| Cbo Mrmc Emergency | |
|
555 E Cheves St Florence SC 29506-2617 | |
| (843) 777-2000 | |
| (843) 777-5035 |
| Full Name | Cbo Mrmc Emergency |
|---|---|
| Speciality | Emergency Medicine |
| Location | 555 E Cheves St, Florence, South Carolina |
| Authorized Official Name and Position | Samuel Fulton Ervin (SENIOR VP AND CFO) |
| Authorized Official Contact | 8437772910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cbo Mrmc Emergency Po Box 100567 Florence SC 29502-0567 Ph: (843) 777-5802 | Cbo Mrmc Emergency 555 E Cheves St Florence SC 29506-2617 Ph: (843) 777-2000 |
| NPI Number | 1154371433 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 7416851852 |
|---|---|
| Medicare Enrollment ID | O20031126000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154371433 | NPI | - | NPPES |
| 400514 | Medicaid | SC |
| Provider Name | John C Walthall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154321743 PECOS PAC ID: 8628981347 Enrollment ID: I20031110000239 |
| Provider Name | Donna K Blair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760445795 PECOS PAC ID: 8426952979 Enrollment ID: I20031125000731 |
| Provider Name | Antoinette R Tolbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487680799 PECOS PAC ID: 9830093269 Enrollment ID: I20031126000178 |
| Provider Name | Kelly L Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376500173 PECOS PAC ID: 0244135135 Enrollment ID: I20031204000143 |
| Provider Name | Amy L Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013915966 PECOS PAC ID: 0547165029 Enrollment ID: I20031208000099 |
| Provider Name | Mary Elizabeth Devine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770581928 PECOS PAC ID: 1850296344 Enrollment ID: I20031208000141 |
| Provider Name | Shyam Yallapragada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184620783 PECOS PAC ID: 4486550977 Enrollment ID: I20031208000211 |
| Provider Name | Dennis M Fraley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417954405 PECOS PAC ID: 0143126409 Enrollment ID: I20031209000428 |
| Provider Name | Prabal K Guha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043277304 PECOS PAC ID: 8224935069 Enrollment ID: I20031218000453 |
| Provider Name | Carolyn B Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013989508 PECOS PAC ID: 5294628178 Enrollment ID: I20040204000820 |
| Provider Name | Michelle M Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093751836 PECOS PAC ID: 3072407071 Enrollment ID: I20040211000223 |
| Provider Name | David E Krusling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730104852 PECOS PAC ID: 8628967338 Enrollment ID: I20040311001038 |
| Provider Name | Anthony Geraci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932247657 PECOS PAC ID: 1951291905 Enrollment ID: I20040316000281 |
| Provider Name | Harmohan Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487608154 PECOS PAC ID: 9638163355 Enrollment ID: I20040414000273 |
| Provider Name | Kevin Herbert Roerden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558388421 PECOS PAC ID: 0840284410 Enrollment ID: I20040414001405 |
| Provider Name | Robert Maybon Barber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972503340 PECOS PAC ID: 7214922723 Enrollment ID: I20040415000517 |
| Provider Name | John R Mattheis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053361329 PECOS PAC ID: 8729075239 Enrollment ID: I20040427001354 |
| Provider Name | Jo Roberts Reid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376651323 PECOS PAC ID: 4587650726 Enrollment ID: I20040428000263 |
| Provider Name | Ernest Singletary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215997010 PECOS PAC ID: 7012906159 Enrollment ID: I20040512000437 |
| Provider Name | Scott G Saylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003896242 PECOS PAC ID: 2264421320 Enrollment ID: I20040512000637 |
| Provider Name | Diane Marie Ward Fox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700886413 PECOS PAC ID: 2466434709 Enrollment ID: I20040602000335 |
| Provider Name | William J Hanna |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346209053 PECOS PAC ID: 0143202655 Enrollment ID: I20040607000856 |
| Provider Name | Janet Diane Woolery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508835489 PECOS PAC ID: 5193708584 Enrollment ID: I20040608000640 |
| Provider Name | William M Hazelwood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083687552 PECOS PAC ID: 0840275350 Enrollment ID: I20040621000124 |
| Provider Name | James R Yarnal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548234818 PECOS PAC ID: 7517942030 Enrollment ID: I20040621000240 |
| Provider Name | Abbas H Mansour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326092156 PECOS PAC ID: 9638060122 Enrollment ID: I20040628001235 |
| Provider Name | David J Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851337695 PECOS PAC ID: 4587642012 Enrollment ID: I20040712000467 |
| Provider Name | Peter D Hyman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508862681 PECOS PAC ID: 9335119445 Enrollment ID: I20040727001292 |
| Provider Name | Kimberly Karla Matthews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114987823 PECOS PAC ID: 7113997024 Enrollment ID: I20040728001110 |
| Provider Name | Daryl Lavigne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235190851 PECOS PAC ID: 4284628447 Enrollment ID: I20040729000203 |
