| Baptist Health Medical Group Inc | |
|
4071 Tates Creek Centre Dr Ste 202 Lexington KY 40517 | |
| (859) 260-4390 | |
| (859) 260-4399 |
| Full Name | Baptist Health Medical Group Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4071 Tates Creek Centre Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Danyel D Clay (VP, REVENUE CYCLE) |
| Authorized Official Contact | 5022534911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Medical Group Inc 1901 Campus Pl Louisville KY 40299-2308 Ph: (502) 253-4911 | Baptist Health Medical Group Inc 4071 Tates Creek Centre Dr Ste 202 Lexington KY 40517 Ph: (859) 260-4390 |
| NPI Number | 1518360296 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Medicare PECOS PAC ID | 5597867184 |
|---|---|
| Medicare Enrollment ID | O20150206000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518360296 | NPI | - | NPPES |
| Provider Name | Anthony Marano |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841202777 PECOS PAC ID: 4486568268 Enrollment ID: I20031117000192 |
| Provider Name | Thomas D Cervoni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407946403 PECOS PAC ID: 8820994585 Enrollment ID: I20031211000946 |
| Provider Name | John M Triplett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356306716 PECOS PAC ID: 2163328766 Enrollment ID: I20031212000019 |
| Provider Name | Karen S Jennings-conklin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912921305 PECOS PAC ID: 9335042183 Enrollment ID: I20040129000219 |
| Provider Name | Kenneth V Hughes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154425411 PECOS PAC ID: 6608769534 Enrollment ID: I20040205000023 |
| Provider Name | Eric Lydon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609873579 PECOS PAC ID: 3072406669 Enrollment ID: I20040206000301 |
| Provider Name | Gaurang B Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922180694 PECOS PAC ID: 7113811696 Enrollment ID: I20040216000002 |
| Provider Name | Curtis A Given |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699717751 PECOS PAC ID: 8921993064 Enrollment ID: I20040218000441 |
| Provider Name | Gregory M Woolfolk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881678324 PECOS PAC ID: 1759276447 Enrollment ID: I20040220000536 |
| Provider Name | Steven P Kiefer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336144302 PECOS PAC ID: 0143117630 Enrollment ID: I20040301000405 |
| Provider Name | Jannice O Aaron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528005865 PECOS PAC ID: 6406768555 Enrollment ID: I20040310001442 |
| Provider Name | Angela D Lanter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710914353 PECOS PAC ID: 7012809486 Enrollment ID: I20040329001349 |
| Provider Name | Giovannie C Eugenio-anciro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063421030 PECOS PAC ID: 9234122664 Enrollment ID: I20040403000066 |
| Provider Name | Brett A Oliver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467458042 PECOS PAC ID: 4789576604 Enrollment ID: I20040409000029 |
| Provider Name | Dennis Unas Anciro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689683658 PECOS PAC ID: 7315931730 Enrollment ID: I20040409000143 |
| Provider Name | Jennifer Gail Tarter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790775948 PECOS PAC ID: 1153315106 Enrollment ID: I20040413000067 |
| Provider Name | Edward C Standiford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346248697 PECOS PAC ID: 8527950872 Enrollment ID: I20040413001391 |
| Provider Name | Harold W Reedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760583322 PECOS PAC ID: 4183606510 Enrollment ID: I20040601001031 |
| Provider Name | James D Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033177126 PECOS PAC ID: 4183609118 Enrollment ID: I20040623000057 |
| Provider Name | Thomas L Lewellen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114912797 PECOS PAC ID: 2062499940 Enrollment ID: I20040630000213 |
| Provider Name | Kathryn Elise Woody |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124038062 PECOS PAC ID: 7315926102 Enrollment ID: I20040715000787 |
| Provider Name | Alexander Jacob Tikhtman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184668956 PECOS PAC ID: 9234028242 Enrollment ID: I20040728001285 |
| Provider Name | Khalid Yaqoob |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285686428 PECOS PAC ID: 1557331923 Enrollment ID: I20040731000191 |
| Provider Name | Ibraiz Iqbal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720067168 PECOS PAC ID: 8022089390 Enrollment ID: I20040804000998 |
| Provider Name | Amy Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144209081 PECOS PAC ID: 0941272124 Enrollment ID: I20040809000770 |
| Provider Name | Roberta Lee Pool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194704049 PECOS PAC ID: 1850363078 Enrollment ID: I20040809001037 |
| Provider Name | Timothy C Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174588362 PECOS PAC ID: 0749254258 Enrollment ID: I20040820001007 |
| Provider Name | Paula W Hollingsworth |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366471088 PECOS PAC ID: 7517938699 Enrollment ID: I20040827000416 |
| Provider Name | Michael A Geile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861499022 PECOS PAC ID: 4587639737 Enrollment ID: I20040831000851 |
| Provider Name | Jacqueline R Matar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811998578 PECOS PAC ID: 0840180519 Enrollment ID: I20040831001394 |
| Provider Name | Jacqueline G Eugenio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790701456 PECOS PAC ID: 9739155250 Enrollment ID: I20040907000859 |
| Provider Name | Scott Raymond Monnin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053462150 PECOS PAC ID: 7113994799 Enrollment ID: I20040914000050 |
| Provider Name | Brian D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902803489 PECOS PAC ID: 1355319070 Enrollment ID: I20040921000597 |
| Provider Name | Lori Ann Adelmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790889145 PECOS PAC ID: 7810966231 Enrollment ID: I20040930001249 |
| Provider Name | Anthony G Rogers |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629039755 PECOS PAC ID: 8224097407 Enrollment ID: I20041004000985 |
| Provider Name | Khalid R Chaudry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306895966 PECOS PAC ID: 3375503568 Enrollment ID: I20041013000108 |
| Provider Name | Wajdi S Kfoury |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124010814 PECOS PAC ID: 1254393374 Enrollment ID: I20041101000973 |
| Provider Name | Irfan A Afaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790778447 PECOS PAC ID: 8921997123 Enrollment ID: I20041108000539 |
| Provider Name | Hanan Budeiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013962653 PECOS PAC ID: 3870559164 Enrollment ID: I20041208000624 |
| Provider Name | Leann S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023030350 PECOS PAC ID: 9335197466 Enrollment ID: I20050105000970 |
| Provider Name | Raul Heredia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366408213 PECOS PAC ID: 7315995834 Enrollment ID: I20050111000429 |
| Provider Name | William R Banks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912990953 PECOS PAC ID: 8224087671 Enrollment ID: I20050112001121 |
| Provider Name | Ronald K Belhasen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619925187 PECOS PAC ID: 0749230910 Enrollment ID: I20050125001023 |
| Provider Name | Muhammad Ahmad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801888953 PECOS PAC ID: 1759331705 Enrollment ID: I20050131000283 |
| Provider Name | Gina D'costa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184653842 PECOS PAC ID: 1052364270 Enrollment ID: I20050301000085 |
| Provider Name | Amanda G Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215913298 PECOS PAC ID: 5395799530 Enrollment ID: I20050310000091 |
| Provider Name | Lynnelle Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487746004 PECOS PAC ID: 7911944525 Enrollment ID: I20050414001181 |
| Provider Name | Khaled Saleh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689767543 PECOS PAC ID: 2961397617 Enrollment ID: I20050426000666 |
| Provider Name | Vesna M Kriss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174562508 PECOS PAC ID: 5991745572 Enrollment ID: I20050504000161 |
| Provider Name | Michael E Kirk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255349452 PECOS PAC ID: 8325088768 Enrollment ID: I20050505000330 |
| Provider Name | Russell M Eldridge |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548261423 PECOS PAC ID: 2264473297 Enrollment ID: I20050519000405 |
| Provider Name | Paul A Pearson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992745871 PECOS PAC ID: 0840231643 Enrollment ID: I20050520000842 |
| Provider Name | Charles William Briscoe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033245055 PECOS PAC ID: 6800869595 Enrollment ID: I20050602000515 |
| Provider Name | Jocelyn Mini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689600728 PECOS PAC ID: 0042253783 Enrollment ID: I20050603000743 |
| Provider Name | Gina L Land |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003854696 PECOS PAC ID: 5698762847 Enrollment ID: I20050606000784 |
| Provider Name | Steven Crum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275599755 PECOS PAC ID: 8921041427 Enrollment ID: I20050606000919 |
| Provider Name | Barrett Blake Bradley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821088170 PECOS PAC ID: 2163467002 Enrollment ID: I20050622000381 |
| Provider Name | Jorge M Cardenas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093702128 PECOS PAC ID: 7113917568 Enrollment ID: I20050629001108 |
| Provider Name | Katrina Sandoval Nickels |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336197078 PECOS PAC ID: 6709812084 Enrollment ID: I20050711000076 |
| Provider Name | Lebnan S Saad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689648412 PECOS PAC ID: 2264469113 Enrollment ID: I20050721000719 |
| Provider Name | Ivan Morrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104825934 PECOS PAC ID: 3971594300 Enrollment ID: I20050729000259 |
| Provider Name | Luis A Vascello |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1679668065 PECOS PAC ID: 2668402413 Enrollment ID: I20050826000035 |
| Provider Name | Kristina Davis Humphries |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841299369 PECOS PAC ID: 8022049246 Enrollment ID: I20050829000007 |
| Provider Name | Anthony G Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316903941 PECOS PAC ID: 6002848512 Enrollment ID: I20050906000848 |
| Provider Name | Shannon A Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447279047 PECOS PAC ID: 5294768354 Enrollment ID: I20050919000246 |
| Provider Name | Jai H Gilliam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558404343 PECOS PAC ID: 1850316639 Enrollment ID: I20051011000494 |
| Provider Name | David R Kelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245278043 PECOS PAC ID: 5092730838 Enrollment ID: I20051012000032 |
| Provider Name | Natarajan Thannoli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811973167 PECOS PAC ID: 2860410032 Enrollment ID: I20051107000080 |
| Provider Name | James R Werkmeister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295708857 PECOS PAC ID: 0840286910 Enrollment ID: I20051114000745 |
| Provider Name | Salli E Whisman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295708493 PECOS PAC ID: 0345296687 Enrollment ID: I20051117000009 |
| Provider Name | Kerri Jo Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013969302 PECOS PAC ID: 3971526716 Enrollment ID: I20060109000103 |
| Provider Name | Ray Hays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417994070 PECOS PAC ID: 1951205061 Enrollment ID: I20060112000769 |
| Provider Name | Donald E Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548377179 PECOS PAC ID: 3870508070 Enrollment ID: I20060209000064 |
| Provider Name | Juawanna L Schuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528036100 PECOS PAC ID: 0547276560 Enrollment ID: I20060301000186 |
| Provider Name | Subin Jain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437131166 PECOS PAC ID: 7012925852 Enrollment ID: I20060405000186 |
| Provider Name | Ginger Renee Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588637961 PECOS PAC ID: 3072522762 Enrollment ID: I20060407000002 |
| Provider Name | Audra L Marcum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497703987 PECOS PAC ID: 9638180979 Enrollment ID: I20060525000179 |
| Provider Name | David J Lauber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104879519 PECOS PAC ID: 4880606797 Enrollment ID: I20060614000231 |
| Provider Name | Jonathan A Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437198645 PECOS PAC ID: 5698701035 Enrollment ID: I20060615000074 |
| Provider Name | Ginny A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699726596 PECOS PAC ID: 1254343858 Enrollment ID: I20060623000199 |
| Provider Name | Janak R Talwalkar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407805070 PECOS PAC ID: 8921010315 Enrollment ID: I20060629000394 |
| Provider Name | Tausif Sayied |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417973793 PECOS PAC ID: 2961415526 Enrollment ID: I20060726000349 |
| Provider Name | Dara J Stepp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962420406 PECOS PAC ID: 6002811064 Enrollment ID: I20060925000606 |
| Provider Name | Thomas E Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386674703 PECOS PAC ID: 5799739835 Enrollment ID: I20060926000432 |
| Provider Name | William Matt Collier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750472486 PECOS PAC ID: 6103824826 Enrollment ID: I20061113000340 |
| Provider Name | Sarah I Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972512580 PECOS PAC ID: 3577666932 Enrollment ID: I20070306000207 |
| Provider Name | Ashish M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811915598 PECOS PAC ID: 7517061773 Enrollment ID: I20070327000588 |
| Provider Name | Madonna J Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265467856 PECOS PAC ID: 0648374611 Enrollment ID: I20070330000404 |
| Provider Name | Mark I Brunner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053386060 PECOS PAC ID: 7214913789 Enrollment ID: I20070424000245 |
