107000459
Provider NameSarah Palmer Hale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306008149
PECOS PAC ID: 0446421093
Enrollment ID: I20141111001052
Provider NameKate M Murphy
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1801299086
PECOS PAC ID: 6800110271
Enrollment ID: I20150114000819
Provider NameErika E Line-nitu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376808766
PECOS PAC ID: 5597987941
Enrollment ID: I20150311001760
Provider NameTricia K Wurster
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639292006
PECOS PAC ID: 8325364128
Enrollment ID: I20150312001964
Provider NameChristine R Saba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396097135
PECOS PAC ID: 5193042729
Enrollment ID: I20150319001814
Provider NameWinokuli Bertrand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104215219
PECOS PAC ID: 3870810096
Enrollment ID: I20150327001869
Provider NameRandi L Rose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841699980
PECOS PAC ID: 5597083006
Enrollment ID: I20150414000345
Provider NameDivya Koster
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073694147
PECOS PAC ID: 3678892437
Enrollment ID: I20150430000033
Provider NameJonathan Joyce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821484890
PECOS PAC ID: 6800115304
Enrollment ID: I20150505002031
Provider NameSuzanne H Burleigh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366415226
PECOS PAC ID: 8628398302
Enrollment ID: I20150520001288
Provider NameFernando J Roca Vall-llobera
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1669645453
PECOS PAC ID: 1850518614
Enrollment ID: I20150521000543
Provider NameGabriel C Belosevic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972861607
PECOS PAC ID: 9436479045
Enrollment ID: I20150522000065
Provider NameJohn J Tsay
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164632691
PECOS PAC ID: 7315177664
Enrollment ID: I20150629001906
Provider NameArchana T Seethala
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1376772665
PECOS PAC ID: 9638301633
Enrollment ID: I20150721002447
Provider NameGalina Feldman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366797219
PECOS PAC ID: 7911211859
Enrollment ID: I20150805007634
Provider NameJeffrey H William
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1033439716
PECOS PAC ID: 4981919644
Enrollment ID: I20150811003893
Provider NameVladimir Kaplinskiy
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1104187962
PECOS PAC ID: 0143536961
Enrollment ID: I20150825002952
Provider NameJuan Qu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104206861
PECOS PAC ID: 9234445701
Enrollment ID: I20150828000436
Provider NameSveta Shah Oza
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1073740940
PECOS PAC ID: 0648586644
Enrollment ID: I20150908000992
Provider NameDaniel Henderson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831457811
PECOS PAC ID: 6800103698
Enrollment ID: I20150910001845
Provider NameGiana Maria Pagliocco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699173666
PECOS PAC ID: 1153638507
Enrollment ID: I20150916003103
Provider NameVeena T Mathew
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1023302445
PECOS PAC ID: 9335371780
Enrollment ID: I20150918001103
Provider NameSarah B Mazerall
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1972733483
PECOS PAC ID: 4284941329
Enrollment ID: I20150922001232
Provider NameSritharani Kandasamy
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1265839336
PECOS PAC ID: 0446567440
Enrollment ID: I20150923000283
Provider NameXi Chen
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1285940973
PECOS PAC ID: 7719148717
Enrollment ID: I20150924002722
Provider NameKristen Moore Kowalski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487036257
PECOS PAC ID: 5496063570
Enrollment ID: I20151009001716
Provider NameMyfanwy G. Callahan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538428685
PECOS PAC ID: 1456583442
Enrollment ID: I20151012001588
Provider NameMargery Walentuk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720488778
PECOS PAC ID: 5092024612
Enrollment ID: I20151022001110
Provider NameJessica N Yang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053727339
PECOS PAC ID: 0143530097
Enrollment ID: I20151105001893
Provider NameDawn S Mullins
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1568453728
PECOS PAC ID: 7618053133
Enrollment ID: I20151106001523
Provider NameAaron R Hoffman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245591098
PECOS PAC ID: 1850514886
Enrollment ID: I20151109002388
Provider NameMarlene Brady
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003282963
PECOS PAC ID: 2365752086
Enrollment ID: I20151110001078
Provider NameBinu B. Philips
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1942474895
PECOS PAC ID: 3577740216
Enrollment ID: I20151116000788
Provider NameJill F Ashcraft
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1316205909
PECOS PAC ID: 0547560765
Enrollment ID: I20151119001969
Provider NamePeter I Chung
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972884336
PECOS PAC ID: 5799916193
Enrollment ID: I20151204000352
Provider NameKari M Gilbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598136095
PECOS PAC ID: 4385944990
Enrollment ID: I20151204000363
Provider NameDaria M Karos
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710935416
PECOS PAC ID: 2365743218
Enrollment ID: I20151217001224
Provider NameKara A Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366813263
PECOS PAC ID: 4284935040
Enrollment ID: I20151221000862
Provider NameAlyssa M Tulipano
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396116901
PECOS PAC ID: 5193026623
Enrollment ID: I20151229000148
Provider NameShan Marie Stoffolano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669692661
PECOS PAC ID: 6406157957
Enrollment ID: I20151229001015
Provider NameRachel B Sacks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609266436
PECOS PAC ID: 1759683188
Enrollment ID: I20151231001046
Provider NameAndrea D Gefteas
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1255589826
PECOS PAC ID: 0446552517
Enrollment ID: I20160106001056
Provider NameNaomi Gross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225409279
PECOS PAC ID: 0749582427
Enrollment ID: I20160112002996
Provider NameElizabeth M. Glavin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265803373
PECOS PAC ID: 4082917604
Enrollment ID: I20160114001536
Provider NamePatricia Antos Long
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1023491362
PECOS PAC ID: 2062728843
Enrollment ID: I20160120000431
Provider NameMeredith J Stanizzi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720451016
PECOS PAC ID: 7416252457
Enrollment ID: I20160229001978
Provider NameZoe E Paschkis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043681646
PECOS PAC ID: 0244536050
Enrollment ID: I20160303002513
Provider NameTena Rallis
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1194194951
PECOS PAC ID: 5092011221
Enrollment ID: I20160314001526
Provider NameSheva Mirdamadi- Tehrani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689030579
PECOS PAC ID: 4082911953
Enrollment ID: I20160322000405
Provider NameMatthew D Zawasky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841669256
PECOS PAC ID: 1759688427
Enrollment ID: I20160323001241
Provider NameAndrew D Bassett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063691715
PECOS PAC ID: 1254638455
Enrollment ID: I20160404000937
Provider NameTy T Iancovici
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245697754
PECOS PAC ID: 3375842586
Enrollment ID: I20160421002170
Provider NameLindsay D Hussey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235547613
PECOS PAC ID: 9234455890
Enrollment ID: I20160504000124
Provider NameHarmony R Abejuela
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1316259492
PECOS PAC ID: 4981903390
Enrollment ID: I20160505001006
Provider NameElizabeth A. Forkel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720413727
PECOS PAC ID: 7517256837
Enrollment ID: I20160510000784
Provider NameLilia A Cuozzo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548268956
PECOS PAC ID: 2769771880
Enrollment ID: I20160512001942
Provider NameJill M Sandeen
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1952377426
PECOS PAC ID: 3476589466
Enrollment ID: I20160520000364
Provider NameLionel S Lim
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1841306818
PECOS PAC ID: 1658307095
Enrollment ID: I20160523000982
Provider NameSamer S Nasser
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1922276294
PECOS PAC ID: 2567508880
Enrollment ID: I20160607000000
Provider NameDana G An
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215108238
PECOS PAC ID: 8325338965
Enrollment ID: I20160609001552
Provider NameLaura K Mansfield
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1023337995
PECOS PAC ID: 6507157427
Enrollment ID: I20160624000280
Provider NameJoanna B Machain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932561289
PECOS PAC ID: 0648562074
Enrollment ID: I20160706000399
Provider NameMiin Roh
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1629333166
PECOS PAC ID: 0749419158
Enrollment ID: I20160707001249
Provider NamePranav O Oza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780810572
PECOS PAC ID: 0840448361
Enrollment ID: I20160802001352
Provider NameVito Louis Pugliano
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1245524974
PECOS PAC ID: 8628375979
Enrollment ID: I20160818000171
Provider NameTeresa M Zabik
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568445732
PECOS PAC ID: 8022303874
Enrollment ID: I20160818001672
Provider NameYi Liu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265888192
PECOS PAC ID: 9133414618
Enrollment ID: I20160823001427
Provider NameJenna M Oconnell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215375860
PECOS PAC ID: 3971730672
Enrollment ID: I20160906000311
Provider NameHolly P Kilim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871800649
PECOS PAC ID: 6709172448
Enrollment ID: I20160907001390
Provider NameMolly Higgins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952650640
PECOS PAC ID: 9032405550
Enrollment ID: I20160909001444
Provider NameJeremy Richmon
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1871658369
PECOS PAC ID: 1456410232
Enrollment ID: I20160914000026
Provider NameChristopher Jackson
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1053601765
PECOS PAC ID: 7719282326
Enrollment ID: I20160921000755
