Bon Secours Medical Group Richmond Specialty Care Llc | |
8580 Magellan Pkwy Richmond VA 23227-1149 | |
(804) 627-5573 | |
(866) 449-0896 |
Full Name | Bon Secours Medical Group Richmond Specialty Care Llc |
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Speciality | Internal Medicine |
Location | 8580 Magellan Pkwy, Richmond, Virginia |
Authorized Official Name and Position | Herbert Cummings (COO) |
Authorized Official Contact | 7572152705 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bon Secours Medical Group Richmond Specialty Care Llc 1701 Mercy Health Pl Cincinnati OH 45237-6147 Ph: () - | Bon Secours Medical Group Richmond Specialty Care Llc 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5573 |
NPI Number | 1477112225 |
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Provider Enumeration Date | 06/06/2019 |
Last Update Date | 06/06/2019 |
Medicare PECOS PAC ID | 8022440056 |
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Medicare Enrollment ID | O20191113002170 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477112225 | NPI | - | NPPES |
Provider Name | Cletus C Aralu |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1598728461 PECOS PAC ID: 1456245356 Enrollment ID: I20040211000859 |
Provider Name | Beverly E Spencer |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1346291556 PECOS PAC ID: 3173411923 Enrollment ID: I20040304001133 |
Provider Name | John E Blank |
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Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1790737492 PECOS PAC ID: 5092603282 Enrollment ID: I20040309000720 |
Provider Name | Shaival J Kapadia |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1609891985 PECOS PAC ID: 3274424528 Enrollment ID: I20040324000682 |
Provider Name | Avery J Evans |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841200078 PECOS PAC ID: 7113829573 Enrollment ID: I20040513000822 |
Provider Name | Mary S Rogers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629091194 PECOS PAC ID: 2668451246 Enrollment ID: I20040716000740 |
Provider Name | Matthew A Dobzyniak |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1437102621 PECOS PAC ID: 3476532961 Enrollment ID: I20040719000052 |
Provider Name | Joynita M Nicholson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265462782 PECOS PAC ID: 5395718571 Enrollment ID: I20040816001305 |
Provider Name | Brennan J Carmody |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1164438560 PECOS PAC ID: 9830163914 Enrollment ID: I20040824000823 |
Provider Name | Mahmoud O Jawhar |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1124094875 PECOS PAC ID: 9436125887 Enrollment ID: I20040907001086 |
Provider Name | Kamlesh N Dave |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1780687863 PECOS PAC ID: 9830167014 Enrollment ID: I20040924000515 |
Provider Name | Christina M Wagner |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1316915838 PECOS PAC ID: 8426027236 Enrollment ID: I20040929000099 |
Provider Name | Mathew K Joseph |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1588616825 PECOS PAC ID: 5799745766 Enrollment ID: I20041013001392 |
Provider Name | Lisa Keel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093701757 PECOS PAC ID: 8123088614 Enrollment ID: I20041019000511 |
Provider Name | Mark D Wood |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1770564601 PECOS PAC ID: 0143295030 Enrollment ID: I20041022000508 |
Provider Name | Mary E Jensen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1205914157 PECOS PAC ID: 4981661584 Enrollment ID: I20041215000632 |
Provider Name | Gerald T Albrecht |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1629010541 PECOS PAC ID: 2961469432 Enrollment ID: I20041216000146 |
Provider Name | Stacey L Epps |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1154391571 PECOS PAC ID: 1759332406 Enrollment ID: I20050210000011 |
Provider Name | James R Daniels |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1043291743 PECOS PAC ID: 8921052481 Enrollment ID: I20050309000358 |
Provider Name | Hans Robert Tuten |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1013963248 PECOS PAC ID: 9931154788 Enrollment ID: I20050315000616 |
Provider Name | Kathryn A Beaton |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1346330222 PECOS PAC ID: 1153377742 Enrollment ID: I20050328000172 |
Provider Name | Susan W Schaffer |
---|---|
Provider Type | Practitioner - Hematology |
Provider Identifiers | NPI Number: 1518997147 PECOS PAC ID: 9638110786 Enrollment ID: I20050518001040 |
Provider Name | Jennie Webb-wright |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1346276417 PECOS PAC ID: 9234170077 Enrollment ID: I20050521000057 |
Provider Name | Shelley B Woodley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477543387 PECOS PAC ID: 9739122979 Enrollment ID: I20050608000328 |
Provider Name | Paul E Caldwell |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1457304784 PECOS PAC ID: 9638149461 Enrollment ID: I20050623000769 |
Provider Name | Kwabena O Agyeman |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1508806456 PECOS PAC ID: 1951368075 Enrollment ID: I20050909000534 |
Provider Name | Jason R Hull |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1083707905 PECOS PAC ID: 0042272528 Enrollment ID: I20050910000096 |
Provider Name | James V Pellicane |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1093704454 PECOS PAC ID: 0042244816 Enrollment ID: I20050921000478 |
Provider Name | Polly L Stephens |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1477664415 PECOS PAC ID: 4587698352 Enrollment ID: I20050921000493 |
Provider Name | Gregg A Ryman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972555266 PECOS PAC ID: 6800820465 Enrollment ID: I20050922000779 |
Provider Name | Peter H Travers |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629022009 PECOS PAC ID: 6800820473 Enrollment ID: I20050922000861 |
Provider Name | Marshall Cross |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1386621852 PECOS PAC ID: 1052346491 Enrollment ID: I20051004000880 |
Provider Name | Tamara R Pringle |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386638740 PECOS PAC ID: 3072538685 Enrollment ID: I20051012001196 |
Provider Name | Randall A Scott |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528069267 PECOS PAC ID: 0749202059 Enrollment ID: I20051230000231 |
Provider Name | David John Muron |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1922078005 PECOS PAC ID: 1759396047 Enrollment ID: I20060207000994 |
Provider Name | Timothy K Bowers |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1801843271 PECOS PAC ID: 4981611431 Enrollment ID: I20060308000818 |
Provider Name | Virginia A Boothe |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1407925027 PECOS PAC ID: 5799793022 Enrollment ID: I20060329000139 |
Provider Name | Tahira A Naviwala |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1811052491 PECOS PAC ID: 7911915061 Enrollment ID: I20060330000536 |
Provider Name | Scott A Vota |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1497782320 PECOS PAC ID: 5294739744 Enrollment ID: I20060914000271 |
Provider Name | Douglas A Johnson |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1134150568 PECOS PAC ID: 1658377411 Enrollment ID: I20061018000501 |
Provider Name | Michael J Wittkamp |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1154334241 PECOS PAC ID: 0244236016 Enrollment ID: I20061018000647 |
Provider Name | Rekha Nugaram |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1912962085 PECOS PAC ID: 6305843798 Enrollment ID: I20061027000087 |
Provider Name | Mark R Bladergroen |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1124058342 PECOS PAC ID: 6709883911 Enrollment ID: I20061101000280 |