| Provider Name | Karla R Stephen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124105911 PECOS PAC ID: 5193821718 Enrollment ID: I20070427000365 |
| Provider Name | Richard Matter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073573481 PECOS PAC ID: 5496851321 Enrollment ID: I20070509000302 |
| Provider Name | Arthur G Yin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144241233 PECOS PAC ID: 4880791417 Enrollment ID: I20070516000363 |
| Provider Name | Chitra Raghavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376603738 PECOS PAC ID: 2961509393 Enrollment ID: I20070521000150 |
| Provider Name | Richard Shelton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326069626 PECOS PAC ID: 0749389583 Enrollment ID: I20070620000326 |
| Provider Name | Stephen M Mooney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003815622 PECOS PAC ID: 6103925714 Enrollment ID: I20070622000242 |
| Provider Name | Amy C Tiu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841338035 PECOS PAC ID: 9830290626 Enrollment ID: I20070724000172 |
| Provider Name | Jaime Cooper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710067905 PECOS PAC ID: 3274634662 Enrollment ID: I20070730000536 |
| Provider Name | Kevin J Croce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760600126 PECOS PAC ID: 0648371955 Enrollment ID: I20070730000838 |
| Provider Name | Dustin K Devers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699989640 PECOS PAC ID: 7214038538 Enrollment ID: I20070730000908 |
| Provider Name | Mazhar Salim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013075449 PECOS PAC ID: 4789775842 Enrollment ID: I20070806000004 |
| Provider Name | Julie N Ashmun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083824775 PECOS PAC ID: 5890887152 Enrollment ID: I20070816000768 |
| Provider Name | Claire C Oculam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689612780 PECOS PAC ID: 9335175611 Enrollment ID: I20070823000743 |
| Provider Name | Kristi Suzanne Day |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639183783 PECOS PAC ID: 7416950134 Enrollment ID: I20070828000884 |
| Provider Name | Larry Hubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316032519 PECOS PAC ID: 1456445816 Enrollment ID: I20070917000580 |
| Provider Name | Ganesh N Yamraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578788386 PECOS PAC ID: 4486748704 Enrollment ID: I20070918000341 |
| Provider Name | Christian N Ramsey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073652152 PECOS PAC ID: 6901990878 Enrollment ID: I20070922000134 |
| Provider Name | Roshan Pais |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154521979 PECOS PAC ID: 6204923220 Enrollment ID: I20071107000360 |
| Provider Name | Marc Russell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861431066 PECOS PAC ID: 9436247244 Enrollment ID: I20071113000027 |
| Provider Name | Anna Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942497102 PECOS PAC ID: 2466541032 Enrollment ID: I20071204000720 |
| Provider Name | Harold D Haller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972577823 PECOS PAC ID: 6608771175 Enrollment ID: I20071210000255 |
| Provider Name | Hubert O Ballard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235158049 PECOS PAC ID: 1052401304 Enrollment ID: I20071226000448 |
| Provider Name | Todd R Cote |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013054626 PECOS PAC ID: 7719068303 Enrollment ID: I20080122000330 |
| Provider Name | Uyi-oghosa Idemudia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629065131 PECOS PAC ID: 3173555885 Enrollment ID: I20080313000402 |
| Provider Name | Thitinart Sithisarn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295879138 PECOS PAC ID: 9234214172 Enrollment ID: I20080317000429 |
| Provider Name | Robert R Van Bussum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144222399 PECOS PAC ID: 9739185745 Enrollment ID: I20080401000611 |
| Provider Name | Timothy L Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730382128 PECOS PAC ID: 8022187392 Enrollment ID: I20080513000667 |
| Provider Name | Ruby Renee Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376637942 PECOS PAC ID: 2466521315 Enrollment ID: I20080519000047 |
| Provider Name | Matthew H Bucher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295939791 PECOS PAC ID: 9032282405 Enrollment ID: I20080717000463 |
| Provider Name | Charles B Dawson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538171517 PECOS PAC ID: 6901979814 Enrollment ID: I20080728000513 |
| Provider Name | Julie G Gandee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780861575 PECOS PAC ID: 0547336596 Enrollment ID: I20080827000730 |
| Provider Name | Melissa J Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194988584 PECOS PAC ID: 3072680552 Enrollment ID: I20080925000165 |
| Provider Name | Sarah H Callahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831220557 PECOS PAC ID: 7012075237 Enrollment ID: I20081016000401 |
| Provider Name | Gregory E Cooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265466627 PECOS PAC ID: 2365500345 Enrollment ID: I20081020000404 |
| Provider Name | James M Winkley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932120011 PECOS PAC ID: 8527126507 Enrollment ID: I20081020000427 |
| Provider Name | Hope M Cottrill |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1821256066 PECOS PAC ID: 0446318463 Enrollment ID: I20081021000146 |
| Provider Name | Joseph C Mueller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013170794 PECOS PAC ID: 5092874453 Enrollment ID: I20081030000522 |
| Provider Name | Holly M Hall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053573246 PECOS PAC ID: 4789744277 Enrollment ID: I20081113000227 |
| Provider Name | Lonnie J Bargo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306000591 PECOS PAC ID: 9436219870 Enrollment ID: I20081115000016 |
| Provider Name | Christopher R West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316103328 PECOS PAC ID: 2567522428 Enrollment ID: I20081121000291 |
| Provider Name | Kurt W Krouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689826323 PECOS PAC ID: 1456411313 Enrollment ID: I20081121000310 |
| Provider Name | Masoud Kalantar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003075243 PECOS PAC ID: 0446310254 Enrollment ID: I20081125000104 |
| Provider Name | Brian T Briscoe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912045212 PECOS PAC ID: 6002977360 Enrollment ID: I20081204000552 |
| Provider Name | Sibel S Gullo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154356731 PECOS PAC ID: 1850453457 Enrollment ID: I20081216000251 |
| Provider Name | Michael L Mckinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396763603 PECOS PAC ID: 2860554482 Enrollment ID: I20081216000410 |
| Provider Name | Richard M West |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629046834 PECOS PAC ID: 5991867244 Enrollment ID: I20081219000231 |
| Provider Name | Wanda V Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124165972 PECOS PAC ID: 1658434907 Enrollment ID: I20090113000171 |
| Provider Name | Jimmye Perkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902945322 PECOS PAC ID: 4789745290 Enrollment ID: I20090116000386 |
| Provider Name | Firas B Badin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588828693 PECOS PAC ID: 6507920287 Enrollment ID: I20090123000482 |
| Provider Name | Karl F Heinss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992705362 PECOS PAC ID: 4486718012 Enrollment ID: I20090127000376 |
| Provider Name | Molly Y Hester |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104864164 PECOS PAC ID: 9133284474 Enrollment ID: I20090219000502 |
| Provider Name | Robina M Bokhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588760706 PECOS PAC ID: 7810054723 Enrollment ID: I20090320000195 |
| Provider Name | Sara K Eckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073759940 PECOS PAC ID: 7517014160 Enrollment ID: I20090416000487 |
| Provider Name | Muhammad H Iqbal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356547491 PECOS PAC ID: 0244381168 Enrollment ID: I20090706000193 |
| Provider Name | Corey Forester |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508032459 PECOS PAC ID: 0345391124 Enrollment ID: I20090708000362 |
| Provider Name | Kimberly L Bell |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235138900 PECOS PAC ID: 1850379074 Enrollment ID: I20090709000611 |
| Provider Name | Ervin Anaya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841337219 PECOS PAC ID: 5294887147 Enrollment ID: I20090723000466 |
| Provider Name | Francie T Masters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114180445 PECOS PAC ID: 2668525205 Enrollment ID: I20090730000073 |
| Provider Name | Karen J Schell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548441884 PECOS PAC ID: 1355495185 Enrollment ID: I20090813000450 |
| Provider Name | Lee M Dossett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558585299 PECOS PAC ID: 9335293083 Enrollment ID: I20090815000032 |
| Provider Name | Cindy E Atkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740441591 PECOS PAC ID: 4486708138 Enrollment ID: I20090815000066 |
| Provider Name | Kara M Wells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760658355 PECOS PAC ID: 6204980568 Enrollment ID: I20090820000538 |
| Provider Name | Douglas Milligan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497765556 PECOS PAC ID: 8325192685 Enrollment ID: I20090820000602 |
| Provider Name | Michael B Humble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912110594 PECOS PAC ID: 9830244979 Enrollment ID: I20090826000149 |
| Provider Name | Andrea Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043458540 PECOS PAC ID: 9436204146 Enrollment ID: I20090902000159 |
| Provider Name | Abigail B Byrnes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902902372 PECOS PAC ID: 0547316325 Enrollment ID: I20090919000044 |
| Provider Name | Ryan B West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679736037 PECOS PAC ID: 0345386504 Enrollment ID: I20091002000002 |
| Provider Name | Robert D Sawyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629241146 PECOS PAC ID: 2062558711 Enrollment ID: I20091009000238 |
| Provider Name | Prashanti Rajagopalan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518086115 PECOS PAC ID: 4385715366 Enrollment ID: I20091028000450 |
| Provider Name | John M Harrison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679587208 PECOS PAC ID: 9032257415 Enrollment ID: I20091104000418 |
| Provider Name | Donna Clay Gerhardstein |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083628978 PECOS PAC ID: 9638217011 Enrollment ID: I20091104000466 |
| Provider Name | Angela R Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790727741 PECOS PAC ID: 1759429921 Enrollment ID: I20091109000204 |
| Provider Name | Laura Columbia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114158466 PECOS PAC ID: 2264570274 Enrollment ID: I20091112000156 |
| Provider Name | Caroline M Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205861481 PECOS PAC ID: 0345388351 Enrollment ID: I20091112000164 |
| Provider Name | Gary F Earle |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316908452 PECOS PAC ID: 1355480997 Enrollment ID: I20091120000291 |
| Provider Name | Kimberly D East |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568538981 PECOS PAC ID: 4082753587 Enrollment ID: I20091123000086 |
| Provider Name | John Thompson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760496301 PECOS PAC ID: 4486626231 Enrollment ID: I20091123000430 |
| Provider Name | Kenneth L Bain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063470714 PECOS PAC ID: 0840331039 Enrollment ID: I20100111000223 |
| Provider Name | Myra Pieratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396700308 PECOS PAC ID: 6507907441 Enrollment ID: I20100114000071 |
| Provider Name | Lisa T Degnore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295776425 PECOS PAC ID: 7214919240 Enrollment ID: I20100129000258 |
| Provider Name | Alexander E Tzouanakis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700890506 PECOS PAC ID: 5092859355 Enrollment ID: I20100224000606 |
| Provider Name | Kevin T Scully |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083655708 PECOS PAC ID: 4587560669 Enrollment ID: I20100304000352 |
| Provider Name | Gery F Tomassoni |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1114956802 PECOS PAC ID: 6709954019 Enrollment ID: I20100304000513 |
| Provider Name | Larry T Breeding |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154354033 PECOS PAC ID: 7618045923 Enrollment ID: I20100329000438 |
| Provider Name | James K Crager |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972532687 PECOS PAC ID: 2163590472 Enrollment ID: I20100329000579 |
| Provider Name | Erika H Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508841487 PECOS PAC ID: 0648306340 Enrollment ID: I20100406000348 |
| Provider Name | Timothy A Winchester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912906611 PECOS PAC ID: 3971639683 Enrollment ID: I20100406000426 |
| Provider Name | Brenda C Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801895420 PECOS PAC ID: 2163558685 Enrollment ID: I20100408000555 |
| Provider Name | Azhar Aslam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457380156 PECOS PAC ID: 9436227741 Enrollment ID: I20100415000742 |
| Provider Name | Pramod A Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063417996 PECOS PAC ID: 5799750881 Enrollment ID: I20100421000375 |
| Provider Name | Robert Hammons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710990064 PECOS PAC ID: 9537052881 Enrollment ID: I20100503000071 |
| Provider Name | Matthew K Shotwell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912975608 PECOS PAC ID: 4688607112 Enrollment ID: I20100503000212 |
| Provider Name | Yuri Villaran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588678304 PECOS PAC ID: 9931237500 Enrollment ID: I20100503000697 |
| Provider Name | Stephen D Hoadley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619967239 PECOS PAC ID: 9133157944 Enrollment ID: I20100607000769 |
| Provider Name | Danilo B Corales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013951771 PECOS PAC ID: 8527198548 Enrollment ID: I20100617000188 |