Provider NameDaniel F Hartman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609977784
PECOS PAC ID: 7416051040
Enrollment ID: I20160922001392
Provider NameSandra M Meyerson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487634564
PECOS PAC ID: 6507153350
Enrollment ID: I20160922001767
Provider NameAdam Chen
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1699069559
PECOS PAC ID: 4385899020
Enrollment ID: I20160930000157
Provider NameShaun Wason
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1134242803
PECOS PAC ID: 9638348386
Enrollment ID: I20160930001560
Provider NameLaura Daniela Michelis
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891052684
PECOS PAC ID: 0345472858
Enrollment ID: I20161017001901
Provider NameEugene Yoshio Fukudome
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1083740401
PECOS PAC ID: 3971766510
Enrollment ID: I20161018002885
Provider NameDinah Super
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720461957
PECOS PAC ID: 1052699378
Enrollment ID: I20161020001520
Provider NameScott M Souther
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033550157
PECOS PAC ID: 5193033041
Enrollment ID: I20161021001331
Provider NameJohn A Zambrano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730422593
PECOS PAC ID: 6901184183
Enrollment ID: I20161021001407
Provider NameEmily D Pugh
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1548525033
PECOS PAC ID: 9537447750
Enrollment ID: I20161024000113
Provider NameJoanne Golburgh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639143266
PECOS PAC ID: 3274811302
Enrollment ID: I20161025001338
Provider NameSarah D Hundley
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1619376340
PECOS PAC ID: 6507144318
Enrollment ID: I20161031000106
Provider NameAnna R Sjogren
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699031963
PECOS PAC ID: 0143452441
Enrollment ID: I20161101001706
Provider NameWilliam E Fitzgerald
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1659636496
PECOS PAC ID: 6608155056
Enrollment ID: I20161108001394
Provider NameMichelle Morse
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1528402070
PECOS PAC ID: 2860771144
Enrollment ID: I20161108002602
Provider NamePooja Aysola
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245686344
PECOS PAC ID: 2668751801
Enrollment ID: I20161111000164
Provider NameLisa Golightly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811148778
PECOS PAC ID: 2062791064
Enrollment ID: I20161115001931
Provider NameSarah E. Post
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679911135
PECOS PAC ID: 7911134390
Enrollment ID: I20161117001117
Provider NameKatherine E Aurigemma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548716996
PECOS PAC ID: 8729367594
Enrollment ID: I20161118000208
Provider NameKaren G Braunwald
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1780754267
PECOS PAC ID: 9830478569
Enrollment ID: I20161121000024
Provider NameDanielle M Dupre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245664564
PECOS PAC ID: 0143500637
Enrollment ID: I20161129000153
Provider NameQiang Zeng
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1134495286
PECOS PAC ID: 4082927660
Enrollment ID: I20161129000369
Provider NameCraig E Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316979941
PECOS PAC ID: 1355330390
Enrollment ID: I20161129002142
Provider NameHongchao Zhou
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1578821237
PECOS PAC ID: 0648550194
Enrollment ID: I20161129002505
Provider NameStephanie Maire Nunes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952776213
PECOS PAC ID: 1355621517
Enrollment ID: I20161205000532
Provider NameSeth C. Curtis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245572072
PECOS PAC ID: 9436477866
Enrollment ID: I20161215000892
Provider NameSamantha M Cardoso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619427929
PECOS PAC ID: 8729369368
Enrollment ID: I20161220000380
Provider NameAlan C Wong
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1740418466
PECOS PAC ID: 7911219290
Enrollment ID: I20170113000256
Provider NameMeghan R Tanglis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306388020
PECOS PAC ID: 5890077424
Enrollment ID: I20170117000182
Provider NameNicole Y Sonneborn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801198080
PECOS PAC ID: 4385826452
Enrollment ID: I20170123000020
Provider NameMolly A Shear
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669922589
PECOS PAC ID: 7416239538
Enrollment ID: I20170126000150
Provider NameMelody C Igwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558805093
PECOS PAC ID: 0648552646
Enrollment ID: I20170127001131
Provider NameJoanna M Ming
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538611983
PECOS PAC ID: 8022390939
Enrollment ID: I20170127002003
Provider NameKrystine M Kelley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245774728
PECOS PAC ID: 1355624172
Enrollment ID: I20170201001799
Provider NameGenevieve B Lumsden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922542489
PECOS PAC ID: 9537442801
Enrollment ID: I20170210001548
Provider NameGeneva N Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790233765
PECOS PAC ID: 9436432317
Enrollment ID: I20170220002702
Provider NameJacques J Reichling
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1285055582
PECOS PAC ID: 3779867601
Enrollment ID: I20170221001842
Provider NameJoy A Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235594763
PECOS PAC ID: 0648554501
Enrollment ID: I20170222000011
Provider NameJessica Nicole Jones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730627423
PECOS PAC ID: 2567746852
Enrollment ID: I20170306001317
Provider NameBrian J Schneider
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982999801
PECOS PAC ID: 8325324296
Enrollment ID: I20170406002160
Provider NameAram N Demirjian
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1164661906
PECOS PAC ID: 9335290428
Enrollment ID: I20170419001032
Provider NameLaurie C Mckechnie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477916153
PECOS PAC ID: 5294012647
Enrollment ID: I20170511002721
Provider NameLaura E Miller
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245551712
PECOS PAC ID: 2860769791
Enrollment ID: I20170525000916
Provider NameLilja S Stefansson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1083934541
PECOS PAC ID: 7719126838
Enrollment ID: I20170607003007
Provider NameAnna L Goldman
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1639493653
PECOS PAC ID: 6901040773
Enrollment ID: I20170613002018
Provider NameLily Wong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659632883
PECOS PAC ID: 4688981871
Enrollment ID: I20170621002950
Provider NameNeha P Wacks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770901084
PECOS PAC ID: 3971729021
Enrollment ID: I20170629002776
Provider NameKaitlyn Ruvolo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1508157462
PECOS PAC ID: 9436381274
Enrollment ID: I20170712001135
Provider NameAndrew H Locke
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1922445055
PECOS PAC ID: 0840508644
Enrollment ID: I20170717000474
Provider NameJeremy Whyman
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1255603452
PECOS PAC ID: 2264702067
Enrollment ID: I20170727001875
Provider NamePreeti Mehrotra
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1982839734
PECOS PAC ID: 6406127000
Enrollment ID: I20170731003262
Provider NameAndrew G. Jones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588823256
PECOS PAC ID: 8527219203
Enrollment ID: I20170802002361
Provider NameAndrea K Patrico
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831502848
PECOS PAC ID: 4789801242
Enrollment ID: I20170809001062
Provider NameSarah E Ingham
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1023302494
PECOS PAC ID: 1153638028
Enrollment ID: I20170810000393
Provider NameSharon R Shung
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326465279
PECOS PAC ID: 9739499765
Enrollment ID: I20170810001734
Provider NameToru Endo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265618086
PECOS PAC ID: 2365673621
Enrollment ID: I20170810002807
Provider NameTimothy A Karthas
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1790102291
PECOS PAC ID: 7810268638
Enrollment ID: I20170811001700
Provider NameJohnson Chu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972058436
PECOS PAC ID: 4082902754
Enrollment ID: I20170815000993
Provider NameJennifer Ruoyu Bai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407226160
PECOS PAC ID: 1951673649
Enrollment ID: I20170815003102
Provider NameBridget A Albert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023425543
PECOS PAC ID: 4082986575
Enrollment ID: I20170817003012
Provider NameElizabeth M Wozniak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730529140
PECOS PAC ID: 1052683919
Enrollment ID: I20170828002161
Provider NameYue J Chen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255698056
PECOS PAC ID: 9739303264
Enrollment ID: I20170901002464
Provider NameBrenna L Curran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710342183
PECOS PAC ID: 8527332006
Enrollment ID: I20170921002760
Provider NameNoelle C Kellicker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245769074
PECOS PAC ID: 9032484423
Enrollment ID: I20171011001866
Provider NameChih Chao Yang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538574488
PECOS PAC ID: 2769774892
Enrollment ID: I20171028000182
Provider NameDiana Rumrill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700948437
PECOS PAC ID: 2961778469
Enrollment ID: I20171028000333
Provider NameNancy A Resteghini
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1205122876
PECOS PAC ID: 2365740222
Enrollment ID: I20171101000279
Provider NameNicole A. Levine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376053025
PECOS PAC ID: 8729347083
Enrollment ID: I20180111001683
Provider NameChristina M Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609381748
PECOS PAC ID: 1951661412
Enrollment ID: I20180201002690
Provider NameSerene S Williams-kasili
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144696675
PECOS PAC ID: 8325308596
Enrollment ID: I20180207003005
Provider NameQura Tul Ain Rashid
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1568777035
PECOS PAC ID: 6901109560
Enrollment ID: I20180223001288
Provider NameAlexis C Lampros
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386097632
PECOS PAC ID: 4981965100
Enrollment ID: I20180305001922
