| Boston Childrens Heart Foundation Inc | |
|
300 Longwood Ave Boston MA 02115-5724 | |
| (617) 355-6793 | |
| Not Available |
| Full Name | Boston Childrens Heart Foundation Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 300 Longwood Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Tal Geva (CARDIOLOGIST-IN-CHIEF) |
| Authorized Official Contact | 6173557655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Childrens Heart Foundation Inc Po Box 845628 Boston MA 02284-5628 Ph: (800) 927-0002 | Boston Childrens Heart Foundation Inc 300 Longwood Ave Boston MA 02115-5724 Ph: (617) 355-6793 |
| NPI Number | 1982680922 |
|---|---|
| Provider Enumeration Date | 12/21/2005 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Medicare PECOS PAC ID | 8729071675 |
|---|---|
| Medicare Enrollment ID | O20040406001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982680922 | NPI | - | NPPES |
| 9728902 | Medicaid | MA |
| Provider Name | Laureen M Sena |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487635603 PECOS PAC ID: 1759272008 Enrollment ID: I20040324000669 |
| Provider Name | Sarah D De Ferranti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528059474 PECOS PAC ID: 9436041340 Enrollment ID: I20040326000052 |
| Provider Name | Lisa J Bergersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942299730 PECOS PAC ID: 2769464171 Enrollment ID: I20040601000935 |
| Provider Name | Amy E Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306836515 PECOS PAC ID: 2961461488 Enrollment ID: I20041008000711 |
| Provider Name | Michael N Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801877931 PECOS PAC ID: 0840256921 Enrollment ID: I20041209000891 |
| Provider Name | Elise D Steiner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780741512 PECOS PAC ID: 5294785283 Enrollment ID: I20050127000394 |
| Provider Name | James Lock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396736781 PECOS PAC ID: 0143213090 Enrollment ID: I20050324000108 |
| Provider Name | Robert L Geggel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033100912 PECOS PAC ID: 0749236396 Enrollment ID: I20050325000710 |
| Provider Name | Edward P Walsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467427179 PECOS PAC ID: 0143276576 Enrollment ID: I20050329000319 |
| Provider Name | James A Dinardo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962496281 PECOS PAC ID: 4486601226 Enrollment ID: I20050405000252 |
| Provider Name | Peter C Laussen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073584967 PECOS PAC ID: 7315986841 Enrollment ID: I20050425001233 |
| Provider Name | Ronald V Lacro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770555138 PECOS PAC ID: 0648219972 Enrollment ID: I20050427000189 |
| Provider Name | Michael J Landzberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124019864 PECOS PAC ID: 3476593088 Enrollment ID: I20050503000988 |
| Provider Name | John K Triedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225009632 PECOS PAC ID: 1254372105 Enrollment ID: I20050520000329 |
| Provider Name | Kathy J Jenkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518958404 PECOS PAC ID: 1456395227 Enrollment ID: I20050613000908 |
| Provider Name | Ming Hui Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235199712 PECOS PAC ID: 6800830985 Enrollment ID: I20050620000632 |
| Provider Name | Gerald R Marx |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063403384 PECOS PAC ID: 4981649944 Enrollment ID: I20050621001034 |
| Provider Name | Tal Geva |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093706988 PECOS PAC ID: 2365487014 Enrollment ID: I20050622001355 |
| Provider Name | Jane W Newburger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952372161 PECOS PAC ID: 4587690789 Enrollment ID: I20050711000350 |
| Provider Name | Lucy P Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891769618 PECOS PAC ID: 1153357611 Enrollment ID: I20050715000383 |
| Provider Name | Michael D Freed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275507006 PECOS PAC ID: 9830126671 Enrollment ID: I20050722000554 |
| Provider Name | Leslie B Smoot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518948645 PECOS PAC ID: 0446287148 Enrollment ID: I20050725000871 |
| Provider Name | Steven D Colan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255305074 PECOS PAC ID: 7012948029 Enrollment ID: I20050829000855 |
| Provider Name | Jami C Levine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437140894 PECOS PAC ID: 2264464502 Enrollment ID: I20050907000716 |
| Provider Name | Oscar J Benavidez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386622603 PECOS PAC ID: 3173541802 Enrollment ID: I20051110000518 |
| Provider Name | Christina M Ireland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700053089 PECOS PAC ID: 3476577909 Enrollment ID: I20060123000874 |