| Provider Name | Lori Halton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700097011 PECOS PAC ID: 1355495912 Enrollment ID: I20100630000850 |
| Provider Name | Lee Hicks |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356342125 PECOS PAC ID: 3577695485 Enrollment ID: I20100713000068 |
| Provider Name | Mark A Spurlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275552168 PECOS PAC ID: 9638274400 Enrollment ID: I20100721000828 |
| Provider Name | Robert W Cameron |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366422644 PECOS PAC ID: 9234224940 Enrollment ID: I20100728001095 |
| Provider Name | Matthew Mcintosh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427187889 PECOS PAC ID: 0648371922 Enrollment ID: I20100817000593 |
| Provider Name | Hameed I Koury |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215043047 PECOS PAC ID: 8729097795 Enrollment ID: I20100818000726 |
| Provider Name | Kent J Kessler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750497509 PECOS PAC ID: 9436290293 Enrollment ID: I20100818000959 |
| Provider Name | Christian Knecht |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184730863 PECOS PAC ID: 4385778836 Enrollment ID: I20100818001400 |
| Provider Name | Amanda W Carricato |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336270057 PECOS PAC ID: 5597889659 Enrollment ID: I20100826000931 |
| Provider Name | George D Weiss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679614408 PECOS PAC ID: 6901920800 Enrollment ID: I20100830000573 |
| Provider Name | Lorrie D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083928196 PECOS PAC ID: 5991707986 Enrollment ID: I20100830001012 |
| Provider Name | Brandi Weddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033439609 PECOS PAC ID: 8224153549 Enrollment ID: I20100909001237 |
| Provider Name | Bradley B Youkilis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265422414 PECOS PAC ID: 7113042268 Enrollment ID: I20100914000429 |
| Provider Name | John T Hobbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164429072 PECOS PAC ID: 0143281188 Enrollment ID: I20100929000878 |
| Provider Name | Megha Ms Desai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073721700 PECOS PAC ID: 9032301361 Enrollment ID: I20101005001064 |
| Provider Name | Curtis L High |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316932494 PECOS PAC ID: 1254315062 Enrollment ID: I20101023000136 |
| Provider Name | Robin L Sutcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730490921 PECOS PAC ID: 0345436705 Enrollment ID: I20101124000242 |
| Provider Name | Richard H Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780768259 PECOS PAC ID: 2163619826 Enrollment ID: I20101207000443 |
| Provider Name | Christine T Ko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174568455 PECOS PAC ID: 9133273238 Enrollment ID: I20101208001303 |
| Provider Name | Heather Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528375672 PECOS PAC ID: 8426246539 Enrollment ID: I20101215001179 |
| Provider Name | Karen S Playforth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285619510 PECOS PAC ID: 8820006331 Enrollment ID: I20101228000238 |
| Provider Name | Anna Marino |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124217260 PECOS PAC ID: 4385797588 Enrollment ID: I20101229000212 |
| Provider Name | Warren Nathan Frank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881656445 PECOS PAC ID: 2365631710 Enrollment ID: I20110115000006 |
| Provider Name | Jerry I Yon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235191537 PECOS PAC ID: 4082681093 Enrollment ID: I20110115000008 |
| Provider Name | Sandra Shuffett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275578940 PECOS PAC ID: 2163320631 Enrollment ID: I20110209000861 |
| Provider Name | Rizwan Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871662684 PECOS PAC ID: 9335053933 Enrollment ID: I20110211000463 |
| Provider Name | Adalberto R Castellanos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639198385 PECOS PAC ID: 5294915971 Enrollment ID: I20110212000141 |
| Provider Name | James S Pezzi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053339119 PECOS PAC ID: 3072595297 Enrollment ID: I20110212000142 |
| Provider Name | Lori Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265730311 PECOS PAC ID: 9234312505 Enrollment ID: I20110323000851 |
| Provider Name | Robert Owen Mitchell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942261094 PECOS PAC ID: 8628251675 Enrollment ID: I20110329000243 |
| Provider Name | Lisa Naylor Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417071689 PECOS PAC ID: 8022291970 Enrollment ID: I20110330000488 |
| Provider Name | Rebecca Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952606832 PECOS PAC ID: 3072797380 Enrollment ID: I20110412000280 |
| Provider Name | Paul J Spicer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063655660 PECOS PAC ID: 0143373845 Enrollment ID: I20110510000675 |
| Provider Name | Lauren A Serey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861799892 PECOS PAC ID: 5092992883 Enrollment ID: I20110603000116 |
| Provider Name | Wendell R Miers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356403489 PECOS PAC ID: 8729265533 Enrollment ID: I20110603000333 |
| Provider Name | Lyle C Myers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255493342 PECOS PAC ID: 4688851405 Enrollment ID: I20110603000404 |
| Provider Name | Tyrus M White |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124281167 PECOS PAC ID: 0446437040 Enrollment ID: I20110608000346 |
| Provider Name | Nicholas Welker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518270651 PECOS PAC ID: 4385821651 Enrollment ID: I20110614000529 |
| Provider Name | John T Adkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821040395 PECOS PAC ID: 9335326610 Enrollment ID: I20110614000711 |
| Provider Name | Lynne O Simms |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730131004 PECOS PAC ID: 0042497208 Enrollment ID: I20110615000762 |
| Provider Name | Olson Parrott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922050491 PECOS PAC ID: 9436337987 Enrollment ID: I20110701000352 |
| Provider Name | Arvinda Padmanabhan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629280656 PECOS PAC ID: 4486822541 Enrollment ID: I20110718000230 |
| Provider Name | Shardan Marc Radmanesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245475649 PECOS PAC ID: 7315116753 Enrollment ID: I20110801000952 |
| Provider Name | Henry Charles Tyler Richmond |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427187392 PECOS PAC ID: 4284764697 Enrollment ID: I20110808000212 |
| Provider Name | Stephanie D Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841507456 PECOS PAC ID: 7113196734 Enrollment ID: I20110816000180 |
| Provider Name | Mateen Ahmed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922028604 PECOS PAC ID: 5597839241 Enrollment ID: I20110823000766 |
| Provider Name | Lindsey Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265726152 PECOS PAC ID: 3779753645 Enrollment ID: I20110901000202 |
| Provider Name | Michelle A Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184912651 PECOS PAC ID: 5799955563 Enrollment ID: I20110906000082 |
| Provider Name | Kimberly Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114206174 PECOS PAC ID: 7517138449 Enrollment ID: I20110926000048 |
| Provider Name | Emmanuel Kasimanwuna Nwaokobia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851528475 PECOS PAC ID: 9931379922 Enrollment ID: I20110930000165 |
| Provider Name | Katayoun Behbahani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720213077 PECOS PAC ID: 6103098322 Enrollment ID: I20111012000789 |
| Provider Name | Walker Sloan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962631556 PECOS PAC ID: 1951573054 Enrollment ID: I20111014000296 |
| Provider Name | Becky F Stubblefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669758579 PECOS PAC ID: 3577738251 Enrollment ID: I20111207000737 |
| Provider Name | Carrie A Mccowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518029727 PECOS PAC ID: 9739354291 Enrollment ID: I20111212000286 |
| Provider Name | Vernon Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558524199 PECOS PAC ID: 0547436131 Enrollment ID: I20120103000537 |
| Provider Name | Getu Assefa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326019142 PECOS PAC ID: 2163326687 Enrollment ID: I20120210000625 |
| Provider Name | Crystal S Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134406531 PECOS PAC ID: 9830357243 Enrollment ID: I20120214000774 |
| Provider Name | Tracy L Hollan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538440227 PECOS PAC ID: 1951560309 Enrollment ID: I20120305000587 |
| Provider Name | Tammy D Sutton- Carnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700173572 PECOS PAC ID: 7719147404 Enrollment ID: I20120404001021 |
| Provider Name | Abdi Vaezy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124009659 PECOS PAC ID: 0547421463 Enrollment ID: I20120419000385 |
| Provider Name | Tabitha D Culver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508090424 PECOS PAC ID: 0648434753 Enrollment ID: I20120620000698 |
| Provider Name | Erin A Drenkhahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659506970 PECOS PAC ID: 0244495083 Enrollment ID: I20120629000267 |
| Provider Name | Belinda S Jones-larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457615239 PECOS PAC ID: 0547426744 Enrollment ID: I20120716000135 |
| Provider Name | Jealena Reesor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124308341 PECOS PAC ID: 4082870282 Enrollment ID: I20120716000149 |
| Provider Name | Scott P Kellie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235352147 PECOS PAC ID: 9537325279 Enrollment ID: I20120724000496 |
| Provider Name | Griffin K Bicking |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467689844 PECOS PAC ID: 0345406039 Enrollment ID: I20120725000047 |
| Provider Name | Stephanie Anne Blackburn Boulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093076531 PECOS PAC ID: 4385800648 Enrollment ID: I20120801000072 |
| Provider Name | Steve W Leung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386807998 PECOS PAC ID: 8628224169 Enrollment ID: I20120815000715 |
| Provider Name | Rachel Davenport-campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710281399 PECOS PAC ID: 5294982187 Enrollment ID: I20120828000816 |
| Provider Name | Christopher P Steidle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295709871 PECOS PAC ID: 4385540921 Enrollment ID: I20120904000499 |
| Provider Name | Erin Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306079165 PECOS PAC ID: 2567610983 Enrollment ID: I20120910000484 |
| Provider Name | Stephen M Furlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568690162 PECOS PAC ID: 8820246556 Enrollment ID: I20120920000765 |
| Provider Name | Ashley Moore Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649520719 PECOS PAC ID: 8022268671 Enrollment ID: I20121017000511 |
| Provider Name | Erica Gregonis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326242991 PECOS PAC ID: 2365512019 Enrollment ID: I20121113000521 |
| Provider Name | Lindsay Renee Musto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851649958 PECOS PAC ID: 5991956955 Enrollment ID: I20121121000544 |
| Provider Name | Kimberly M Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568712834 PECOS PAC ID: 2163675828 Enrollment ID: I20130104000284 |
| Provider Name | Barbara Ann Michna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710939830 PECOS PAC ID: 1759304058 Enrollment ID: I20130116000562 |
| Provider Name | Patricia H Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245574532 PECOS PAC ID: 2668625815 Enrollment ID: I20130121000138 |
| Provider Name | Terry W North |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982856910 PECOS PAC ID: 2062666720 Enrollment ID: I20130204000545 |
| Provider Name | Jonathan M Feddock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164685012 PECOS PAC ID: 8729232202 Enrollment ID: I20130209000030 |
| Provider Name | Mina H Hanna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013125202 PECOS PAC ID: 5496802514 Enrollment ID: I20130219000233 |
| Provider Name | Jessalyn P Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679826796 PECOS PAC ID: 9234384413 Enrollment ID: I20130220000264 |
| Provider Name | Francis Hinsberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275574105 PECOS PAC ID: 5698709202 Enrollment ID: I20130223000021 |
| Provider Name | Teri Lynn Partin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639419930 PECOS PAC ID: 3375789373 Enrollment ID: I20130417000627 |
| Provider Name | Erin K Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962743088 PECOS PAC ID: 7810133733 Enrollment ID: I20130422000091 |
| Provider Name | Robert Anthony Sellin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407847262 PECOS PAC ID: 7416949276 Enrollment ID: I20130510000315 |
| Provider Name | Tonya S Motayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639412679 PECOS PAC ID: 3870731078 Enrollment ID: I20130529000982 |
| Provider Name | Brandy J Lasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114267135 PECOS PAC ID: 7113165952 Enrollment ID: I20130606000117 |
| Provider Name | Katherine Matcheswala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508205113 PECOS PAC ID: 1850531336 Enrollment ID: I20130703000610 |
| Provider Name | Angela W Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922348622 PECOS PAC ID: 5597905828 Enrollment ID: I20130710000750 |
| Provider Name | Genna N Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164867958 PECOS PAC ID: 8426298399 Enrollment ID: I20130717000768 |
| Provider Name | Susan Melina Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669815049 PECOS PAC ID: 0143461327 Enrollment ID: I20130731000271 |
| Provider Name | Rebecca J Coots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538500814 PECOS PAC ID: 1658513650 Enrollment ID: I20130803000091 |
| Provider Name | Snehamala Veeravalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639517451 PECOS PAC ID: 6305088097 Enrollment ID: I20130808000612 |
| Provider Name | Lior N Shamai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093963563 PECOS PAC ID: 7315189016 Enrollment ID: I20130808000722 |