Provider NameJames M Gillan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679072607
PECOS PAC ID: 5294096244
Enrollment ID: I20180307002767
Provider NameVannary Khim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093220428
PECOS PAC ID: 5092076919
Enrollment ID: I20180309000507
Provider NameMaureen Dinapoli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659467389
PECOS PAC ID: 7315101730
Enrollment ID: I20180309001016
Provider NameMelissa H Bergman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1467618033
PECOS PAC ID: 1254574270
Enrollment ID: I20180326002607
Provider NameBonnie Sosis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295702751
PECOS PAC ID: 1153684915
Enrollment ID: I20180410001287
Provider NameAllison E Bolton
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760676316
PECOS PAC ID: 6406110568
Enrollment ID: I20180426001139
Provider NameBrieanne V Midura
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700087954
PECOS PAC ID: 5991069528
Enrollment ID: I20180508001899
Provider NameMichael P Cascio
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043591209
PECOS PAC ID: 4385908839
Enrollment ID: I20180509000339
Provider NameChithra Susan Kuriakose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497256374
PECOS PAC ID: 2860756186
Enrollment ID: I20180514000329
Provider NameHusne Turkcan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568861243
PECOS PAC ID: 3072877307
Enrollment ID: I20180514000679
Provider NameNicole A.c. Jagodowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033507868
PECOS PAC ID: 1759645047
Enrollment ID: I20180515000672
Provider NameDiane K Silverman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881664043
PECOS PAC ID: 1850655150
Enrollment ID: I20180515001237
Provider NameLily A Maltz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1336434026
PECOS PAC ID: 8123285459
Enrollment ID: I20180515002848
Provider NameCaroline Namuzinda Mawanda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154821114
PECOS PAC ID: 4082979000
Enrollment ID: I20180522002709
Provider NameSarah M Alimi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942703186
PECOS PAC ID: 0749243186
Enrollment ID: I20180608000166
Provider NameCatherine Jin Tang
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1972869477
PECOS PAC ID: 8820216104
Enrollment ID: I20180627002319
Provider NameEvan C Tschirhart
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205217411
PECOS PAC ID: 0941510242
Enrollment ID: I20180726001869
Provider NameJames Lagamo Dawson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194164988
PECOS PAC ID: 8729208210
Enrollment ID: I20180727001140
Provider NameTejumola M Adegoke
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1356768600
PECOS PAC ID: 0648499343
Enrollment ID: I20180731000658
Provider NameMarni N Roitfarb
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1417136789
PECOS PAC ID: 2466700778
Enrollment ID: I20180802002291
Provider NameSang A Robbins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285086041
PECOS PAC ID: 2668720657
Enrollment ID: I20180808000518
Provider NameJenna K Flanagan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1598185035
PECOS PAC ID: 2961704556
Enrollment ID: I20180817000464
Provider NameElinor Brown
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1265852347
PECOS PAC ID: 8820305972
Enrollment ID: I20180820000111
Provider NameMatthew S Sadowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619453859
PECOS PAC ID: 7618226630
Enrollment ID: I20180823001437
Provider NameKaren R Tenner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316324460
PECOS PAC ID: 0446567945
Enrollment ID: I20180829004446
Provider NameErica M Schlatter
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1548753569
PECOS PAC ID: 5496005332
Enrollment ID: I20180913002590
Provider NameMarybeth P Mcmahon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639216724
PECOS PAC ID: 9830440742
Enrollment ID: I20180914002361
Provider NameCourtney N Sandler
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1164746178
PECOS PAC ID: 0446477194
Enrollment ID: I20180917000068
Provider NameAndrew M Cox
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1275929986
PECOS PAC ID: 7810248572
Enrollment ID: I20180920000144
Provider NameDanielle Jeannette Belanger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467943621
PECOS PAC ID: 8224389804
Enrollment ID: I20180920001222
Provider NameEvangelos Messaris
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1689892481
PECOS PAC ID: 8820268139
Enrollment ID: I20180924002763
Provider NameKaren P Bravo Sosa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760977441
PECOS PAC ID: 4880946557
Enrollment ID: I20181008000994
Provider NameNicole A Humphries
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1134606650
PECOS PAC ID: 5294088068
Enrollment ID: I20181024001229
Provider NameCaitlin D Ceresia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053866384
PECOS PAC ID: 8628322393
Enrollment ID: I20181115001081
Provider NameAmanda M Jasiak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831670785
PECOS PAC ID: 5991049272
Enrollment ID: I20181128001776
Provider NameAlexandra F Steeves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619450913
PECOS PAC ID: 8628312808
Enrollment ID: I20181128001795
Provider NameEdward J Bahng
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790165546
PECOS PAC ID: 7911242730
Enrollment ID: I20181226002111
Provider NameMegan C Mcdermott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265808901
PECOS PAC ID: 8426393059
Enrollment ID: I20181228002281
Provider NameVincent G Champion
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972728814
PECOS PAC ID: 6406001411
Enrollment ID: I20190114000686
Provider NameKelly M Belniak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376045237
PECOS PAC ID: 8022354984
Enrollment ID: I20190114002279
Provider NameDanielle Shih
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588038210
PECOS PAC ID: 6608113121
Enrollment ID: I20190122003121
Provider NameLesley A Coco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639677834
PECOS PAC ID: 5092052142
Enrollment ID: I20190128000832
Provider NameRonni L Goldsmith
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1447241625
PECOS PAC ID: 0749529162
Enrollment ID: I20190301002170
Provider NameLindsey F Naparstek
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477887669
PECOS PAC ID: 7214277078
Enrollment ID: I20190314001653
Provider NameAmy S Li
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487175055
PECOS PAC ID: 3678813441
Enrollment ID: I20190314002106
Provider NameDeann L Isherwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356813398
PECOS PAC ID: 9830439389
Enrollment ID: I20190319002449
Provider NameYoon K. Cho
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1861880395
PECOS PAC ID: 7618262247
Enrollment ID: I20190403000451
Provider NameCraig B. Monsen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053615856
PECOS PAC ID: 3476789678
Enrollment ID: I20190408000321
Provider NameMegan Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649679523
PECOS PAC ID: 0446559744
Enrollment ID: I20190429000132
Provider NameHannah N Josephson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962961011
PECOS PAC ID: 8820330426
Enrollment ID: I20190501001206
Provider NameColin Macneill
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1962466516
PECOS PAC ID: 3476749664
Enrollment ID: I20190506001961
Provider NameCarolyn L Dinjian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912464793
PECOS PAC ID: 2668714817
Enrollment ID: I20190508002188
Provider NameDanbi Choi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407315112
PECOS PAC ID: 5092049403
Enrollment ID: I20190618003070
Provider NameKathryn F Bitner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942710298
PECOS PAC ID: 3779817952
Enrollment ID: I20190621000309
Provider NameJohn K Fitzpatrick
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1831176148
PECOS PAC ID: 0042266173
Enrollment ID: I20190702002234
Provider NameJesse Xiaolong Yang
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1407126113
PECOS PAC ID: 2769717172
Enrollment ID: I20190708001852
Provider NameAmanda G Harrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225438716
PECOS PAC ID: 2264750769
Enrollment ID: I20190711000660
Provider NameAlexander Loewner Pleet
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1902210123
PECOS PAC ID: 7719297175
Enrollment ID: I20190711003322
Provider NameKaren W Jeng-miller
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720460447
PECOS PAC ID: 0143524298
Enrollment ID: I20190718002259
Provider NameBryan M. Dolan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1801259296
PECOS PAC ID: 1052603180
Enrollment ID: I20190806002824
Provider NameMelina Isabel Morkin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1912318122
PECOS PAC ID: 9931327582
Enrollment ID: I20190812002088
Provider NameTara D Marczak
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1558756866
PECOS PAC ID: 1759619810
Enrollment ID: I20190827003225
Provider NameKatherine Strand Teixeira-dasilva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063633006
PECOS PAC ID: 7911236716
Enrollment ID: I20190904000071
Provider NameSarah S Roderick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962864041
PECOS PAC ID: 3577858968
Enrollment ID: I20190905002256
Provider NameSharon J Ng
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1508357617
PECOS PAC ID: 7315276813
Enrollment ID: I20190909003243
Provider NameCatherine G Dieffenbach
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1861810673
PECOS PAC ID: 1153651187
Enrollment ID: I20190918000704
Provider NameGalen G Harnden
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730506098
PECOS PAC ID: 4082924535
Enrollment ID: I20190918002425
Provider NamePeter B Dorschner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750770434
PECOS PAC ID: 5597051441
Enrollment ID: I20190919002018
Provider NameVanessa Pascoe
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1669718920
PECOS PAC ID: 4082918867
Enrollment ID: I20190920001654
Provider NameNicole Lieberman Foxe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477069631
PECOS PAC ID: 7113257924
Enrollment ID: I20190920002130
Provider NameLisa M Leblanc
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831741917
PECOS PAC ID: 8820328495
Enrollment ID: I20190924002735
Provider NameRachel L Caso
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922651199
