| Baptist Health Medical Group Inc | |
|
2605 Kentucky Ave Suite 306 Paducah KY 42003-3800 | |
| (270) 415-7653 | |
| (270) 575-8359 |
| Full Name | Baptist Health Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2605 Kentucky Ave, Paducah, 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 2605 Kentucky Ave Suite 306 Paducah KY 42003-3800 Ph: (270) 415-7653 |
| NPI Number | 1922401611 |
|---|---|
| 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 | O20150219000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922401611 | NPI | - | NPPES |
| Provider Name | Donna C Osbron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548265929 PECOS PAC ID: 6103721881 Enrollment ID: I20031204001226 |
| Provider Name | Eugene C Fletcher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770574790 PECOS PAC ID: 6901710375 Enrollment ID: I20031210000387 |
| Provider Name | John M Triplett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356306716 PECOS PAC ID: 2163328766 Enrollment ID: I20031212000019 |
| Provider Name | Kellye L Tapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972540276 PECOS PAC ID: 8820999683 Enrollment ID: I20040115000843 |
| Provider Name | Cathrine Stevenson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700983335 PECOS PAC ID: 3870496094 Enrollment ID: I20040127000833 |
| Provider Name | Rick J Mccombs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972580991 PECOS PAC ID: 7012815921 Enrollment ID: I20040202000246 |
| Provider Name | Marye B Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477579803 PECOS PAC ID: 4688567860 Enrollment ID: I20040203000253 |
| Provider Name | Marguerite A Sellitti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508890534 PECOS PAC ID: 0941193965 Enrollment ID: I20040204000479 |
| Provider Name | Lori A Lipinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558314070 PECOS PAC ID: 8426948647 Enrollment ID: I20040319000170 |
| Provider Name | Imtiaz Hussain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275610719 PECOS PAC ID: 9739079997 Enrollment ID: I20040319000461 |
| Provider Name | Angela M Willett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558348573 PECOS PAC ID: 9739173451 Enrollment ID: I20040414000355 |
| Provider Name | Cheryl Makk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053392787 PECOS PAC ID: 2961498035 Enrollment ID: I20040423000175 |
| Provider Name | Hatem Asad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326095662 PECOS PAC ID: 4587654074 Enrollment ID: I20040517000298 |
| Provider Name | Stewart Blair Tolar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811984941 PECOS PAC ID: 0345230538 Enrollment ID: I20040518000821 |
| Provider Name | Dennis L Havens |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558301853 PECOS PAC ID: 0446241202 Enrollment ID: I20040520000494 |
| Provider Name | Vicky M Beall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821048117 PECOS PAC ID: 9335031277 Enrollment ID: I20040617000525 |
| Provider Name | Vinay Puri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275531345 PECOS PAC ID: 3274504667 Enrollment ID: I20040802000027 |
| Provider Name | Marcis A Craig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821080441 PECOS PAC ID: 7113991621 Enrollment ID: I20040820000996 |
| Provider Name | Jacqueline R Matar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811998578 PECOS PAC ID: 0840180519 Enrollment ID: I20040831001394 |
| Provider Name | Holly K Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669479648 PECOS PAC ID: 0547249617 Enrollment ID: I20040913000377 |
| 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 | Shannon L Holt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033153085 PECOS PAC ID: 2365419611 Enrollment ID: I20040915000611 |
| Provider Name | Kiro J Yun |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669473468 PECOS PAC ID: 9032187018 Enrollment ID: I20040917000605 |
| Provider Name | Jamie T Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184646630 PECOS PAC ID: 0648249458 Enrollment ID: I20040929000073 |
| Provider Name | T Mark Stanfield |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689771396 PECOS PAC ID: 2365354628 Enrollment ID: I20041004000053 |
| Provider Name | David B Saxon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023075173 PECOS PAC ID: 3072574946 Enrollment ID: I20041023000210 |
| Provider Name | Erin B Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063462935 PECOS PAC ID: 6800857616 Enrollment ID: I20041025000983 |
| Provider Name | Nicholas M Lopez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316037005 PECOS PAC ID: 8921056862 Enrollment ID: I20050107000447 |
| Provider Name | Tonya L Money |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497847677 PECOS PAC ID: 3779534292 Enrollment ID: I20050202000350 |
| Provider Name | Timothy E Shiben |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780652347 PECOS PAC ID: 0840243580 Enrollment ID: I20050223000081 |
| Provider Name | Lezlie S Getz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902903537 PECOS PAC ID: 4385699453 Enrollment ID: I20050322000504 |
| Provider Name | Krishnan Challappa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942202676 PECOS PAC ID: 7113811647 Enrollment ID: I20050331000144 |
| Provider Name | Thad R Jackson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134177108 PECOS PAC ID: 0143269480 Enrollment ID: I20050427000222 |
| Provider Name | Shahid Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497880223 PECOS PAC ID: 1153361167 Enrollment ID: I20050510000271 |
| Provider Name | Russell M Eldridge |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548261423 PECOS PAC ID: 2264473297 Enrollment ID: I20050519000405 |
| Provider Name | Jeffrey N Been |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063404903 PECOS PAC ID: 3971545955 Enrollment ID: I20050602000042 |
| Provider Name | William Hagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316944556 PECOS PAC ID: 1850334350 Enrollment ID: I20050606000904 |
| Provider Name | Todd Y Chadwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225031941 PECOS PAC ID: 7618911934 Enrollment ID: I20050616000734 |
| Provider Name | Jorge M Cardenas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093702128 PECOS PAC ID: 7113917568 Enrollment ID: I20050629001108 |
| Provider Name | David Shafran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568480606 PECOS PAC ID: 9830125210 Enrollment ID: I20050718000314 |
| Provider Name | Lebnan S Saad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689648412 PECOS PAC ID: 2264469113 Enrollment ID: I20050721000719 |
| Provider Name | Cheri L Fogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518959923 PECOS PAC ID: 5294764122 Enrollment ID: I20050810000865 |
| Provider Name | Cynthia L Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407808207 PECOS PAC ID: 5496785479 Enrollment ID: I20050818001012 |
| Provider Name | Elizabeth A Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023099629 PECOS PAC ID: 7416980859 Enrollment ID: I20050919000256 |
| Provider Name | Jessica Lynn Gargus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255309506 PECOS PAC ID: 6002831674 Enrollment ID: I20051012000848 |
| Provider Name | Deepak N Kapadia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023065745 PECOS PAC ID: 1759301336 Enrollment ID: I20051129000254 |
| Provider Name | Keith Edward Kelly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396856746 PECOS PAC ID: 9830150481 Enrollment ID: I20051201000186 |
| Provider Name | Karina A Busch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194765891 PECOS PAC ID: 2668495003 Enrollment ID: I20060111000734 |
| Provider Name | Kent E Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780780783 PECOS PAC ID: 9234143454 Enrollment ID: I20060126000814 |
| Provider Name | Muhammad Akram |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902803737 PECOS PAC ID: 1456322932 Enrollment ID: I20060207000000 |
| Provider Name | Lida M Oxnard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487738944 PECOS PAC ID: 4587679972 Enrollment ID: I20060207000017 |
| Provider Name | Luis A Concepcion |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194778449 PECOS PAC ID: 7911915160 Enrollment ID: I20060329000463 |
| Provider Name | Subin Jain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437131166 PECOS PAC ID: 7012925852 Enrollment ID: I20060405000186 |
| Provider Name | Amjad Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598739617 PECOS PAC ID: 6305855958 Enrollment ID: I20060411000206 |
| Provider Name | Bhaskaran N Sreekumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538140165 PECOS PAC ID: 4082678651 Enrollment ID: I20060424000396 |
| Provider Name | Sheila E Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427006741 PECOS PAC ID: 7810909702 Enrollment ID: I20060614000066 |
| Provider Name | Tausif Sayied |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417973793 PECOS PAC ID: 2961415526 Enrollment ID: I20060726000349 |
| Provider Name | Kevin E Stigall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962408138 PECOS PAC ID: 4385649623 Enrollment ID: I20060920000399 |
| Provider Name | Kenneth R Hargrove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467413047 PECOS PAC ID: 0547154700 Enrollment ID: I20060926000503 |
| Provider Name | John A Dacosta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932133642 PECOS PAC ID: 1052355344 Enrollment ID: I20070212000590 |
| Provider Name | Amy E Preen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013992460 PECOS PAC ID: 7214030733 Enrollment ID: I20070321000163 |
| Provider Name | Richard Matter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073573481 PECOS PAC ID: 5496851321 Enrollment ID: I20070509000302 |
| Provider Name | Olubunmi M Adegboyega |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629125679 PECOS PAC ID: 7719084136 Enrollment ID: I20070523000412 |
| Provider Name | Meri J Mccourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780742775 PECOS PAC ID: 5991803710 Enrollment ID: I20070601000356 |
| Provider Name | Jamie V Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831239284 PECOS PAC ID: 0840398681 Enrollment ID: I20070601000520 |
| Provider Name | Erin C Gottman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083711667 PECOS PAC ID: 0143328740 Enrollment ID: I20070605000586 |
| Provider Name | Thomas E Neff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679504898 PECOS PAC ID: 3577529221 Enrollment ID: I20070621000651 |
| Provider Name | Deloris M Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154460467 PECOS PAC ID: 7012932015 Enrollment ID: I20070702000383 |
| Provider Name | Vanessa R Paddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396805271 PECOS PAC ID: 8325149552 Enrollment ID: I20070718000499 |
| Provider Name | Jennifer C Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922196526 PECOS PAC ID: 0547361479 Enrollment ID: I20070723000527 |
| Provider Name | Amy C Tiu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841338035 PECOS PAC ID: 9830290626 Enrollment ID: I20070724000172 |
| Provider Name | Basim Kahleifeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225147234 PECOS PAC ID: 3971567264 Enrollment ID: I20070726000445 |
| Provider Name | Tracy R Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558324715 PECOS PAC ID: 3173529146 Enrollment ID: I20070806000526 |
| Provider Name | Jesse T Bryant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912922113 PECOS PAC ID: 3678664455 Enrollment ID: I20070808000501 |
| Provider Name | Robert E Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457479396 PECOS PAC ID: 5294826749 Enrollment ID: I20070813000314 |
| Provider Name | Kimberly Ray Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093931487 PECOS PAC ID: 9234220781 Enrollment ID: I20070813000370 |
| Provider Name | Jennifer A Thomas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346355450 PECOS PAC ID: 5698867612 Enrollment ID: I20070822001123 |
| Provider Name | John R Holt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720283187 PECOS PAC ID: 2961594841 Enrollment ID: I20070823000221 |
| Provider Name | Dominique R Abell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528148749 PECOS PAC ID: 6002909934 Enrollment ID: I20070907000533 |
| Provider Name | Robyn A Ohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740351618 PECOS PAC ID: 7214020049 Enrollment ID: I20070910000557 |
| Provider Name | Rehan A Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811197817 PECOS PAC ID: 1456448109 Enrollment ID: I20071029000292 |
| Provider Name | Sriharsha Velury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093821027 PECOS PAC ID: 1456258367 Enrollment ID: I20071109000164 |
| Provider Name | Harold D Haller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972577823 PECOS PAC ID: 6608771175 Enrollment ID: I20071210000255 |
| Provider Name | William J Crump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326144502 PECOS PAC ID: 6103906466 Enrollment ID: I20071228000172 |
| Provider Name | Andrew D Bailey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083616759 PECOS PAC ID: 0446334197 Enrollment ID: I20080220000200 |
| Provider Name | Winston C Chua |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013923846 PECOS PAC ID: 9739114570 Enrollment ID: I20080229000394 |
| Provider Name | Kevin A Moreman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679618995 PECOS PAC ID: 2961587662 Enrollment ID: I20080305000285 |
| Provider Name | Jeffrey Triplett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942264023 PECOS PAC ID: 8426953951 Enrollment ID: I20080507000370 |
| Provider Name | Prabodh M Mehta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982606604 PECOS PAC ID: 3971497454 Enrollment ID: I20080513000497 |
| Provider Name | Khuda D Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619946159 PECOS PAC ID: 1254386691 Enrollment ID: I20080612000589 |