Provider Name | Ephraim E Nsien |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1982718433 PECOS PAC ID: 1456378066 Enrollment ID: I20061206000212 |
Provider Name | Ibrahim M Hegab |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1982622825 PECOS PAC ID: 8527060276 Enrollment ID: I20070208000284 |
Provider Name | Amit N Gogia |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1831102185 PECOS PAC ID: 2961506480 Enrollment ID: I20070322000350 |
Provider Name | Barry L Katchinoff |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1821056623 PECOS PAC ID: 5193829885 Enrollment ID: I20070406000343 |
Provider Name | Clifford V Morris |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1558382994 PECOS PAC ID: 6103923172 Enrollment ID: I20070525000532 |
Provider Name | Richard Graham |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1225092794 PECOS PAC ID: 5799883823 Enrollment ID: I20070613000165 |
Provider Name | Steven M Fiser |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1104879733 PECOS PAC ID: 2466551932 Enrollment ID: I20070625000151 |
Provider Name | Philip A Davenport |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1659342806 PECOS PAC ID: 2365534765 Enrollment ID: I20070815000145 |
Provider Name | Anthony Dominick Cassano |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1437159316 PECOS PAC ID: 1052342458 Enrollment ID: I20071005000017 |
Provider Name | Zvonko Spasic |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1225240583 PECOS PAC ID: 0840386512 Enrollment ID: I20071011000480 |
Provider Name | Amandeep S Sangha |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1790994150 PECOS PAC ID: 4183710759 Enrollment ID: I20071011000570 |
Provider Name | John E Meyers |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841499951 PECOS PAC ID: 2264528207 Enrollment ID: I20071022000538 |
Provider Name | Kumar Abhishek |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1083827018 PECOS PAC ID: 3375631179 Enrollment ID: I20071112000571 |
Provider Name | Hong Joon Jun |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1689713620 PECOS PAC ID: 9931284379 Enrollment ID: I20080311000063 |
Provider Name | Flora E Williams |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1265642029 PECOS PAC ID: 6709965312 Enrollment ID: I20080508000111 |
Provider Name | Alicia D Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154591295 PECOS PAC ID: 4789754714 Enrollment ID: I20080603000560 |
Provider Name | Aysha Habib |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407053713 PECOS PAC ID: 7911078555 Enrollment ID: I20080625000302 |
Provider Name | Marc W Flickinger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588652812 PECOS PAC ID: 5395785612 Enrollment ID: I20080715000277 |
Provider Name | Satish K Pathak |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1811947369 PECOS PAC ID: 8729153168 Enrollment ID: I20080819000551 |
Provider Name | Maya W Paige |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972729101 PECOS PAC ID: 3375618309 Enrollment ID: I20080826000348 |
Provider Name | Jeannine M Moss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962622654 PECOS PAC ID: 7911072947 Enrollment ID: I20080826000356 |
Provider Name | Joseph M Karch |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1588873640 PECOS PAC ID: 2062513286 Enrollment ID: I20080826000481 |
Provider Name | Naim S Bashir |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1932134558 PECOS PAC ID: 1456427038 Enrollment ID: I20080904000686 |
Provider Name | David J Dougherty |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1760494892 PECOS PAC ID: 5092881227 Enrollment ID: I20080911000387 |
Provider Name | Hernan T Gatuslao |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1578581674 PECOS PAC ID: 9234205436 Enrollment ID: I20080912000313 |
Provider Name | Charles W Nelson |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1639194913 PECOS PAC ID: 3375649049 Enrollment ID: I20080919000459 |
Provider Name | Kay Harris Bonyak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447424205 PECOS PAC ID: 5496815193 Enrollment ID: I20081126000201 |
Provider Name | Salmaan A Khawaja |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1225285117 PECOS PAC ID: 1153481726 Enrollment ID: I20081201000189 |
Provider Name | Dennis S Cohen |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1831145085 PECOS PAC ID: 8224131032 Enrollment ID: I20081201000723 |
Provider Name | George Parker |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1134175805 PECOS PAC ID: 2466513098 Enrollment ID: I20081201000729 |
Provider Name | Cecilia L Santos |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134221195 PECOS PAC ID: 4688623242 Enrollment ID: I20081222000670 |
Provider Name | Theopolis Gilliam |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174566558 PECOS PAC ID: 5193888022 Enrollment ID: I20090120000294 |
Provider Name | Keith Mcduffie Roberts |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1487652145 PECOS PAC ID: 9931266921 Enrollment ID: I20090318000431 |
Provider Name | Homayoon Akbari |
---|---|
Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1205831229 PECOS PAC ID: 0840250494 Enrollment ID: I20090520000128 |
Provider Name | Elizabeth J Maiden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619935061 PECOS PAC ID: 8123178159 Enrollment ID: I20090611000698 |
Provider Name | Diane M Mrava |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1346250925 PECOS PAC ID: 6507916509 Enrollment ID: I20090612000487 |
Provider Name | Meredith L Whitehurst |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275772485 PECOS PAC ID: 6709937402 Enrollment ID: I20090618000763 |
Provider Name | Mohammad S Chaudhry |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1598978850 PECOS PAC ID: 5294888418 Enrollment ID: I20090805000108 |
Provider Name | Erin R Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508050493 PECOS PAC ID: 6002962941 Enrollment ID: I20090918000176 |
Provider Name | Sabine Daudier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285702381 PECOS PAC ID: 7719968379 Enrollment ID: I20091104000604 |
Provider Name | Erin A Nowlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043546849 PECOS PAC ID: 1052450442 Enrollment ID: I20091124000362 |
Provider Name | Daphne Lynn Bryan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538245295 PECOS PAC ID: 9638219272 Enrollment ID: I20091212000106 |
Provider Name | Alice J Hirata |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1760466684 PECOS PAC ID: 0547302614 Enrollment ID: I20100127000925 |
Provider Name | Leanne M Yanni |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1245320894 PECOS PAC ID: 3870637721 Enrollment ID: I20100216000847 |
Provider Name | John Newton Clore |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1023108669 PECOS PAC ID: 3779627534 Enrollment ID: I20100217000068 |
Provider Name | Kylene E Botts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609030816 PECOS PAC ID: 2466587514 Enrollment ID: I20100316000089 |
Provider Name | Linda E Thurby-hay |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1124104161 PECOS PAC ID: 0042345613 Enrollment ID: I20100322000317 |
Provider Name | Rebekah S Augustine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548583131 PECOS PAC ID: 5698803229 Enrollment ID: I20100503000265 |
Provider Name | William Beach |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1205888997 PECOS PAC ID: 0547359556 Enrollment ID: I20100505000389 |
Provider Name | Shannon M Wolfe |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1275586463 PECOS PAC ID: 8628167632 Enrollment ID: I20100505000527 |