PECOS PAC ID: 8224369012
Enrollment ID: I20191009000778
Provider NameEileen E Murray
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912354903
PECOS PAC ID: 8325333651
Enrollment ID: I20191010002910
Provider NameErin M Lager
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861849192
PECOS PAC ID: 9335434505
Enrollment ID: I20191016001232
Provider NameVarun G Khedekar
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164943312
PECOS PAC ID: 1658602024
Enrollment ID: I20191016001374
Provider NameMehnaz Khan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1740575067
PECOS PAC ID: 1850604356
Enrollment ID: I20191016001688
Provider NameEva M Luo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1770965154
PECOS PAC ID: 0749512846
Enrollment ID: I20191022003107
Provider NameChristina H Tierney
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1700229937
PECOS PAC ID: 7618212044
Enrollment ID: I20191028001580
Provider NameLaura E Jarvi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881241925
PECOS PAC ID: 0345672606
Enrollment ID: I20191107002403
Provider NameNavya Saras Nambudiri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609239573
PECOS PAC ID: 5395039333
Enrollment ID: I20191113000666
Provider NameKristen Pasters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881957108
PECOS PAC ID: 0143652800
Enrollment ID: I20191118002834
Provider NameSalah Alrakawi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760467526
PECOS PAC ID: 8921247685
Enrollment ID: I20191120001580
Provider NameLuke Addison Stevens
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477949287
PECOS PAC ID: 5193027217
Enrollment ID: I20191204002670
Provider NameMartha E Reardon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780242156
PECOS PAC ID: 0941633895
Enrollment ID: I20191206000249
Provider NameChristopher P Morrison
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1518344001
PECOS PAC ID: 9436468303
Enrollment ID: I20191211000136
Provider NameLeslie-ann Alexander
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922445675
PECOS PAC ID: 5890087662
Enrollment ID: I20191220000848
Provider NameCindy Oneil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366934572
PECOS PAC ID: 6002240074
Enrollment ID: I20191227001405
Provider NameLaura Milburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679125165
PECOS PAC ID: 5294160545
Enrollment ID: I20200115001941
Provider NamePaul Comerford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184061723
PECOS PAC ID: 7719238690
Enrollment ID: I20200207002098
Provider NameJanet E Calderaro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922668383
PECOS PAC ID: 2264860048
Enrollment ID: I20200309001748
Provider NameElaine M Lyons
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1407224926
PECOS PAC ID: 2264860857
Enrollment ID: I20200313000583
Provider NameRiva H Stephens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578116133
PECOS PAC ID: 6002244654
Enrollment ID: I20200316000389
Provider NameBrittany M. Thibodeau
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1689160269
PECOS PAC ID: 0446507198
Enrollment ID: I20200320001046
Provider NameKwai Y Lam
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1760014732
PECOS PAC ID: 8527497999
Enrollment ID: I20200406002382
Provider NameChristine M Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285288746
PECOS PAC ID: 2466881875
Enrollment ID: I20200407000759
Provider NameSydney Hausman Engel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851929988
PECOS PAC ID: 5890126023
Enrollment ID: I20200504000595
Provider NameNicole C De Paz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710337696
PECOS PAC ID: 4587951389
Enrollment ID: I20200508001520
Provider NameEdith R Reshef
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215381363
PECOS PAC ID: 8527358100
Enrollment ID: I20200604000427
Provider NameDawn E Buxbaum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184951303
PECOS PAC ID: 9133540537
Enrollment ID: I20200610000783
Provider NameKenneth Martel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194075721
PECOS PAC ID: 0749601193
Enrollment ID: I20200610003023
Provider NameKayleigh A Withington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811536626
PECOS PAC ID: 2668895129
Enrollment ID: I20200701000771
Provider NameLillian D Sharapova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215577432
PECOS PAC ID: 0345663969
Enrollment ID: I20200714003448
Provider NameSarah Madani
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1780066290
PECOS PAC ID: 5092130583
Enrollment ID: I20200730002712
Provider NameMatthew Knabel
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1417489667
PECOS PAC ID: 0446675896
Enrollment ID: I20200803002030
Provider NameCassandre Voltaire
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922539360
PECOS PAC ID: 3476803560
Enrollment ID: I20200806001511
Provider NamePortia Sirinek
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1518321942
PECOS PAC ID: 1052658614
Enrollment ID: I20200807000031
Provider NameJamie L Bentley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760839609
PECOS PAC ID: 5991121337
Enrollment ID: I20200817002536
Provider NameKhalil F. Shahin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285608950
PECOS PAC ID: 8628009974
Enrollment ID: I20200818002352
Provider NameMichael L Light
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063837292
PECOS PAC ID: 0749596302
Enrollment ID: I20200818003147
Provider NameDahlia Banerji
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1003103367
PECOS PAC ID: 4486926656
Enrollment ID: I20200820000937
Provider NameDavid C Mccarthy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740711506
PECOS PAC ID: 6103197553
Enrollment ID: I20200821001380
Provider NameLinda H Du
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083024152
PECOS PAC ID: 8729324561
Enrollment ID: I20200821002337
Provider NameAnita Rao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699164533
PECOS PAC ID: 4587935903
Enrollment ID: I20200826000910
Provider NameJennifer Saenz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467751859
PECOS PAC ID: 3971726258
Enrollment ID: I20200901002026
Provider NameKiera M Kirkaldy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629689690
PECOS PAC ID: 5991123903
Enrollment ID: I20200908001752
Provider NameCornelia Waring
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134743222
PECOS PAC ID: 9133547870
Enrollment ID: I20200914000486
Provider NameAlexander Morales
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1972985760
PECOS PAC ID: 5294041174
Enrollment ID: I20200918000569
Provider NameJoshua W Dubow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710415567
PECOS PAC ID: 1759653835
Enrollment ID: I20200921001685
Provider NameJacqueline E Calvo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1770843914
PECOS PAC ID: 9537489489
Enrollment ID: I20200928001034
Provider NameJohn Andrew Younghein
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1700204492
PECOS PAC ID: 0547488868
Enrollment ID: I20200929001584
Provider NameIan Hopewood
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720517303
PECOS PAC ID: 3779852116
Enrollment ID: I20201001000496
Provider NameEmily N Holden
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366971327
PECOS PAC ID: 2769755859
Enrollment ID: I20201002001761
Provider NameElise M Bognanno
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528407350
PECOS PAC ID: 1153565668
Enrollment ID: I20201009000743
Provider NameBenjamin D Weintraub
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386639011
PECOS PAC ID: 5991858797
Enrollment ID: I20201016001687
Provider NameSteven B Micucci
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1740674217
PECOS PAC ID: 5991086472
Enrollment ID: I20201019001796
Provider NameJennie D Krasker
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790135556
PECOS PAC ID: 2264728062
Enrollment ID: I20201020001080
Provider NameMaryalice Wolfe
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1437506029
PECOS PAC ID: 6103246475
Enrollment ID: I20201027000353
Provider NameKayla Maloney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023620507
PECOS PAC ID: 4789094517
Enrollment ID: I20201106001651
Provider NameSawyer F Emmer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1639533268
PECOS PAC ID: 9234423310
Enrollment ID: I20201112000704
Provider NameNarine Ourfalian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982220026
PECOS PAC ID: 6103236542
Enrollment ID: I20201113000729
Provider NameJessica M Ahlemeyer
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1588297345
PECOS PAC ID: 1355752783
Enrollment ID: I20201116001925
Provider NameJohn C Sooy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053844928
PECOS PAC ID: 6709158827
Enrollment ID: I20201119003243
Provider NameAurada Cholapranee
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1427463132
PECOS PAC ID: 4981948775
Enrollment ID: I20201130002400
Provider NameZhuo Zoe Geng
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1164841870
PECOS PAC ID: 4587964903
Enrollment ID: I20201130002509
Provider NameShaina Kulbersh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417590514
PECOS PAC ID: 6002227576
Enrollment ID: I20201204002325
Provider NameEliza Suscovich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528672730
PECOS PAC ID: 1052723186
Enrollment ID: I20201215001321
Provider NameAnnette Radzevich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417923772
PECOS PAC ID: 5092127001
Enrollment ID: I20201216001828
Provider NameGaethane T Belacy
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1912542978
PECOS PAC ID: 8022420793
Enrollment ID: I20201222001699
Provider NameMeaghan N Clarke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013515048
PECOS PAC ID: 5395158430
Enrollment ID: I20210108000852
Provider NameAlyssa M Smith
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1073111498
PECOS PAC ID: 1557774361
Enrollment ID: I20210114002541
Provider NameJulia Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992308035
PECOS PAC ID: 6305259169
Enrollment ID: I20210115001346
Provider NameLillianna L Griggs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669082962
PECOS PAC ID: 7810301470
Enrollment ID: I20210122001950
Provider NameAlexander Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619576121
PECOS PAC ID: 9739594243
Enrollment ID: I20210216000564
Provider NameSarah Dowst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891382016
PECOS PAC ID: 1658786082