| 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 | Sasa Strunjas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639179138 PECOS PAC ID: 6507806403 Enrollment ID: I20080916000391 |
| Provider Name | Carrie June Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821195447 PECOS PAC ID: 4284702531 Enrollment ID: I20081014000281 |
| Provider Name | Kathryn G Francescon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457501751 PECOS PAC ID: 0244390433 Enrollment ID: I20081118000371 |
| Provider Name | Russell L Mckinley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063410231 PECOS PAC ID: 5890855464 Enrollment ID: I20081201000172 |
| Provider Name | Lindsay A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790930709 PECOS PAC ID: 9830251214 Enrollment ID: I20081218000417 |
| Provider Name | Amtullah Khan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518967587 PECOS PAC ID: 1052473360 Enrollment ID: I20081222000087 |
| Provider Name | Tiffany L Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275787053 PECOS PAC ID: 1355403239 Enrollment ID: I20081231000390 |
| Provider Name | Darren C Chapman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487607610 PECOS PAC ID: 9335187053 Enrollment ID: I20090107000232 |
| Provider Name | Jeffery S Clarke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629075494 PECOS PAC ID: 4688737182 Enrollment ID: I20090109000312 |
| Provider Name | Elizabeth D Sebree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609954304 PECOS PAC ID: 1052474939 Enrollment ID: I20090121000021 |
| Provider Name | Samantha L Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558514570 PECOS PAC ID: 7517014715 Enrollment ID: I20090403000397 |
| Provider Name | Chandra D Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558475731 PECOS PAC ID: 0648327627 Enrollment ID: I20090408000345 |
| Provider Name | John T Cecil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821168154 PECOS PAC ID: 1759438153 Enrollment ID: I20090421000563 |
| Provider Name | Randall Elliot Dalton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336155944 PECOS PAC ID: 8729094628 Enrollment ID: I20090504000259 |
| Provider Name | Michelle Ross Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174683205 PECOS PAC ID: 0345398814 Enrollment ID: I20090512000049 |
| Provider Name | Montubua Vasser Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417913682 PECOS PAC ID: 7214994102 Enrollment ID: I20090518000080 |
| Provider Name | Sankar Srinivasan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811982390 PECOS PAC ID: 4587551775 Enrollment ID: I20090519000231 |
| Provider Name | Mistie R Teer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821236555 PECOS PAC ID: 1254498827 Enrollment ID: I20090617000499 |
| Provider Name | Mitzi N Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245481811 PECOS PAC ID: 9335290477 Enrollment ID: I20090630000478 |
| Provider Name | Parth H Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558596742 PECOS PAC ID: 2860543733 Enrollment ID: I20090706000635 |
| Provider Name | Willard L Keith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669534194 PECOS PAC ID: 3678465929 Enrollment ID: I20090720000267 |
| Provider Name | Ervin Anaya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841337219 PECOS PAC ID: 5294887147 Enrollment ID: I20090723000466 |
| Provider Name | Mingda Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679748636 PECOS PAC ID: 0143373803 Enrollment ID: I20090729000259 |
| Provider Name | Douglas Milligan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497765556 PECOS PAC ID: 8325192685 Enrollment ID: I20090820000602 |
| Provider Name | John A Huff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376673301 PECOS PAC ID: 9133274913 Enrollment ID: I20090831000303 |
| Provider Name | Andrea L Skaggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932174778 PECOS PAC ID: 2062460553 Enrollment ID: I20090911000058 |
| Provider Name | Amber D Savells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821232273 PECOS PAC ID: 3072659150 Enrollment ID: I20091002000217 |
| Provider Name | Stacey A High |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619124617 PECOS PAC ID: 4082750625 Enrollment ID: I20091012000450 |
| Provider Name | Brian A Lea |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962665364 PECOS PAC ID: 8426194804 Enrollment ID: I20091015000475 |
| Provider Name | Brooke A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528204039 PECOS PAC ID: 1153469903 Enrollment ID: I20091116000240 |
| Provider Name | David L Crain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821097270 PECOS PAC ID: 4284774894 Enrollment ID: I20091211000514 |
| Provider Name | George N Yates |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528067329 PECOS PAC ID: 3476443318 Enrollment ID: I20091214000576 |
| Provider Name | Jacob W Vincent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629075692 PECOS PAC ID: 1557401742 Enrollment ID: I20091219000002 |
| Provider Name | Frank H Taylor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295832913 PECOS PAC ID: 1951442029 Enrollment ID: I20100112000210 |
| Provider Name | Angela Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033117478 PECOS PAC ID: 2860533940 Enrollment ID: I20100112000225 |
| Provider Name | William A Logan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871699884 PECOS PAC ID: 2365583440 Enrollment ID: I20100112000272 |
| Provider Name | Forrest A Hanke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295831279 PECOS PAC ID: 8628119716 Enrollment ID: I20100112000349 |
| Provider Name | Matthew A Stiles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730186974 PECOS PAC ID: 8426190349 Enrollment ID: I20100114000858 |
| Provider Name | Thomas A Gallo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316043466 PECOS PAC ID: 5991847824 Enrollment ID: I20100115000075 |
| Provider Name | Robert Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194822817 PECOS PAC ID: 2365541372 Enrollment ID: I20100115000102 |
| Provider Name | Dianne Goodale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497851562 PECOS PAC ID: 8820195456 Enrollment ID: I20100115000390 |
| Provider Name | William R Conyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366409088 PECOS PAC ID: 0042352510 Enrollment ID: I20100121000362 |
| Provider Name | Mohan K Rao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063519718 PECOS PAC ID: 2365336542 Enrollment ID: I20100129000235 |
| Provider Name | Michael L Hack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619073681 PECOS PAC ID: 3173666369 Enrollment ID: I20100210000697 |
| Provider Name | Joseph B Oropilla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790792406 PECOS PAC ID: 6709968647 Enrollment ID: I20100218000566 |
| Provider Name | Cheryl W Edelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891892410 PECOS PAC ID: 9436293610 Enrollment ID: I20100225000936 |
| Provider Name | Gery F Tomassoni |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1114956802 PECOS PAC ID: 6709954019 Enrollment ID: I20100304000513 |
| Provider Name | Chris J Godfrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679564439 PECOS PAC ID: 6608952429 Enrollment ID: I20100308000121 |
| Provider Name | John A Godfrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023009362 PECOS PAC ID: 2062598881 Enrollment ID: I20100308000228 |
| Provider Name | Brian M Eklund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386635670 PECOS PAC ID: 1153407978 Enrollment ID: I20100308000250 |
| Provider Name | Mohammad J Iqbal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447211305 PECOS PAC ID: 5092850545 Enrollment ID: I20100308000858 |
| Provider Name | Kelley M Carrico-welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235460957 PECOS PAC ID: 8729123294 Enrollment ID: I20100309000069 |
| Provider Name | Janan J Ghazala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801874391 PECOS PAC ID: 8921083684 Enrollment ID: I20100309000558 |
| Provider Name | Charles David Hogancamp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609989698 PECOS PAC ID: 7315047826 Enrollment ID: I20100322000626 |
| Provider Name | Thomas Scott Neely |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487619771 PECOS PAC ID: 2567569965 Enrollment ID: I20100416000296 |
| Provider Name | Corazon A Veza |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447242110 PECOS PAC ID: 6901933944 Enrollment ID: I20100422000457 |
| Provider Name | Donald L Spicer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588668867 PECOS PAC ID: 4981790490 Enrollment ID: I20100426000092 |
| Provider Name | Carl B Lebuhn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700880309 PECOS PAC ID: 2365570967 Enrollment ID: I20100430000604 |
| Provider Name | Vivian Hall Bland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083601553 PECOS PAC ID: 0244362036 Enrollment ID: I20100714000320 |
| Provider Name | Allison L Cardin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780798934 PECOS PAC ID: 8123113537 Enrollment ID: I20100810000417 |
| Provider Name | Kerri S Remmel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639177884 PECOS PAC ID: 8921016908 Enrollment ID: I20100813000700 |
| Provider Name | Lisa V Stocksdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366760365 PECOS PAC ID: 8527192962 Enrollment ID: I20100819001290 |
| Provider Name | Abdul Q Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336376086 PECOS PAC ID: 0446374177 Enrollment ID: I20100901000218 |
| Provider Name | Myra Anne Henderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427151430 PECOS PAC ID: 2466576335 Enrollment ID: I20100924000381 |
| Provider Name | John Ballert |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831304088 PECOS PAC ID: 0547313421 Enrollment ID: I20100924001194 |
| Provider Name | Natalie B Brenningmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851544167 PECOS PAC ID: 2961694443 Enrollment ID: I20101004000530 |
| Provider Name | Anita J Fleenor-ford |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740284348 PECOS PAC ID: 8123097326 Enrollment ID: I20101022000009 |
| Provider Name | Pamela Reed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356310429 PECOS PAC ID: 8921090473 Enrollment ID: I20101202000950 |
| Provider Name | Julie A Watson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154315844 PECOS PAC ID: 0345438974 Enrollment ID: I20101227000559 |
| Provider Name | Susie J Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023187408 PECOS PAC ID: 3375731888 Enrollment ID: I20101228000875 |
| Provider Name | Jonathan Manuel Rey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679745368 PECOS PAC ID: 1254529613 Enrollment ID: I20101229000507 |
| Provider Name | Robin Renee Yanguas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619282282 PECOS PAC ID: 8921287566 Enrollment ID: I20110127000936 |
| Provider Name | Russell Carter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912976085 PECOS PAC ID: 6002957883 Enrollment ID: I20110128000256 |
| Provider Name | Erin L Larkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659676526 PECOS PAC ID: 9830370360 Enrollment ID: I20110216000915 |
| Provider Name | Shawn Jones |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821051152 PECOS PAC ID: 6002711777 Enrollment ID: I20110309000458 |
| Provider Name | John Randall Resser |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891758124 PECOS PAC ID: 1850298878 Enrollment ID: I20110309000474 |
| Provider Name | Michele Carbonell-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447557160 PECOS PAC ID: 6204018203 Enrollment ID: I20110312000042 |
| Provider Name | Melissa A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689979841 PECOS PAC ID: 7416130992 Enrollment ID: I20110321000724 |
| Provider Name | Harikrishnan Damodaran-nair |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871608125 PECOS PAC ID: 3870675945 Enrollment ID: I20110407000383 |
| Provider Name | Russell E Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932406212 PECOS PAC ID: 1153505334 Enrollment ID: I20110413000163 |
| Provider Name | Susie Kay Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508155136 PECOS PAC ID: 9638354590 Enrollment ID: I20110420000051 |
| Provider Name | Sanjay Bose |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225038698 PECOS PAC ID: 1355362617 Enrollment ID: I20110422000413 |
| Provider Name | Tracy A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215229240 PECOS PAC ID: 3072799113 Enrollment ID: I20110525000425 |
| Provider Name | Amy M Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326330564 PECOS PAC ID: 8820275480 Enrollment ID: I20110607000737 |
| Provider Name | John C Hancock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790930352 PECOS PAC ID: 9830377910 Enrollment ID: I20110620000151 |
| Provider Name | Lori W Spraggs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588993554 PECOS PAC ID: 1557539897 Enrollment ID: I20110712000714 |
| Provider Name | Amanda H Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073744702 PECOS PAC ID: 1557539723 Enrollment ID: I20110714000711 |
| Provider Name | Sergio E Chang Figueroa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447498522 PECOS PAC ID: 2062681083 Enrollment ID: I20110809000486 |
| Provider Name | Joseph C Ashburn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215110796 PECOS PAC ID: 7012186950 Enrollment ID: I20110809000797 |
| Provider Name | Hunter Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801068861 PECOS PAC ID: 8820268659 Enrollment ID: I20110902000262 |
| Provider Name | Jamie L Schulz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093978686 PECOS PAC ID: 4688845217 Enrollment ID: I20110912000537 |
| Provider Name | Jesse Sabiiti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932392693 PECOS PAC ID: 3678660008 Enrollment ID: I20110916000369 |