Provider Name | Jed S Vanichkachorn |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1740231463 PECOS PAC ID: 7315836145 Enrollment ID: I20100512000563 |
Provider Name | Gregory Powell Moore |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881672699 PECOS PAC ID: 4587650460 Enrollment ID: I20100520001055 |
Provider Name | Richard H Hoffman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255426029 PECOS PAC ID: 9830087444 Enrollment ID: I20100609000088 |
Provider Name | Cara A Jennings |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1174783716 PECOS PAC ID: 8325179997 Enrollment ID: I20100625000170 |
Provider Name | Jenny L Cox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578796686 PECOS PAC ID: 8729119839 Enrollment ID: I20100706000111 |
Provider Name | Mary L Falterman |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1952349474 PECOS PAC ID: 2365574902 Enrollment ID: I20100719000257 |
Provider Name | Thomas Smith |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1952372112 PECOS PAC ID: 0446383251 Enrollment ID: I20100802000288 |
Provider Name | Thomas J. Eichler |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1932164274 PECOS PAC ID: 5597859520 Enrollment ID: I20100826000666 |
Provider Name | Malcolm L Howell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1356321210 PECOS PAC ID: 9638293798 Enrollment ID: I20100826000996 |
Provider Name | Howard Wiles |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1861472805 PECOS PAC ID: 4183748957 Enrollment ID: I20100831000411 |
Provider Name | Tracy Hicks |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1033199898 PECOS PAC ID: 3779607569 Enrollment ID: I20100831000722 |
Provider Name | Samuel J Campbell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1538376678 PECOS PAC ID: 7719002567 Enrollment ID: I20100916000508 |
Provider Name | Eugene Park |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1992707137 PECOS PAC ID: 2264421916 Enrollment ID: I20100921001348 |
Provider Name | Kara A Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710147145 PECOS PAC ID: 5890811343 Enrollment ID: I20100922000422 |
Provider Name | Agha W Haider |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1033105408 PECOS PAC ID: 7719917046 Enrollment ID: I20101008001053 |
Provider Name | George Eapen |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1508818048 PECOS PAC ID: 6305039587 Enrollment ID: I20101020000640 |
Provider Name | David Penberthy |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1891759692 PECOS PAC ID: 2860586898 Enrollment ID: I20101110000958 |
Provider Name | Barbara S Bishop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588736946 PECOS PAC ID: 5092901926 Enrollment ID: I20101118000140 |
Provider Name | Mary M Ransom |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1487697389 PECOS PAC ID: 5890743819 Enrollment ID: I20110111000940 |
Provider Name | Mitesh S Amin |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1801003157 PECOS PAC ID: 1850580408 Enrollment ID: I20110119000173 |
Provider Name | Michael J Macdougall |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1306921184 PECOS PAC ID: 9537340914 Enrollment ID: I20110217000426 |
Provider Name | Dana E Taylor |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1053542423 PECOS PAC ID: 4981886371 Enrollment ID: I20110307000258 |
Provider Name | George B Newton |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1457436230 PECOS PAC ID: 8325142839 Enrollment ID: I20110310000798 |
Provider Name | Nadeem Faruqi |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1205886900 PECOS PAC ID: 1658276142 Enrollment ID: I20110311000769 |
Provider Name | Susan M Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548579113 PECOS PAC ID: 5698958759 Enrollment ID: I20110328000121 |
Provider Name | Kimberly A Caylor |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1588644371 PECOS PAC ID: 2264616556 Enrollment ID: I20110412000001 |
Provider Name | Erin B Perlmutter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215250055 PECOS PAC ID: 1658555644 Enrollment ID: I20110415000721 |
Provider Name | Jayant P Talreja |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1083821276 PECOS PAC ID: 8426234121 Enrollment ID: I20110513000398 |
Provider Name | Joann Malgieri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659570232 PECOS PAC ID: 6204996200 Enrollment ID: I20110517000041 |
Provider Name | Jaime M Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164720710 PECOS PAC ID: 3870770795 Enrollment ID: I20110602000005 |
Provider Name | Robert Sealand |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1093976227 PECOS PAC ID: 3678750296 Enrollment ID: I20110608000545 |
Provider Name | Chad Eliott Aarons |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1407067598 PECOS PAC ID: 0244400687 Enrollment ID: I20110823000469 |
Provider Name | Tyler C Wind |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1669561171 PECOS PAC ID: 3971774472 Enrollment ID: I20110913000657 |
Provider Name | Cynthia K Straub |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285818864 PECOS PAC ID: 1850562760 Enrollment ID: I20110927000083 |
Provider Name | Renee Tierney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144511957 PECOS PAC ID: 0345415972 Enrollment ID: I20111209000765 |
Provider Name | Ann C Schoeneweis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831467042 PECOS PAC ID: 1153588595 Enrollment ID: I20120213000704 |
Provider Name | John J Hennessey |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1871559070 PECOS PAC ID: 3678731858 Enrollment ID: I20120221000257 |
Provider Name | Tejas Raval |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1992827356 PECOS PAC ID: 4082768544 Enrollment ID: I20120222000274 |
Provider Name | Edward Franklin Moschler |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1588631972 PECOS PAC ID: 9739136755 Enrollment ID: I20120614000652 |
Provider Name | James Graham Bittner |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1215058870 PECOS PAC ID: 2163609488 Enrollment ID: I20120809000364 |
Provider Name | Sihong Suy |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1750588125 PECOS PAC ID: 9638325467 Enrollment ID: I20120810000494 |
Provider Name | Mudassar Asghar |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1225101553 PECOS PAC ID: 8325164437 Enrollment ID: I20120911000829 |
Provider Name | Umadevi Muthyala |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1023044765 PECOS PAC ID: 7911062708 Enrollment ID: I20120911000839 |
Provider Name | Kathryn D Johnston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316295694 PECOS PAC ID: 5496902983 Enrollment ID: I20120918000497 |
Provider Name | Mary P Lucchesi |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1134353220 PECOS PAC ID: 2163671660 Enrollment ID: I20120926000763 |
Provider Name | Rachit D Shah |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1528273422 PECOS PAC ID: 0446429880 Enrollment ID: I20121119000487 |
Provider Name | Katherine Lietz |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1194864157 PECOS PAC ID: 4486745288 Enrollment ID: I20130104000269 |
Provider Name | Sarah D Bowmaster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114298882 PECOS PAC ID: 7012161417 Enrollment ID: I20130213000112 |
Provider Name | Jessica Broadbent Delk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043464936 PECOS PAC ID: 8426298811 Enrollment ID: I20130708000653 |
Provider Name | Bronwyn E Bridge |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700106846 PECOS PAC ID: 8527209774 Enrollment ID: I20130730000875 |