| Provider Name | Anthony L Bostick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477517977 PECOS PAC ID: 6709859853 Enrollment ID: I20040817000358 |
| Provider Name | Thomas G Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568469674 PECOS PAC ID: 4385619337 Enrollment ID: I20040908000959 |
| Provider Name | Christopher C Cornor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023095361 PECOS PAC ID: 6002884665 Enrollment ID: I20040921000933 |
| Provider Name | Sanaulla M Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255304705 PECOS PAC ID: 0941278170 Enrollment ID: I20040924000125 |
| Provider Name | Christopher Len Deese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447230362 PECOS PAC ID: 1658331640 Enrollment ID: I20041014000059 |
| Provider Name | Susan P Bessellieu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649231374 PECOS PAC ID: 6800853003 Enrollment ID: I20041218000168 |
| Provider Name | Carter L Starr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720046972 PECOS PAC ID: 7214998699 Enrollment ID: I20041221000679 |
| Provider Name | Emmett Michael Lampkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003835190 PECOS PAC ID: 9133187552 Enrollment ID: I20041230000517 |
| Provider Name | Mary K Nickel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225099807 PECOS PAC ID: 9133021942 Enrollment ID: I20050107000051 |
| Provider Name | Brian T Trezak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003913526 PECOS PAC ID: 1759331168 Enrollment ID: I20050124000901 |
| Provider Name | Tommy M Webb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154349561 PECOS PAC ID: 7618920182 Enrollment ID: I20050224000216 |
| Provider Name | Frances L Mcinerny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205891587 PECOS PAC ID: 0941286165 Enrollment ID: I20050315000380 |
| Provider Name | Michelle H Pittard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285691568 PECOS PAC ID: 2668413188 Enrollment ID: I20050516000262 |
| Provider Name | Adrian Doran Langley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083632830 PECOS PAC ID: 2860383635 Enrollment ID: I20050706000812 |
| Provider Name | Surendar Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780633453 PECOS PAC ID: 9537196969 Enrollment ID: I20050718000782 |
| Provider Name | Scott Anthony Dangelo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700846235 PECOS PAC ID: 0042248635 Enrollment ID: I20050804000043 |
| Provider Name | John William Sonfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306810718 PECOS PAC ID: 2961431028 Enrollment ID: I20050809000463 |
| Provider Name | Marina A Mironova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437147139 PECOS PAC ID: 9931138872 Enrollment ID: I20050810000939 |
| Provider Name | Susan Michelle Babb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366403016 PECOS PAC ID: 6709817471 Enrollment ID: I20050823000744 |
| Provider Name | Julio Alejandro Chalela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200371 PECOS PAC ID: 5294787255 Enrollment ID: I20050824000841 |
| Provider Name | Peggy M Braswell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891739389 PECOS PAC ID: 5395776827 Enrollment ID: I20050824001095 |
| Provider Name | Peter A Ciancione |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700886173 PECOS PAC ID: 7810928769 Enrollment ID: I20050902000514 |
| Provider Name | Saraswati C Srikantiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659340073 PECOS PAC ID: 9931124773 Enrollment ID: I20051011000167 |
| Provider Name | Jon Carter |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922007889 PECOS PAC ID: 7719952522 Enrollment ID: I20060126000185 |
| Provider Name | Gayle G Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639254568 PECOS PAC ID: 1254391121 Enrollment ID: I20060206000210 |
| Provider Name | Joel A Onafowokan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790745495 PECOS PAC ID: 2769401389 Enrollment ID: I20060208000344 |
| Provider Name | Melissa Mae Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194784033 PECOS PAC ID: 5193731644 Enrollment ID: I20060221000849 |
| Provider Name | Melinda N Prisco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528050614 PECOS PAC ID: 7719993831 Enrollment ID: I20060228000103 |
| Provider Name | Richard G Gunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831190586 PECOS PAC ID: 7810903820 Enrollment ID: I20060301000081 |
| Provider Name | Antine Elaine Stenbit |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659475432 PECOS PAC ID: 2264491703 Enrollment ID: I20060504000729 |
| Provider Name | Walter E Connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851359889 PECOS PAC ID: 5799796157 Enrollment ID: I20060522000175 |
| Provider Name | James C Smith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972543114 PECOS PAC ID: 9133131766 Enrollment ID: I20060626000123 |
| Provider Name | Nelda E Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215936422 PECOS PAC ID: 4183678154 Enrollment ID: I20060726000031 |
| Provider Name | Donya Todd Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336165695 PECOS PAC ID: 3971506031 Enrollment ID: I20060810000503 |
| Provider Name | Douglass P Lilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134192313 PECOS PAC ID: 1658377650 Enrollment ID: I20061016000171 |