| Provider Name | Tajinder P Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952375826 PECOS PAC ID: 7618983933 Enrollment ID: I20060223000684 |
| Provider Name | Sepehr Sekhavat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639150626 PECOS PAC ID: 0244249217 Enrollment ID: I20060419000629 |
| Provider Name | Anne M Valente |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568558914 PECOS PAC ID: 1557369584 Enrollment ID: I20061129000179 |
| Provider Name | Catherine Allan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609857440 PECOS PAC ID: 1153320049 Enrollment ID: I20061202000102 |
| Provider Name | Roger E Breitbart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174597983 PECOS PAC ID: 6103927207 Enrollment ID: I20070719000319 |
| Provider Name | Fred M Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962469932 PECOS PAC ID: 8325074982 Enrollment ID: I20070906000653 |
| Provider Name | Rebecca S Beroukhim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578687109 PECOS PAC ID: 2961595574 Enrollment ID: I20070912000214 |
| Provider Name | Joshua W Salvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215917265 PECOS PAC ID: 5294821146 Enrollment ID: I20071023000666 |
| Provider Name | Ashwin Prakash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619948593 PECOS PAC ID: 6901798230 Enrollment ID: I20080125000153 |
| Provider Name | Juli-anne K Evangelista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619935285 PECOS PAC ID: 3678642360 Enrollment ID: I20080521000319 |
| Provider Name | David M Harrild |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801069711 PECOS PAC ID: 6608949458 Enrollment ID: I20080727000000 |
| Provider Name | Ravi R Thiagarajan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598746620 PECOS PAC ID: 8123192689 Enrollment ID: I20080731000405 |
| Provider Name | Susan F Saleeb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740486380 PECOS PAC ID: 0244323095 Enrollment ID: I20081018000075 |
| Provider Name | Sarah A Teele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649434853 PECOS PAC ID: 5698833036 Enrollment ID: I20081029000203 |
| Provider Name | Theresa A Saia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366400939 PECOS PAC ID: 5799845434 Enrollment ID: I20081125000429 |
| Provider Name | Mark E Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013907666 PECOS PAC ID: 8325100910 Enrollment ID: I20081216000131 |
| Provider Name | Muhammad Bakr Ghbeis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649481045 PECOS PAC ID: 9436214301 Enrollment ID: I20090210000655 |
| Provider Name | Renee E Margossian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598756801 PECOS PAC ID: 2567529654 Enrollment ID: I20090317000120 |
| Provider Name | Patricia Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285851816 PECOS PAC ID: 9133273501 Enrollment ID: I20090819000631 |
| Provider Name | Brandi S Henson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568627180 PECOS PAC ID: 1456407568 Enrollment ID: I20090915000245 |
| Provider Name | Elizabeth Spence Yellen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588610133 PECOS PAC ID: 7517013972 Enrollment ID: I20090926000058 |
| Provider Name | Rahul H Rathod |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184695132 PECOS PAC ID: 0143266502 Enrollment ID: I20091223000217 |
| Provider Name | Wayne Tworetzky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962493817 PECOS PAC ID: 1658495874 Enrollment ID: I20100825000259 |
| Provider Name | David A Kane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396776159 PECOS PAC ID: 0749293181 Enrollment ID: I20100907000436 |
| Provider Name | Michelle Z Gurvitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023037611 PECOS PAC ID: 7810912433 Enrollment ID: I20110126000603 |
| Provider Name | John N Kheir |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659355279 PECOS PAC ID: 5597796607 Enrollment ID: I20110203001043 |
| Provider Name | Sharon E Obrien |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427046598 PECOS PAC ID: 1850561051 Enrollment ID: I20110825000613 |
| Provider Name | Melody G Duvall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962662932 PECOS PAC ID: 7618148222 Enrollment ID: I20110912000213 |
| Provider Name | Kevin P Daly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134387665 PECOS PAC ID: 3173796505 Enrollment ID: I20111101000244 |
| Provider Name | Sandra R Dickie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063793800 PECOS PAC ID: 7810163664 Enrollment ID: I20111229000361 |
| Provider Name | Douglas Y Mah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912062324 PECOS PAC ID: 9436325990 Enrollment ID: I20120104000634 |
| Provider Name | Alexander R Opotowsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720046659 PECOS PAC ID: 9537239421 Enrollment ID: I20120201000483 |