| Provider Name | Shawn L Price |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902023278 PECOS PAC ID: 5496948648 Enrollment ID: I20110926000813 |
| Provider Name | Diana M Nims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841501970 PECOS PAC ID: 1557532330 Enrollment ID: I20110928000151 |
| Provider Name | Simon Spilkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578728002 PECOS PAC ID: 6305017062 Enrollment ID: I20110929000270 |
| Provider Name | Amanda Chism |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295050672 PECOS PAC ID: 8224200159 Enrollment ID: I20111018000697 |
| Provider Name | Peter E Locken |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396837159 PECOS PAC ID: 1355428434 Enrollment ID: I20111026000807 |
| Provider Name | Steve M Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770749970 PECOS PAC ID: 7113190760 Enrollment ID: I20111027000359 |
| Provider Name | Syedkashif B Haider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609958388 PECOS PAC ID: 0244335487 Enrollment ID: I20111214001034 |
| Provider Name | Donald Goodin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922102391 PECOS PAC ID: 2668434200 Enrollment ID: I20120105000639 |
| Provider Name | Ed Settle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871598581 PECOS PAC ID: 1456441401 Enrollment ID: I20120305000420 |
| Provider Name | Michelle B Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548441165 PECOS PAC ID: 7315017258 Enrollment ID: I20120307000449 |
| Provider Name | Randy E Oliver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245219443 PECOS PAC ID: 0345418331 Enrollment ID: I20120314000112 |
| Provider Name | Thomas W Staton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306825500 PECOS PAC ID: 4284784653 Enrollment ID: I20120314000211 |
| Provider Name | Abby Jo Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003189267 PECOS PAC ID: 2163681834 Enrollment ID: I20120315000699 |
| Provider Name | Kalista Hughes-hester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982886586 PECOS PAC ID: 6507026507 Enrollment ID: I20120329000107 |
| Provider Name | Thomas J Gruber |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487924353 PECOS PAC ID: 6709049596 Enrollment ID: I20120514000673 |
| Provider Name | Ramona N Coffie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235391566 PECOS PAC ID: 1456514801 Enrollment ID: I20120522000838 |
| Provider Name | Socorro R Bella-oropilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467560144 PECOS PAC ID: 3274797683 Enrollment ID: I20120615000243 |
| Provider Name | Erik Goodwyn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356422380 PECOS PAC ID: 0840455069 Enrollment ID: I20120712000788 |
| Provider Name | Chrysalis A Colasanti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528320132 PECOS PAC ID: 4385800531 Enrollment ID: I20120717000067 |
| Provider Name | Jason E Goodman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114199189 PECOS PAC ID: 5799941969 Enrollment ID: I20120717000243 |
| 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 | Robert C O Laughlin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699841254 PECOS PAC ID: 1557447406 Enrollment ID: I20120730000629 |
| Provider Name | David Yerkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043448657 PECOS PAC ID: 2466608567 Enrollment ID: I20120806000297 |
| Provider Name | Michael Knox |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518160910 PECOS PAC ID: 9537315528 Enrollment ID: I20120807000494 |
| Provider Name | Hani Ahmad Bleibel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245488659 PECOS PAC ID: 2365597333 Enrollment ID: I20120810000504 |
| Provider Name | Raza A Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770534273 PECOS PAC ID: 9032365648 Enrollment ID: I20120815000271 |
| Provider Name | Spencer E Romine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659535409 PECOS PAC ID: 8921254459 Enrollment ID: I20120815000662 |
| Provider Name | Melanie L Baldwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487924577 PECOS PAC ID: 3274700737 Enrollment ID: I20120822000658 |
| Provider Name | Billy Fralish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407149560 PECOS PAC ID: 8022266386 Enrollment ID: I20120912000451 |
| Provider Name | Deanna Lea Mcpherson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962764357 PECOS PAC ID: 4486803921 Enrollment ID: I20120927000354 |
| Provider Name | Suguna Chirla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124105176 PECOS PAC ID: 1850465865 Enrollment ID: I20121023000077 |
| Provider Name | Karen A Leasor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326391913 PECOS PAC ID: 2668623398 Enrollment ID: I20121106000423 |
| Provider Name | Mohammed Shareef |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619112042 PECOS PAC ID: 6406007624 Enrollment ID: I20121117000049 |
| Provider Name | Angela Grubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942544689 PECOS PAC ID: 9335391861 Enrollment ID: I20121210000161 |
| Provider Name | Glenda S Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518218791 PECOS PAC ID: 5395998462 Enrollment ID: I20130124000052 |
| Provider Name | Carrie E Filburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093056509 PECOS PAC ID: 3971749144 Enrollment ID: I20130412000140 |
| Provider Name | Deborah D Welsh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851631410 PECOS PAC ID: 2365688868 Enrollment ID: I20130429000062 |
| Provider Name | Shelby Nicole Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215278734 PECOS PAC ID: 4183861537 Enrollment ID: I20130502000541 |
| Provider Name | Laura Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861835290 PECOS PAC ID: 0446497895 Enrollment ID: I20130502000551 |
| Provider Name | Heather K Leath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982994562 PECOS PAC ID: 3577700350 Enrollment ID: I20130515000322 |
| Provider Name | Kimberley S Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518301183 PECOS PAC ID: 5395983977 Enrollment ID: I20130522000173 |
| Provider Name | Elizabeth Hillery Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609926047 PECOS PAC ID: 2668610312 Enrollment ID: I20130607000473 |
| Provider Name | Karen J Brunkhorst |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225200520 PECOS PAC ID: 4880835610 Enrollment ID: I20130720000304 |
| Provider Name | Kelli D Mathew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386962223 PECOS PAC ID: 0941441240 Enrollment ID: I20130730000187 |
| Provider Name | Snehamala Veeravalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639517451 PECOS PAC ID: 6305088097 Enrollment ID: I20130808000612 |
| Provider Name | Angela L Mahan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275670556 PECOS PAC ID: 5092957183 Enrollment ID: I20130820001010 |
| Provider Name | Bridget Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720427115 PECOS PAC ID: 1153564992 Enrollment ID: I20130827000546 |
| Provider Name | Jennifer L Vertrees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801228317 PECOS PAC ID: 4789828930 Enrollment ID: I20130910000582 |
| Provider Name | Michael Haboubi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740410117 PECOS PAC ID: 1850535600 Enrollment ID: I20130917000209 |
| Provider Name | Joseph Valayam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770817124 PECOS PAC ID: 7214161504 Enrollment ID: I20130927000163 |
| Provider Name | Sabrina Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528406345 PECOS PAC ID: 5890929525 Enrollment ID: I20131010001784 |
| Provider Name | Agatha Critchfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639336019 PECOS PAC ID: 9234253915 Enrollment ID: I20131022000065 |
| Provider Name | Keisha Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700214947 PECOS PAC ID: 8820224116 Enrollment ID: I20131114001100 |
| Provider Name | Cari Beth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811338858 PECOS PAC ID: 4880823236 Enrollment ID: I20140204001468 |
| Provider Name | David C Jamora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538420666 PECOS PAC ID: 5597995027 Enrollment ID: I20140303001199 |
| Provider Name | Jonathan P Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679998140 PECOS PAC ID: 3274764873 Enrollment ID: I20140325000525 |
| Provider Name | Kelly Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598182321 PECOS PAC ID: 2961625504 Enrollment ID: I20140528002175 |
| Provider Name | Jignesh Jagdish Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164674891 PECOS PAC ID: 3173748837 Enrollment ID: I20140714001131 |
| Provider Name | Jason H Reynolds |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366686693 PECOS PAC ID: 9739325481 Enrollment ID: I20140716002243 |
| Provider Name | Navin R Kaini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689821829 PECOS PAC ID: 7618107673 Enrollment ID: I20140716002598 |
| Provider Name | William B Cundiff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992969604 PECOS PAC ID: 0042441032 Enrollment ID: I20140721002373 |
| Provider Name | Christopher A Semder |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487858965 PECOS PAC ID: 2466612080 Enrollment ID: I20140729001838 |
| Provider Name | Steven J Heatherly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922289602 PECOS PAC ID: 3173654373 Enrollment ID: I20140805002613 |
| Provider Name | Anam A Tawwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851735682 PECOS PAC ID: 0042437253 Enrollment ID: I20140812002087 |
| Provider Name | John Stuart Blankenship |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225267370 PECOS PAC ID: 7416197017 Enrollment ID: I20140825000503 |
| Provider Name | Rennatta Kiper White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265849525 PECOS PAC ID: 5294953758 Enrollment ID: I20140825001312 |
| Provider Name | Mitzilene Tuazon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528402351 PECOS PAC ID: 3779701198 Enrollment ID: I20140827000998 |
| Provider Name | Shelly D Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871909903 PECOS PAC ID: 6204056260 Enrollment ID: I20140925002349 |
| Provider Name | Paige Nealy Quintero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467617423 PECOS PAC ID: 9537303243 Enrollment ID: I20141002002041 |
| Provider Name | Derhonda M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063821379 PECOS PAC ID: 0749400901 Enrollment ID: I20141010000296 |
| Provider Name | Jennifer J Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205239860 PECOS PAC ID: 0749401594 Enrollment ID: I20141021001727 |
| Provider Name | Christy Y Overstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164838975 PECOS PAC ID: 3678794278 Enrollment ID: I20141023002539 |
| Provider Name | Adrian L Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992117402 PECOS PAC ID: 9335361914 Enrollment ID: I20141114001827 |
| Provider Name | Amy Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568862951 PECOS PAC ID: 0446472864 Enrollment ID: I20141119000280 |
| Provider Name | Christopher Oti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124066535 PECOS PAC ID: 4082679915 Enrollment ID: I20141209000857 |
| Provider Name | Michael Faulkner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336342427 PECOS PAC ID: 9931234093 Enrollment ID: I20150113000568 |
| Provider Name | Andria M Hefner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780089730 PECOS PAC ID: 2163746140 Enrollment ID: I20150122000714 |
| Provider Name | Kirstin D Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831587831 PECOS PAC ID: 0244554095 Enrollment ID: I20150127000349 |
| Provider Name | Gregory William Schall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326102203 PECOS PAC ID: 9032212758 Enrollment ID: I20150204002113 |
| Provider Name | Sarah Ruth Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033507561 PECOS PAC ID: 3779808621 Enrollment ID: I20150217001346 |
| Provider Name | Michele C Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083005516 PECOS PAC ID: 3274850748 Enrollment ID: I20150320000873 |
| Provider Name | Leslie W Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851784383 PECOS PAC ID: 3476870601 Enrollment ID: I20150326001278 |
| Provider Name | Willard A Andes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639215932 PECOS PAC ID: 2860656295 Enrollment ID: I20150402001876 |
| Provider Name | Brandy Buckhalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760873939 PECOS PAC ID: 0648598326 Enrollment ID: I20150408002347 |
| Provider Name | Zuhair Ghanem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649474099 PECOS PAC ID: 8426229741 Enrollment ID: I20150520000778 |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225332133 PECOS PAC ID: 7618297219 Enrollment ID: I20150521002485 |
| Provider Name | Matthew B Bailey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386878080 PECOS PAC ID: 3476773482 Enrollment ID: I20150610000581 |
| Provider Name | Valerie Suzanne Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558620740 PECOS PAC ID: 0547571671 Enrollment ID: I20150616002449 |
| Provider Name | Andrea Bazzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154716280 PECOS PAC ID: 8325359227 Enrollment ID: I20150618002358 |
| Provider Name | David R Hogancamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518224708 PECOS PAC ID: 9133430564 Enrollment ID: I20150625001580 |
| Provider Name | Kristie N Friedrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174850812 PECOS PAC ID: 6103961578 Enrollment ID: I20150716002096 |
| Provider Name | Ronald L. Hedderich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891725529 PECOS PAC ID: 8628962321 Enrollment ID: I20150807014503 |
| Provider Name | Shujera Bhutta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316357957 PECOS PAC ID: 3971819756 Enrollment ID: I20150825004973 |
| Provider Name | Ashley Jessup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306257332 PECOS PAC ID: 7618283391 Enrollment ID: I20150825005287 |