| Provider Name | Prasad Bhandary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972821924 PECOS PAC ID: 6204076615 Enrollment ID: I20130816000522 |
| Provider Name | Gregory L Repass |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669784609 PECOS PAC ID: 0244476190 Enrollment ID: I20130904001004 |
| Provider Name | Stephanie L Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518307560 PECOS PAC ID: 5092958231 Enrollment ID: I20130906000782 |
| Provider Name | Aimee R Grace |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831414341 PECOS PAC ID: 6608000716 Enrollment ID: I20131003000228 |
| Provider Name | Rebecca Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518282706 PECOS PAC ID: 6507090446 Enrollment ID: I20131009000958 |
| Provider Name | Agatha Critchfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639336019 PECOS PAC ID: 9234253915 Enrollment ID: I20131022000065 |
| Provider Name | Amy Schell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437265436 PECOS PAC ID: 7012142383 Enrollment ID: I20131023001275 |
| Provider Name | Elizabeth J Coblentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114356458 PECOS PAC ID: 5991933764 Enrollment ID: I20140124001708 |
| Provider Name | Judith Waldine Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770899387 PECOS PAC ID: 1951593581 Enrollment ID: I20140127000162 |
| Provider Name | Kristin Em Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497941413 PECOS PAC ID: 5991943441 Enrollment ID: I20140131000642 |
| Provider Name | Bipasha Nath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447579438 PECOS PAC ID: 0749418549 Enrollment ID: I20140205000863 |
| Provider Name | Rebecca Ann Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710300660 PECOS PAC ID: 1456580554 Enrollment ID: I20140213001018 |
| Provider Name | Roy M Kiriakos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053579433 PECOS PAC ID: 0749419661 Enrollment ID: I20140218001346 |
| Provider Name | Susana A Arriagada Alvarado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205088036 PECOS PAC ID: 4981833860 Enrollment ID: I20140219001223 |
| Provider Name | Tamera S Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316387079 PECOS PAC ID: 0042441735 Enrollment ID: I20140321001129 |
| Provider Name | Peter J Giannone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124020144 PECOS PAC ID: 0547454647 Enrollment ID: I20140403002009 |
| Provider Name | Michael Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396955530 PECOS PAC ID: 7618191420 Enrollment ID: I20140618001408 |
| Provider Name | Jignesh Jagdish Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164674891 PECOS PAC ID: 3173748837 Enrollment ID: I20140714001131 |
| Provider Name | Elaine Passow Capobianco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417176074 PECOS PAC ID: 0345466736 Enrollment ID: I20140721000957 |
| Provider Name | Aaron B House |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215161328 PECOS PAC ID: 5597981514 Enrollment ID: I20140729001018 |
| Provider Name | Jessica H Sandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710394564 PECOS PAC ID: 3577780394 Enrollment ID: I20140818002683 |
| Provider Name | Brent J Morris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316107592 PECOS PAC ID: 2860619624 Enrollment ID: I20140819000911 |
| Provider Name | Kelli D Trent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831417302 PECOS PAC ID: 6103044912 Enrollment ID: I20140820000393 |
| Provider Name | Brigette C Holleran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053725028 PECOS PAC ID: 7214155092 Enrollment ID: I20140820002730 |
| Provider Name | Sumit G Dang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356505689 PECOS PAC ID: 5991923617 Enrollment ID: I20140821001534 |
| Provider Name | Lauren S Beaven |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891013330 PECOS PAC ID: 2163640152 Enrollment ID: I20140904002622 |
| Provider Name | Johnny B Hammons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316239189 PECOS PAC ID: 3678712783 Enrollment ID: I20140908001269 |
| Provider Name | Erin Fannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275941684 PECOS PAC ID: 2062631872 Enrollment ID: I20140909002657 |
| Provider Name | Murali M Palla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912130741 PECOS PAC ID: 2860611498 Enrollment ID: I20140915000684 |
| Provider Name | Annette Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689083784 PECOS PAC ID: 1153541107 Enrollment ID: I20140925002124 |
| Provider Name | Gabriela K Howard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174817472 PECOS PAC ID: 6901026897 Enrollment ID: I20140926001219 |
| Provider Name | Jamie S Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853879 PECOS PAC ID: 8022238864 Enrollment ID: I20140930001235 |
| Provider Name | Beverly A Ridings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912126590 PECOS PAC ID: 8527288380 Enrollment ID: I20140930001908 |
| Provider Name | Paige Nealy Quintero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467617423 PECOS PAC ID: 9537303243 Enrollment ID: I20141002002041 |
| Provider Name | Krista Moe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891079794 PECOS PAC ID: 3173743697 Enrollment ID: I20141006001410 |
| Provider Name | Mayuri V Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114210697 PECOS PAC ID: 0840410049 Enrollment ID: I20141010001834 |
| Provider Name | Jennifer J Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205239860 PECOS PAC ID: 0749401594 Enrollment ID: I20141021001727 |
| Provider Name | Nicole M Clevinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609270388 PECOS PAC ID: 4587886924 Enrollment ID: I20141119001323 |
| Provider Name | Kevin L Swanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730595018 PECOS PAC ID: 4789586546 Enrollment ID: I20141202002135 |
| Provider Name | Haider Shamsulddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528366457 PECOS PAC ID: 2062738081 Enrollment ID: I20150309002545 |
| Provider Name | Semus Obroin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114140605 PECOS PAC ID: 3375636020 Enrollment ID: I20150504001521 |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225332133 PECOS PAC ID: 7618297219 Enrollment ID: I20150521002485 |
| Provider Name | Julia M Johnstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043616808 PECOS PAC ID: 3375864523 Enrollment ID: I20150601000624 |
| Provider Name | Tracy M Bratton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811256878 PECOS PAC ID: 8729399779 Enrollment ID: I20150618000384 |
| Provider Name | Faten Abdullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467718049 PECOS PAC ID: 7416271291 Enrollment ID: I20150629000699 |
| Provider Name | Christopher Allen Troxell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134482276 PECOS PAC ID: 6800109935 Enrollment ID: I20150720000960 |
| Provider Name | Mehul A Suthar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780942623 PECOS PAC ID: 8628381589 Enrollment ID: I20150721001703 |
| Provider Name | John H Chaney |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033377049 PECOS PAC ID: 4587978978 Enrollment ID: I20150729008585 |
| Provider Name | Coutney P Schnieders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114286275 PECOS PAC ID: 5597079814 Enrollment ID: I20150731017141 |
| Provider Name | William Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770842577 PECOS PAC ID: 9234443128 Enrollment ID: I20150805009368 |
| Provider Name | David B Olalekan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043471717 PECOS PAC ID: 9931275047 Enrollment ID: I20150818004908 |
| Provider Name | Swati Yalamanchi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023243144 PECOS PAC ID: 3779898507 Enrollment ID: I20150821014504 |
| Provider Name | Patton W Thompson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851614028 PECOS PAC ID: 8729393582 Enrollment ID: I20150824000470 |
| Provider Name | Billie J Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477938090 PECOS PAC ID: 8628384278 Enrollment ID: I20150827003051 |
| Provider Name | Christina West Mckain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407222417 PECOS PAC ID: 8426364977 Enrollment ID: I20150831000339 |
| Provider Name | Alison L Slone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669730867 PECOS PAC ID: 7012223043 Enrollment ID: I20150904001430 |
| Provider Name | Subir Labana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932398989 PECOS PAC ID: 4587722400 Enrollment ID: I20150911002106 |
| Provider Name | Girish R N Mood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487755518 PECOS PAC ID: 4789615246 Enrollment ID: I20150915000442 |
| Provider Name | Natalie Hess Houghton |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1124315049 PECOS PAC ID: 6002055613 Enrollment ID: I20150918002330 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20150929002016 |
| Provider Name | Tricia Lynne Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518336445 PECOS PAC ID: 4385953033 Enrollment ID: I20151020000269 |
| Provider Name | Cherie O Gambrel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265692123 PECOS PAC ID: 1759538812 Enrollment ID: I20151026002079 |
| Provider Name | Thomas A Mullins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972863900 PECOS PAC ID: 2860649548 Enrollment ID: I20151028002514 |
| Provider Name | William J Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861877326 PECOS PAC ID: 6406166040 Enrollment ID: I20151110002317 |
| Provider Name | Kellie Rosanbalm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184015323 PECOS PAC ID: 6901116235 Enrollment ID: I20151117000472 |
| Provider Name | Macy Leigh Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487025003 PECOS PAC ID: 9830499581 Enrollment ID: I20151202000153 |
| Provider Name | Tammy R Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972977106 PECOS PAC ID: 8224339379 Enrollment ID: I20151215002577 |
| Provider Name | Bridget C Shepherd Depaul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750751517 PECOS PAC ID: 3678878212 Enrollment ID: I20160219001144 |
| Provider Name | Charles Benjamin Newman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083859581 PECOS PAC ID: 3173770625 Enrollment ID: I20160310000178 |
| Provider Name | Tabatha Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942668983 PECOS PAC ID: 3072811132 Enrollment ID: I20160406001557 |
| Provider Name | Emmett Mosley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770783086 PECOS PAC ID: 5597737270 Enrollment ID: I20160503001263 |
| Provider Name | Wycliffe Opii |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043654247 PECOS PAC ID: 3173837358 Enrollment ID: I20160523001016 |
| Provider Name | Olutayo T Olabige |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306046214 PECOS PAC ID: 7012002710 Enrollment ID: I20160525001615 |
| Provider Name | Makayla Kiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023456878 PECOS PAC ID: 5799079299 Enrollment ID: I20160805001512 |
| Provider Name | Grace C Runions |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104200864 PECOS PAC ID: 2668766098 Enrollment ID: I20160809000249 |
| Provider Name | Kristy J Salley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871948976 PECOS PAC ID: 3476847666 Enrollment ID: I20160810002985 |
| Provider Name | Holly Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275989345 PECOS PAC ID: 7113211012 Enrollment ID: I20160815002042 |
| Provider Name | Elizabeth T Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639524903 PECOS PAC ID: 2668767880 Enrollment ID: I20160825002914 |
| Provider Name | Rami Jambeih |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538397245 PECOS PAC ID: 5294980058 Enrollment ID: I20160902001085 |
| Provider Name | Brandon Kellie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649413063 PECOS PAC ID: 8527206655 Enrollment ID: I20160906001050 |
| Provider Name | Amul A Bhalodi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750644407 PECOS PAC ID: 2961798533 Enrollment ID: I20160907002552 |
| Provider Name | Sabrina Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932552197 PECOS PAC ID: 6507152949 Enrollment ID: I20160909002398 |
| Provider Name | Adam K Hiett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376652636 PECOS PAC ID: 2062570575 Enrollment ID: I20160912002445 |
| Provider Name | Michael J Shih |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578729034 PECOS PAC ID: 6305024464 Enrollment ID: I20160913002007 |
| Provider Name | Cristen Kelly Waespe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750510210 PECOS PAC ID: 3779870233 Enrollment ID: I20160927001477 |
| Provider Name | Shelley R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225481476 PECOS PAC ID: 6709174105 Enrollment ID: I20161018002620 |
| Provider Name | Tina Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902350556 PECOS PAC ID: 0042598245 Enrollment ID: I20161021001960 |
| Provider Name | Cesar A Bertolotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871813147 PECOS PAC ID: 1759526734 Enrollment ID: I20161024002726 |
| Provider Name | Abby L Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568917847 PECOS PAC ID: 3072892355 Enrollment ID: I20161108002496 |
| Provider Name | Jessica R Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326594847 PECOS PAC ID: 9739468893 Enrollment ID: I20161111001359 |
| Provider Name | Amy C Claunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861943029 PECOS PAC ID: 6800175563 Enrollment ID: I20161121000960 |
| Provider Name | Valerie Breeding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427508738 PECOS PAC ID: 7911286489 Enrollment ID: I20161128002064 |
| Provider Name | Brittany M Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043604499 PECOS PAC ID: 7113207432 Enrollment ID: I20161202001105 |
| Provider Name | Ehtesham Ul Haq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194055137 PECOS PAC ID: 3971733445 Enrollment ID: I20170113000741 |
| Provider Name | Tiffany M Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346798485 PECOS PAC ID: 8224310446 Enrollment ID: I20170124001820 |
| Provider Name | Linda Mccool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669914677 PECOS PAC ID: 0042592073 Enrollment ID: I20170126001091 |