Provider Name | Nathan W. Lee |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1336300680 PECOS PAC ID: 4587814397 Enrollment ID: I20130829000853 |
Provider Name | Vidya Raghavan |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1194955286 PECOS PAC ID: 0547404675 Enrollment ID: I20130911000599 |
Provider Name | Zachary Blaine Stroud |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548427370 PECOS PAC ID: 9739373432 Enrollment ID: I20130916000422 |
Provider Name | Rebecca E Sherard |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780029538 PECOS PAC ID: 6709020449 Enrollment ID: I20130918000800 |
Provider Name | Gwendolin Tangham |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1962659730 PECOS PAC ID: 0648404954 Enrollment ID: I20130927000359 |
Provider Name | Misti H Wilson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1407035629 PECOS PAC ID: 4981872249 Enrollment ID: I20131003000525 |
Provider Name | Laurie Klatt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427319433 PECOS PAC ID: 8224263918 Enrollment ID: I20131105001708 |
Provider Name | Jennifer L Parker |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1558796359 PECOS PAC ID: 2961633441 Enrollment ID: I20140326001203 |
Provider Name | Wirt Whitfield Cross |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1669512018 PECOS PAC ID: 4981822210 Enrollment ID: I20140828001994 |
Provider Name | Maria H Cohan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942618715 PECOS PAC ID: 0648592758 Enrollment ID: I20141126001970 |
Provider Name | Margaret Lawler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639575186 PECOS PAC ID: 3779800701 Enrollment ID: I20150331002029 |
Provider Name | Mohammad Shakhatreh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1649430216 PECOS PAC ID: 7911160270 Enrollment ID: I20150706002027 |
Provider Name | Rachel M Donaldson |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1295051613 PECOS PAC ID: 8123332368 Enrollment ID: I20150803000250 |
Provider Name | Ida T Vaclavik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134408644 PECOS PAC ID: 7810163847 Enrollment ID: I20150810002587 |
Provider Name | Brenda K Radford |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1205259157 PECOS PAC ID: 0143535682 Enrollment ID: I20150813009550 |
Provider Name | Supakunya K Edmonson |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1366420853 PECOS PAC ID: 2860670262 Enrollment ID: I20150817000031 |
Provider Name | Rachel K Love |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841581592 PECOS PAC ID: 2264671999 Enrollment ID: I20150818003403 |
Provider Name | Dustin Chase Dyer |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1538474861 PECOS PAC ID: 3870726508 Enrollment ID: I20150820010381 |
Provider Name | Colin Alexander Mudrick |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1568699841 PECOS PAC ID: 1153561980 Enrollment ID: I20151026000781 |
Provider Name | Jesse T Torbert |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1497815054 PECOS PAC ID: 0143490805 Enrollment ID: I20151116000034 |
Provider Name | Deepak Pottayil Thomas |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1457535551 PECOS PAC ID: 6305962556 Enrollment ID: I20151201003409 |
Provider Name | Jose Angel Diaz |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1730479593 PECOS PAC ID: 8325348808 Enrollment ID: I20151207000352 |
Provider Name | Laura T Polliard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356711501 PECOS PAC ID: 2860793643 Enrollment ID: I20151221001696 |
Provider Name | Daphne Bazile |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851558548 PECOS PAC ID: 0244393742 Enrollment ID: I20151228001860 |
Provider Name | Zahid I Baig |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1356325088 PECOS PAC ID: 8022021179 Enrollment ID: I20160119002304 |
Provider Name | Kerry A Boyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265803001 PECOS PAC ID: 7618271180 Enrollment ID: I20160203000476 |
Provider Name | Islam Abdelrahman Al-howaidi |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1609021161 PECOS PAC ID: 9739485954 Enrollment ID: I20160314001448 |
Provider Name | Victoria Matt |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1457396913 PECOS PAC ID: 5890720254 Enrollment ID: I20160322000969 |
Provider Name | Sean Olaughlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235505439 PECOS PAC ID: 9032417183 Enrollment ID: I20160406000976 |
Provider Name | Clifton Hawkes |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1073566907 PECOS PAC ID: 8820138134 Enrollment ID: I20160616002174 |
Provider Name | Nimesh K Patel |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1538493754 PECOS PAC ID: 9537474630 Enrollment ID: I20160829001830 |
Provider Name | Eric E Floranda |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1942479803 PECOS PAC ID: 5698833366 Enrollment ID: I20161005000132 |
Provider Name | Michael A White |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1265690804 PECOS PAC ID: 4284922295 Enrollment ID: I20161006001694 |
Provider Name | Stuart E Shindel |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1629087358 PECOS PAC ID: 5092714501 Enrollment ID: I20161031002078 |
Provider Name | Brinder S Kanda |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1306008974 PECOS PAC ID: 3375864440 Enrollment ID: I20161115002000 |
Provider Name | Sarah Peterson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437410974 PECOS PAC ID: 6901045079 Enrollment ID: I20161202002121 |
Provider Name | Rosanna L Hastings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699222430 PECOS PAC ID: 1850671009 Enrollment ID: I20161206001541 |
Provider Name | Alexis J Chappell |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992190912 PECOS PAC ID: 2466733381 Enrollment ID: I20170106001314 |
Provider Name | Betsy D Liljeberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487606885 PECOS PAC ID: 4981669009 Enrollment ID: I20170117001850 |
Provider Name | Jane Cash |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730143892 PECOS PAC ID: 7012293137 Enrollment ID: I20170404000427 |
Provider Name | Tiffany G Pajic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841684867 PECOS PAC ID: 1052615051 Enrollment ID: I20170607002331 |
Provider Name | Jaspreet Singh |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1942495312 PECOS PAC ID: 7113199332 Enrollment ID: I20170703000141 |
Provider Name | Srinivasa R Punyala |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891134599 PECOS PAC ID: 1052553690 Enrollment ID: I20170728003278 |
Provider Name | Erica J Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417488644 PECOS PAC ID: 5890066294 Enrollment ID: I20170803001092 |
Provider Name | Saritha R Gomadam |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1770883522 PECOS PAC ID: 4385813575 Enrollment ID: I20170824002407 |
Provider Name | Gregory H Hale |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1780904250 PECOS PAC ID: 8527206382 Enrollment ID: I20170906002914 |
Provider Name | Kathleen Grace Lautzenheiser |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942724521 PECOS PAC ID: 9537433487 Enrollment ID: I20170916000016 |
Provider Name | David N Loy |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1952516825 PECOS PAC ID: 4981733714 Enrollment ID: I20170919002137 |
Provider Name | Kevon B Hekmatdoost |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1144581661 PECOS PAC ID: 3971744806 Enrollment ID: I20170929003523 |
Provider Name | Robert T Ferguson |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1619186897 PECOS PAC ID: 6901032473 Enrollment ID: I20171020001514 |
Provider Name | Morgan T Bartlett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639695323 PECOS PAC ID: 8022374933 Enrollment ID: I20171109001115 |