| Provider Name | Sheena Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104185511 PECOS PAC ID: 5991011660 Enrollment ID: I20150826002657 |
| Provider Name | Austin Alexander Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641273 PECOS PAC ID: 8022324631 Enrollment ID: I20150827001171 |
| Provider Name | Britta Z Maciuba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225395742 PECOS PAC ID: 1557583317 Enrollment ID: I20150902001963 |
| Provider Name | Subir Labana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932398989 PECOS PAC ID: 4587722400 Enrollment ID: I20150911002106 |
| Provider Name | Robert J Learch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174882658 PECOS PAC ID: 3375850969 Enrollment ID: I20150915000652 |
| Provider Name | Shaun M Milby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043686371 PECOS PAC ID: 3476860008 Enrollment ID: I20150915002114 |
| Provider Name | Denise Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164761748 PECOS PAC ID: 3476861345 Enrollment ID: I20150928000847 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20150929002016 |
| Provider Name | Rita A Logsdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770952806 PECOS PAC ID: 8224346804 Enrollment ID: I20150930003238 |
| Provider Name | Suzanne E Mcgee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144663451 PECOS PAC ID: 6507174992 Enrollment ID: I20151005002417 |
| Provider Name | Dena Lynn Kommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174813240 PECOS PAC ID: 5193980928 Enrollment ID: I20151008002637 |
| Provider Name | Jonathan S Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780095729 PECOS PAC ID: 6709190366 Enrollment ID: I20151012000355 |
| Provider Name | Kari D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972979557 PECOS PAC ID: 9032428198 Enrollment ID: I20151013000256 |
| Provider Name | Blair Elizabeth Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891164349 PECOS PAC ID: 5991014052 Enrollment ID: I20151013000476 |
| Provider Name | Brittney Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669840823 PECOS PAC ID: 9335458660 Enrollment ID: I20151027001874 |
| Provider Name | Kristena Renae Lea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255701173 PECOS PAC ID: 0749599975 Enrollment ID: I20151028002642 |
| Provider Name | Alexa T Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013388784 PECOS PAC ID: 6901116953 Enrollment ID: I20151104000935 |
| Provider Name | Nicole F Brassington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861877862 PECOS PAC ID: 5395055040 Enrollment ID: I20151109000854 |
| Provider Name | Eva M Lock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275904625 PECOS PAC ID: 9133439458 Enrollment ID: I20151117000172 |
| Provider Name | Valerie Marie Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679941579 PECOS PAC ID: 7517267768 Enrollment ID: I20151120000246 |
| Provider Name | Kathy Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912270125 PECOS PAC ID: 6507166204 Enrollment ID: I20151202001774 |
| Provider Name | Melissa Kimberly Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972563369 PECOS PAC ID: 3577575786 Enrollment ID: I20151203001560 |
| Provider Name | Amy Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720464266 PECOS PAC ID: 5092025569 Enrollment ID: I20151210002048 |
| Provider Name | Leigh Ann Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356725717 PECOS PAC ID: 0042528952 Enrollment ID: I20151215002849 |
| Provider Name | Sarah Health Padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467837898 PECOS PAC ID: 4587965157 Enrollment ID: I20151228000257 |
| Provider Name | Shabeer Abubucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174620165 PECOS PAC ID: 0840386777 Enrollment ID: I20160108000241 |
| Provider Name | Travis Laffoon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093171985 PECOS PAC ID: 8527361823 Enrollment ID: I20160120001734 |
| Provider Name | Jasmaine D Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346624962 PECOS PAC ID: 7810291002 Enrollment ID: I20160209001014 |
| Provider Name | Mariah L Hamby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033589973 PECOS PAC ID: 1153622048 Enrollment ID: I20160223001159 |
| Provider Name | Vonda Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902299522 PECOS PAC ID: 3870898299 Enrollment ID: I20160223002121 |
| Provider Name | Chanin M Hiland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376800250 PECOS PAC ID: 9335446368 Enrollment ID: I20160318000679 |
| Provider Name | Jenna M Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568820215 PECOS PAC ID: 6608173554 Enrollment ID: I20160321002391 |
| Provider Name | Christopher E Schmitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568808301 PECOS PAC ID: 1658671029 Enrollment ID: I20160411001506 |
| Provider Name | Kimberly Recktenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346603891 PECOS PAC ID: 7810296860 Enrollment ID: I20160426002188 |
| Provider Name | Surya R Kumar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154470466 PECOS PAC ID: 0941299689 Enrollment ID: I20160428000910 |
| Provider Name | Shankar Sundaram |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730138892 PECOS PAC ID: 7214925460 Enrollment ID: I20160502002541 |
| Provider Name | Laura A Buchanan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942442140 PECOS PAC ID: 9830346352 Enrollment ID: I20160510001055 |
| Provider Name | Aaron M Mulhall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801113576 PECOS PAC ID: 1850520578 Enrollment ID: I20160510001475 |
| Provider Name | Lee M. Riddle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295149532 PECOS PAC ID: 0749580975 Enrollment ID: I20160516002348 |
| Provider Name | Kimberly J Cecil-riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215171251 PECOS PAC ID: 7315096641 Enrollment ID: I20160518002704 |
| Provider Name | Farhan Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912318940 PECOS PAC ID: 3375832025 Enrollment ID: I20160518002715 |
| Provider Name | Birrilla Maddox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528471463 PECOS PAC ID: 8426368374 Enrollment ID: I20160525002535 |
| Provider Name | Scott T Rotterman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851731194 PECOS PAC ID: 9739478462 Enrollment ID: I20160526001640 |
| Provider Name | Lee Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851752638 PECOS PAC ID: 3971893496 Enrollment ID: I20160610001780 |
| Provider Name | Martina J Mouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891149712 PECOS PAC ID: 0547551244 Enrollment ID: I20160628001969 |
| Provider Name | Anthony K Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629252465 PECOS PAC ID: 1254408966 Enrollment ID: I20160721002668 |
| Provider Name | Thong D Pham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720376338 PECOS PAC ID: 4385957893 Enrollment ID: I20160722002482 |
| Provider Name | Tejas Jayendrabhai Modi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912245267 PECOS PAC ID: 5496974198 Enrollment ID: I20160726002397 |
| Provider Name | Mario Matos-cruz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588868616 PECOS PAC ID: 9931011293 Enrollment ID: I20160802001775 |
| Provider Name | Allison R Crowley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689004152 PECOS PAC ID: 2769777572 Enrollment ID: I20160818000422 |
| Provider Name | Robin R Swensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912181678 PECOS PAC ID: 8426133265 Enrollment ID: I20160818002074 |
| Provider Name | Lauren K Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578913596 PECOS PAC ID: 3173818598 Enrollment ID: I20160824002845 |
| Provider Name | John M Pendleton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053638700 PECOS PAC ID: 8325348840 Enrollment ID: I20160829002145 |
| 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 | Aleksander R Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336434638 PECOS PAC ID: 6507152188 Enrollment ID: I20160907002994 |
| Provider Name | Chadwick Alexander Bassi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932519766 PECOS PAC ID: 8527354760 Enrollment ID: I20160914001017 |
| Provider Name | Caitlyn R Cecil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225471782 PECOS PAC ID: 2668768763 Enrollment ID: I20160915000478 |
| Provider Name | Matthew Lewis Sublette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639397359 PECOS PAC ID: 0446350201 Enrollment ID: I20160921001779 |
| Provider Name | Erin W Toombs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417403049 PECOS PAC ID: 0547557100 Enrollment ID: I20160926000218 |
| Provider Name | Walker L Estes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336585777 PECOS PAC ID: 5698077840 Enrollment ID: I20161011000186 |
| Provider Name | German S. Fikhman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801115522 PECOS PAC ID: 0941598528 Enrollment ID: I20161013002672 |
| Provider Name | Gregory Nacopoulos |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407953987 PECOS PAC ID: 0547222762 Enrollment ID: I20161014000710 |
| Provider Name | Bruno K Da Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780062414 PECOS PAC ID: 0446548747 Enrollment ID: I20161018003057 |
| Provider Name | Brittany Crider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326426206 PECOS PAC ID: 3375831639 Enrollment ID: I20161019002161 |
| Provider Name | Kelly Ann Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447709159 PECOS PAC ID: 1658659719 Enrollment ID: I20161025002462 |
| Provider Name | Tracy Ander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801121355 PECOS PAC ID: 2769621036 Enrollment ID: I20161027000357 |
| Provider Name | Michael R Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730422791 PECOS PAC ID: 3779893839 Enrollment ID: I20161028001718 |
| Provider Name | Brandi Lea Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568911600 PECOS PAC ID: 2668750365 Enrollment ID: I20161101000894 |
| Provider Name | Bethany A. Haynes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275899197 PECOS PAC ID: 8921397068 Enrollment ID: I20161103000877 |
| Provider Name | Anuradha Challa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518195825 PECOS PAC ID: 2567696644 Enrollment ID: I20161108002394 |
| Provider Name | Sara Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720466519 PECOS PAC ID: 7719266071 Enrollment ID: I20161109002953 |
| Provider Name | Brittany Blue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154728079 PECOS PAC ID: 1254610132 Enrollment ID: I20161116002797 |
| Provider Name | Samantha N Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841742277 PECOS PAC ID: 1254610967 Enrollment ID: I20161121002631 |
| Provider Name | Timothy I Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639620859 PECOS PAC ID: 3779863238 Enrollment ID: I20161129002745 |
| Provider Name | Shakira Nicole Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922550300 PECOS PAC ID: 6002196425 Enrollment ID: I20161130002545 |
| Provider Name | Farooq Akbar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396772117 PECOS PAC ID: 6507828787 Enrollment ID: I20161202001652 |
| Provider Name | Stacey M Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124208442 PECOS PAC ID: 9537327853 Enrollment ID: I20161208002530 |
| Provider Name | Whitney Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790239085 PECOS PAC ID: 6507146347 Enrollment ID: I20161213001211 |
| Provider Name | Martin G Rains |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063675551 PECOS PAC ID: 2264601244 Enrollment ID: I20161214002242 |
| Provider Name | Robert Willis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225033434 PECOS PAC ID: 5991705618 Enrollment ID: I20161221001313 |
| Provider Name | Amy R Baker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1932532934 PECOS PAC ID: 2365686789 Enrollment ID: I20170117001855 |
| Provider Name | Benjamin S Friday |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922369123 PECOS PAC ID: 2860613098 Enrollment ID: I20170119002183 |
| Provider Name | Stefanie A Colavito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548282916 PECOS PAC ID: 1355393034 Enrollment ID: I20170123002255 |
| Provider Name | Erin Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841643806 PECOS PAC ID: 0446532402 Enrollment ID: I20170126002380 |
| Provider Name | Vishnumurthy Shushrutha Hedna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427219138 PECOS PAC ID: 6507029683 Enrollment ID: I20170127001872 |
| Provider Name | Jennifer M. Whitsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457809279 PECOS PAC ID: 7810270683 Enrollment ID: I20170202000862 |
| Provider Name | Virginia Hemelt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710984638 PECOS PAC ID: 1456346717 Enrollment ID: I20170202001789 |
| Provider Name | Ashley Catherine Jenks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053857912 PECOS PAC ID: 0648553057 Enrollment ID: I20170209001174 |
| Provider Name | Sirisha Perumandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700891454 PECOS PAC ID: 1759386121 Enrollment ID: I20170303001600 |
| Provider Name | Joseph Paul Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740727239 PECOS PAC ID: 2163604323 Enrollment ID: I20170321002737 |
| Provider Name | Julie Marie Guess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316488059 PECOS PAC ID: 1456637347 Enrollment ID: I20170406002812 |
| Provider Name | Keith K. Harmon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730398165 PECOS PAC ID: 2466513726 Enrollment ID: I20170426000887 |
| Provider Name | Lee Evans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124077508 PECOS PAC ID: 0244517233 Enrollment ID: I20170428001493 |
| Provider Name | Natasha Telesford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639593395 PECOS PAC ID: 1355562927 Enrollment ID: I20170510002956 |