| Provider Name | Shannon Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154865020 PECOS PAC ID: 5890077671 Enrollment ID: I20170201000200 |
| Provider Name | Marlana Lynn Keeton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023551504 PECOS PAC ID: 6709169170 Enrollment ID: I20170208002577 |
| Provider Name | Elizabeth Howard Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306383682 PECOS PAC ID: 1951684810 Enrollment ID: I20170220001703 |
| Provider Name | Tracey Owensby Carbajal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023271681 PECOS PAC ID: 3779751276 Enrollment ID: I20170223002668 |
| Provider Name | Whitney N Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275070229 PECOS PAC ID: 3173807328 Enrollment ID: I20170307001140 |
| Provider Name | Deborah Ann Foster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548314974 PECOS PAC ID: 7810271020 Enrollment ID: I20170308001039 |
| Provider Name | Kari Dubosque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235496191 PECOS PAC ID: 3476864166 Enrollment ID: I20170310002068 |
| Provider Name | Anna V Wilhoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104366285 PECOS PAC ID: 6305121005 Enrollment ID: I20170321000191 |
| Provider Name | Matthew R Luckett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609000850 PECOS PAC ID: 3678791118 Enrollment ID: I20170403002411 |
| Provider Name | Patrick M Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265984785 PECOS PAC ID: 2668758590 Enrollment ID: I20170407001253 |
| Provider Name | Robert S Emerick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255315495 PECOS PAC ID: 1850332842 Enrollment ID: I20170418002384 |
| Provider Name | Jessica N Carty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174050801 PECOS PAC ID: 6002183084 Enrollment ID: I20170523000141 |
| Provider Name | John W Lynch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356364145 PECOS PAC ID: 5193995090 Enrollment ID: I20170523001564 |
| Provider Name | Rachel Ash Bernal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851317093 PECOS PAC ID: 4880648393 Enrollment ID: I20170523002100 |
| Provider Name | Siamak Karimian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225091812 PECOS PAC ID: 7719933258 Enrollment ID: I20170623001458 |
| Provider Name | Vinay Nidadavolu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750660734 PECOS PAC ID: 2961771456 Enrollment ID: I20170626002337 |
| Provider Name | Rebecca J Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063948602 PECOS PAC ID: 4183993595 Enrollment ID: I20170628001228 |
| Provider Name | Theresa V Case |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447543293 PECOS PAC ID: 6002137759 Enrollment ID: I20170628001315 |
| Provider Name | Dwayne Likens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326336793 PECOS PAC ID: 3870894090 Enrollment ID: I20170703001167 |
| Provider Name | Kelly Pacitti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992062889 PECOS PAC ID: 7012157597 Enrollment ID: I20170703001271 |
| Provider Name | Mohamed Younis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437578317 PECOS PAC ID: 8527337674 Enrollment ID: I20170705000348 |
| Provider Name | Teresa Mcilvoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235580754 PECOS PAC ID: 0143599977 Enrollment ID: I20170710002386 |
| Provider Name | John A Leigh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023371739 PECOS PAC ID: 3375833833 Enrollment ID: I20170724003357 |
| Provider Name | Victor A Howard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740573286 PECOS PAC ID: 5799006904 Enrollment ID: I20170725004203 |
| Provider Name | Melissa Hornsby Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831627389 PECOS PAC ID: 8224308069 Enrollment ID: I20170726003727 |
| Provider Name | Lori King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427578855 PECOS PAC ID: 1254601032 Enrollment ID: I20170727001004 |
| Provider Name | Cassie Lynn Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376970624 PECOS PAC ID: 4183929540 Enrollment ID: I20170802002333 |
| Provider Name | Hannah E Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376951699 PECOS PAC ID: 3476867466 Enrollment ID: I20170811003053 |
| Provider Name | Hayley Barbato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285046102 PECOS PAC ID: 2466746441 Enrollment ID: I20170815000910 |
| Provider Name | Amy Lynette Maynard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487179636 PECOS PAC ID: 8325311806 Enrollment ID: I20170905002088 |
| Provider Name | Abdallah Kharnaf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679861611 PECOS PAC ID: 2466681010 Enrollment ID: I20170915003242 |
| Provider Name | Elizabeth A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780109314 PECOS PAC ID: 6002180205 Enrollment ID: I20170927002391 |
| Provider Name | Melissa Faye Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669900346 PECOS PAC ID: 0941574040 Enrollment ID: I20170927002706 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20171002003709 |
| Provider Name | Faisal Shamshad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225022320 PECOS PAC ID: 0345201463 Enrollment ID: I20171003003935 |
| Provider Name | Sharrie Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083141808 PECOS PAC ID: 6305102302 Enrollment ID: I20171108000179 |
| Provider Name | Amy Kathryn Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477070852 PECOS PAC ID: 6901162510 Enrollment ID: I20171115002222 |
| Provider Name | Heather Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831600352 PECOS PAC ID: 0840557245 Enrollment ID: I20171120001034 |
| Provider Name | Deanna Lane Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114439825 PECOS PAC ID: 1951668110 Enrollment ID: I20171127002323 |
| Provider Name | Olivia D Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740667468 PECOS PAC ID: 4486911351 Enrollment ID: I20171130002604 |
| Provider Name | Somer K Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902353980 PECOS PAC ID: 4284991753 Enrollment ID: I20171208001492 |
| Provider Name | Eric L Lo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497782023 PECOS PAC ID: 8123193208 Enrollment ID: I20171212003043 |
| Provider Name | Luis Julian Vallejo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457735060 PECOS PAC ID: 5890076111 Enrollment ID: I20171228000596 |
| Provider Name | Henry K Lui |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811939424 PECOS PAC ID: 7113823790 Enrollment ID: I20180109003503 |
| Provider Name | Josie Gail Pippin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114311230 PECOS PAC ID: 4981982030 Enrollment ID: I20180201003152 |
| Provider Name | Jacquelene Renee Steele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134566441 PECOS PAC ID: 2163723990 Enrollment ID: I20180206002046 |
| Provider Name | Tiffany L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427556125 PECOS PAC ID: 1052671971 Enrollment ID: I20180213003174 |
| Provider Name | Caroline A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992247910 PECOS PAC ID: 0648530444 Enrollment ID: I20180215000936 |
| Provider Name | Niranjan Seshadri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306840210 PECOS PAC ID: 3072594852 Enrollment ID: I20180219000753 |
| Provider Name | Shailaja R. Sappati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619949773 PECOS PAC ID: 3577549484 Enrollment ID: I20180326000146 |
| Provider Name | Amber Dawn Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023525805 PECOS PAC ID: 3678835923 Enrollment ID: I20180326001458 |
| Provider Name | Scott J. Seidner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861449290 PECOS PAC ID: 6800789231 Enrollment ID: I20180403000425 |
| Provider Name | Ronak B Jani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417182304 PECOS PAC ID: 3072735208 Enrollment ID: I20180403002691 |
| Provider Name | Joy L Herbert-neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205330172 PECOS PAC ID: 7012270077 Enrollment ID: I20180404002912 |
| Provider Name | Joseph Tylor Silvers |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003170713 PECOS PAC ID: 6608021977 Enrollment ID: I20180406001483 |
| Provider Name | Spencer R Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154766087 PECOS PAC ID: 8527375831 Enrollment ID: I20180411002517 |
| Provider Name | George Sea Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598701948 PECOS PAC ID: 6103821541 Enrollment ID: I20180416001650 |
| Provider Name | Shasta Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104334184 PECOS PAC ID: 3779847702 Enrollment ID: I20180427002168 |
| Provider Name | Logan Walters Edmonds |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821483298 PECOS PAC ID: 2668750720 Enrollment ID: I20180518000511 |
| Provider Name | Supriya Kohli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194019570 PECOS PAC ID: 4789980574 Enrollment ID: I20180522003171 |
| Provider Name | Fakhri Dalati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013967835 PECOS PAC ID: 3173590320 Enrollment ID: I20180605002621 |
| Provider Name | Sean W James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356729438 PECOS PAC ID: 7719282110 Enrollment ID: I20180605002706 |
| Provider Name | Mary Baylon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679993372 PECOS PAC ID: 8628387321 Enrollment ID: I20180614002975 |
| Provider Name | Sarah Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891181574 PECOS PAC ID: 9436404225 Enrollment ID: I20180619002802 |
| Provider Name | Andrew Todd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831533843 PECOS PAC ID: 6204062417 Enrollment ID: I20180619003099 |
| Provider Name | Ian Blake Holbrook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427468909 PECOS PAC ID: 2961702188 Enrollment ID: I20180627001356 |
| Provider Name | Karyn N Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033667159 PECOS PAC ID: 6800142837 Enrollment ID: I20180705002993 |
| Provider Name | Vikas Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457663817 PECOS PAC ID: 3678869989 Enrollment ID: I20180709002219 |
| Provider Name | Angela Renee Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457858250 PECOS PAC ID: 1153677802 Enrollment ID: I20180710003720 |
| Provider Name | Elizabeth A Markus |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255746277 PECOS PAC ID: 8527373505 Enrollment ID: I20180720002421 |
| Provider Name | Sara W Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356831655 PECOS PAC ID: 1052668639 Enrollment ID: I20180727002632 |
| Provider Name | Kayla M Damron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437505328 PECOS PAC ID: 7719235985 Enrollment ID: I20180803000861 |
| Provider Name | Kathryn L Seward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205217296 PECOS PAC ID: 8022379981 Enrollment ID: I20180822001218 |
| Provider Name | Laura Elizabeth Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013495605 PECOS PAC ID: 3678822681 Enrollment ID: I20180824001586 |
| Provider Name | Jacob A Bishop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013324136 PECOS PAC ID: 6507144698 Enrollment ID: I20180904001593 |
| Provider Name | Robert M Cline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811344211 PECOS PAC ID: 8628328069 Enrollment ID: I20180906001400 |
| Provider Name | Nathan S Kusterer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790078764 PECOS PAC ID: 9335366400 Enrollment ID: I20180918002492 |
| Provider Name | Marshall Taylor Stai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659758233 PECOS PAC ID: 3476866641 Enrollment ID: I20180927001438 |
| Provider Name | Lyndsey Roesch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417392788 PECOS PAC ID: 3476867649 Enrollment ID: I20180927002578 |
| Provider Name | Deborah Winters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013994441 PECOS PAC ID: 3375530876 Enrollment ID: I20181008000795 |
| Provider Name | Joseph Yates |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518348549 PECOS PAC ID: 8022301621 Enrollment ID: I20181010003845 |
| Provider Name | Meghan Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720423189 PECOS PAC ID: 8325325939 Enrollment ID: I20181023003312 |
| Provider Name | Angela N Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326527102 PECOS PAC ID: 0648524793 Enrollment ID: I20181108002196 |
| Provider Name | Chastity Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265908594 PECOS PAC ID: 3779837521 Enrollment ID: I20181113003012 |
| Provider Name | Benjamin E Bess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043789811 PECOS PAC ID: 9830433390 Enrollment ID: I20181210003547 |
| Provider Name | Shelley Falik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154495810 PECOS PAC ID: 3476650276 Enrollment ID: I20181212000792 |
| Provider Name | Heather Renee Cloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780170795 PECOS PAC ID: 0244575462 Enrollment ID: I20181217001874 |
| Provider Name | Gerry Hearn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003390436 PECOS PAC ID: 2860737855 Enrollment ID: I20181219002299 |
| Provider Name | Arlie Campbell Wheeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679783658 PECOS PAC ID: 9931346384 Enrollment ID: I20190118002704 |
| Provider Name | Sophia D Goodridge |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255690905 PECOS PAC ID: 6709166440 Enrollment ID: I20190211000592 |
| Provider Name | Charity L Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265904890 PECOS PAC ID: 3971842634 Enrollment ID: I20190225002690 |
| Provider Name | Griselda Mbong Cheng-akwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417412065 PECOS PAC ID: 4880936723 Enrollment ID: I20190425001428 |
| Provider Name | William G Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360524 PECOS PAC ID: 9931441219 Enrollment ID: I20190507002273 |
| Provider Name | Andrew B Parks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932561586 PECOS PAC ID: 4880967405 Enrollment ID: I20190515002154 |
| Provider Name | Arvind K Bansal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962523381 PECOS PAC ID: 6709982648 Enrollment ID: I20190516002147 |