| Provider Name | Samuel G Dozier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043283039 PECOS PAC ID: 4082612858 Enrollment ID: I20061110000349 |
| Provider Name | Edward M Behling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154394583 PECOS PAC ID: 8729086442 Enrollment ID: I20061113000361 |
| Provider Name | Timothy J Carr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376646166 PECOS PAC ID: 0547293698 Enrollment ID: I20061121000618 |
| Provider Name | Michael L Hodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548357445 PECOS PAC ID: 8820096852 Enrollment ID: I20061129000177 |
| Provider Name | John W Gause |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861465957 PECOS PAC ID: 4587663679 Enrollment ID: I20061219000412 |
| Provider Name | Deborah L Wheeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306804646 PECOS PAC ID: 9436254430 Enrollment ID: I20070419000721 |
| Provider Name | Tammy R Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851418297 PECOS PAC ID: 7618078726 Enrollment ID: I20070719000359 |
| Provider Name | Yenney E Meza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225241854 PECOS PAC ID: 9133220254 Enrollment ID: I20070719000468 |
| Provider Name | Bryon K Frost |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841296324 PECOS PAC ID: 9638270457 Enrollment ID: I20070724000468 |
| Provider Name | Punit Baveja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548468754 PECOS PAC ID: 1951402619 Enrollment ID: I20070725000006 |
| Provider Name | Dana L Houseknecht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215070248 PECOS PAC ID: 3274634712 Enrollment ID: I20070727000069 |
| Provider Name | Paul Vincent Demarco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568480671 PECOS PAC ID: 8224139605 Enrollment ID: I20070730000381 |
| Provider Name | Michael E Rowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619081205 PECOS PAC ID: 8729084462 Enrollment ID: I20070918000254 |
| Provider Name | Emmanuel Awuku Yirenkyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326264425 PECOS PAC ID: 2466547575 Enrollment ID: I20071004000567 |
| Provider Name | Charles G Shissias |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124039334 PECOS PAC ID: 6608965710 Enrollment ID: I20071127000603 |
| Provider Name | Charles G Aldridge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154427680 PECOS PAC ID: 7416984679 Enrollment ID: I20080128000034 |
| Provider Name | Andrei V Talantov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285827469 PECOS PAC ID: 7517041577 Enrollment ID: I20080228000689 |
| Provider Name | Daniel L Booten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225048259 PECOS PAC ID: 8820985526 Enrollment ID: I20080306000079 |
| Provider Name | Jamie Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255517728 PECOS PAC ID: 6103904917 Enrollment ID: I20080418000575 |
| Provider Name | Amanda C Fowler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043412695 PECOS PAC ID: 2668565995 Enrollment ID: I20080422000671 |
| Provider Name | Richard C Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578506929 PECOS PAC ID: 4183696131 Enrollment ID: I20080527000079 |
| Provider Name | Rachel Bowen Caulder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003874348 PECOS PAC ID: 6800965575 Enrollment ID: I20080527000096 |
| Provider Name | Stephanie Dehart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407036957 PECOS PAC ID: 7618047093 Enrollment ID: I20080529000000 |
| Provider Name | Maged Guirguis Samaan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346270287 PECOS PAC ID: 4385749365 Enrollment ID: I20080530000392 |
| Provider Name | Arnold M Bazzle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982610242 PECOS PAC ID: 7911076633 Enrollment ID: I20080612000283 |
| Provider Name | Stephen E Osaguona |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346387388 PECOS PAC ID: 6507937224 Enrollment ID: I20080624000043 |
| Provider Name | Marwan Kamil Elya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124169479 PECOS PAC ID: 5597837435 Enrollment ID: I20080709000359 |
| Provider Name | H P Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467416354 PECOS PAC ID: 9032144266 Enrollment ID: I20080722000231 |
| Provider Name | Longinus Olewuike Agor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265494686 PECOS PAC ID: 9638141211 Enrollment ID: I20080820000740 |
| Provider Name | Steven Edward Battle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932262029 PECOS PAC ID: 8123029105 Enrollment ID: I20080825000405 |
| Provider Name | Jamie B Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922260959 PECOS PAC ID: 8022185990 Enrollment ID: I20080917000881 |
| Provider Name | Vipul I Shah |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184839755 PECOS PAC ID: 3779650551 Enrollment ID: I20080919000342 |
| Provider Name | Ala' Abdel Jalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427267871 PECOS PAC ID: 5991868366 Enrollment ID: I20090112000112 |
| Provider Name | Christina L Andrew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770759706 PECOS PAC ID: 3779647276 Enrollment ID: I20090128000353 |
| Provider Name | Kathy M Thompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295921591 PECOS PAC ID: 8729142237 Enrollment ID: I20090128000426 |