| Provider Name | Ashleigh Hickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063963676 PECOS PAC ID: 3678850914 Enrollment ID: I20170515001828 |
| Provider Name | Vishwanath Sagi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205194990 PECOS PAC ID: 3779898051 Enrollment ID: I20170516002582 |
| Provider Name | Anesh V. Badiwala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538410170 PECOS PAC ID: 2466752571 Enrollment ID: I20170605001335 |
| Provider Name | Jacquelyn Eve Van Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699211631 PECOS PAC ID: 6305113804 Enrollment ID: I20170605002986 |
| Provider Name | Sugata Sensarma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083604748 PECOS PAC ID: 7416985635 Enrollment ID: I20170608002529 |
| Provider Name | Tavia Danielle Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790213999 PECOS PAC ID: 3476821679 Enrollment ID: I20170612001892 |
| Provider Name | Vinay Nidadavolu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750660734 PECOS PAC ID: 2961771456 Enrollment ID: I20170626002337 |
| Provider Name | Jeffrey K Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407274806 PECOS PAC ID: 8224339148 Enrollment ID: I20170705001272 |
| Provider Name | Daniel R Curran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255748083 PECOS PAC ID: 8628383627 Enrollment ID: I20170726000430 |
| Provider Name | William Lee Titsworth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013229368 PECOS PAC ID: 6608002266 Enrollment ID: I20170728001965 |
| Provider Name | Gina Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750803284 PECOS PAC ID: 9032480165 Enrollment ID: I20170807003603 |
| Provider Name | Suzanne Marie Irvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841712353 PECOS PAC ID: 1759652704 Enrollment ID: I20170809001891 |
| Provider Name | Jason Michael Rust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285156703 PECOS PAC ID: 9436421005 Enrollment ID: I20170816002078 |
| Provider Name | Joshua Allen Scearce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063861524 PECOS PAC ID: 2264704410 Enrollment ID: I20170822004112 |
| Provider Name | Jessica Lynne Malachowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902255458 PECOS PAC ID: 8628340759 Enrollment ID: I20170823003656 |
| Provider Name | Michael Charles Booth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184073629 PECOS PAC ID: 6103199005 Enrollment ID: I20170828004513 |
| Provider Name | Shauna Kristen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699291211 PECOS PAC ID: 6305119108 Enrollment ID: I20170830000388 |
| Provider Name | Douglas Ansert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699017038 PECOS PAC ID: 4284949546 Enrollment ID: I20170907001835 |
| Provider Name | Lilly Yusufi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770932238 PECOS PAC ID: 0648543991 Enrollment ID: I20170907002253 |
| Provider Name | Sumalatha V Satoor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457336679 PECOS PAC ID: 6901941251 Enrollment ID: I20170915002446 |
| Provider Name | Juhee N Mian |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1780003772 PECOS PAC ID: 0749554459 Enrollment ID: I20170919003229 |
| Provider Name | Jessie Nicole Meiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013318088 PECOS PAC ID: 9133493729 Enrollment ID: I20170920002702 |
| Provider Name | Troy M Sofinowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053517359 PECOS PAC ID: 5395901342 Enrollment ID: I20170922002971 |
| Provider Name | Kerry C Gusler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174044978 PECOS PAC ID: 3173898384 Enrollment ID: I20171013000227 |
| Provider Name | Thomas Robert Hustead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770569352 PECOS PAC ID: 1052557774 Enrollment ID: I20171031001228 |
| Provider Name | April D. Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609399286 PECOS PAC ID: 9335405349 Enrollment ID: I20171108000470 |
| Provider Name | Patricia K Woeltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336679729 PECOS PAC ID: 7719243765 Enrollment ID: I20171108002159 |
| 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 | Michael S Fenster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720068471 PECOS PAC ID: 0648234617 Enrollment ID: I20180103003298 |
| Provider Name | Mandy Vittitow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700392404 PECOS PAC ID: 9830458108 Enrollment ID: I20180111002148 |
| Provider Name | Kelly Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841681723 PECOS PAC ID: 7012298912 Enrollment ID: I20180201002560 |
| Provider Name | Dale Ding |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073830360 PECOS PAC ID: 9234499609 Enrollment ID: I20180202000547 |
| Provider Name | Courtney R Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568960748 PECOS PAC ID: 4284995820 Enrollment ID: I20180222003016 |
| Provider Name | Thomas M England |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710392485 PECOS PAC ID: 7416218516 Enrollment ID: I20180307000147 |
| Provider Name | Lauren Whitney Carrico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851899793 PECOS PAC ID: 3971866963 Enrollment ID: I20180403002984 |
| Provider Name | Thomas A. Loesevitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558755108 PECOS PAC ID: 1759644347 Enrollment ID: I20180412001586 |
| Provider Name | Erica L Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902332497 PECOS PAC ID: 5193088698 Enrollment ID: I20180416001781 |
| Provider Name | Ronald Reagan Gilley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134462658 PECOS PAC ID: 2860774403 Enrollment ID: I20180502001840 |
| Provider Name | David Sindler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538543087 PECOS PAC ID: 4082977087 Enrollment ID: I20180612002885 |
| Provider Name | John Eric Fleming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235511601 PECOS PAC ID: 2860755691 Enrollment ID: I20180614001565 |
| Provider Name | Vikas Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457663817 PECOS PAC ID: 3678869989 Enrollment ID: I20180709002219 |
| Provider Name | Wesley E. Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053792069 PECOS PAC ID: 6305134396 Enrollment ID: I20180719003341 |
| Provider Name | Brittany Ewing O'bryan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093159303 PECOS PAC ID: 1850648973 Enrollment ID: I20180720001136 |
| Provider Name | Devalkumar Jitendrabhai Rajyaguru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083951719 PECOS PAC ID: 9739496332 Enrollment ID: I20180727002695 |
| Provider Name | Taylor N. Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730665332 PECOS PAC ID: 4183972623 Enrollment ID: I20180731003176 |
| Provider Name | Rachel E Coomer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740604362 PECOS PAC ID: 1951650621 Enrollment ID: I20180814003306 |
| Provider Name | Elizabeth Tarter Gerlach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578092268 PECOS PAC ID: 4183973506 Enrollment ID: I20180817003076 |
| 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 | Osmund Ugochukwu Agbo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275728529 PECOS PAC ID: 6800974627 Enrollment ID: I20180920003476 |
| Provider Name | Michael L Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316366677 PECOS PAC ID: 1850642406 Enrollment ID: I20180921000340 |
| Provider Name | Patricio Rosa Sierra |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629055868 PECOS PAC ID: 5799699518 Enrollment ID: I20180926003308 |
| Provider Name | Jennifer Mason Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609359413 PECOS PAC ID: 2264784156 Enrollment ID: I20181003002316 |
| Provider Name | Joseph Yates |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518348549 PECOS PAC ID: 8022301621 Enrollment ID: I20181010003845 |
| Provider Name | Alexandra Krot |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164694584 PECOS PAC ID: 8729304431 Enrollment ID: I20181011002297 |
| Provider Name | Stephen R Toothaker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033123195 PECOS PAC ID: 0244307155 Enrollment ID: I20181016003166 |
| Provider Name | Lisa A Medvetz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467451823 PECOS PAC ID: 1850339318 Enrollment ID: I20181022001250 |
| Provider Name | Gregory Szych |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841268521 PECOS PAC ID: 4688655467 Enrollment ID: I20181109000584 |
| Provider Name | Charlie Clay Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710462924 PECOS PAC ID: 0244584118 Enrollment ID: I20181112001776 |
| Provider Name | Jay C. Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093076077 PECOS PAC ID: 0941500888 Enrollment ID: I20181221000734 |
| Provider Name | Lauren E. Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245709849 PECOS PAC ID: 2062757784 Enrollment ID: I20181226002391 |
| Provider Name | Alyssa Louise Stubblefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871063404 PECOS PAC ID: 6901142363 Enrollment ID: I20190107002685 |
| Provider Name | Noreen D. Gibbens |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780750158 PECOS PAC ID: 8426183203 Enrollment ID: I20190108000817 |
| Provider Name | Maryssa Jean Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427521772 PECOS PAC ID: 2668719592 Enrollment ID: I20190130001063 |
| Provider Name | Meredith Elaine Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194298042 PECOS PAC ID: 6002154598 Enrollment ID: I20190207001422 |
| Provider Name | Nneka I Nweke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811275233 PECOS PAC ID: 8325267529 Enrollment ID: I20190208002137 |
| Provider Name | Samantha Jean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023438512 PECOS PAC ID: 1153543160 Enrollment ID: I20190213002249 |
| Provider Name | Sean Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841729449 PECOS PAC ID: 6305184342 Enrollment ID: I20190215002831 |
| Provider Name | Dmitry Mysh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033105903 PECOS PAC ID: 6608977129 Enrollment ID: I20190219003246 |
| Provider Name | Maria Cuda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316946320 PECOS PAC ID: 4789671710 Enrollment ID: I20190305003108 |
| Provider Name | Douglas J Hatler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932178829 PECOS PAC ID: 1052442332 Enrollment ID: I20190307002380 |
| Provider Name | Jodie Michelle Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891269031 PECOS PAC ID: 8426397480 Enrollment ID: I20190308002056 |
| Provider Name | Nicklesh N Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558590901 PECOS PAC ID: 3678898418 Enrollment ID: I20190321001917 |
| Provider Name | Chelsea Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679047328 PECOS PAC ID: 1951641190 Enrollment ID: I20190325002846 |
| Provider Name | Savannah Marie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614120 PECOS PAC ID: 7517208531 Enrollment ID: I20190401000756 |
| Provider Name | Naveen Bondalapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104147214 PECOS PAC ID: 3779724406 Enrollment ID: I20190405002326 |
| Provider Name | Kristen Noele Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659831568 PECOS PAC ID: 5395088306 Enrollment ID: I20190514003288 |
| Provider Name | Carl M Nechtman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417905399 PECOS PAC ID: 6002846078 Enrollment ID: I20190520002806 |
| Provider Name | Tathyana Marques F Fensterer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225337934 PECOS PAC ID: 8921391368 Enrollment ID: I20190523002708 |
| Provider Name | William Porter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245530203 PECOS PAC ID: 0345488037 Enrollment ID: I20190531001290 |
| Provider Name | Jared Leet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639251192 PECOS PAC ID: 1456684125 Enrollment ID: I20190612000305 |
| Provider Name | Ashley Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700442514 PECOS PAC ID: 9537493895 Enrollment ID: I20190620002720 |
| Provider Name | Cody Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053884361 PECOS PAC ID: 7810221082 Enrollment ID: I20190620003524 |
| Provider Name | Abby Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508425844 PECOS PAC ID: 8527393016 Enrollment ID: I20190703001986 |
| Provider Name | Adnan Sultan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659635381 PECOS PAC ID: 9335380203 Enrollment ID: I20190729001866 |
| Provider Name | Denis Suler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669834321 PECOS PAC ID: 3971874710 Enrollment ID: I20190730001794 |
| Provider Name | Sarah Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366836892 PECOS PAC ID: 4486958907 Enrollment ID: I20190730004699 |
| Provider Name | Daniel Fioret |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548622269 PECOS PAC ID: 7012289838 Enrollment ID: I20190806003166 |
| Provider Name | Richard D Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083077515 PECOS PAC ID: 9931436110 Enrollment ID: I20190809002752 |
| Provider Name | David S Turk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578532479 PECOS PAC ID: 5597713677 Enrollment ID: I20190814004192 |
| Provider Name | Brian Walter Kaebnick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407084593 PECOS PAC ID: 4688966815 Enrollment ID: I20190815000827 |
| Provider Name | Roxanne Krupinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376103093 PECOS PAC ID: 6204164619 Enrollment ID: I20190822004051 |
| Provider Name | Nicholas Klimchak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467814848 PECOS PAC ID: 7719258631 Enrollment ID: I20190824000632 |
| Provider Name | James Robert Herman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538166657 PECOS PAC ID: 8325045586 Enrollment ID: I20190826000864 |
| Provider Name | Eric J Oberst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740644384 PECOS PAC ID: 1052604238 Enrollment ID: I20190826002574 |