Provider Name | Meredith A Newton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548784101 PECOS PAC ID: 4284991696 Enrollment ID: I20171120001204 |
Provider Name | Jacqueline B Boone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962824615 PECOS PAC ID: 8426271685 Enrollment ID: I20171120002943 |
Provider Name | Heather Alison Hannon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023433133 PECOS PAC ID: 1658638564 Enrollment ID: I20171201000695 |
Provider Name | Jacob M Budny |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1508008665 PECOS PAC ID: 0648496570 Enrollment ID: I20180102002094 |
Provider Name | Kimberly S Stroud |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568981199 PECOS PAC ID: 4183859010 Enrollment ID: I20180208000717 |
Provider Name | Douglas C Barnas |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1396066288 PECOS PAC ID: 3072752773 Enrollment ID: I20180208002106 |
Provider Name | Barbara Gail Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790290054 PECOS PAC ID: 6507127966 Enrollment ID: I20180227001005 |
Provider Name | Nikki Rose Lawson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841703832 PECOS PAC ID: 8527329960 Enrollment ID: I20180228001424 |
Provider Name | Angela Allen-blaine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063924405 PECOS PAC ID: 1759642077 Enrollment ID: I20180301002304 |
Provider Name | Victoria E Heller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205270493 PECOS PAC ID: 2163664293 Enrollment ID: I20180426002513 |
Provider Name | Candice N Gardner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881063972 PECOS PAC ID: 3476859984 Enrollment ID: I20180629001694 |
Provider Name | Frederick George Schnatz |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1447490644 PECOS PAC ID: 8921278011 Enrollment ID: I20180723003176 |
Provider Name | Paul Brody Wehman |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1639483209 PECOS PAC ID: 2961700489 Enrollment ID: I20180823002714 |
Provider Name | Anuoluwapo Akinsanya |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841619566 PECOS PAC ID: 7113277237 Enrollment ID: I20180911000268 |
Provider Name | Eva A Ballagh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295246270 PECOS PAC ID: 7810248630 Enrollment ID: I20180918002422 |
Provider Name | Ositadinma L Mbadugha |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801214937 PECOS PAC ID: 3678844420 Enrollment ID: I20180924002598 |
Provider Name | Laura K Patterson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902315054 PECOS PAC ID: 5092067728 Enrollment ID: I20181009000299 |
Provider Name | Justin Andrew Phillingane |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1548642788 PECOS PAC ID: 4981956331 Enrollment ID: I20181011002963 |
Provider Name | Matthew J Austin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447463658 PECOS PAC ID: 3577616630 Enrollment ID: I20181029002301 |
Provider Name | Paul Sherman Brown |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1841294824 PECOS PAC ID: 4789574336 Enrollment ID: I20181112002002 |
Provider Name | James Michael Gill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669948386 PECOS PAC ID: 8527303783 Enrollment ID: I20181218000028 |
Provider Name | Amanda Nicole Roy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215480595 PECOS PAC ID: 8921385675 Enrollment ID: I20190205000839 |
Provider Name | Travia Michelle Binford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225520802 PECOS PAC ID: 4587902945 Enrollment ID: I20190208002269 |
Provider Name | Douglas John Harwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396978938 PECOS PAC ID: 9638410848 Enrollment ID: I20190416000771 |
Provider Name | Christina Lack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053892844 PECOS PAC ID: 7113268343 Enrollment ID: I20190416001438 |
Provider Name | James E Hammond |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1083796668 PECOS PAC ID: 1456597046 Enrollment ID: I20190416002121 |
Provider Name | Katelynn Marie Perzynski |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1275099350 PECOS PAC ID: 5395088421 Enrollment ID: I20190513002227 |
Provider Name | Jennifer Shakesby Mcadoo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558843060 PECOS PAC ID: 9133462195 Enrollment ID: I20190515002499 |
Provider Name | Manu Kaushik |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1740489202 PECOS PAC ID: 2264756949 Enrollment ID: I20190521000702 |
Provider Name | Christina M. Burch |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1619902392 PECOS PAC ID: 8921159898 Enrollment ID: I20190529001936 |
Provider Name | Lindsay Ann Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699245068 PECOS PAC ID: 5698008779 Enrollment ID: I20190604002344 |
Provider Name | Miguel Vega-gilormini |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1417095456 PECOS PAC ID: 1355579749 Enrollment ID: I20190617000176 |
Provider Name | Yelena Boguslavsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093271413 PECOS PAC ID: 4385972405 Enrollment ID: I20190827001846 |
Provider Name | Paula N Allocca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265751812 PECOS PAC ID: 1557486016 Enrollment ID: I20191009001543 |
Provider Name | Symone Monique Hopkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881255602 PECOS PAC ID: 6103157896 Enrollment ID: I20191010001434 |
Provider Name | Amy Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124670344 PECOS PAC ID: 8325370562 Enrollment ID: I20191021003487 |
Provider Name | Allison Hastings |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306227152 PECOS PAC ID: 9739513730 Enrollment ID: I20191230000073 |
Provider Name | Michelle Milburn |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1982249181 PECOS PAC ID: 9436584331 Enrollment ID: I20200123001522 |
Provider Name | Kristin Nicole Crain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518309947 PECOS PAC ID: 4688809437 Enrollment ID: I20200124001144 |
Provider Name | Lauren W Turner |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1043855265 PECOS PAC ID: 8820423692 Enrollment ID: I20200124001450 |
Provider Name | John E Anderson |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1578520359 PECOS PAC ID: 9133192040 Enrollment ID: I20200205002869 |
Provider Name | Hiba Alam |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215347430 PECOS PAC ID: 3476773581 Enrollment ID: I20200220002756 |
Provider Name | Andrea Lynn Vanscoik |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1861532657 PECOS PAC ID: 5991133043 Enrollment ID: I20200324000703 |
Provider Name | Kathleen Waltra Magura Scarberry |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1912411547 PECOS PAC ID: 5294163291 Enrollment ID: I20200324003484 |
Provider Name | Leann Watson Morales |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1326551060 PECOS PAC ID: 8224466297 Enrollment ID: I20200325002440 |
Provider Name | Anil Venkata Seshu Yallapragada |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1639338585 PECOS PAC ID: 9739343740 Enrollment ID: I20200603002957 |
Provider Name | Stacey Sharp |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336598432 PECOS PAC ID: 2264725761 Enrollment ID: I20200619001998 |
Provider Name | Alejandro Santillan Cadenillas |
---|---|
Provider Type | Practitioner - Neuropsychiatry |
Provider Identifiers | NPI Number: 1780027169 PECOS PAC ID: 5092005959 Enrollment ID: I20200623000797 |
Provider Name | Hannah Michelle Winston |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1386266625 PECOS PAC ID: 4284059759 Enrollment ID: I20200730002300 |