Enrollment ID: I20210217002726
Provider NameCourtney Donahue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578174215
PECOS PAC ID: 4082021076
Enrollment ID: I20210317002586
Provider NameJessica Deprofio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568065159
PECOS PAC ID: 3476960345
Enrollment ID: I20210322002375
Provider NameSarah S Donohue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326630906
PECOS PAC ID: 2264840065
Enrollment ID: I20210415001911
Provider NameAnna Malyak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417548181
PECOS PAC ID: 7214345024
Enrollment ID: I20210415002145
Provider NameRori G Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104457175
PECOS PAC ID: 7719396795
Enrollment ID: I20210503002416
Provider NameJacqueline S Hirshberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437559416
PECOS PAC ID: 1355740481
Enrollment ID: I20210524000110
Provider NameDeborah R Forman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962539742
PECOS PAC ID: 1153720289
Enrollment ID: I20210524000171
Provider NameLindsey L Gallagher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922615475
PECOS PAC ID: 5193124154
Enrollment ID: I20210524001692
Provider NameYun- Ting Eric Yeh
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1013356971
PECOS PAC ID: 6103225156
Enrollment ID: I20210525002318
Provider NameCara Weinstein
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1083009971
PECOS PAC ID: 7416356266
Enrollment ID: I20210527000134
Provider NameArsalan Khawaja
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447605837
PECOS PAC ID: 0941591986
Enrollment ID: I20210608001810
Provider NameCordelia W Cowan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215476494
PECOS PAC ID: 0143578864
Enrollment ID: I20210609003334
Provider NameFelipe Fernandez Del Castillo
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1740639681
PECOS PAC ID: 5193016715
Enrollment ID: I20210610003025
Provider NameTiffany G Huynh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134771017
PECOS PAC ID: 6103226766
Enrollment ID: I20210618000483
Provider NameKatherine Longo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912522822
PECOS PAC ID: 5698175263
Enrollment ID: I20210618001100
Provider NameJunsu Kim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932774684
PECOS PAC ID: 5597165043
Enrollment ID: I20210621002177
Provider NameSarah L Rockwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144809401
PECOS PAC ID: 8224439195
Enrollment ID: I20210629003064
Provider NameElizabeth A Carew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528618089
PECOS PAC ID: 3577964485
Enrollment ID: I20210630000282
Provider NameJosefina Pereira-marquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215264734
PECOS PAC ID: 4385046481
Enrollment ID: I20210713000193
Provider NameJoseph P Bravoco
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619381225
PECOS PAC ID: 3072851237
Enrollment ID: I20210731000014
Provider NameCaitlin Bast
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558945071
PECOS PAC ID: 7113321852
Enrollment ID: I20210803002250
Provider NameNaomi S Siwy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326615246
PECOS PAC ID: 1456755834
Enrollment ID: I20210806001250
Provider NameMichael P Flynn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922503945
PECOS PAC ID: 2961751516
Enrollment ID: I20210806001733
Provider NameChristina Mastrobuoni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770176208
PECOS PAC ID: 0749684876
Enrollment ID: I20210811001196
Provider NameCortney Louise Ensor
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1215512850
PECOS PAC ID: 2961806971
Enrollment ID: I20210812000195
Provider NameChelsea R Evans
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083119226
PECOS PAC ID: 3678820560
Enrollment ID: I20210817000654
Provider NameEmily K Staudenmaier
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1255861423
PECOS PAC ID: 5991040404
Enrollment ID: I20210818002896
Provider NameOlivia Walsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285210401
PECOS PAC ID: 4587069034
Enrollment ID: I20210820001236
Provider NameSuruchi Kamalkant Gupta
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1487069290
PECOS PAC ID: 7911263017
Enrollment ID: I20210820003003
Provider NameRizwana Sabeeh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1417479437
PECOS PAC ID: 6103163639
Enrollment ID: I20210826001398
Provider NameBrian M Schurko
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1407237910
PECOS PAC ID: 7012224157
Enrollment ID: I20210826002130
Provider NamePatrick K Cronin
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1932588852
PECOS PAC ID: 3072821008
Enrollment ID: I20210827001125
Provider NameKaila Cuticchia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366020349
PECOS PAC ID: 7517362536
Enrollment ID: I20210828000282
Provider NameTiffany Sun
Provider TypePractitioner - Micrographic Dermatologic Surgery (mds)
Provider IdentifiersNPI Number: 1245620921
PECOS PAC ID: 1355615337
Enrollment ID: I20210830002429
Provider NameEmily Domingue
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255822920
PECOS PAC ID: 3274939251
Enrollment ID: I20210831003017
Provider NameMelissa A Ziogas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003142316
PECOS PAC ID: 7113330895
Enrollment ID: I20210901002312
Provider NameBeshoy R Sidhom
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427545243
PECOS PAC ID: 7315296951
Enrollment ID: I20210902003151
Provider NameRobert Joseph Daniels-mulholland
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1285127415
PECOS PAC ID: 6204185036
Enrollment ID: I20210914002295
Provider NameJulie Ann Thayer
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1669721429
PECOS PAC ID: 2062749203
Enrollment ID: I20210915000220
Provider NameAbigail A Strauss
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1760041479
PECOS PAC ID: 2264852664
Enrollment ID: I20210915002448
Provider NameGareth D Marshall
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487159851
PECOS PAC ID: 1456758598
Enrollment ID: I20210916001300
Provider NameAnn M W Sylvester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154796936
PECOS PAC ID: 6800293887
Enrollment ID: I20210916003441
Provider NameAlina S Bahlavouni
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1508361064
PECOS PAC ID: 3375892169
Enrollment ID: I20210917000552
Provider NameSibel Gokce
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1083068225
PECOS PAC ID: 3779876867
Enrollment ID: I20210920000058
Provider NameSergio Proenca Ramoa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083009641
PECOS PAC ID: 6507111044
Enrollment ID: I20210920002390
Provider NameHagger Ali
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1396107579
PECOS PAC ID: 6406127257
Enrollment ID: I20210927003362
Provider NameLinda York
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023551736
PECOS PAC ID: 0042592636
Enrollment ID: I20210930002937
Provider NameHaoli Jin
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1700182300
PECOS PAC ID: 8224287198
Enrollment ID: I20211004000154
Provider NameTayla A Curran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962071886
PECOS PAC ID: 1052719150
Enrollment ID: I20211004002031
Provider NameSaeedeh Azary
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1891149704
PECOS PAC ID: 4082012141
Enrollment ID: I20211005001147
Provider NameJuliana P Rezende
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1427426766
PECOS PAC ID: 0244638310
Enrollment ID: I20211005001250
Provider NameTanya Gendron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881369122
PECOS PAC ID: 8628476603
Enrollment ID: I20211005002115
Provider NameSiobhan Flaherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851974497
PECOS PAC ID: 6103224084
Enrollment ID: I20211006003326
Provider NameBradford J Diephuis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730537424
PECOS PAC ID: 6002101680
Enrollment ID: I20211011002183
Provider NameCurline Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386279065
PECOS PAC ID: 7517365216
Enrollment ID: I20211011002433
Provider NameCara M Rodriguez
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1710002373
PECOS PAC ID: 5193123784
Enrollment ID: I20211012003157
Provider NameQuintin F Boger
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1447828637
PECOS PAC ID: 1456759059
Enrollment ID: I20211013000054
Provider NameYi Cao
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639551914
PECOS PAC ID: 9931516044
Enrollment ID: I20211019002315
Provider NameMeaghan Wadman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265032528
PECOS PAC ID: 4789072042
Enrollment ID: I20211019003134
Provider NameTheresa H Hurley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669070389
PECOS PAC ID: 2062800329
Enrollment ID: I20211020000025
Provider NameMeghan Macdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215604772
PECOS PAC ID: 8527456243
Enrollment ID: I20211029002107
Provider NameDaniela Perez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1851819437
PECOS PAC ID: 4880082460
Enrollment ID: I20211101002575
Provider NameOlivia A Slezik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891378733
PECOS PAC ID: 4880082320
Enrollment ID: I20211102002046
Provider NameMaura P Mulvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750923322
PECOS PAC ID: 1658760947
Enrollment ID: I20211108000387
Provider NameJoshua W Leigh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134758287
PECOS PAC ID: 9638568678
Enrollment ID: I20211115000382
Provider NameVail C Cort
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285396705
PECOS PAC ID: 7517356124
Enrollment ID: I20211118002965
Provider NameMolly Doyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093381360
PECOS PAC ID: 0840680229
Enrollment ID: I20211129000129
Provider NameCourtney Robbel
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1982091922
PECOS PAC ID: 9234487380
Enrollment ID: I20211129002274
Provider NameJennifer M Liano
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295223972
PECOS PAC ID: 0749519478
Enrollment ID: I20211130000438
Provider NameLisa Hsu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1285127357
PECOS PAC ID: 6103216221
Enrollment ID: I20211204000101
Provider NameBrittany L Perlis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093096166
PECOS PAC ID: 5799175733
Enrollment ID: I20211206000921
Provider NameMichelle A Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588281125