| Provider Name | Jonathan M Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174908230 PECOS PAC ID: 1355621996 Enrollment ID: I20190523002056 |
| Provider Name | Bryon Scott Cook |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770841546 PECOS PAC ID: 0840591509 Enrollment ID: I20190614002518 |
| Provider Name | Lauren R Ridderikhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477915866 PECOS PAC ID: 7618200098 Enrollment ID: I20190618001814 |
| Provider Name | Umberto Gaetano Fontana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033111315 PECOS PAC ID: 0749326601 Enrollment ID: I20190621002579 |
| Provider Name | Bill J Hacker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558715169 PECOS PAC ID: 5698049732 Enrollment ID: I20190625001711 |
| Provider Name | Sanchayan Debnath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649602590 PECOS PAC ID: 6800184656 Enrollment ID: I20190625004074 |
| Provider Name | Morgan Lee Blanton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760845390 PECOS PAC ID: 8022342971 Enrollment ID: I20190626001465 |
| Provider Name | Shandy Marcus Karrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215386750 PECOS PAC ID: 7416282322 Enrollment ID: I20190715003450 |
| Provider Name | Alison Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518526169 PECOS PAC ID: 5799010435 Enrollment ID: I20190717001855 |
| Provider Name | Caitlin P Griffin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386178424 PECOS PAC ID: 7315272903 Enrollment ID: I20190718002962 |
| Provider Name | Christopher Caleb Meenach |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881039204 PECOS PAC ID: 5496069247 Enrollment ID: I20190722003520 |
| Provider Name | Kendell Donald Koehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770945891 PECOS PAC ID: 0345503348 Enrollment ID: I20190729003135 |
| Provider Name | Kyle Samuel Rosenstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053773465 PECOS PAC ID: 0042584005 Enrollment ID: I20190730003598 |
| Provider Name | Megan Anne Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831551076 PECOS PAC ID: 5991077273 Enrollment ID: I20190806000115 |
| Provider Name | Daniel Alan Shields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346600400 PECOS PAC ID: 6204163702 Enrollment ID: I20190806003951 |
| Provider Name | Megan Lynn Minch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356756720 PECOS PAC ID: 2961716329 Enrollment ID: I20190808000330 |
| Provider Name | Amy Lynn Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740841345 PECOS PAC ID: 0244567410 Enrollment ID: I20190809002569 |
| Provider Name | Amanda Nicole Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932764628 PECOS PAC ID: 9032446133 Enrollment ID: I20190813000823 |
| Provider Name | Amy Vibbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639721194 PECOS PAC ID: 7618204488 Enrollment ID: I20190816001632 |
| Provider Name | David Alexander |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619397890 PECOS PAC ID: 4082847462 Enrollment ID: I20190904000903 |
| Provider Name | Kerri Ann Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104384437 PECOS PAC ID: 7517296783 Enrollment ID: I20190912003639 |
| Provider Name | Daniel James Cheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497107403 PECOS PAC ID: 1355633280 Enrollment ID: I20190916002627 |
| Provider Name | Adrienne Graeub Fortner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972151769 PECOS PAC ID: 9739419706 Enrollment ID: I20190918002188 |
| Provider Name | Elizabeth J Abrams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164083994 PECOS PAC ID: 6305176827 Enrollment ID: I20190926001493 |
| Provider Name | Johan David Aasbo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396820213 PECOS PAC ID: 2668564303 Enrollment ID: I20191010002525 |
| Provider Name | Kendra N Wiseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891338299 PECOS PAC ID: 7012349616 Enrollment ID: I20191120002088 |
| Provider Name | Lori W Seivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447717087 PECOS PAC ID: 0749613008 Enrollment ID: I20191127002438 |
| Provider Name | Joshua Adam Wirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033766183 PECOS PAC ID: 5799118584 Enrollment ID: I20191210000226 |
| Provider Name | Jagannath M Sherigar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699087163 PECOS PAC ID: 3476723057 Enrollment ID: I20191210002668 |
| Provider Name | Stephanie D Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205472677 PECOS PAC ID: 8123453289 Enrollment ID: I20200117000857 |
| Provider Name | Emily Jordan Gregory |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912387523 PECOS PAC ID: 3072864859 Enrollment ID: I20200211000570 |
| Provider Name | Makayla Jean Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154952844 PECOS PAC ID: 0244667582 Enrollment ID: I20200225002736 |
| Provider Name | Alma Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134778475 PECOS PAC ID: 3375970494 Enrollment ID: I20200228002315 |
| Provider Name | Kyle Andrew Bloomfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003446667 PECOS PAC ID: 3779911219 Enrollment ID: I20200317001484 |
| Provider Name | Hossam Jabbour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770014177 PECOS PAC ID: 5698022242 Enrollment ID: I20200321000571 |
| Provider Name | Andrea Semones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932539053 PECOS PAC ID: 6406285451 Enrollment ID: I20200326002773 |
| Provider Name | Monica Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861990228 PECOS PAC ID: 4486084803 Enrollment ID: I20200424002264 |
| Provider Name | Andrew Pennington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689176166 PECOS PAC ID: 4385074715 Enrollment ID: I20200424002756 |
| Provider Name | Patricia Kleinholz-owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629344882 PECOS PAC ID: 5496043440 Enrollment ID: I20200428002188 |
| Provider Name | Rachael Ann Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427680974 PECOS PAC ID: 1254761406 Enrollment ID: I20200430002509 |
| Provider Name | Alison E Victor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588128920 PECOS PAC ID: 5890126056 Enrollment ID: I20200504002114 |
| Provider Name | Thomas Hunter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831576461 PECOS PAC ID: 6002184769 Enrollment ID: I20200520001386 |
| Provider Name | Jennie Evans Trautwein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962873349 PECOS PAC ID: 0244539294 Enrollment ID: I20200520001854 |
| Provider Name | Shawn L Peterson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710392477 PECOS PAC ID: 1951615319 Enrollment ID: I20200520002321 |
| Provider Name | Tyler Bennett Mclaurine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023541638 PECOS PAC ID: 5890069074 Enrollment ID: I20200521002687 |
| Provider Name | Autumn B Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538218 PECOS PAC ID: 6305267618 Enrollment ID: I20200527002890 |
| Provider Name | Celena Marie Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063981231 PECOS PAC ID: 6608297437 Enrollment ID: I20200617002733 |
| Provider Name | Murali Kolikonda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194111807 PECOS PAC ID: 6901186378 Enrollment ID: I20200622001788 |
| Provider Name | Sean Christopher Mullins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518493840 PECOS PAC ID: 0446672034 Enrollment ID: I20200629001568 |
| Provider Name | Curtis Anthony Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649773219 PECOS PAC ID: 1456775766 Enrollment ID: I20200720003485 |
| Provider Name | Allyson G Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932630761 PECOS PAC ID: 8426305335 Enrollment ID: I20200721002850 |
| Provider Name | Matthew S Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750812582 PECOS PAC ID: 4789931692 Enrollment ID: I20200721002905 |
| Provider Name | Jessica Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346870458 PECOS PAC ID: 5698190882 Enrollment ID: I20200805001333 |
| Provider Name | Sarah Corrine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912517731 PECOS PAC ID: 1557787918 Enrollment ID: I20200814002458 |
| Provider Name | Brooklyn Nicole Prewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821609173 PECOS PAC ID: 0143646547 Enrollment ID: I20200817001060 |
| Provider Name | Lauren L Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811508831 PECOS PAC ID: 5698191765 Enrollment ID: I20200819003542 |
| Provider Name | Aaron J Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558892877 PECOS PAC ID: 9032469895 Enrollment ID: I20200820003493 |
| Provider Name | Christina Ann Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780293027 PECOS PAC ID: 0244656221 Enrollment ID: I20200820003720 |
| Provider Name | William Andrew Cagle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437680220 PECOS PAC ID: 2668898578 Enrollment ID: I20200821001129 |
| Provider Name | Jennifer Lynn Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245853498 PECOS PAC ID: 2961828884 Enrollment ID: I20200821001451 |
| Provider Name | Allison Elizabeth Lebron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366050395 PECOS PAC ID: 2567888498 Enrollment ID: I20200821001603 |
| Provider Name | Jahan D Miremami |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427439561 PECOS PAC ID: 2466740477 Enrollment ID: I20200824001290 |
| Provider Name | Kimberly D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114538204 PECOS PAC ID: 8123445830 Enrollment ID: I20200826002450 |
| Provider Name | Yuri Boyechko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306253679 PECOS PAC ID: 1153635123 Enrollment ID: I20200831000211 |
| Provider Name | Amber Loren Coffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821545260 PECOS PAC ID: 8224456256 Enrollment ID: I20200908002478 |
| Provider Name | May Abdelhak Ghanim-moustafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255816088 PECOS PAC ID: 8123446507 Enrollment ID: I20200916002910 |
| Provider Name | Bjorn L Holestol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437681525 PECOS PAC ID: 6709124696 Enrollment ID: I20200924002350 |
| Provider Name | Trenten Gerald Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295346443 PECOS PAC ID: 2668891623 Enrollment ID: I20200924003480 |
| Provider Name | Cymbre Lin Root |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003228222 PECOS PAC ID: 5395165633 Enrollment ID: I20201026001954 |
| Provider Name | Stephanie Brianne Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982202776 PECOS PAC ID: 8022428135 Enrollment ID: I20201030001656 |
| Provider Name | Alexandria Coutts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275064990 PECOS PAC ID: 2264842707 Enrollment ID: I20201111002657 |
| Provider Name | Jenny Garner Tharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932719606 PECOS PAC ID: 1456762178 Enrollment ID: I20201201000983 |
| Provider Name | Sarah Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619570744 PECOS PAC ID: 2466863154 Enrollment ID: I20201202000469 |
| Provider Name | Stephen J Dick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568427144 PECOS PAC ID: 3870542129 Enrollment ID: I20201217000713 |
| Provider Name | Weisi Yan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649405028 PECOS PAC ID: 1658596721 Enrollment ID: I20210112002067 |
| Provider Name | Amartyadeb Goswami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851314728 PECOS PAC ID: 2163456872 Enrollment ID: I20210119002693 |
| Provider Name | Amit Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528401676 PECOS PAC ID: 3375823297 Enrollment ID: I20210212002236 |
| Provider Name | Keri Eileen Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538758107 PECOS PAC ID: 9638584519 Enrollment ID: I20210301000171 |
| Provider Name | Sara M Moscow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619235033 PECOS PAC ID: 5193051084 Enrollment ID: I20210315000708 |
| Provider Name | Jamal Al Taani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083819593 PECOS PAC ID: 7012002314 Enrollment ID: I20210319001747 |
| Provider Name | Ayub Suleiman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1306287396 PECOS PAC ID: 6204125818 Enrollment ID: I20210319002129 |
| Provider Name | William Allison Barret |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891012696 PECOS PAC ID: 2668618315 Enrollment ID: I20210322000581 |
| Provider Name | Elizabeth Ann Hocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831784792 PECOS PAC ID: 0345657169 Enrollment ID: I20210323002165 |
| Provider Name | Srikanth Medarametla |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770842817 PECOS PAC ID: 2365768124 Enrollment ID: I20210420002800 |
| Provider Name | Whitney Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366028698 PECOS PAC ID: 3173932159 Enrollment ID: I20210503002426 |
| Provider Name | Chelsea Dawn Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255829818 PECOS PAC ID: 8224388467 Enrollment ID: I20210505001983 |
| Provider Name | Amber Marcum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942890066 PECOS PAC ID: 3678982592 Enrollment ID: I20210505002776 |
| Provider Name | Tonya Renee Prather |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730683830 PECOS PAC ID: 1052720380 Enrollment ID: I20210517001894 |
| Provider Name | Chauncey Dior Morton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386160323 PECOS PAC ID: 1456750686 Enrollment ID: I20210520001403 |
| Provider Name | Logan Kilpatric Burgess |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649632183 PECOS PAC ID: 4486074127 Enrollment ID: I20210617000257 |
| Provider Name | Rupin Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265815138 PECOS PAC ID: 2365794062 Enrollment ID: I20210618001625 |
| Provider Name | Tiffani Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760678106 PECOS PAC ID: 1254484157 Enrollment ID: I20210628002854 |
| Provider Name | John Andrew Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437534948 PECOS PAC ID: 8527311448 Enrollment ID: I20210630003030 |
| Provider Name | Sana Ahmed Alhajri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669854402 PECOS PAC ID: 9335481431 Enrollment ID: I20210701001073 |
| Provider Name | Mallory Dehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932777216 PECOS PAC ID: 2062813751 Enrollment ID: I20210701002660 |