Provider Name | Abigail Elizabeth Compton |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1427684265 PECOS PAC ID: 8820413636 Enrollment ID: I20200810002997 |
Provider Name | Kaitlin V. Deters |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1568887495 PECOS PAC ID: 4587881222 Enrollment ID: I20200813003875 |
Provider Name | Hamza Khalid |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1063667608 PECOS PAC ID: 2668788902 Enrollment ID: I20200814001811 |
Provider Name | Tanya Renee Davis |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1992886832 PECOS PAC ID: 2466619556 Enrollment ID: I20200820003617 |
Provider Name | Esam Salem Omeish |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982766614 PECOS PAC ID: 4880675669 Enrollment ID: I20200821002266 |
Provider Name | Alex Cardenas |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1306170444 PECOS PAC ID: 4385957810 Enrollment ID: I20200908001902 |
Provider Name | Ashleigh L Hagaman |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1003216714 PECOS PAC ID: 1052740578 Enrollment ID: I20200908002746 |
Provider Name | Julia Lake |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104203702 PECOS PAC ID: 8426326166 Enrollment ID: I20201005000950 |
Provider Name | Erin N Frye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639795602 PECOS PAC ID: 8224457676 Enrollment ID: I20201007001603 |
Provider Name | Craig Smith |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1366862799 PECOS PAC ID: 0941503114 Enrollment ID: I20201015000455 |
Provider Name | Walker A Julliard |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1821376047 PECOS PAC ID: 6002049913 Enrollment ID: I20201204000855 |
Provider Name | Germaine Kelley-pope |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235749714 PECOS PAC ID: 5092127365 Enrollment ID: I20201211002186 |
Provider Name | Manoj Maloo |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1558550566 PECOS PAC ID: 2062596703 Enrollment ID: I20201217001219 |
Provider Name | Yasser Salam |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1548543069 PECOS PAC ID: 9234107681 Enrollment ID: I20201229001907 |
Provider Name | Leah Suzanne Choate |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1114527140 PECOS PAC ID: 0244644870 Enrollment ID: I20210122000733 |
Provider Name | Sneh Lavingia |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1902168545 PECOS PAC ID: 7911207048 Enrollment ID: I20210210000978 |
Provider Name | Danielle Mccormack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720525561 PECOS PAC ID: 6002190741 Enrollment ID: I20210217002432 |
Provider Name | Annette Q King |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1235714973 PECOS PAC ID: 8022425636 Enrollment ID: I20210326001951 |
Provider Name | Heather E Allmon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609481787 PECOS PAC ID: 1153739925 Enrollment ID: I20210415000560 |
Provider Name | Ahmed Kandeel |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1427225630 PECOS PAC ID: 6406994961 Enrollment ID: I20210416001725 |
Provider Name | Grace Pulliam Gilmore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578176970 PECOS PAC ID: 9436558475 Enrollment ID: I20210525002084 |
Provider Name | Jonathan Bryant |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1407203755 PECOS PAC ID: 5092115881 Enrollment ID: I20210616001012 |
Provider Name | Michael E Barlow |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1649628371 PECOS PAC ID: 8123429685 Enrollment ID: I20210622002696 |
Provider Name | Joey Lawrence Christmas |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1770700619 PECOS PAC ID: 7618043605 Enrollment ID: I20210716000454 |
Provider Name | Latoya Renee Ntlabati |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942892609 PECOS PAC ID: 0446653885 Enrollment ID: I20210723000040 |
Provider Name | Curtis L Stowers |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1992367064 PECOS PAC ID: 2365846938 Enrollment ID: I20210804000115 |
Provider Name | Trina Carter |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1821660762 PECOS PAC ID: 5799181384 Enrollment ID: I20210907003011 |
Provider Name | Valerie Rakes |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1770113946 PECOS PAC ID: 0648677443 Enrollment ID: I20210921002954 |
Provider Name | Jinan Moukaled Prats |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467125005 PECOS PAC ID: 0840689295 Enrollment ID: I20211105001226 |
Provider Name | Emmaline Frances Shelnutt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184396319 PECOS PAC ID: 1557750924 Enrollment ID: I20211105002264 |
Provider Name | Anthony Darr |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1790070605 PECOS PAC ID: 6507151842 Enrollment ID: I20211115000850 |
Provider Name | Dimitrios Tsirigotis |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1316450869 PECOS PAC ID: 0840559308 Enrollment ID: I20211221002681 |
Provider Name | Alex Ferikes |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1356603534 PECOS PAC ID: 5799903837 Enrollment ID: I20220103000742 |
Provider Name | Nadine Sheray Graham |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518495878 PECOS PAC ID: 8820483571 Enrollment ID: I20220316003863 |
Provider Name | Daniel Olsen |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780008425 PECOS PAC ID: 3577899103 Enrollment ID: I20220318001837 |
Provider Name | Jennifer Diane Karabin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306518097 PECOS PAC ID: 0244625762 Enrollment ID: I20220321001057 |
Provider Name | Aya E Musa |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1396199188 PECOS PAC ID: 9133453582 Enrollment ID: I20220401000150 |
Provider Name | Ludna Maiden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932877255 PECOS PAC ID: 9032596382 Enrollment ID: I20220506001651 |
Provider Name | Vinodh T Doss |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1336348085 PECOS PAC ID: 5698930683 Enrollment ID: I20220510001405 |
Provider Name | Caroline Coles Buck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134870280 PECOS PAC ID: 6800273962 Enrollment ID: I20220512000221 |
Provider Name | Sharese White |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1902867914 PECOS PAC ID: 4284957259 Enrollment ID: I20220513000782 |
Provider Name | Katherine Peng |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1760831184 PECOS PAC ID: 8325331572 Enrollment ID: I20220519001833 |
Provider Name | Sean Kelly |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1700205952 PECOS PAC ID: 7416175690 Enrollment ID: I20220615001506 |
Provider Name | Rebecca Eades |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720602766 PECOS PAC ID: 3476933110 Enrollment ID: I20220712000891 |
Provider Name | Michele Ann Smithson |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1376288175 PECOS PAC ID: 4789066432 Enrollment ID: I20220728000401 |
Provider Name | Ginny Ann Walton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447919642 PECOS PAC ID: 4981086535 Enrollment ID: I20220729001412 |
Provider Name | Helen Mitchell Nester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144543703 PECOS PAC ID: 2365579349 Enrollment ID: I20220801002748 |
Provider Name | John William Yurek |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1023547874 PECOS PAC ID: 2961884242 Enrollment ID: I20220803001014 |
Provider Name | Tracie Henderson |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1659018554 PECOS PAC ID: 2466834775 Enrollment ID: I20220803002263 |
Provider Name | Stephen R Shively |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1417497819 PECOS PAC ID: 1153688767 Enrollment ID: I20220803003584 |