PECOS PAC ID: 3274924642
Enrollment ID: I20211217001893
Provider NameNathalie Alexis
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1245886993
PECOS PAC ID: 2264823657
Enrollment ID: I20211218000104
Provider NameBrian Lin
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1578868485
PECOS PAC ID: 8820232333
Enrollment ID: I20211228000660
Provider NameAmy C Paturzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720741705
PECOS PAC ID: 7911398821
Enrollment ID: I20220104002188
Provider NameAshley A Lameiras
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1982209144
PECOS PAC ID: 9234548314
Enrollment ID: I20220105002159
Provider NameJennifer A Schonberg
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1992283030
PECOS PAC ID: 7315339082
Enrollment ID: I20220110002230
Provider NameLauren Kaplan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033680541
PECOS PAC ID: 5395137616
Enrollment ID: I20220119000973
Provider NameDilasha Mahat
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386093573
PECOS PAC ID: 6103113907
Enrollment ID: I20220119002449
Provider NameSara Vanschaik
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396228532
PECOS PAC ID: 5991197014
Enrollment ID: I20220124001799
Provider NameJennifer Grondell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972111581
PECOS PAC ID: 6103218003
Enrollment ID: I20220127000880
Provider NameVanessa Gironda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831853514
PECOS PAC ID: 9931592649
Enrollment ID: I20220201002413
Provider NameKellie Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013026517
PECOS PAC ID: 2769531987
Enrollment ID: I20220208002352
Provider NameElizabeth K Bigus
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639667223
PECOS PAC ID: 0244583110
Enrollment ID: I20220209001509
Provider NameMazahir L Alimohamed
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1760897649
PECOS PAC ID: 8820382575
Enrollment ID: I20220211000890
Provider NameSara Ruth Fugazzotto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376113928
PECOS PAC ID: 4789077652
Enrollment ID: I20220217001172
Provider NameSayre M. Ciriello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497097521
PECOS PAC ID: 6800118787
Enrollment ID: I20220221001660
Provider NameMeaghan E Zisk
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1609531847
PECOS PAC ID: 0941694327
Enrollment ID: I20220301000961
Provider NameTracey M Silveira
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477204048
PECOS PAC ID: 8820482219
Enrollment ID: I20220301001080
Provider NameGeorge J Dechello
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912435835
PECOS PAC ID: 3779977798
Enrollment ID: I20220308000959
Provider NameKathryn C Wilson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1346993730
PECOS PAC ID: 8820483803
Enrollment ID: I20220310001474
Provider NameHeather R Kealos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770183279
PECOS PAC ID: 4789079351
Enrollment ID: I20220317000523
Provider NameJulia A Keleher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649936287
PECOS PAC ID: 3577958941
Enrollment ID: I20220322000491
Provider NameRazvan I Arsenescu
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1477560316
PECOS PAC ID: 7416122486
Enrollment ID: I20220324000979
Provider NameClaudia L Ma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790245041
PECOS PAC ID: 4486988102
Enrollment ID: I20220408000542
Provider NameSameer D Sheth
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1326301524
PECOS PAC ID: 7113168089
Enrollment ID: I20220413000226
Provider NameDimitri Lamisere
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770232787
PECOS PAC ID: 1658768460
Enrollment ID: I20220426001938
Provider NameLorraine J Dsa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982359949
PECOS PAC ID: 6800283573
Enrollment ID: I20220427001584
Provider NameTimothy C Prince
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386254886
PECOS PAC ID: 9638598246
Enrollment ID: I20220512001691
Provider NameVictoria K Karkantis
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1760954606
PECOS PAC ID: 7416334370
Enrollment ID: I20220513001909
Provider NameSarah E Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174272165
PECOS PAC ID: 2567840770
Enrollment ID: I20220531001689
Provider NameCsilla Korom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770234247
PECOS PAC ID: 3072991058
Enrollment ID: I20220602002756
Provider NameDana L Blanks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750593935
PECOS PAC ID: 5890173892
Enrollment ID: I20220603000430
Provider NameSvetlana Leeds
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1528257805
PECOS PAC ID: 6507244522
Enrollment ID: I20220603000986
Provider NameDesiree F Tavarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255089090
PECOS PAC ID: 6608254529
Enrollment ID: I20220606002201
Provider NameWayra Y Salazar Moreno
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316195696
PECOS PAC ID: 2163650706
Enrollment ID: I20220610002308
Provider NameCyntia A Saenz Saenz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962818757
PECOS PAC ID: 4688973035
Enrollment ID: I20220617001109
Provider NameStephen Leung
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699416206
PECOS PAC ID: 4688053879
Enrollment ID: I20220617001646
Provider NameMary Pappalardo-raymond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174770754
PECOS PAC ID: 7517346323
Enrollment ID: I20220624002427
Provider NameMegan Chan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720579774
PECOS PAC ID: 8921342213
Enrollment ID: I20220629000423
Provider NameJames A Lee
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1871987628
PECOS PAC ID: 0143600676
Enrollment ID: I20220630001179
Provider NameChristina S Konstantopoulos
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932639341
PECOS PAC ID: 4284014440
Enrollment ID: I20220706000249
Provider NameAnna Y Groysman
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1750819462
PECOS PAC ID: 6204250228
Enrollment ID: I20220712003250
Provider NameTina Shiang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548792492
PECOS PAC ID: 6507115565
Enrollment ID: I20220718001562
Provider NameSarah M Ghabbour
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861056111
PECOS PAC ID: 1658752951
Enrollment ID: I20220718003142
Provider NameKathleen Vaudo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306577424
PECOS PAC ID: 6103208970
Enrollment ID: I20220727001288
Provider NameHannah E Lategan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1326544081
PECOS PAC ID: 7315286150
Enrollment ID: I20220727001874
Provider NameCaitlin E Mayhew
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1366010142
PECOS PAC ID: 2466834155
Enrollment ID: I20220727002745
Provider NameCatherine Megan Regan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821732868
PECOS PAC ID: 2062894330
Enrollment ID: I20220803000520
Provider NameJames Steven Rice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477010197
PECOS PAC ID: 9234464686
Enrollment ID: I20220803000689
Provider NameDanielle Vitiello
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1992794085
PECOS PAC ID: 7911927751
Enrollment ID: I20220805000047
Provider NameBasmah A Jalil
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1649587635
PECOS PAC ID: 4880829894
Enrollment ID: I20220812001301
Provider NameCatherine York
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1841890985
PECOS PAC ID: 2365839982
Enrollment ID: I20220818001474
Provider NameDaniel Brent Nelson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558820605
PECOS PAC ID: 4981087046
Enrollment ID: I20220823000848
Provider NameKatelyn A Kalutkiewicz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518451848
PECOS PAC ID: 0840544508
Enrollment ID: I20220823001552
Provider NameDawit H Bezabih
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376003475
PECOS PAC ID: 3375878317
Enrollment ID: I20220824001633
Provider NameManan Jain
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073072138
PECOS PAC ID: 9335476084
Enrollment ID: I20220825000966
Provider NameLisa P Zywot
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700381357
PECOS PAC ID: 0648654616
Enrollment ID: I20220825002268
Provider NameAshley T Disciullo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710637806
PECOS PAC ID: 9537543517
Enrollment ID: I20220825002949
Provider NameOmar Alani
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1689634073
PECOS PAC ID: 0345248209
Enrollment ID: I20220907002389
Provider NameDavid B Nagle
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1538516141
PECOS PAC ID: 7012203540
Enrollment ID: I20220909000383
Provider NameJason Trinh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144954371
PECOS PAC ID: 8426433509
Enrollment ID: I20220912000482
Provider NameRebecca M Muscanell
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1497250104
PECOS PAC ID: 4880942986
Enrollment ID: I20220914001901
Provider NameKinneri Mehta
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1396131678
PECOS PAC ID: 9032428768
Enrollment ID: I20220915000888
Provider NameJeremy E Slosberg
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720441132
PECOS PAC ID: 6901145135
Enrollment ID: I20220915003069
Provider NameKaitlyn Favalora
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1093452302
PECOS PAC ID: 2365827839
Enrollment ID: I20220920000655
Provider NameJustine Deslauriers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265166979
PECOS PAC ID: 4880079110
Enrollment ID: I20220922000538
Provider NameCristina Felice Stefanescu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629531371
PECOS PAC ID: 1052646817
Enrollment ID: I20220928001014
Provider NameMaya Spencer
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952968240
PECOS PAC ID: 9032442835
Enrollment ID: I20221004002755
Provider NameZachary C Liao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538692207
PECOS PAC ID: 0840617668
Enrollment ID: I20221007000467
Provider NameCourtney Hanna
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215499363
PECOS PAC ID: 3274860267
Enrollment ID: I20221007000690
Provider NameKatelyn Magazzu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922732627
PECOS PAC ID: 4789060104
Enrollment ID: I20221007000794
Provider NameCourtney Leblanc
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1588304463
PECOS PAC ID: 1850777202
Enrollment ID: I20221007002391
Provider NameRachel B.c. Psoinos
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1821485780