| Provider Name | Jeffrey Mudd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518952480 PECOS PAC ID: 7315276201 Enrollment ID: I20190830001911 |
| Provider Name | Brandon Coons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255795068 PECOS PAC ID: 4385916089 Enrollment ID: I20190903001746 |
| Provider Name | Robert Joseph Albrecht |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215950035 PECOS PAC ID: 1557302775 Enrollment ID: I20190905003202 |
| Provider Name | Lisa L Spillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790788420 PECOS PAC ID: 0547351744 Enrollment ID: I20190909003020 |
| Provider Name | Kayla Mason |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336135961 PECOS PAC ID: 8527397900 Enrollment ID: I20190910002788 |
| Provider Name | Sydney Caron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467000109 PECOS PAC ID: 8628308673 Enrollment ID: I20190918001419 |
| Provider Name | Aaron Benjamin Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528613171 PECOS PAC ID: 5991035529 Enrollment ID: I20190925001609 |
| Provider Name | Kristin Nicole Tynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699231878 PECOS PAC ID: 0547590796 Enrollment ID: I20191001002175 |
| Provider Name | Christiana Bediako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639551369 PECOS PAC ID: 1557664349 Enrollment ID: I20191008001472 |
| Provider Name | Johan David Aasbo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396820213 PECOS PAC ID: 2668564303 Enrollment ID: I20191010002525 |
| Provider Name | Kristin Wickham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013368968 PECOS PAC ID: 8527359231 Enrollment ID: I20191017002100 |
| Provider Name | Lindsey Erin Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326696212 PECOS PAC ID: 3476885104 Enrollment ID: I20191030002488 |
| Provider Name | Jami Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235770918 PECOS PAC ID: 2860825023 Enrollment ID: I20191203000877 |
| Provider Name | Michelle Lee Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407490584 PECOS PAC ID: 2466885983 Enrollment ID: I20191213000588 |
| Provider Name | Whitley M. Hockensmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447892278 PECOS PAC ID: 5698109445 Enrollment ID: I20200102001950 |
| Provider Name | Nitin Garg |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891914206 PECOS PAC ID: 7416091657 Enrollment ID: I20200115003400 |
| Provider Name | Carlos Donayre |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134191752 PECOS PAC ID: 1254369390 Enrollment ID: I20200116001847 |
| Provider Name | Belal Firwana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639424211 PECOS PAC ID: 2860629334 Enrollment ID: I20200117002080 |
| Provider Name | Robbie Leigh Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427680412 PECOS PAC ID: 1254760739 Enrollment ID: I20200403002221 |
| Provider Name | Patricia Kleinholz-owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629344882 PECOS PAC ID: 5496043440 Enrollment ID: I20200428002188 |
| Provider Name | Jacquelyn M Koepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215491501 PECOS PAC ID: 7810328911 Enrollment ID: I20200505001062 |
| Provider Name | Kimberly D Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215558481 PECOS PAC ID: 4486085438 Enrollment ID: I20200507002379 |
| Provider Name | Joseph T Crepps |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124008032 PECOS PAC ID: 3870505175 Enrollment ID: I20200513000699 |
| Provider Name | Elizabeth Lena Jean Heaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518596758 PECOS PAC ID: 2163853789 Enrollment ID: I20200515000813 |
| Provider Name | Tyler Bennett Mclaurine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023541638 PECOS PAC ID: 5890069074 Enrollment ID: I20200521002687 |
| Provider Name | Jennifer L Haynie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194013615 PECOS PAC ID: 4486875630 Enrollment ID: I20200624002181 |
| Provider Name | Sean Christopher Mullins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518493840 PECOS PAC ID: 0446672034 Enrollment ID: I20200629001568 |
| Provider Name | Kristen N Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265810444 PECOS PAC ID: 9133541634 Enrollment ID: I20200629002198 |
| Provider Name | Jahin Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023546868 PECOS PAC ID: 9335561851 Enrollment ID: I20200629003125 |
| Provider Name | Niaz Usman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588639777 PECOS PAC ID: 7719959238 Enrollment ID: I20200702001089 |
| Provider Name | Austin Neil Ward |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780943274 PECOS PAC ID: 6800105891 Enrollment ID: I20200723000861 |
| Provider Name | Jeremy D Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609307255 PECOS PAC ID: 7113250275 Enrollment ID: I20200811002706 |
| Provider Name | Cody R Bearden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114307261 PECOS PAC ID: 4183939838 Enrollment ID: I20200814002405 |
| Provider Name | Lea Anne Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114535911 PECOS PAC ID: 4385063478 Enrollment ID: I20200923000182 |
| Provider Name | Stephen M Frossard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518217413 PECOS PAC ID: 2062720535 Enrollment ID: I20200928002939 |
| Provider Name | Imran J Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306070040 PECOS PAC ID: 2668616046 Enrollment ID: I20200929002217 |
| Provider Name | Chelsea Roshell Baumgardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063011468 PECOS PAC ID: 9335569995 Enrollment ID: I20201020002167 |
| Provider Name | Rose P Archemetre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922455997 PECOS PAC ID: 7113210212 Enrollment ID: I20201028001479 |
| Provider Name | Steven Milesko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124551379 PECOS PAC ID: 0547530685 Enrollment ID: I20201028001568 |
| Provider Name | Aaron Douglas Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881291250 PECOS PAC ID: 1052721016 Enrollment ID: I20201102001797 |
| Provider Name | Heather Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700485794 PECOS PAC ID: 8224448931 Enrollment ID: I20201109002659 |
| Provider Name | Erin Christine Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528624905 PECOS PAC ID: 6002227600 Enrollment ID: I20201203002210 |
| Provider Name | Clay Thomas Cinnamon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447867304 PECOS PAC ID: 1951713296 Enrollment ID: I20201210001713 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20201210001729 |
| Provider Name | Brittany Danyale Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568077246 PECOS PAC ID: 0749692085 Enrollment ID: I20201210001863 |
| Provider Name | Valisa Ann Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114520749 PECOS PAC ID: 9032521257 Enrollment ID: I20201211002580 |
| Provider Name | Sarah Milby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154924678 PECOS PAC ID: 3971915018 Enrollment ID: I20201215001732 |
| Provider Name | Stephen J Dick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568427144 PECOS PAC ID: 3870542129 Enrollment ID: I20201217000713 |
| Provider Name | Thomas Carl Vanhoose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891154530 PECOS PAC ID: 6406145853 Enrollment ID: I20201228002508 |
| Provider Name | Sarat Kuchipudi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295715845 PECOS PAC ID: 0941104442 Enrollment ID: I20201230002786 |
| Provider Name | Vikas Punjabi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780874313 PECOS PAC ID: 3476677675 Enrollment ID: I20201230002807 |
| Provider Name | Bashar A Mohsen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114953650 PECOS PAC ID: 0648275917 Enrollment ID: I20210111001689 |
| Provider Name | Mark Borsody |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20210112001558 |
| Provider Name | Nicholas Rensing |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134569908 PECOS PAC ID: 5092067322 Enrollment ID: I20210113000260 |
| Provider Name | Nicholas J Zarkadis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033558259 PECOS PAC ID: 3375957970 Enrollment ID: I20210121002452 |
| Provider Name | Janet Cooper |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982761912 PECOS PAC ID: 4183632300 Enrollment ID: I20210126003529 |
| Provider Name | Shawna M Matt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609498427 PECOS PAC ID: 4284048562 Enrollment ID: I20210127002707 |
| Provider Name | Beth L Lax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013522754 PECOS PAC ID: 7719391739 Enrollment ID: I20210202001243 |
| Provider Name | John H Greinwald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275547457 PECOS PAC ID: 9537215330 Enrollment ID: I20210204002142 |
| Provider Name | Carson Suggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679163703 PECOS PAC ID: 3971918640 Enrollment ID: I20210211000973 |
| Provider Name | Christian Maluf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548223464 PECOS PAC ID: 2567362726 Enrollment ID: I20210215000732 |
| Provider Name | Samantha Lynn Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679164016 PECOS PAC ID: 7315352838 Enrollment ID: I20210216000795 |
| Provider Name | Kaci Rae Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821624339 PECOS PAC ID: 8325455215 Enrollment ID: I20210319001175 |
| Provider Name | Rafael L Rocha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750380903 PECOS PAC ID: 3779683198 Enrollment ID: I20210319002018 |
| Provider Name | Dimpi Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669746590 PECOS PAC ID: 1557619087 Enrollment ID: I20210330002302 |
| Provider Name | Brianna Joy Monin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982284212 PECOS PAC ID: 4688082258 Enrollment ID: I20210420001578 |
| Provider Name | Kelly Elizabeth Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669052122 PECOS PAC ID: 1658789276 Enrollment ID: I20210421000381 |
| Provider Name | Tessie Hepworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003492778 PECOS PAC ID: 7113336231 Enrollment ID: I20210430002015 |
| Provider Name | Megan Elizabeth Burcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134706583 PECOS PAC ID: 6406265743 Enrollment ID: I20210517002399 |
| Provider Name | Ahmad Alhammouri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124260385 PECOS PAC ID: 7012155328 Enrollment ID: I20210527002045 |
| Provider Name | Allison Perkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083896047 PECOS PAC ID: 5991928574 Enrollment ID: I20210602003030 |
| Provider Name | Puneet Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427498674 PECOS PAC ID: 7719272210 Enrollment ID: I20210603002578 |
| Provider Name | Michael Wood |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659391548 PECOS PAC ID: 8224178751 Enrollment ID: I20210604000862 |
| Provider Name | Angela Mcgirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699360347 PECOS PAC ID: 4486054780 Enrollment ID: I20210608001835 |
| Provider Name | Ahmad R Rahman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184071110 PECOS PAC ID: 4385980192 Enrollment ID: I20210608003580 |
| Provider Name | Kristie Helena Stevens |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295303972 PECOS PAC ID: 9638570880 Enrollment ID: I20210625001898 |
| Provider Name | Seth Jason Sklare |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346621604 PECOS PAC ID: 4981911450 Enrollment ID: I20210701003825 |
| Provider Name | Laken Lasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396315859 PECOS PAC ID: 6305248782 Enrollment ID: I20210707003062 |
| Provider Name | Adam Lee Goble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477088110 PECOS PAC ID: 8426324302 Enrollment ID: I20210719003413 |
| Provider Name | Tara Paige Oldham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871162743 PECOS PAC ID: 4789087420 Enrollment ID: I20210719003482 |
| Provider Name | Sherri Lea Lynn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487260428 PECOS PAC ID: 6800290404 Enrollment ID: I20210804001040 |
| Provider Name | Samantha Dial |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669767562 PECOS PAC ID: 2860638426 Enrollment ID: I20210820001135 |
| Provider Name | Cynthia R Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710557038 PECOS PAC ID: 8426453911 Enrollment ID: I20210820003077 |
| Provider Name | Ellen Louise Beach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205328002 PECOS PAC ID: 7113322322 Enrollment ID: I20210826001975 |
| Provider Name | Patience Onuoha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649335092 PECOS PAC ID: 4587624291 Enrollment ID: I20210902001156 |
| Provider Name | Kasey Kindervater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700552585 PECOS PAC ID: 8426455593 Enrollment ID: I20210916002454 |
| Provider Name | Kelly Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386180354 PECOS PAC ID: 2961786678 Enrollment ID: I20210928002213 |
| Provider Name | Hannah Marie Kauffeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992474977 PECOS PAC ID: 3173921855 Enrollment ID: I20211011001366 |
| Provider Name | Katy Nicole Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700558095 PECOS PAC ID: 9335547603 Enrollment ID: I20211018002399 |
| Provider Name | Kristina Kaye Colley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538821855 PECOS PAC ID: 2567850811 Enrollment ID: I20211019002899 |
| Provider Name | Angel Y Ramos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912392986 PECOS PAC ID: 8820380413 Enrollment ID: I20211021002938 |
| Provider Name | Jessica Chewning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649932369 PECOS PAC ID: 2264821313 Enrollment ID: I20211111002385 |
| Provider Name | Katelin Marie Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750043238 PECOS PAC ID: 1355731647 Enrollment ID: I20211130002040 |