Provider Name | Casey Ann Calloway |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1295466738 PECOS PAC ID: 2567845100 Enrollment ID: I20220816000151 |
Provider Name | Ahmet Tayfun Gurbuz |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1154536407 PECOS PAC ID: 0446142723 Enrollment ID: I20220906000712 |
Provider Name | Rebekah Scout Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952765018 PECOS PAC ID: 0042567588 Enrollment ID: I20220906002028 |
Provider Name | Ralph Ramos |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1659738227 PECOS PAC ID: 3476814146 Enrollment ID: I20220909002237 |
Provider Name | Wesley Adams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417452459 PECOS PAC ID: 9133534886 Enrollment ID: I20220914000181 |
Provider Name | Colin Burgess |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1689106304 PECOS PAC ID: 0244574432 Enrollment ID: I20220927003318 |
Provider Name | Nathania Figueroa Guilliani |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1134488976 PECOS PAC ID: 0042558561 Enrollment ID: I20221004000829 |
Provider Name | Shamsher Dalal |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1194879338 PECOS PAC ID: 8628160223 Enrollment ID: I20221019001503 |
Provider Name | Jane Ivers Abernathie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972228377 PECOS PAC ID: 2860869815 Enrollment ID: I20221103000708 |
Provider Name | Moustafa Moustafa |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1932595907 PECOS PAC ID: 9133436470 Enrollment ID: I20221107000913 |
Provider Name | Leila Maral Ghaffari |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1326568957 PECOS PAC ID: 6002210564 Enrollment ID: I20221111000183 |
Provider Name | Michele Lee Canfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033843172 PECOS PAC ID: 6901275015 Enrollment ID: I20221213000867 |
Provider Name | Ahmed Halal |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1447495569 PECOS PAC ID: 8527184381 Enrollment ID: I20221221002879 |
Provider Name | Kathleen Elizabeth Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649908989 PECOS PAC ID: 0941670251 Enrollment ID: I20230103000945 |
Provider Name | Sylvia Kirgis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265611263 PECOS PAC ID: 4587731997 Enrollment ID: I20230120002594 |
Provider Name | Christel Earles |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043887128 PECOS PAC ID: 7214308410 Enrollment ID: I20230126001505 |
Provider Name | Shannnon Southard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972226025 PECOS PAC ID: 2567834336 Enrollment ID: I20230206000981 |
Provider Name | Daniel Han |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1831192301 PECOS PAC ID: 2466437751 Enrollment ID: I20230216001404 |
Provider Name | Prasanna Kumar Reddy Tadi |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20230217000206 |
Provider Name | Linda Jumoke Adepoju |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1558599852 PECOS PAC ID: 2163659566 Enrollment ID: I20230217002725 |
Provider Name | Sushma Manda |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1558524603 PECOS PAC ID: 7113051392 Enrollment ID: I20230222000156 |
Provider Name | Eunice C Abrams |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1942598909 PECOS PAC ID: 6608184841 Enrollment ID: I20230228000815 |
Provider Name | Stephen Charles Schwartz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871580092 PECOS PAC ID: 6800804451 Enrollment ID: I20230303000537 |
Provider Name | Emily Liles |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1356066922 PECOS PAC ID: 0840663217 Enrollment ID: I20230306001282 |
Provider Name | Emily Sharpe Fricker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205450228 PECOS PAC ID: 6204200017 Enrollment ID: I20230317001695 |
Provider Name | Amy Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275944894 PECOS PAC ID: 6103044177 Enrollment ID: I20230317002258 |
Provider Name | Jessica Wilson Patterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255512935 PECOS PAC ID: 0244314680 Enrollment ID: I20230322001735 |
Provider Name | Lisa Marie Bowman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679235386 PECOS PAC ID: 0345614954 Enrollment ID: I20230322002394 |
Provider Name | Lawrence Page |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1699770941 PECOS PAC ID: 5890894919 Enrollment ID: I20230323001330 |
Provider Name | Eric Grenier |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1649595109 PECOS PAC ID: 6800039876 Enrollment ID: I20230323002149 |
Provider Name | Amanda M Vance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548803976 PECOS PAC ID: 6709250293 Enrollment ID: I20230324000036 |
Provider Name | Srivadee Oravivattanakul |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1306097084 PECOS PAC ID: 4385862333 Enrollment ID: I20230326000153 |
Provider Name | Rafik Benaissa |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1851489280 PECOS PAC ID: 5294879110 Enrollment ID: I20230403002465 |
Provider Name | Makenzie Ryan Lobdell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073264008 PECOS PAC ID: 3577938018 Enrollment ID: I20230414000035 |
Provider Name | Kelly Marie Lewandoski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558023697 PECOS PAC ID: 9537534839 Enrollment ID: I20230418001195 |
Provider Name | Traci A Wakefield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699112177 PECOS PAC ID: 7214392687 Enrollment ID: I20230509000067 |
Provider Name | Ghazala Farah Rahman |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1285690669 PECOS PAC ID: 0547417644 Enrollment ID: I20230518001651 |
Provider Name | Emily E Wheeler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538545546 PECOS PAC ID: 4385001981 Enrollment ID: I20230613000101 |
Provider Name | Dan Webster Parrish |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1215256441 PECOS PAC ID: 9931349263 Enrollment ID: I20230628002029 |
Provider Name | David Ulery |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1477914141 PECOS PAC ID: 2264724046 Enrollment ID: I20230703001930 |
Provider Name | Kelly Ann Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477259653 PECOS PAC ID: 0042679359 Enrollment ID: I20230705002104 |
Provider Name | Courtney Heard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285102053 PECOS PAC ID: 1658618905 Enrollment ID: I20230810000862 |
Provider Name | Wade Anthony Schwerdtfeger |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1386140630 PECOS PAC ID: 7113389602 Enrollment ID: I20230815003949 |
Provider Name | Thomas Herron |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1104310226 PECOS PAC ID: 0345602876 Enrollment ID: I20230816001152 |
Provider Name | David Kao |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1225526544 PECOS PAC ID: 9638425176 Enrollment ID: I20230816003928 |
Provider Name | Teigen Goodeill |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1598117095 PECOS PAC ID: 4789933078 Enrollment ID: I20230825000972 |
Provider Name | Mayand Praful Vakil |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1194220517 PECOS PAC ID: 9830552074 Enrollment ID: I20230905004071 |
Provider Name | Pinky Kurani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447593223 PECOS PAC ID: 5799917670 Enrollment ID: I20230906000046 |
Provider Name | Nicola N. Joseph |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609560051 PECOS PAC ID: 5193188340 Enrollment ID: I20230906000268 |
Provider Name | David Arthur Dalsimer |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1477530848 PECOS PAC ID: 6709780851 Enrollment ID: I20230919000543 |
Provider Name | Rebecca Sanderson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1508203449 PECOS PAC ID: 3971743642 Enrollment ID: I20230927000085 |