| Provider Name | Laura M Bevilacqua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700875507 PECOS PAC ID: 5991962987 Enrollment ID: I20120202000366 |
| Provider Name | Andrew J Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740261460 PECOS PAC ID: 3779740642 Enrollment ID: I20120203000442 |
| Provider Name | David W Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952392888 PECOS PAC ID: 1153588041 Enrollment ID: I20120203000662 |
| Provider Name | Elizabeth D Blume |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780675777 PECOS PAC ID: 3971761933 Enrollment ID: I20120222000044 |
| Provider Name | Kevin G Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003962614 PECOS PAC ID: 1658469630 Enrollment ID: I20120604000186 |
| Provider Name | Mary P Mullen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831180157 PECOS PAC ID: 6901061860 Enrollment ID: I20120628000073 |
| Provider Name | Dennis A. Daniel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528294147 PECOS PAC ID: 8628224524 Enrollment ID: I20120808000836 |
| Provider Name | Henry Cheng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932225257 PECOS PAC ID: 1658472386 Enrollment ID: I20130109000334 |
| Provider Name | Nathalie Roy |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1356526552 PECOS PAC ID: 9032287503 Enrollment ID: I20130215000094 |
| Provider Name | Christina J Vander Pluym |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366722266 PECOS PAC ID: 8123273885 Enrollment ID: I20130301000350 |
| Provider Name | Julia E Mcsweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912146465 PECOS PAC ID: 7315182615 Enrollment ID: I20130314000026 |
| Provider Name | Joan M Larovere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801186820 PECOS PAC ID: 9032358791 Enrollment ID: I20130611000014 |
| Provider Name | Diego Porras Ingouville |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023045127 PECOS PAC ID: 6204833007 Enrollment ID: I20130621000058 |
| Provider Name | William Pu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356322119 PECOS PAC ID: 9537302484 Enrollment ID: I20130826000593 |
| Provider Name | Dominic Jr Abrams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821372228 PECOS PAC ID: 3577707595 Enrollment ID: I20130912000803 |
| Provider Name | Jesse J Esch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699907238 PECOS PAC ID: 2668626698 Enrollment ID: I20130924000103 |
| Provider Name | Vassilios J Bezzerides |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194992834 PECOS PAC ID: 0547497737 Enrollment ID: I20131213001264 |
| Provider Name | Shannon E Hourigan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073947214 PECOS PAC ID: 5698903854 Enrollment ID: I20140115000087 |
| Provider Name | Douglas Atkinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821145772 PECOS PAC ID: 4880761519 Enrollment ID: I20140723000571 |
| Provider Name | Keri M Shafer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346407939 PECOS PAC ID: 8426226978 Enrollment ID: I20140805003031 |
| Provider Name | Naomi S Gauthier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598797292 PECOS PAC ID: 2264322403 Enrollment ID: I20140820000212 |
| Provider Name | Sara Ross |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568684231 PECOS PAC ID: 0648358200 Enrollment ID: I20141205000144 |
| Provider Name | Annette L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477501344 PECOS PAC ID: 5597082081 Enrollment ID: I20150320001995 |
| Provider Name | Elizabeth L Kehoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154748150 PECOS PAC ID: 2466770334 Enrollment ID: I20150406002239 |
| Provider Name | Heather Bastardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528026192 PECOS PAC ID: 7012235864 Enrollment ID: I20150408000431 |
| Provider Name | Simone N Urbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275890485 PECOS PAC ID: 7416104922 Enrollment ID: I20150409000049 |
| Provider Name | Peta Maree A Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215378435 PECOS PAC ID: 5890016075 Enrollment ID: I20150601001458 |
| Provider Name | Lisa A Delsignore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639335201 PECOS PAC ID: 6103004783 Enrollment ID: I20150806011791 |
| Provider Name | Beth M Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518368216 PECOS PAC ID: 0941517239 Enrollment ID: I20150918001517 |
| Provider Name | Emily P Greenstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053560763 PECOS PAC ID: 8628210796 Enrollment ID: I20150923001343 |
| Provider Name | Michael M Mendelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194074005 PECOS PAC ID: 0941505721 Enrollment ID: I20160217000709 |
| Provider Name | John P Fantegrossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548218431 PECOS PAC ID: 5698072403 Enrollment ID: I20160322002047 |