PECOS PAC ID: 0941519839
Enrollment ID: I20221012000461
Provider NameColleen M Fleming
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669106563
PECOS PAC ID: 1052787330
Enrollment ID: I20221012002190
Provider NameShahara Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275269482
PECOS PAC ID: 0042686297
Enrollment ID: I20221013001279
Provider NameVy Le
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457089559
PECOS PAC ID: 3779959879
Enrollment ID: I20221014000399
Provider NameShivaun Bennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003548744
PECOS PAC ID: 6800262726
Enrollment ID: I20221018002811
Provider NameMichael J Klepper
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992935175
PECOS PAC ID: 4688823271
Enrollment ID: I20221021001963
Provider NameGeorge P Sam
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669190187
PECOS PAC ID: 1658748876
Enrollment ID: I20221101001329
Provider NameChristopher A Alonzo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265812226
PECOS PAC ID: 6103138706
Enrollment ID: I20221101002749
Provider NameHala O Ali Ibrahim
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902469877
PECOS PAC ID: 9931576980
Enrollment ID: I20221103000777
Provider NameStephanie A Randazzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255882684
PECOS PAC ID: 5395112379
Enrollment ID: I20221103002289
Provider NameStacy B Sanders
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1891135216
PECOS PAC ID: 8123244357
Enrollment ID: I20221111001489
Provider NameJenny Roche
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871228080
PECOS PAC ID: 4688042468
Enrollment ID: I20221129001523
Provider NameJennifer Hayden
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1619697091
PECOS PAC ID: 7113395849
Enrollment ID: I20221130000769
Provider NameJeremy D O'neil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932823382
PECOS PAC ID: 1052780186
Enrollment ID: I20221213001561
Provider NameSamantha G. Sapienti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124750492
PECOS PAC ID: 4688043490
Enrollment ID: I20221216000888
Provider NameSheena A Fremault Miacedo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073230140
PECOS PAC ID: 7810367398
Enrollment ID: I20221227000646
Provider NameLauren N Precopio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366176570
PECOS PAC ID: 8123498557
Enrollment ID: I20221229002532
Provider NameRutendo Faith Moyo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992175624
PECOS PAC ID: 5496125619
Enrollment ID: I20230105000172
Provider NameShay Darcey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518581354
PECOS PAC ID: 0143690099
Enrollment ID: I20230110002327
Provider NameRachel S Rosan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548904386
PECOS PAC ID: 0345611786
Enrollment ID: I20230124000294
Provider NameEmily A Strange
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164157830
PECOS PAC ID: 2264804939
Enrollment ID: I20230206001152
Provider NameSteve F Danosi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891752002
PECOS PAC ID: 4789586686
Enrollment ID: I20230214000121
Provider NameKevin Sun
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316460652
PECOS PAC ID: 7517339781
Enrollment ID: I20230216001328
Provider NameLinda L Chowa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245847573
PECOS PAC ID: 4981076064
Enrollment ID: I20230220000493
Provider NameMichelle Steege
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437540143
PECOS PAC ID: 5395017784
Enrollment ID: I20230227002346
Provider NamePatrick Myers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528118213
PECOS PAC ID: 2365430089
Enrollment ID: I20230227002611
Provider NameJason Goumas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255379111
PECOS PAC ID: 6800893314
Enrollment ID: I20230227002744
Provider NameJared Aguilar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194297507
PECOS PAC ID: 2163768961
Enrollment ID: I20230228000380
Provider NamePramuk Peliyagoda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538868112
PECOS PAC ID: 5294108437
Enrollment ID: I20230308002437
Provider NameAndrew R Parker
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1902168107
PECOS PAC ID: 6002136116
Enrollment ID: I20230323001065
Provider NameWesley Dean
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063036994
PECOS PAC ID: 3971977430
Enrollment ID: I20230323001856
Provider NameAddulmeth Eang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578282505
PECOS PAC ID: 9032583224
Enrollment ID: I20230330001718
Provider NameKalubi F. Muganguzi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952958332
PECOS PAC ID: 4082089982
Enrollment ID: I20230406001363
Provider NameShimontini Mitra
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1235576836
PECOS PAC ID: 1557610599
Enrollment ID: I20230407001063
Provider NamePaul Magazzu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750007084
PECOS PAC ID: 2860867413
Enrollment ID: I20230412001994
Provider NameAlicia L Carlson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962117598
PECOS PAC ID: 1355716804
Enrollment ID: I20230414000207
Provider NameKathleen F Marchetti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285356469
PECOS PAC ID: 3577938919
Enrollment ID: I20230417001783
Provider NameApril Tak L. Ko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891419461
PECOS PAC ID: 8426423815
Enrollment ID: I20230418000358
Provider NameMelinda J Palma
Provider TypePractitioner - Medical Genetics And Genomics
Provider IdentifiersNPI Number: 1023492980
PECOS PAC ID: 2466701867
Enrollment ID: I20230421000888
Provider NameAveri Leahy Gibson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871084277
PECOS PAC ID: 4082960547
Enrollment ID: I20230510000624
Provider NameAshley Demirali
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710559158
PECOS PAC ID: 8527452127
Enrollment ID: I20230512000170
Provider NameJulie Preissler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528754181
PECOS PAC ID: 6305202516
Enrollment ID: I20230515000026
Provider NameJonathan Lin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1578068409
PECOS PAC ID: 2567794621
Enrollment ID: I20230516000460
Provider NameMichelle Chan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952003386
PECOS PAC ID: 2264898113
Enrollment ID: I20230518000999
Provider NameJillian R. Barry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104529601
PECOS PAC ID: 0648636514
Enrollment ID: I20230518001819
Provider NameNathan Petrou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437786100
PECOS PAC ID: 7012373624
Enrollment ID: I20230523002438
Provider NameJennifer A. Boudrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629782834
PECOS PAC ID: 2163889254
Enrollment ID: I20230605003132
Provider NameBrenna Murray
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1689377095
PECOS PAC ID: 5597122184
Enrollment ID: I20230613003083
Provider NameAlison Bialecki
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1699124792
PECOS PAC ID: 8224329883
Enrollment ID: I20230614000600
Provider NameKelli Killoren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144890278
PECOS PAC ID: 3173981586
Enrollment ID: I20230616001024
Provider NameEukeria Asamoah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801596341
PECOS PAC ID: 0749648632
Enrollment ID: I20230626001230
Provider NameAaron M Birnbaum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023645249
PECOS PAC ID: 1850712688
Enrollment ID: I20230629001380
Provider NameHaley Joyce Willis
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1821726001
PECOS PAC ID: 3274992771
Enrollment ID: I20230630001484
Provider NameZohar Weinstein
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467081307
PECOS PAC ID: 4981000213
Enrollment ID: I20230630001517
Provider NameJonathan Evan Coraor Fried
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275169112
PECOS PAC ID: 1951712330
Enrollment ID: I20230703000321
Provider NameMackenzi B Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700445566
PECOS PAC ID: 0749612083
Enrollment ID: I20230710000565
Provider NameLauren Tajima
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780875922
PECOS PAC ID: 0244699254
Enrollment ID: I20230710001225
Provider NameCaroline E Macisaac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639868599
PECOS PAC ID: 5698134534
Enrollment ID: I20230710002863
Provider NameHannah Lopes
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1386338002
PECOS PAC ID: 8820457724
Enrollment ID: I20230711001074
Provider NameSophie Norgaard
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1356026421
PECOS PAC ID: 3173982972
Enrollment ID: I20230711001207
Provider NameLara K. Wosepka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174164982
PECOS PAC ID: 1759740517
Enrollment ID: I20230711003438
Provider NameKevin T Grafmiller
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1063944635
PECOS PAC ID: 4385913128
Enrollment ID: I20230712002409
Provider NameElise M Velia
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1073204392
PECOS PAC ID: 6800256652
Enrollment ID: I20230712002674
Provider NameJulia C Steinberg
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043668270
PECOS PAC ID: 0345600078
Enrollment ID: I20230713001123
Provider NameTiffany Pasqua
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215668942
PECOS PAC ID: 5799145454
Enrollment ID: I20230713002013
Provider NameTeresia Thienanh Pham
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144677279
PECOS PAC ID: 8921392572
Enrollment ID: I20230714001631
Provider NameJohn Butterworth
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992328033
PECOS PAC ID: 8123489887
Enrollment ID: I20230728000816
Provider NameSusan Ruosu Liu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1033641774
PECOS PAC ID: 0143593400
Enrollment ID: I20230801000182
Provider NameLucienne Pompulus-claude
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679034441
PECOS PAC ID: 4789045287
Enrollment ID: I20230801000294
Provider NameVijay Venugopal
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568844314
PECOS PAC ID: 5193070217
Enrollment ID: I20230803000472
Provider NameBrittany Klein
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1114554219
PECOS PAC ID: 3375905243
Enrollment ID: I20230810000385
Provider NameKevin J Moore
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1164927042
PECOS PAC ID: 6204163330
Enrollment ID: I20230815004243
Provider NameEugene H. Kim