Provider Name | Laura Grace Deal |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093375834 PECOS PAC ID: 1052765864 Enrollment ID: I20230927004262 |
Provider Name | William Roger Visser |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1700374758 PECOS PAC ID: 6901153626 Enrollment ID: I20231002001119 |
Provider Name | Timothy Michael Landis |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1881258168 PECOS PAC ID: 3476896515 Enrollment ID: I20231009002630 |
Provider Name | Kirsten Mosko |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1023665775 PECOS PAC ID: 7719219807 Enrollment ID: I20231111000302 |
Provider Name | Brianna Nicole Daranciang |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780262352 PECOS PAC ID: 9931556719 Enrollment ID: I20231116000470 |
Provider Name | Muhammad Khan |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1720391279 PECOS PAC ID: 4385957208 Enrollment ID: I20231219003707 |
Provider Name | Sasha Baier |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639300726 PECOS PAC ID: 5890145619 Enrollment ID: I20231220000891 |
Provider Name | Tuan T. Lam |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1124290713 PECOS PAC ID: 1456409929 Enrollment ID: I20231227000276 |
Provider Name | John A Barringer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780272138 PECOS PAC ID: 8820496102 Enrollment ID: I20240117001585 |
Provider Name | Emily Hahn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306214101 PECOS PAC ID: 5092015412 Enrollment ID: I20240117003413 |
Provider Name | Melissa Hinkel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972229474 PECOS PAC ID: 0244608958 Enrollment ID: I20240118004261 |
Provider Name | Marjorie Combellick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831504364 PECOS PAC ID: 9537386560 Enrollment ID: I20240118004521 |
Provider Name | Joel Dey |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053815167 PECOS PAC ID: 3375899305 Enrollment ID: I20240122001023 |
Provider Name | Lindsay Manning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700268836 PECOS PAC ID: 8224346846 Enrollment ID: I20240122004144 |
Provider Name | Yisela Barragan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285112532 PECOS PAC ID: 4486067915 Enrollment ID: I20240124000706 |
Provider Name | Melisa Gilliam |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649516337 PECOS PAC ID: 5890155287 Enrollment ID: I20240124000926 |
Provider Name | Roberta Allen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730437179 PECOS PAC ID: 7012264815 Enrollment ID: I20240124002579 |
Provider Name | Patricia E Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801304423 PECOS PAC ID: 8527328830 Enrollment ID: I20240128000081 |
Provider Name | Niraj D Jani |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1386673671 PECOS PAC ID: 7618988924 Enrollment ID: I20240129001054 |
Provider Name | Kristina Delco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831869627 PECOS PAC ID: 8325423932 Enrollment ID: I20240131000548 |
Provider Name | Jeremy Babb |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255966875 PECOS PAC ID: 9032573993 Enrollment ID: I20240131000701 |
Provider Name | Sheetal G Bulchandani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447746185 PECOS PAC ID: 5890044499 Enrollment ID: I20240131001253 |
Provider Name | Jocelin Culbreath |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265949226 PECOS PAC ID: 9931553203 Enrollment ID: I20240131001267 |
Provider Name | Carter Elizabeth Norman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720852486 PECOS PAC ID: 0648623199 Enrollment ID: I20240131002725 |
Provider Name | Jonathan Lazzara |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144580085 PECOS PAC ID: 3476876632 Enrollment ID: I20240131002950 |
Provider Name | Nancy Madenyika |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659794683 PECOS PAC ID: 7416249800 Enrollment ID: I20240131003470 |
Provider Name | Katie Bergin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790446698 PECOS PAC ID: 4385000835 Enrollment ID: I20240201000350 |
Provider Name | Denayer Mueller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902431810 PECOS PAC ID: 9032549753 Enrollment ID: I20240201001377 |
Provider Name | Fares Hakim |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1841383304 PECOS PAC ID: 9830119742 Enrollment ID: I20240201003012 |
Provider Name | Megan Mulligan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629783774 PECOS PAC ID: 7113399189 Enrollment ID: I20240205000398 |
Provider Name | Nancy Schmelzer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558890657 PECOS PAC ID: 9537430301 Enrollment ID: I20240206003643 |
Provider Name | Daniel Leon Rivera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104530914 PECOS PAC ID: 4688038342 Enrollment ID: I20240221000621 |
Provider Name | Jason Kiner |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1548466030 PECOS PAC ID: 1850586934 Enrollment ID: I20240301002649 |
Provider Name | Walter Ohara |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1376541789 PECOS PAC ID: 9537204821 Enrollment ID: I20240304002403 |
Provider Name | Robert Mcgill |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1952513632 PECOS PAC ID: 5193025633 Enrollment ID: I20240314001134 |
Provider Name | Jenalee Coster |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1770859191 PECOS PAC ID: 0547499386 Enrollment ID: I20240327003314 |
Provider Name | Christopher Chen |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1982047031 PECOS PAC ID: 1557588050 Enrollment ID: I20240329001479 |
Provider Name | Lauren Wahba |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770214520 PECOS PAC ID: 1557747003 Enrollment ID: I20240426003464 |
Provider Name | Kevin Carmen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558565358 PECOS PAC ID: 9234276353 Enrollment ID: I20240503000693 |
Provider Name | Lisa Adams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891055893 PECOS PAC ID: 5890165104 Enrollment ID: I20240503003586 |
Provider Name | Lavone Smith |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1710256094 PECOS PAC ID: 1850556044 Enrollment ID: I20240515000603 |
Provider Name | Laura Rose Fanizza |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245093905 PECOS PAC ID: 0749622736 Enrollment ID: I20240522001637 |
Provider Name | Jamie E James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477116622 PECOS PAC ID: 7012385941 Enrollment ID: I20240524001609 |
Provider Name | Tatiana Maleeva |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1598702144 PECOS PAC ID: 5991753345 Enrollment ID: I20240524003483 |
Broad Rock Counseling And Training Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2545 Bellwood Road, Suite 112, Richmond, VA 23237 Phone: 804-275-9980 Fax: 804-275-9981 | |
Pbs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3018 W Clay St, Suite 204, Richmond, VA 23230 Phone: 804-447-4629 Fax: 804-447-4629 | |
Capstone Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1803 N 28th St, Richmond, VA 23223 Phone: 804-525-5386 Fax: 804-442-7069 | |
Rowe Counseling Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Brandon Rd Suite 117, Richmond, VA 23224 Phone: 804-677-1733 Fax: 804-230-1723 | |
Watchtower Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Semmes Ave Apt 613, Richmond, VA 23224 Phone: 804-929-8229 | |
You Matter Residential Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 S 5th St, Richmond, VA 23219 Phone: 804-447-6590 Fax: 804-447-3516 | |
New Living Serivices Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Summit Ave Ste 300, Richmond, VA 23230 Phone: 804-358-9679 |