| Provider Name | Jennifer A. Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841663242 PECOS PAC ID: 6901103571 Enrollment ID: I20160324002025 |
| Provider Name | Kimberly A Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083948087 PECOS PAC ID: 6901103126 Enrollment ID: I20160401000528 |
| Provider Name | Marytheresa Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396951075 PECOS PAC ID: 0840598819 Enrollment ID: I20160408000260 |
| Provider Name | Veerajalandhar Allareddy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326259433 PECOS PAC ID: 2860664406 Enrollment ID: I20160413002307 |
| Provider Name | Giuliana S Nava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841658630 PECOS PAC ID: 5294024543 Enrollment ID: I20160510001736 |
| Provider Name | Elizabeth S Dewitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851527402 PECOS PAC ID: 0941591804 Enrollment ID: I20160623001223 |
| Provider Name | Paul Tannous |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023250511 PECOS PAC ID: 4587955455 Enrollment ID: I20160623001544 |
| Provider Name | Laura K Mansfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023337995 PECOS PAC ID: 6507157427 Enrollment ID: I20160624000280 |
| Provider Name | Alon Geva |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710201694 PECOS PAC ID: 2365733961 Enrollment ID: I20160628002362 |
| Provider Name | Sunil J Ghelani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205083433 PECOS PAC ID: 8729370424 Enrollment ID: I20160715000847 |
| Provider Name | Asha Gopalan Nair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225320039 PECOS PAC ID: 8325333628 Enrollment ID: I20160825001884 |
| Provider Name | Sarah E Hendrickson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013352277 PECOS PAC ID: 0446546295 Enrollment ID: I20160906000773 |
| Provider Name | David M Hoganson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1649202177 PECOS PAC ID: 3375771314 Enrollment ID: I20161116001694 |
| Provider Name | Nadia Bachiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810598 PECOS PAC ID: 9133400393 Enrollment ID: I20161229001575 |
| Provider Name | Jamie L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750740924 PECOS PAC ID: 9032491501 Enrollment ID: I20170117002127 |
| Provider Name | Kshitij Pankaj Mistry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548272107 PECOS PAC ID: 6608845698 Enrollment ID: I20170322001982 |
| Provider Name | Ben D Albert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912297045 PECOS PAC ID: 4587941877 Enrollment ID: I20170516001412 |
| Provider Name | Anjali Sadhwani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528375136 PECOS PAC ID: 4082983440 Enrollment ID: I20170629000144 |
| Provider Name | Kimberly I Mills |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235369224 PECOS PAC ID: 8325318041 Enrollment ID: I20170727003018 |
| Provider Name | Youyang Yang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013320977 PECOS PAC ID: 6709004328 Enrollment ID: I20170731000758 |
| Provider Name | Sarah W Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346475191 PECOS PAC ID: 3476825936 Enrollment ID: I20170817001988 |
| Provider Name | Samantha C Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083840946 PECOS PAC ID: 3476826132 Enrollment ID: I20170831003255 |
| Provider Name | Melissa Smith-parrish |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427252188 PECOS PAC ID: 1658645205 Enrollment ID: I20170920000975 |
| Provider Name | Nicola Maschietto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376069039 PECOS PAC ID: 5395003057 Enrollment ID: I20171229001776 |
| Provider Name | Linda Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174039689 PECOS PAC ID: 6305107210 Enrollment ID: I20180309000261 |
| Provider Name | Courtney R Ventresco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306397070 PECOS PAC ID: 3779847546 Enrollment ID: I20180502000832 |
| Provider Name | Jessica C Garbern |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770882359 PECOS PAC ID: 6608131172 Enrollment ID: I20180604002308 |
| Provider Name | Lauren E Mcglynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235419540 PECOS PAC ID: 6103181508 Enrollment ID: I20180606002509 |
| Provider Name | Sarah S Pickard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932408713 PECOS PAC ID: 8820344039 Enrollment ID: I20180702000323 |
| Provider Name | Brienne Sarah Leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801399886 PECOS PAC ID: 5092063578 Enrollment ID: I20180731001015 |
| Provider Name | Matan I Setton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740573476 PECOS PAC ID: 7012175763 Enrollment ID: I20180731002390 |
| Provider Name | Jacob C Hartz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669798534 PECOS PAC ID: 4082856455 Enrollment ID: I20180803001175 |