| Provider Name | Mollie S Staggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780198259 PECOS PAC ID: 9133521727 Enrollment ID: I20210702002651 |
| Provider Name | Joel W Simon |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861751950 PECOS PAC ID: 1355581398 Enrollment ID: I20210707003968 |
| Provider Name | Timothy Stark |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275995391 PECOS PAC ID: 8022380807 Enrollment ID: I20210714003738 |
| Provider Name | Eulis Ray Stepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699349423 PECOS PAC ID: 2860894656 Enrollment ID: I20210715004313 |
| Provider Name | Justin Penticuff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134515083 PECOS PAC ID: 6901192541 Enrollment ID: I20210716002628 |
| Provider Name | Natalie M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639746589 PECOS PAC ID: 3072916766 Enrollment ID: I20210719001383 |
| Provider Name | Emma Louise Scott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497287460 PECOS PAC ID: 4284986746 Enrollment ID: I20210721000712 |
| Provider Name | Brian E Schirf |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184840290 PECOS PAC ID: 6901979780 Enrollment ID: I20210721003120 |
| Provider Name | Diane Marie Carden Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013448505 PECOS PAC ID: 8325441512 Enrollment ID: I20210726002669 |
| Provider Name | Nicole Douthat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700381928 PECOS PAC ID: 0446589048 Enrollment ID: I20210728004030 |
| Provider Name | Luke A Iannuzzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598253635 PECOS PAC ID: 6608127972 Enrollment ID: I20210803003145 |
| Provider Name | Tiffany Lynn Whitson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255909008 PECOS PAC ID: 5294139754 Enrollment ID: I20210804004187 |
| Provider Name | Beverly Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033609979 PECOS PAC ID: 8628320256 Enrollment ID: I20210813000637 |
| Provider Name | Eva Burgess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912433525 PECOS PAC ID: 3779916044 Enrollment ID: I20210819003147 |
| Provider Name | Nicolas Villelli |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629489174 PECOS PAC ID: 2567687601 Enrollment ID: I20210825003687 |
| Provider Name | Tierney Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760921340 PECOS PAC ID: 5698170892 Enrollment ID: I20210826001491 |
| Provider Name | Leigha Caroland High |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104357813 PECOS PAC ID: 6709150790 Enrollment ID: I20210901001073 |
| Provider Name | Christopher Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982193660 PECOS PAC ID: 9830440254 Enrollment ID: I20210901003478 |
| Provider Name | Julia S Springate Spalding |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770016792 PECOS PAC ID: 2961808209 Enrollment ID: I20210910002574 |
| Provider Name | Laura Wick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821578576 PECOS PAC ID: 9537565841 Enrollment ID: I20210913002191 |
| Provider Name | Margaret E Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518574235 PECOS PAC ID: 1658777891 Enrollment ID: I20210913003499 |
| Provider Name | Sarah Mills |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528621497 PECOS PAC ID: 5395142780 Enrollment ID: I20210928001938 |
| Provider Name | Amanda Emmeline Su |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679033344 PECOS PAC ID: 5799195368 Enrollment ID: I20211007002360 |
| Provider Name | Janna Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316407281 PECOS PAC ID: 0648678979 Enrollment ID: I20211018000542 |
| Provider Name | Heather Caldwell Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134894413 PECOS PAC ID: 7618365826 Enrollment ID: I20211020002203 |
| Provider Name | Sydney Megan Griffie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134702343 PECOS PAC ID: 4981092129 Enrollment ID: I20211021000396 |
| Provider Name | Angel Y Ramos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912392986 PECOS PAC ID: 8820380413 Enrollment ID: I20211021002938 |
| Provider Name | Connor Grant Earls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124796594 PECOS PAC ID: 4385033497 Enrollment ID: I20211111000515 |
| Provider Name | John Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396125985 PECOS PAC ID: 6608175880 Enrollment ID: I20211201001906 |
| Provider Name | Shelby Lynn Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922765635 PECOS PAC ID: 0840680799 Enrollment ID: I20211208000773 |
| Provider Name | Nikia Fishback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487235412 PECOS PAC ID: 2264824473 Enrollment ID: I20220120002440 |
| Provider Name | Macy Victoria Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053063867 PECOS PAC ID: 5193118420 Enrollment ID: I20220210000088 |
| Provider Name | Jerome Puryear |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255381000 PECOS PAC ID: 7517916943 Enrollment ID: I20220217001804 |
| Provider Name | Stephanie Lovitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922751411 PECOS PAC ID: 8325432842 Enrollment ID: I20220228000625 |
| Provider Name | Deborah Reed-thurston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699989764 PECOS PAC ID: 0042481939 Enrollment ID: I20220307001350 |
| Provider Name | Bethaney Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396343687 PECOS PAC ID: 3577958396 Enrollment ID: I20220314002198 |
| Provider Name | Stephen Coonrod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851951032 PECOS PAC ID: 0648665307 Enrollment ID: I20220315002140 |
| Provider Name | Amber N Wood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750878039 PECOS PAC ID: 9133514557 Enrollment ID: I20220322002724 |
| Provider Name | Courtney Leann Edgar-zarate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740499961 PECOS PAC ID: 1254465008 Enrollment ID: I20220414001885 |
| Provider Name | Alexander Hykle Wade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275093742 PECOS PAC ID: 8224424452 Enrollment ID: I20220414002600 |
| Provider Name | Chris Meade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184395865 PECOS PAC ID: 4981081221 Enrollment ID: I20220506001481 |
| Provider Name | Rodolfo Reyes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023470259 PECOS PAC ID: 8325333149 Enrollment ID: I20220512002412 |
| Provider Name | Brandon Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255623807 PECOS PAC ID: 0749432532 Enrollment ID: I20220513002126 |
| Provider Name | Amie Jackson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023246949 PECOS PAC ID: 2769639913 Enrollment ID: I20220517002515 |
| Provider Name | Jeremy Swiney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114487766 PECOS PAC ID: 9335564939 Enrollment ID: I20220525002403 |
| Provider Name | Ashley Marie Olszewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649658253 PECOS PAC ID: 4688902729 Enrollment ID: I20220623002191 |
| Provider Name | Nicholas Theodore Severyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366897605 PECOS PAC ID: 5991095754 Enrollment ID: I20220627001698 |
| Provider Name | Ranjit Prakash Torgalkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053970897 PECOS PAC ID: 2264823509 Enrollment ID: I20220629003630 |
| Provider Name | Aleesha Cape Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982347746 PECOS PAC ID: 4587044565 Enrollment ID: I20220707004074 |
| Provider Name | Vanessa Lynn Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861551400 PECOS PAC ID: 7012398332 Enrollment ID: I20220719000004 |
| Provider Name | Weilun Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063040467 PECOS PAC ID: 9234510397 Enrollment ID: I20220720002417 |
| Provider Name | Matthew Janko |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750708806 PECOS PAC ID: 2668699620 Enrollment ID: I20220720003820 |
| Provider Name | Emily Jo Fraser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871224071 PECOS PAC ID: 7214319771 Enrollment ID: I20220729002264 |
| Provider Name | Mary Montague |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891291456 PECOS PAC ID: 6800147257 Enrollment ID: I20220804002915 |
| Provider Name | Jeremy Kalma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083064968 PECOS PAC ID: 0244524130 Enrollment ID: I20220804002940 |
| Provider Name | Joshua Lester |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497139851 PECOS PAC ID: 2466748975 Enrollment ID: I20220804003405 |
| Provider Name | Ann Cordray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164958203 PECOS PAC ID: 8628479433 Enrollment ID: I20220817001787 |
| Provider Name | Ashley B Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982331443 PECOS PAC ID: 1254714348 Enrollment ID: I20220823002313 |
| Provider Name | Kelleigh Creason Humlong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487385589 PECOS PAC ID: 8022491042 Enrollment ID: I20220823003855 |
| Provider Name | Carolyn Elizabeth Knoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104552397 PECOS PAC ID: 0042693038 Enrollment ID: I20220824002466 |
| Provider Name | Parul Chaudhuri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316366156 PECOS PAC ID: 9638479066 Enrollment ID: I20220826000177 |
| Provider Name | Brian J Kerley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437610474 PECOS PAC ID: 2668890625 Enrollment ID: I20220826000875 |
| Provider Name | Emily Carico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821559774 PECOS PAC ID: 5496139750 Enrollment ID: I20220906001158 |
| Provider Name | Benjamin Simms Cloyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356848428 PECOS PAC ID: 9032594874 Enrollment ID: I20220915001236 |
| Provider Name | Scott Hanford Deyo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922569771 PECOS PAC ID: 6709261498 Enrollment ID: I20220915003869 |
| Provider Name | William Hartley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003315227 PECOS PAC ID: 7315341229 Enrollment ID: I20220923002953 |
| Provider Name | Tania Iliashenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578022448 PECOS PAC ID: 1456765031 Enrollment ID: I20220927000341 |
| Provider Name | Lauren Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851972921 PECOS PAC ID: 4284010380 Enrollment ID: I20220927001730 |
| Provider Name | Steven Hizon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871055798 PECOS PAC ID: 4587040431 Enrollment ID: I20220930000841 |
| Provider Name | Chelsea Garriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942928692 PECOS PAC ID: 3476939042 Enrollment ID: I20221005000839 |
| Provider Name | Olivia Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952020265 PECOS PAC ID: 1153707609 Enrollment ID: I20221006000921 |
| Provider Name | Allyson Bowes Rivard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003355504 PECOS PAC ID: 3173893179 Enrollment ID: I20221011001284 |
| Provider Name | Lauren Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871051664 PECOS PAC ID: 5799028437 Enrollment ID: I20221021001226 |
| Provider Name | April Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679298731 PECOS PAC ID: 9436528767 Enrollment ID: I20221208002429 |
| Provider Name | Paula Ann Farrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134344138 PECOS PAC ID: 8628447570 Enrollment ID: I20221215000992 |
| Provider Name | Crystal D Reed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588626576 PECOS PAC ID: 0244240794 Enrollment ID: I20221221000499 |
| Provider Name | David Kantorowitz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316959646 PECOS PAC ID: 3173416518 Enrollment ID: I20221221002434 |
| Provider Name | Diana K Brosius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407598048 PECOS PAC ID: 4789054883 Enrollment ID: I20230106000550 |
| Provider Name | Jefferson Trupp |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871552638 PECOS PAC ID: 3375577083 Enrollment ID: I20230109002592 |
| Provider Name | Kristine Baula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679007082 PECOS PAC ID: 3678944097 Enrollment ID: I20230123002398 |
| Provider Name | Ryan Farthing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639885205 PECOS PAC ID: 9739552225 Enrollment ID: I20230303000505 |
| Provider Name | Bianca Yvette Whitlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316643000 PECOS PAC ID: 7416320908 Enrollment ID: I20230303000681 |
| Provider Name | Amanda Nicole Mather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134825169 PECOS PAC ID: 9234487166 Enrollment ID: I20230314002636 |
| Provider Name | Brooke Elizabeth Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477253771 PECOS PAC ID: 8921472663 Enrollment ID: I20230321001980 |
| Provider Name | Loren Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689273799 PECOS PAC ID: 9537534789 Enrollment ID: I20230331001717 |
| Provider Name | Elizabeth Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770299315 PECOS PAC ID: 5395110670 Enrollment ID: I20230419001717 |
| Provider Name | Aaron Wittenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164486338 PECOS PAC ID: 0547298036 Enrollment ID: I20230422000188 |
| Provider Name | Alex P Pallas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235455262 PECOS PAC ID: 5991014169 Enrollment ID: I20230422000202 |
| Provider Name | David Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477538874 PECOS PAC ID: 4385637180 Enrollment ID: I20230424001582 |
| Provider Name | Michael G Khoury |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588616536 PECOS PAC ID: 4981617388 Enrollment ID: I20230425000160 |
| Provider Name | Robert Ortega |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730178781 PECOS PAC ID: 4284624040 Enrollment ID: I20230425001349 |
| Provider Name | Yasir Akhtar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013001098 PECOS PAC ID: 4688774201 Enrollment ID: I20230425001458 |
| Provider Name | Mohamed Elshikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700318607 PECOS PAC ID: 4183971674 Enrollment ID: I20230501001229 |
| Provider Name | Jason J Smythe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831361963 PECOS PAC ID: 5294889762 Enrollment ID: I20230505000699 |
| Provider Name | Joseph Blandford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295240901 PECOS PAC ID: 5698181220 Enrollment ID: I20230508000842 |