| Provider Name | Allie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013672856 PECOS PAC ID: 0143610402 Enrollment ID: I20211201001674 |
| Provider Name | Kyle A Romines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174152458 PECOS PAC ID: 5890186159 Enrollment ID: I20211220002667 |
| Provider Name | Karen Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245668490 PECOS PAC ID: 2062804115 Enrollment ID: I20220121001321 |
| Provider Name | Adena Nicole Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689259962 PECOS PAC ID: 4486046208 Enrollment ID: I20220127002105 |
| Provider Name | Reginald Sandy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972504629 PECOS PAC ID: 6103974167 Enrollment ID: I20220129000350 |
| Provider Name | John Koszuta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952377855 PECOS PAC ID: 7810029204 Enrollment ID: I20220204002001 |
| Provider Name | Courtney Cheyenne Schwinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124781208 PECOS PAC ID: 5991199408 Enrollment ID: I20220228000511 |
| Provider Name | Muhammad Zaman |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1477806339 PECOS PAC ID: 5092946442 Enrollment ID: I20220314002210 |
| Provider Name | Sarabjeet Suri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174079404 PECOS PAC ID: 3072852904 Enrollment ID: I20220316002664 |
| Provider Name | Chelsea L Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548912587 PECOS PAC ID: 9830584440 Enrollment ID: I20220317002026 |
| Provider Name | Demetrius Rizos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063491397 PECOS PAC ID: 0648379180 Enrollment ID: I20220323001577 |
| Provider Name | Geneva Gingerich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790431963 PECOS PAC ID: 4880089168 Enrollment ID: I20220323002519 |
| Provider Name | Hannah Elizabeth English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528711256 PECOS PAC ID: 7618363987 Enrollment ID: I20220413002634 |
| Provider Name | Christina Maria Tyus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215688791 PECOS PAC ID: 5092192385 Enrollment ID: I20220505002235 |
| Provider Name | Melissa Grace Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245974419 PECOS PAC ID: 7113304866 Enrollment ID: I20220518001207 |
| Provider Name | David Thomas Saxon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679924443 PECOS PAC ID: 7113219262 Enrollment ID: I20220519002407 |
| Provider Name | David Sigalow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144230731 PECOS PAC ID: 4284805094 Enrollment ID: I20220525000185 |
| Provider Name | Samuel Espinal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548754583 PECOS PAC ID: 8527399161 Enrollment ID: I20220601001159 |
| Provider Name | Joshua K Salabei |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225598808 PECOS PAC ID: 8729482674 Enrollment ID: I20220602002687 |
| Provider Name | Vedran Oruc |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891114807 PECOS PAC ID: 2264707678 Enrollment ID: I20220617001047 |
| Provider Name | Paul Alexander Walden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194229880 PECOS PAC ID: 3971983032 Enrollment ID: I20220707000000 |
| Provider Name | Ashley Lynn Betts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558091637 PECOS PAC ID: 1153701131 Enrollment ID: I20220708000127 |
| Provider Name | Marcus Anthony Barber |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346467420 PECOS PAC ID: 2466679071 Enrollment ID: I20220712002921 |
| Provider Name | Nathan Shane Reasor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649928342 PECOS PAC ID: 7810378387 Enrollment ID: I20220714001687 |
| Provider Name | Gabriel Ionescu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750315628 PECOS PAC ID: 9133126485 Enrollment ID: I20220715002292 |
| Provider Name | Jonathan Rice |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518256783 PECOS PAC ID: 5698170504 Enrollment ID: I20220718001722 |
| Provider Name | Kevin Itty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639604515 PECOS PAC ID: 5890064786 Enrollment ID: I20220721003164 |
| Provider Name | Tyler Abraham De Witt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518490606 PECOS PAC ID: 0749662518 Enrollment ID: I20220727001275 |
| Provider Name | Idona Goode Brewer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326467044 PECOS PAC ID: 0941500409 Enrollment ID: I20220728001518 |
| Provider Name | Christopher Grant Burkeen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225490253 PECOS PAC ID: 0941573091 Enrollment ID: I20220729002878 |
| Provider Name | Charlene Amanda Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417689324 PECOS PAC ID: 4789066093 Enrollment ID: I20220803002068 |
| Provider Name | Eric W Mcdaniel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336312321 PECOS PAC ID: 8820134034 Enrollment ID: I20220808000623 |
| Provider Name | Ranadheer Reddy Dande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669032421 PECOS PAC ID: 2163757816 Enrollment ID: I20220809002958 |
| Provider Name | John M Receveur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023464872 PECOS PAC ID: 3274828090 Enrollment ID: I20220810001420 |
| Provider Name | Lindsay Shanelle Songer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558098855 PECOS PAC ID: 6608250477 Enrollment ID: I20220826002983 |
| Provider Name | Lorianne Elizabeth Avino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306898762 PECOS PAC ID: 6305859919 Enrollment ID: I20220907003942 |
| Provider Name | Shubhangi Chumble |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881684074 PECOS PAC ID: 6305844242 Enrollment ID: I20220908003596 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20220908003609 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20220909001161 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20220909001855 |
| Provider Name | Bernadette Borte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366678344 PECOS PAC ID: 3072759604 Enrollment ID: I20220909001989 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20220909002250 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20220909002298 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20220909002642 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20220909002825 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20220909003107 |
| Provider Name | Rebecca Jimenez-sanders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154587152 PECOS PAC ID: 0143536656 Enrollment ID: I20220910000218 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20220912003516 |
| Provider Name | James Andry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205192838 PECOS PAC ID: 6002119633 Enrollment ID: I20220912003798 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20220912003817 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20220913002785 |
| Provider Name | Jessica Floyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386888113 PECOS PAC ID: 3779729868 Enrollment ID: I20220913003157 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20220913003231 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20220913003978 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20220914000194 |
| Provider Name | Nattasha Acevedo Ramirez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366786451 PECOS PAC ID: 7214217793 Enrollment ID: I20220914000709 |
| Provider Name | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20220914001906 |
| Provider Name | Mazen Almidani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912936725 PECOS PAC ID: 4587667282 Enrollment ID: I20220914003358 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20220915000338 |
| Provider Name | Tao Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942401815 PECOS PAC ID: 2961558168 Enrollment ID: I20220915000858 |
| Provider Name | Muhammad Masud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700179231 PECOS PAC ID: 8628381662 Enrollment ID: I20220915001767 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20220915002043 |
| Provider Name | Satinder Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20220915002384 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20220915002838 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20220915003457 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20220916001339 |
| Provider Name | Mark Mitchell Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20220916002072 |
| Provider Name | Felix Rivera-perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078692 PECOS PAC ID: 4981755733 Enrollment ID: I20220916002115 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20220916002634 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20220916002671 |
| Provider Name | Vahid Behravan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871722520 PECOS PAC ID: 6507189123 Enrollment ID: I20220916003116 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20220916003184 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20220920001330 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20220922002127 |
| Provider Name | Morgan Elizabeth Figurelle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801241260 PECOS PAC ID: 8729373642 Enrollment ID: I20220922003587 |
| Provider Name | Lauren Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851972921 PECOS PAC ID: 4284010380 Enrollment ID: I20220927001730 |
| Provider Name | Erin Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811179 PECOS PAC ID: 5698151231 Enrollment ID: I20221004003805 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20221012003849 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20221013000525 |
| Provider Name | Dafang Chen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710341433 PECOS PAC ID: 3870865686 Enrollment ID: I20221017002384 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20221018001871 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20221018002008 |
| Provider Name | Steven Gangloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20221018002095 |
| Provider Name | Olubunmi O Esan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558795377 PECOS PAC ID: 6103131487 Enrollment ID: I20221026002052 |
| Provider Name | Colby A. Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20221028000710 |
| Provider Name | Victoria Hope Mudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174240089 PECOS PAC ID: 8123495249 Enrollment ID: I20221102002568 |
| Provider Name | Carlee Guthrie Mudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053036632 PECOS PAC ID: 2769859891 Enrollment ID: I20221102003037 |
| Provider Name | Benjamin C Groves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242202 PECOS PAC ID: 7012399033 Enrollment ID: I20221207001181 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20221213001158 |
| Provider Name | Wendi I Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20221213001177 |
| Provider Name | Maggie Denton Goode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043937931 PECOS PAC ID: 9234508920 Enrollment ID: I20221220002260 |
| Provider Name | Kelly Lynn Sowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447969357 PECOS PAC ID: 7012387772 Enrollment ID: I20221221002836 |
| Provider Name | Savannah Brook Nally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679283501 PECOS PAC ID: 0143690768 Enrollment ID: I20221222002556 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20221229001665 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20230111001706 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20230113000916 |
| Provider Name | Igor Alexandrovich Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20230113001366 |
| Provider Name | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20230113002332 |
| Provider Name | Stafford A Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366498206 PECOS PAC ID: 3870515752 Enrollment ID: I20230203000935 |
| Provider Name | Sheyar Wala Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720511769 PECOS PAC ID: 7517357783 Enrollment ID: I20230206000647 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20230216002598 |
| Provider Name | Jennifer Dochee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093992836 PECOS PAC ID: 2769657022 Enrollment ID: I20230217001742 |
| Provider Name | Anna Barminova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790292100 PECOS PAC ID: 0345659710 Enrollment ID: I20230222002344 |
| Provider Name | Chapman Wells Offutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215649413 PECOS PAC ID: 3274906029 Enrollment ID: I20230227002124 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20230302000601 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20230302000840 |
| Provider Name | Diana Alsbrook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942798004 PECOS PAC ID: 1759639891 Enrollment ID: I20230302001556 |
| Provider Name | Mark Sabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20230302001813 |
| Provider Name | Edward N Misulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902396559 PECOS PAC ID: 8123409125 Enrollment ID: I20230302001847 |
| Provider Name | Nikki Renee Cunningham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275252306 PECOS PAC ID: 6800269317 Enrollment ID: I20230303001528 |
| Provider Name | Jason Andrew Slate |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275648586 PECOS PAC ID: 4587636956 Enrollment ID: I20230309001034 |
| Provider Name | Jonathan Nelson Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083330914 PECOS PAC ID: 1456725035 Enrollment ID: I20230322000757 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20230328002959 |
| Provider Name | Jeremy Thomas Ragland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174750376 PECOS PAC ID: 0446499925 Enrollment ID: I20230329000573 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20230329001860 |
| Provider Name | Tapan Abrol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437599883 PECOS PAC ID: 6103131545 Enrollment ID: I20230330000508 |