| Provider Name | Katie Maree Moynihan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699297374 PECOS PAC ID: 0840549457 Enrollment ID: I20180815001333 |
| Provider Name | Valeria E Duarte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295041663 PECOS PAC ID: 7113233164 Enrollment ID: I20181113000423 |
| Provider Name | Lee Patrick Ferguson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407377914 PECOS PAC ID: 4183964083 Enrollment ID: I20190312002190 |
| Provider Name | Elizabeth A Clancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104381045 PECOS PAC ID: 6507108149 Enrollment ID: I20190430001926 |
| Provider Name | David N. Schidlow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790970986 PECOS PAC ID: 2567515380 Enrollment ID: I20190503000148 |
| Provider Name | Brian Patrick Quinn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689930174 PECOS PAC ID: 8921341546 Enrollment ID: I20190523000969 |
| Provider Name | Meghan Joyce O'hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780949586 PECOS PAC ID: 1052645249 Enrollment ID: I20190621000680 |
| Provider Name | Daniel L Hames |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679848782 PECOS PAC ID: 0648504704 Enrollment ID: I20190624000663 |
| Provider Name | Jane E Whitney |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841556305 PECOS PAC ID: 0547594574 Enrollment ID: I20190626000160 |
| Provider Name | Meena Bolourchi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326484809 PECOS PAC ID: 8628384674 Enrollment ID: I20190726001610 |
| Provider Name | Lauren Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376954800 PECOS PAC ID: 2769713544 Enrollment ID: I20191009000412 |
| Provider Name | Aaron C Spicer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023270238 PECOS PAC ID: 1759699309 Enrollment ID: I20191029000384 |
| Provider Name | Catherine G Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548817679 PECOS PAC ID: 6507298874 Enrollment ID: I20191107002601 |
| Provider Name | Anna R Maynes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821646522 PECOS PAC ID: 3476986829 Enrollment ID: I20191126000630 |
| Provider Name | Mark David Dexter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033408513 PECOS PAC ID: 3577787902 Enrollment ID: I20200115003026 |
| Provider Name | Audrey Dionne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811349673 PECOS PAC ID: 9234564204 Enrollment ID: I20200122000030 |
| Provider Name | Edward T O'leary |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285977082 PECOS PAC ID: 6204262835 Enrollment ID: I20200130001002 |
| Provider Name | Susan L Blensdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598068181 PECOS PAC ID: 4385892959 Enrollment ID: I20200320001771 |
| Provider Name | Kathleen Jay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568883734 PECOS PAC ID: 0547492944 Enrollment ID: I20200327000731 |
| Provider Name | Paul Esteso |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992075865 PECOS PAC ID: 9133558752 Enrollment ID: I20200402002411 |
| Provider Name | Daniel S Quiat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235556416 PECOS PAC ID: 4082045893 Enrollment ID: I20200512000888 |
| Provider Name | Jennifer A Blumenthal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891061768 PECOS PAC ID: 5193092658 Enrollment ID: I20200513001847 |
| Provider Name | Carla P Rodriguez-monserrate |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750660064 PECOS PAC ID: 2365790912 Enrollment ID: I20200728001148 |
| Provider Name | Bryan D Siegel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588923205 PECOS PAC ID: 4486071503 Enrollment ID: I20200903000232 |
| Provider Name | Diana L Geisser |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821397142 PECOS PAC ID: 9133349319 Enrollment ID: I20200910002750 |
| Provider Name | Suellen M Yin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881080729 PECOS PAC ID: 7719305895 Enrollment ID: I20200922002853 |
| Provider Name | Daniel Alexander Castellanos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003298126 PECOS PAC ID: 8527487354 Enrollment ID: I20200929001213 |
| Provider Name | Jacqueline Marie Suarez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710330477 PECOS PAC ID: 1557771862 Enrollment ID: I20201027002310 |
| Provider Name | Shawn S Jackson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780078915 PECOS PAC ID: 6608161591 Enrollment ID: I20201030000180 |
| Provider Name | Maria Teresa Perez Carballo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508277013 PECOS PAC ID: 8224449277 Enrollment ID: I20201123001211 |
| Provider Name | Poornima Pandiyan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104112143 PECOS PAC ID: 5799042453 Enrollment ID: I20210119002085 |