| Provider Name | Amsalu Dabela-biketi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871769448 PECOS PAC ID: 1153564091 Enrollment ID: I20230522002266 |
| Provider Name | Abhijit Ashok Patil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104288497 PECOS PAC ID: 0345536447 Enrollment ID: I20230526002564 |
| Provider Name | Jennifer Jean Kottra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477508935 PECOS PAC ID: 1355323775 Enrollment ID: I20230530002295 |
| Provider Name | Tashfeen Ekram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477714087 PECOS PAC ID: 6103067038 Enrollment ID: I20230531000504 |
| Provider Name | Lauren Taylor Gruenschlaeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972218857 PECOS PAC ID: 5193182533 Enrollment ID: I20230531000761 |
| Provider Name | Page Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831393842 PECOS PAC ID: 1254673528 Enrollment ID: I20230531001158 |
| Provider Name | Michael J. Flaherty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205880176 PECOS PAC ID: 5395713358 Enrollment ID: I20230601001107 |
| Provider Name | Megan Lynn Reitenbach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184157547 PECOS PAC ID: 7911263900 Enrollment ID: I20230601002288 |
| Provider Name | Melissa Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942797006 PECOS PAC ID: 5799174843 Enrollment ID: I20230601002378 |
| Provider Name | Jason G Domina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952530974 PECOS PAC ID: 5395961981 Enrollment ID: I20230602001827 |
| Provider Name | Anudeep Kommineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730703810 PECOS PAC ID: 1153742655 Enrollment ID: I20230608000630 |
| Provider Name | William Snapp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932557303 PECOS PAC ID: 7517252844 Enrollment ID: I20230608001502 |
| Provider Name | Lex Jordan Gardner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235690462 PECOS PAC ID: 7810354735 Enrollment ID: I20230608002256 |
| Provider Name | Baillie Mccane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043911803 PECOS PAC ID: 1557729969 Enrollment ID: I20230616000930 |
| Provider Name | Abdul A Mazin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477500056 PECOS PAC ID: 0749352268 Enrollment ID: I20230619000417 |
| Provider Name | Amanda M Wiant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295989531 PECOS PAC ID: 5991948416 Enrollment ID: I20230620001733 |
| Provider Name | Divya Khattar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750745550 PECOS PAC ID: 5991163040 Enrollment ID: I20230621002453 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20230622001686 |
| Provider Name | Amanda Gabrielle Jeffries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154946192 PECOS PAC ID: 7315305349 Enrollment ID: I20230622002255 |
| Provider Name | John Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033521174 PECOS PAC ID: 3072738863 Enrollment ID: I20230623001781 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20230623001869 |
| Provider Name | Lyle Dennis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598729220 PECOS PAC ID: 6406807395 Enrollment ID: I20230623003001 |
| Provider Name | Calvin Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730576166 PECOS PAC ID: 2062721251 Enrollment ID: I20230628003104 |
| Provider Name | Ray Isinga Mirembo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023690260 PECOS PAC ID: 0648647008 Enrollment ID: I20230630001219 |
| Provider Name | Casey Potts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487115606 PECOS PAC ID: 3173858040 Enrollment ID: I20230630002028 |
| Provider Name | Jennifer Knuckles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083248827 PECOS PAC ID: 1355700881 Enrollment ID: I20230630002683 |
| Provider Name | Robert Sturm |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427410414 PECOS PAC ID: 5799077400 Enrollment ID: I20230705001643 |
| Provider Name | John Nicholas Alcorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912536004 PECOS PAC ID: 3971906496 Enrollment ID: I20230712000752 |
| Provider Name | Kelli Renee Albrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790280543 PECOS PAC ID: 6608104773 Enrollment ID: I20230712002106 |
| Provider Name | Erika Gabrielle Almodovar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528590882 PECOS PAC ID: 7113255043 Enrollment ID: I20230720000377 |
| Provider Name | Monika Marcinkevicius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649759986 PECOS PAC ID: 9537580766 Enrollment ID: I20230724001537 |
| Provider Name | Hadi Bhurgri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124388947 PECOS PAC ID: 3173894052 Enrollment ID: I20230726001773 |
| Provider Name | Madaleine Meeks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811524119 PECOS PAC ID: 4385033513 Enrollment ID: I20230809000201 |
| Provider Name | Becky Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386328193 PECOS PAC ID: 9931561529 Enrollment ID: I20230814002956 |
| Provider Name | Richard Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477050649 PECOS PAC ID: 4486906849 Enrollment ID: I20230818000512 |
| Provider Name | Robin Chalkley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902246804 PECOS PAC ID: 7517036585 Enrollment ID: I20230822002394 |
| Provider Name | John Frandina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821550872 PECOS PAC ID: 2466787619 Enrollment ID: I20230824001156 |
| Provider Name | Evan Michael Jacoby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497250062 PECOS PAC ID: 1557793346 Enrollment ID: I20230901002070 |
| Provider Name | Laurie W Veilleux |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912075862 PECOS PAC ID: 4880785914 Enrollment ID: I20230905000224 |
| Provider Name | Rabie Emsalem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477008571 PECOS PAC ID: 3375800303 Enrollment ID: I20230905001251 |
| Provider Name | Carl Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891456208 PECOS PAC ID: 2668851056 Enrollment ID: I20230911002889 |
| Provider Name | Asma Moussaoui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720424898 PECOS PAC ID: 8426354432 Enrollment ID: I20230914001573 |
| Provider Name | Huitzilin Mauricio Olmecah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821181553 PECOS PAC ID: 9638277239 Enrollment ID: I20230915001998 |
| Provider Name | Christina A Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831660539 PECOS PAC ID: 4183078504 Enrollment ID: I20231003002621 |
| Provider Name | Brian Lain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902265408 PECOS PAC ID: 1254671886 Enrollment ID: I20231028000277 |
| Provider Name | Julia Marie Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457139990 PECOS PAC ID: 2365898244 Enrollment ID: I20231030000338 |
| Provider Name | Kristen Shrout Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083396998 PECOS PAC ID: 0547617987 Enrollment ID: I20231107002797 |
| Provider Name | Geetha Vyas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750900718 PECOS PAC ID: 8022465293 Enrollment ID: I20231109000608 |
| Provider Name | Adam Rizvi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841551355 PECOS PAC ID: 1456657451 Enrollment ID: I20231115003833 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20231116000357 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20231201001403 |
| Provider Name | Kanval Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497287858 PECOS PAC ID: 2769752435 Enrollment ID: I20231208003320 |
| Provider Name | Jehan Barbat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114974060 PECOS PAC ID: 2668455965 Enrollment ID: I20231222002610 |
| Provider Name | Ashley Brook Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528478617 PECOS PAC ID: 7517317803 Enrollment ID: I20231228003301 |
| Provider Name | Jacob Hurd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063050128 PECOS PAC ID: 3476903568 Enrollment ID: I20240102003218 |
| Provider Name | Amy Denae Downs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518734631 PECOS PAC ID: 1759732241 Enrollment ID: I20240109003041 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20240111003092 |
| Provider Name | Summer Lynn Vandy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386044295 PECOS PAC ID: 6901258441 Enrollment ID: I20240119001865 |
| Provider Name | Laurie Michelle Anderson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841618683 PECOS PAC ID: 9335483569 Enrollment ID: I20240119001931 |
| Provider Name | Janice R. Grentz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194095323 PECOS PAC ID: 3375995863 Enrollment ID: I20240119003735 |
| Provider Name | Pamela Sloan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346617073 PECOS PAC ID: 0244683407 Enrollment ID: I20240124003365 |
| Provider Name | Tracey Michelle Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326818246 PECOS PAC ID: 7517310519 Enrollment ID: I20240125003654 |
| Provider Name | Miranda Lee Hatfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659003341 PECOS PAC ID: 7719330612 Enrollment ID: I20240126002783 |
| Provider Name | Reena Enaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124388483 PECOS PAC ID: 7719115435 Enrollment ID: I20240202002281 |
| Provider Name | Cynthia M Coscia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104043991 PECOS PAC ID: 0648613935 Enrollment ID: I20240202002629 |
| Provider Name | Roxanna Hatton Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750710588 PECOS PAC ID: 1355784539 Enrollment ID: I20240205001386 |
| Provider Name | Carolyn Disney Byble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992368617 PECOS PAC ID: 8527401116 Enrollment ID: I20240212000554 |
| Provider Name | Vivek Baluja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538205539 PECOS PAC ID: 0143408989 Enrollment ID: I20240214000206 |
| Provider Name | Ashley Boerrigter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386149649 PECOS PAC ID: 5092061846 Enrollment ID: I20240222001404 |
| Provider Name | Nabila Rasool |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1639343619 PECOS PAC ID: 1456401777 Enrollment ID: I20240227000883 |
| Provider Name | Nadim Louis Bou Zgheib |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1386836401 PECOS PAC ID: 5991925265 Enrollment ID: I20240228000747 |
| Provider Name | Aleksandr Shikhman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578988390 PECOS PAC ID: 1052530144 Enrollment ID: I20240301001538 |
| Provider Name | Martin Edwards |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457641086 PECOS PAC ID: 5496048688 Enrollment ID: I20240307002087 |
| Provider Name | Diego Condes Diez Martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760802540 PECOS PAC ID: 7214267822 Enrollment ID: I20240309000080 |
| Provider Name | Ram Narayan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376954693 PECOS PAC ID: 7113216326 Enrollment ID: I20240329002661 |
| Provider Name | Christine Treuting Frost |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386284701 PECOS PAC ID: 3274971528 Enrollment ID: I20240404003294 |
| Provider Name | Heather Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881231686 PECOS PAC ID: 6709224876 Enrollment ID: I20240409002030 |
| Provider Name | Venu Vadlamudi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952508699 PECOS PAC ID: 2062656903 Enrollment ID: I20240410003466 |
| Provider Name | Brianna N Holderbaum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831566421 PECOS PAC ID: 0941649883 Enrollment ID: I20240411003497 |
| Provider Name | Nazmul Huda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609076777 PECOS PAC ID: 4981786175 Enrollment ID: I20240415002798 |
| Provider Name | Madhur Alpna Roberts |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114275997 PECOS PAC ID: 1355585050 Enrollment ID: I20240430000636 |
| Provider Name | Vishwajeth Bhagavan Bhoopalam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831119841 PECOS PAC ID: 7618974684 Enrollment ID: I20240502001095 |
| Provider Name | Erinne Ayanna Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447230461 PECOS PAC ID: 9638237118 Enrollment ID: I20240509003360 |
| Provider Name | Sarah Ruth Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861250094 PECOS PAC ID: 0749621522 Enrollment ID: I20240510000886 |
| Provider Name | Audra L Stacy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124523196 PECOS PAC ID: 1850629270 Enrollment ID: I20240511000296 |
| Provider Name | Ather M Taqui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154637593 PECOS PAC ID: 0941520126 Enrollment ID: I20240514002946 |
| Provider Name | Jacob A Pascoe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619555091 PECOS PAC ID: 8729455183 Enrollment ID: I20240515000278 |
| Provider Name | Natalia Solenkova |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457782328 PECOS PAC ID: 2961627195 Enrollment ID: I20240515001726 |
| Provider Name | Jennifer Renee Burke-bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407431729 PECOS PAC ID: 1658713524 Enrollment ID: I20240523000731 |
| Provider Name | John Morrissey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740293984 PECOS PAC ID: 5597934422 Enrollment ID: I20240528002624 |
| Provider Name | Elizabeth Mirsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598225617 PECOS PAC ID: 6608105234 Enrollment ID: I20240528002876 |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
Verbal Behavior Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Strader Dr Ste 150, Lexington, KY 40505 Phone: 859-899-9200 Fax: 859-899-9202 | |
Thomas-peeples & Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Dennis Dr, Lexington, KY 40503 Phone: 859-278-4775 Fax: 859-373-0018 | |
Kvc Behavorial Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Beasley St, Lexington, KY 40509 Phone: 859-254-1035 | |
Momo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Glenn Pl, Lexington, KY 40505 Phone: 502-509-9436 | |
Andre N. Fernandez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Darby Creek Rd, Suite 21, Lexington, KY 40509 Phone: 859-263-9305 Fax: 859-264-1169 | |
Mended Counseling & Trauma Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Euclid Ave Ste A102, Lexington, KY 40502 Phone: 859-338-0006 |