| Provider Name | Jeffrey Daniel Austin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518493808 PECOS PAC ID: 6507117595 Enrollment ID: I20230406000874 |
| Provider Name | Robert A Fishman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982807921 PECOS PAC ID: 2062667454 Enrollment ID: I20230406001337 |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20230411000832 |
| Provider Name | Hisham Abdelmonem Ahmed Abdelmotilib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417445677 PECOS PAC ID: 3870840747 Enrollment ID: I20230414001402 |
| Provider Name | Wendy E Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285780718 PECOS PAC ID: 3678613544 Enrollment ID: I20230414001979 |
| Provider Name | Edward George Boyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073953683 PECOS PAC ID: 3779885678 Enrollment ID: I20230417001424 |
| Provider Name | Chris R Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114362613 PECOS PAC ID: 7416196639 Enrollment ID: I20230417002332 |
| Provider Name | Kyle Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20230417003008 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20230429000158 |
| Provider Name | Kristen L Veal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20230501002049 |
| Provider Name | Amna Ramzan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063953297 PECOS PAC ID: 0244612356 Enrollment ID: I20230503002386 |
| Provider Name | Charlene L Gunasekera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891292538 PECOS PAC ID: 1850648015 Enrollment ID: I20230510001717 |
| Provider Name | Crystal Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801021886 PECOS PAC ID: 9931321338 Enrollment ID: I20230517002024 |
| Provider Name | Logan Tyler Garthe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962025577 PECOS PAC ID: 3971927492 Enrollment ID: I20230525002148 |
| Provider Name | Vijay Adimoolam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588693857 PECOS PAC ID: 1658375852 Enrollment ID: I20230601001164 |
| Provider Name | Anudeep Kommineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730703810 PECOS PAC ID: 1153742655 Enrollment ID: I20230608000630 |
| Provider Name | Omran B Kaskar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629208798 PECOS PAC ID: 9436374378 Enrollment ID: I20230619001086 |
| Provider Name | Kamana Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124647359 PECOS PAC ID: 3375901473 Enrollment ID: I20230622000570 |
| Provider Name | Quanecia J Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427534676 PECOS PAC ID: 0840608659 Enrollment ID: I20230622000851 |
| Provider Name | Karlee Brooke Grace |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699339531 PECOS PAC ID: 2961897749 Enrollment ID: I20230623001071 |
| Provider Name | Ryan Mallory |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548674096 PECOS PAC ID: 4183849912 Enrollment ID: I20230713001350 |
| Provider Name | Margaret L Ballard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427518083 PECOS PAC ID: 6103240080 Enrollment ID: I20230717001895 |
| Provider Name | Christopher G Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225731367 PECOS PAC ID: 4688034010 Enrollment ID: I20230718000606 |
| Provider Name | Ricky Allen Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700875747 PECOS PAC ID: 1759273782 Enrollment ID: I20230720002535 |
| Provider Name | Quan Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902301716 PECOS PAC ID: 0749679942 Enrollment ID: I20230720003484 |
| Provider Name | Keri Ann Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801592415 PECOS PAC ID: 7517328420 Enrollment ID: I20230725001757 |
| Provider Name | Sally Horne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215040381 PECOS PAC ID: 5395723605 Enrollment ID: I20230727001318 |
| Provider Name | Jessica Baity |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750743621 PECOS PAC ID: 8729367420 Enrollment ID: I20230804000778 |
| Provider Name | Justin De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20230804002930 |
| Provider Name | Mohamed Hegazy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811280100 PECOS PAC ID: 9335435254 Enrollment ID: I20230809000312 |
| Provider Name | Fedwa Lutfi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316566771 PECOS PAC ID: 9436511227 Enrollment ID: I20230810001675 |
| Provider Name | Amol R Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775503 PECOS PAC ID: 5395095293 Enrollment ID: I20230814001263 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20230816000945 |
| Provider Name | Mina Rizk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790286417 PECOS PAC ID: 1557758919 Enrollment ID: I20230816002270 |
| Provider Name | Estella Margaret Kidwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184696122 PECOS PAC ID: 1456398056 Enrollment ID: I20230816002407 |
| Provider Name | Jeffery Michael Jones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295998011 PECOS PAC ID: 1951460997 Enrollment ID: I20230817001400 |
| Provider Name | John Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043251648 PECOS PAC ID: 0840294773 Enrollment ID: I20230817002236 |
| Provider Name | Parham J Zamani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184287427 PECOS PAC ID: 6800254327 Enrollment ID: I20230817003322 |
| Provider Name | Hai Hoang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760877617 PECOS PAC ID: 5597177402 Enrollment ID: I20230821001907 |
| Provider Name | Danoushka Loris Tememe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255742227 PECOS PAC ID: 5294950812 Enrollment ID: I20230821002431 |
| Provider Name | Amy E Steinberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780180885 PECOS PAC ID: 8527316975 Enrollment ID: I20230821002605 |
| Provider Name | Faryab Frank Lohrasbi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982660437 PECOS PAC ID: 0941371363 Enrollment ID: I20230822000332 |
| Provider Name | Matthew Paul Kozminski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649303108 PECOS PAC ID: 1153586805 Enrollment ID: I20230829004010 |
| Provider Name | Catherine Ruth Elleman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871272344 PECOS PAC ID: 7618330903 Enrollment ID: I20230905001869 |
| Provider Name | Jonatan David Manotas Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982225421 PECOS PAC ID: 5496119588 Enrollment ID: I20230907002502 |
| Provider Name | Phu Sy Le |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073046371 PECOS PAC ID: 0244577625 Enrollment ID: I20230914000528 |
| Provider Name | Arun Pillai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831753227 PECOS PAC ID: 6103150180 Enrollment ID: I20230915002809 |
| Provider Name | Cheryl Lynn Mcneil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073599155 PECOS PAC ID: 9931207925 Enrollment ID: I20230918003323 |
| Provider Name | Jose Pizarro-otero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669528550 PECOS PAC ID: 6002986536 Enrollment ID: I20230919001701 |
| Provider Name | Emily Morrison Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215713508 PECOS PAC ID: 5799139085 Enrollment ID: I20230920001285 |
| Provider Name | Siddharth Kaul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245493402 PECOS PAC ID: 4789869462 Enrollment ID: I20230921000675 |
| Provider Name | Neil G Jhamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477787067 PECOS PAC ID: 4082852769 Enrollment ID: I20230927002258 |
| Provider Name | Gabriel Bietz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194988642 PECOS PAC ID: 8527209758 Enrollment ID: I20231003002404 |
| Provider Name | Jennifer Ann Nickell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710082433 PECOS PAC ID: 2961308754 Enrollment ID: I20231006002544 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20231017001342 |
| Provider Name | Stephanie Michelle Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922881325 PECOS PAC ID: 1557717709 Enrollment ID: I20231025001342 |
| Provider Name | Kanval Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497287858 PECOS PAC ID: 2769752435 Enrollment ID: I20231208003320 |
| Provider Name | Alexander J Friedman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811302367 PECOS PAC ID: 5799107728 Enrollment ID: I20231215001298 |
| Provider Name | Moungar Elton Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013208958 PECOS PAC ID: 4284936857 Enrollment ID: I20231219000355 |
| Provider Name | Halea Brooke Sandfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205614138 PECOS PAC ID: 9335599299 Enrollment ID: I20231219002515 |
| Provider Name | Juan Camilo Cortes Ramirez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558859769 PECOS PAC ID: 4486904133 Enrollment ID: I20240105002566 |
| Provider Name | Robert-marlo Felicilda Bautista |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194107615 PECOS PAC ID: 9032407044 Enrollment ID: I20240110003865 |
| Provider Name | Destiny Lee Hooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487188645 PECOS PAC ID: 2860870375 Enrollment ID: I20240111000793 |
| Provider Name | Savannah Danyel Alvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902671985 PECOS PAC ID: 8426409681 Enrollment ID: I20240111004215 |
| Provider Name | Kyle Spencer Stigall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013449636 PECOS PAC ID: 1557716271 Enrollment ID: I20240117003369 |
| Provider Name | Adaku Mennwa Uzo-okereke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497105704 PECOS PAC ID: 6103249933 Enrollment ID: I20240119000980 |
| Provider Name | Ivan Pena Sing |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225021611 PECOS PAC ID: 6709861958 Enrollment ID: I20240209001082 |
| Provider Name | Kenneth Munnerlyn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316172513 PECOS PAC ID: 8921246786 Enrollment ID: I20240215001582 |
| Provider Name | John Hahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255713772 PECOS PAC ID: 4981991502 Enrollment ID: I20240215001848 |
| Provider Name | Kevan Ellary Mann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700850468 PECOS PAC ID: 1254692148 Enrollment ID: I20240219002022 |
| Provider Name | Hannah Elizabeth Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144090424 PECOS PAC ID: 7719321405 Enrollment ID: I20240221002715 |
| Provider Name | Tamour Khan Tareen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396277067 PECOS PAC ID: 3971855008 Enrollment ID: I20240308003093 |
| Provider Name | Ashish Ramesh Thakkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538456124 PECOS PAC ID: 3274758263 Enrollment ID: I20240315003373 |
| Provider Name | Aimee Elise White |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184392797 PECOS PAC ID: 2466899489 Enrollment ID: I20240326001076 |
| Provider Name | Casey Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093380594 PECOS PAC ID: 2668817099 Enrollment ID: I20240412000526 |
| Provider Name | Sarah Mary Hudson-williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194584177 PECOS PAC ID: 7012356819 Enrollment ID: I20240412001822 |
| Provider Name | Raymond B. Wynn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548216195 PECOS PAC ID: 2264451392 Enrollment ID: I20240416000855 |
| Provider Name | Francine Danielle Pulliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346091964 PECOS PAC ID: 1658711692 Enrollment ID: I20240424003076 |
| Provider Name | Cesar Abraham Santillana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063974889 PECOS PAC ID: 9133508146 Enrollment ID: I20240425000517 |
| Provider Name | Rachel Elise Schutt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598127011 PECOS PAC ID: 6901246503 Enrollment ID: I20240430001981 |
| Provider Name | Mofei Lu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952806390 PECOS PAC ID: 1759744063 Enrollment ID: I20240506004034 |
| Provider Name | Erica Wilt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003253857 PECOS PAC ID: 5294084265 Enrollment ID: I20240508003507 |
| Provider Name | Matthew Brian Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942060355 PECOS PAC ID: 7618318429 Enrollment ID: I20240510001972 |
| Provider Name | Angelina Ingrid Bellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205699311 PECOS PAC ID: 0446691968 Enrollment ID: I20240515003175 |
| Provider Name | Arslan Naeem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962856773 PECOS PAC ID: 6204164031 Enrollment ID: I20240516001515 |
| Provider Name | Douglas M Franz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053582221 PECOS PAC ID: 7214009042 Enrollment ID: I20240531002282 |
| Provider Name | Ronak Bharatkumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710488366 PECOS PAC ID: 8820424997 Enrollment ID: I20240531003107 |
| Provider Name | Utsab Raj Panta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689195729 PECOS PAC ID: 1052735453 Enrollment ID: I20240604001775 |
Summit Mental Wellness And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4630 Village Square Dr, Suite 202, Paducah, KY 42001 Phone: 270-777-4490 Fax: 866-824-4022 | |
Laurie K. Ballew Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 657 Lone Oak Rd Ste 2, Paducah, KY 42003 Phone: 270-558-4174 Fax: 270-534-5753 | |
Psychological Associates Of Paducah, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2315 Broadway St, Paducah, KY 42001 Phone: 270-442-8785 Fax: 270-443-1784 | |
Millstone Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Hansen Rd, Paducah, KY 42001 Phone: 270-554-9216 Fax: 270-554-8732 | |
Integrated Psychological Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 Broadway St Unit A, Paducah, KY 42001 Phone: 618-727-1913 | |
Purchase Neurology Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Drive, Suite 402, Paducah, KY 42003 Phone: 270-441-4400 Fax: 270-441-4409 | |
Crossroads Treatment Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Coleman Rd, Paducah, KY 42001 Phone: 800-805-6989 |