| Provider Name | Elisa T Bronfman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881749398 PECOS PAC ID: 2769897487 Enrollment ID: I20210210002222 |
| Provider Name | Meghan Duffy Cusick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174641351 PECOS PAC ID: 3274941034 Enrollment ID: I20210415000412 |
| Provider Name | Shannon Marie Lyon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952729329 PECOS PAC ID: 7911276936 Enrollment ID: I20210428001349 |
| Provider Name | Eleonore Valencia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528485067 PECOS PAC ID: 5698174670 Enrollment ID: I20210524002486 |
| Provider Name | Shira W Molloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578061818 PECOS PAC ID: 6204236896 Enrollment ID: I20210618001745 |
| Provider Name | Kathryn T Lemay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699220889 PECOS PAC ID: 3274933866 Enrollment ID: I20210618001828 |
| Provider Name | Cailyn Rood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003159336 PECOS PAC ID: 6204128374 Enrollment ID: I20210702002094 |
| Provider Name | Laura Ann Gellis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316213309 PECOS PAC ID: 4880095470 Enrollment ID: I20210702002243 |
| Provider Name | Katherine M Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639625056 PECOS PAC ID: 6507268133 Enrollment ID: I20210706001239 |
| Provider Name | Andrew J Renuart |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790070514 PECOS PAC ID: 5092013565 Enrollment ID: I20210716000429 |
| Provider Name | Jennifer M Perez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316331598 PECOS PAC ID: 7214237189 Enrollment ID: I20210806000149 |
| Provider Name | Mina Ayad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639691702 PECOS PAC ID: 0345646113 Enrollment ID: I20210901003192 |
| Provider Name | Christina Ronai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619131901 PECOS PAC ID: 4082927843 Enrollment ID: I20211130003162 |
| Provider Name | Sangeetha B Rao |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518250380 PECOS PAC ID: 7012156383 Enrollment ID: I20220112000405 |
| Provider Name | Ryan L Kobayashi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215449830 PECOS PAC ID: 3476947417 Enrollment ID: I20220308001494 |
| Provider Name | Safwat A Aly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194160069 PECOS PAC ID: 8123414927 Enrollment ID: I20220404002081 |
| Provider Name | Kristin Bonello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902269665 PECOS PAC ID: 6507158433 Enrollment ID: I20220527000034 |
| Provider Name | Jill E O'hara |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700270733 PECOS PAC ID: 8123329927 Enrollment ID: I20220607002351 |
| Provider Name | Nadine Clair Straka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013397603 PECOS PAC ID: 6002294568 Enrollment ID: I20220613000784 |
| Provider Name | Amrita Sinha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639553589 PECOS PAC ID: 6709187115 Enrollment ID: I20220630001928 |
| Provider Name | Nao Sasaki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912166299 PECOS PAC ID: 6002002664 Enrollment ID: I20220708003096 |
| Provider Name | Niranjan Vijayakumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063896389 PECOS PAC ID: 9133479751 Enrollment ID: I20220711000819 |
| Provider Name | Nikhil Mukund Thatte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982011862 PECOS PAC ID: 4587045992 Enrollment ID: I20220718000121 |
| Provider Name | Jun Sasaki |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982853958 PECOS PAC ID: 5395001457 Enrollment ID: I20220718002673 |
| Provider Name | Christina Luz Cifra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134376809 PECOS PAC ID: 2860646015 Enrollment ID: I20220808003036 |
| Provider Name | Suzanne R Gouda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891175816 PECOS PAC ID: 6800195975 Enrollment ID: I20220815002785 |
| Provider Name | Elizabeth Pace |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588083323 PECOS PAC ID: 9931455953 Enrollment ID: I20220905000314 |
| Provider Name | Vickren Pillay |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003291006 PECOS PAC ID: 2466757463 Enrollment ID: I20220908000327 |
| Provider Name | Danielle Sganga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376962373 PECOS PAC ID: 8527336635 Enrollment ID: I20220908001902 |
| Provider Name | Ciara Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356998645 PECOS PAC ID: 2769867498 Enrollment ID: I20220916001510 |
| Provider Name | Michael Day |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417110339 PECOS PAC ID: 8527134535 Enrollment ID: I20221019002222 |
| Provider Name | Eduardo M. Dos Santos Martins Da Cruz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144422304 PECOS PAC ID: 2365523453 Enrollment ID: I20221102001536 |