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1114585239
PECOS PAC ID: 9739415258
Enrollment ID: I20230818000793
Provider NameAlice M Kai
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1851829329
PECOS PAC ID: 4587026687
Enrollment ID: I20230821002635
Provider NameJennifer N Leibovitch
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1740714864
PECOS PAC ID: 2466799978
Enrollment ID: I20230825001672
Provider NameLiat G Chernoff
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1669188272
PECOS PAC ID: 6608239884
Enrollment ID: I20230906001234
Provider NameJee C Lin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225659881
PECOS PAC ID: 1052775053
Enrollment ID: I20230908002955
Provider NameIva Hoxha
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396476016
PECOS PAC ID: 2668836313
Enrollment ID: I20230913002336
Provider NameTrevor Schott
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1831570498
PECOS PAC ID: 1557678612
Enrollment ID: I20230918000336
Provider NameKevin Santos
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982165585
PECOS PAC ID: 4284964313
Enrollment ID: I20230918001651
Provider NameMary K. Coughlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376234021
PECOS PAC ID: 9830553148
Enrollment ID: I20230919003046
Provider NameDarya Terekhova
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1104320035
PECOS PAC ID: 5294189593
Enrollment ID: I20230920001874
Provider NameErin Caplan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831405059
PECOS PAC ID: 1759735038
Enrollment ID: I20230921000814
Provider NameJiamin Huang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013601525
PECOS PAC ID: 3375997653
Enrollment ID: I20230921000877
Provider NameNoelle Beynor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154994069
PECOS PAC ID: 8729432232
Enrollment ID: I20231002001591
Provider NameMrinalini R Prasanna
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1164911061
PECOS PAC ID: 4183975956
Enrollment ID: I20231005003240
Provider NameSandra Helen Reyes Pinzon
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992239560
PECOS PAC ID: 8426325150
Enrollment ID: I20231010002433
Provider NameLauren Fusek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639862329
PECOS PAC ID: 3779938386
Enrollment ID: I20231017000171
Provider NameJackson Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114703964
PECOS PAC ID: 5496101800
Enrollment ID: I20231020002308
Provider NameMaeve Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124707278
PECOS PAC ID: 4385090745
Enrollment ID: I20231023000422
Provider NameDana Hankard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467238196
PECOS PAC ID: 3072969088
Enrollment ID: I20231027001046
Provider NameValerie Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548976772
PECOS PAC ID: 8022464965
Enrollment ID: I20231027002908
Provider NameRachel Ceccarelli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083242648
PECOS PAC ID: 4880014646
Enrollment ID: I20231030003289
Provider NameAshley T Gallagher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154532364
PECOS PAC ID: 6305027632
Enrollment ID: I20231113001217
Provider NameJamie Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750160974
PECOS PAC ID: 5799133385
Enrollment ID: I20231120002550
Provider NameKelsey D. Kimball
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124808522
PECOS PAC ID: 7113375700
Enrollment ID: I20231120002768
Provider NameJoseph P. Rearick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447890785
PECOS PAC ID: 5294183869
Enrollment ID: I20231121002467
Provider NameAminata Sogoba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366106643
PECOS PAC ID: 4880042365
Enrollment ID: I20231121003152
Provider NameTara V Saco
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1104245174
PECOS PAC ID: 9638402183
Enrollment ID: I20231129003038
Provider NameAshley N Olivier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295340594
PECOS PAC ID: 9931558780
Enrollment ID: I20231206000352
Provider NameElias Pfister
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821860362
PECOS PAC ID: 8729438973
Enrollment ID: I20231229001483
Provider NameAlexandra L Lester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063026946
PECOS PAC ID: 8628429602
Enrollment ID: I20240104001761
Provider NameRajee Joyce
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1427039882
PECOS PAC ID: 9234580713
Enrollment ID: I20240109002874
Provider NameAlec Emmelkamp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710606553
PECOS PAC ID: 9830540277
Enrollment ID: I20240110000713
Provider NameOlivia Z Tagan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417731910
PECOS PAC ID: 9234580622
Enrollment ID: I20240110002562
Provider NameQuynh Tran
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1841983723
PECOS PAC ID: 5799136917
Enrollment ID: I20240111002525
Provider NameEmily Sammartino
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174107353
PECOS PAC ID: 4486005600
Enrollment ID: I20240111002683
Provider NamePatricia Ellis
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1982904249
PECOS PAC ID: 4486006483
Enrollment ID: I20240116000501
Provider NameKristen Powers
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1740452705
PECOS PAC ID: 1658723663
Enrollment ID: I20240116000549
Provider NameMarc A Schwendemann
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1922669902
PECOS PAC ID: 1153773007
Enrollment ID: I20240117000649
Provider NameSusan C Ebbs
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1245767698
PECOS PAC ID: 8426400185
Enrollment ID: I20240118000120
Provider NameMadison Flint
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306596606
PECOS PAC ID: 4981057098
Enrollment ID: I20240125000285
Provider NameSamantha Fischbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730956921
PECOS PAC ID: 8820441975
Enrollment ID: I20240125001637
Provider NameChristine Baker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1992120893
PECOS PAC ID: 5294178422
Enrollment ID: I20240205003119
Provider NameJessica E Baer Karnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326416322
PECOS PAC ID: 1658653340
Enrollment ID: I20240222003079
Provider NameTaylor Brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750150710
PECOS PAC ID: 9739525304
Enrollment ID: I20240306002438
Provider NameAlison E Bell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689287195
PECOS PAC ID: 0244676716
Enrollment ID: I20240307001177
Provider NameEmily Williamson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942837737
PECOS PAC ID: 3274979380
Enrollment ID: I20240312001780
Provider NameJill C Sahai
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144606617
PECOS PAC ID: 7315383247
Enrollment ID: I20240313002655
Provider NameMary Ellen Ryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679752208
PECOS PAC ID: 9739310996
Enrollment ID: I20240314003265
Provider NameKelly K. Durkin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669158721
PECOS PAC ID: 8426495664
Enrollment ID: I20240322002176
Provider NameShannon M Trainor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669251732
PECOS PAC ID: 3274970348
Enrollment ID: I20240325002714
Provider NameKathleen Speese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710633649
PECOS PAC ID: 8729455035
Enrollment ID: I20240326002247
Provider NameVictoria K.a. Koch
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1699294322
PECOS PAC ID: 8820435811
Enrollment ID: I20240326003455
Provider NameJuliana S Chahine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336904010
PECOS PAC ID: 1254779374
Enrollment ID: I20240409000347
Provider NameCaroline L. Burbank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316538549
PECOS PAC ID: 5698114205
Enrollment ID: I20240416001501
Provider NameMikaila Mottola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811609498
PECOS PAC ID: 9032573985
Enrollment ID: I20240422000948
Provider NameKimberly A Law
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093387961
PECOS PAC ID: 9436599081
Enrollment ID: I20240430000097
Provider NameJulian Rubin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558120998
PECOS PAC ID: 4486094034
Enrollment ID: I20240430000298
Provider NameMichael Serou
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396809471
PECOS PAC ID: 4587751003
Enrollment ID: I20240502001868
Provider NameMackenzie J Donohoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669175048
PECOS PAC ID: 2769823871
Enrollment ID: I20240507002662
Provider NameMaxine Singleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861125890
PECOS PAC ID: 5991146839
Enrollment ID: I20240509002991
Provider NameEmily F Ursini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699526327
PECOS PAC ID: 5294176053
Enrollment ID: I20240510000136
Provider NameMy-the T Trinh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710730221
PECOS PAC ID: 2062853831
Enrollment ID: I20240510000314
Provider NameLan Hoang Ho
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1235814674
PECOS PAC ID: 3476994609
Enrollment ID: I20240517003190
Provider NameShirline Jean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609202340
PECOS PAC ID: 1456792605
Enrollment ID: I20240518000239
Provider NameJacob W Slater
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1689245094
PECOS PAC ID: 0648612804
Enrollment ID: I20240521000270

Reviews and Comments

Internal Medicine in Boston, MA

The Collaborative Counseling Center Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 75 Arlington St Ste 500, Boston, MA 02116
Phone: 617-651-1101    
Meditelecare Of Massachusetts, Pllc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 84 State St, Boston, MA 02109
Phone: 860-788-6404    Fax: 860-829-0495
Ahead Massachusetts Medical Pc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6 Liberty Sq # 2523, Boston, MA 02109
Phone: 855-306-7786    Fax: 415-367-3629
Harvard Vanguard Medical Associates
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 133 Brookline Ave, Boston, MA 02215
Phone: 617-421-1000    Fax: 617-421-1191
Dr. Laura Fasciano Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 101 Arch St Fl 8, Boston, MA 02110
Phone: 203-530-6979    
David Buckley Pmhnp Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 607 Boylston St Ste 191l, Boston, MA 02116
Phone: 617-302-7102    
The Wellbeing Umbrella, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 185 Devonshire St Ste 902, Boston, MA 02110
Phone: 617-383-7010    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.