| Provider Name | Michael J Farias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871818898 PECOS PAC ID: 0648548065 Enrollment ID: I20221115001770 |
| Provider Name | Caitlin Maria O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619116811 PECOS PAC ID: 5395115208 Enrollment ID: I20230110000587 |
| Provider Name | Ryan J Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043621600 PECOS PAC ID: 3476954348 Enrollment ID: I20230214000596 |
| Provider Name | Casey Glassman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548751308 PECOS PAC ID: 6002272416 Enrollment ID: I20230509002321 |
| Provider Name | Taylor Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215321443 PECOS PAC ID: 2062760093 Enrollment ID: I20230511000802 |
| Provider Name | Jessica A Barreto Guacaneme |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609259159 PECOS PAC ID: 3678837739 Enrollment ID: I20230512000888 |
| Provider Name | Amrit Misra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184067423 PECOS PAC ID: 5991008815 Enrollment ID: I20230515001375 |
| Provider Name | Victoria V Habet |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235593013 PECOS PAC ID: 9537525605 Enrollment ID: I20230515002909 |
| Provider Name | Reuth Nir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326494477 PECOS PAC ID: 1951647395 Enrollment ID: I20230525001875 |
| Provider Name | Eric James Wilsterman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740716125 PECOS PAC ID: 2769849561 Enrollment ID: I20230609002339 |
| Provider Name | Kelsey Jurow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548647373 PECOS PAC ID: 5991010605 Enrollment ID: I20230612001122 |
| Provider Name | Fernando E Baraona Reyes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710279914 PECOS PAC ID: 7911365317 Enrollment ID: I20230616000426 |
| Provider Name | Molly Bullard Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255978979 PECOS PAC ID: 6406217751 Enrollment ID: I20230802002634 |
| Provider Name | Kathryn Restaino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619361532 PECOS PAC ID: 0547656456 Enrollment ID: I20230926004012 |
| Provider Name | Sarah Hossfeld Dancu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487399226 PECOS PAC ID: 3375998495 Enrollment ID: I20231010002391 |
| Provider Name | Julia K Weld |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033503198 PECOS PAC ID: 1355698648 Enrollment ID: I20231018003414 |
| Provider Name | Caitlyn B Faul |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598465031 PECOS PAC ID: 9739537713 Enrollment ID: I20231201000442 |
| Provider Name | Jennifer Anne Gavin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063610848 PECOS PAC ID: 0345699179 Enrollment ID: I20231205003729 |
| Provider Name | Vanessa Kandice Mah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790566867 PECOS PAC ID: 0547619769 Enrollment ID: I20231213003821 |
| Provider Name | Katherine Cook Penny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740531367 PECOS PAC ID: 6204273238 Enrollment ID: I20240326001426 |
| Provider Name | Lindsey Boucher Lew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396028957 PECOS PAC ID: 2365672755 Enrollment ID: I20240412000985 |
| Provider Name | Stacey Ann Gennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033879986 PECOS PAC ID: 8921447731 Enrollment ID: I20240412001863 |
| Provider Name | Kristin Leigh Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437701356 PECOS PAC ID: 6406295146 Enrollment ID: I20240415002427 |
| Provider Name | Shay L Dillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548228117 PECOS PAC ID: 0042659799 Enrollment ID: I20240415002862 |
| Provider Name | Leslie M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558705707 PECOS PAC ID: 6103265673 Enrollment ID: I20240416004252 |
| Provider Name | Brianne T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003269127 PECOS PAC ID: 8820438476 Enrollment ID: I20240430000349 |
| Provider Name | Jennifer Lyn Noon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710557160 PECOS PAC ID: 8628419496 Enrollment ID: I20240510000247 |
| Provider Name | Stefanie Veronica Horoho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437593761 PECOS PAC ID: 3072954882 Enrollment ID: I20240510001990 |
| Provider Name | Molly Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245807858 PECOS PAC ID: 4587005335 Enrollment ID: I20240511000171 |
| Provider Name | Katie Fabbrucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730819699 PECOS PAC ID: 5092156471 Enrollment ID: I20240516001253 |
| Provider Name | Elana Michele Bornstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255982484 PECOS PAC ID: 6800201302 Enrollment ID: I20240531002325 |
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