| Provider Name | Hamed Husssein Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275783425 PECOS PAC ID: 7214092766 Enrollment ID: I20090217000129 |
| Provider Name | Daniel M Mcnabb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134238371 PECOS PAC ID: 5294794558 Enrollment ID: I20090217000719 |
| Provider Name | Akinwale O Olatosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740201680 PECOS PAC ID: 9133285513 Enrollment ID: I20090310000389 |
| Provider Name | Patty A Reis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043458946 PECOS PAC ID: 4486711108 Enrollment ID: I20090325000384 |
| Provider Name | Douglas G Maloy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467412718 PECOS PAC ID: 7214086669 Enrollment ID: I20090514000383 |
| Provider Name | Ramesh A Bharadwaj |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467634030 PECOS PAC ID: 6002966330 Enrollment ID: I20090609000173 |
| Provider Name | Jeremy Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396937934 PECOS PAC ID: 3072671023 Enrollment ID: I20090715000226 |
| Provider Name | Hossan A Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346226453 PECOS PAC ID: 4688727340 Enrollment ID: I20090729000258 |
| Provider Name | Devin W Player |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083674964 PECOS PAC ID: 6608929641 Enrollment ID: I20090807000698 |
| Provider Name | Jeremiah Christian Fowler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952543035 PECOS PAC ID: 4183779192 Enrollment ID: I20090827000014 |
| Provider Name | Allan E Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255524138 PECOS PAC ID: 2466443478 Enrollment ID: I20090921000701 |
| Provider Name | Chandar R Abboy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275583585 PECOS PAC ID: 6002858925 Enrollment ID: I20090922000365 |
| Provider Name | Ronnie Fisher Mcbryde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417916388 PECOS PAC ID: 2163568098 Enrollment ID: I20091007000547 |
| Provider Name | Joy H Coursey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083707285 PECOS PAC ID: 7517004591 Enrollment ID: I20091023000221 |
| Provider Name | Kimberlie Marie Hitchcock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992034367 PECOS PAC ID: 7012050107 Enrollment ID: I20100212000044 |
| Provider Name | Michael D Pavy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568405371 PECOS PAC ID: 3476697319 Enrollment ID: I20100216000767 |
| Provider Name | Brent H White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194054049 PECOS PAC ID: 6103960588 Enrollment ID: I20100223000684 |
| Provider Name | Jarrod A Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912007105 PECOS PAC ID: 4880738269 Enrollment ID: I20100223000730 |
| Provider Name | Rajesh Bajaj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972543643 PECOS PAC ID: 1557451820 Enrollment ID: I20100310000704 |
| Provider Name | Erika R King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437157195 PECOS PAC ID: 7113053786 Enrollment ID: I20100407000625 |
| Provider Name | Sreenivas V Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942242102 PECOS PAC ID: 6305973785 Enrollment ID: I20100415000647 |
| Provider Name | Nathan Rutledge Dail |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730418799 PECOS PAC ID: 0244368546 Enrollment ID: I20100506000812 |
| Provider Name | Clifford E Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477634129 PECOS PAC ID: 5799814893 Enrollment ID: I20100528000203 |
| Provider Name | Gerard Charles Jebaily |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598723520 PECOS PAC ID: 1557491503 Enrollment ID: I20100617000536 |
| Provider Name | Stephen Wyatt Orville |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295772754 PECOS PAC ID: 5597741900 Enrollment ID: I20100726000041 |
| Provider Name | James T Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376501106 PECOS PAC ID: 4981738994 Enrollment ID: I20100812000742 |
| Provider Name | Mark Anthony Vuletich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255409017 PECOS PAC ID: 1850297482 Enrollment ID: I20100813000539 |
| Provider Name | Evans P Holland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649237900 PECOS PAC ID: 7113051871 Enrollment ID: I20100817000483 |
| Provider Name | Anil Om |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972560332 PECOS PAC ID: 9830223502 Enrollment ID: I20100817000512 |
| Provider Name | Thomas L Stoughton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316905144 PECOS PAC ID: 5496889164 Enrollment ID: I20100817000628 |
| Provider Name | Shannon Leigh Reece |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578874517 PECOS PAC ID: 6709910219 Enrollment ID: I20100819000760 |
| Provider Name | Alan M Blaker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255399069 PECOS PAC ID: 2264339084 Enrollment ID: I20100820001021 |
| Provider Name | James D Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629074695 PECOS PAC ID: 8729270137 Enrollment ID: I20101004001027 |
| Provider Name | Jaime Gremillion |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710205679 PECOS PAC ID: 6002008786 Enrollment ID: I20101013000741 |
| Provider Name | Rabindra Sagunarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184822959 PECOS PAC ID: 9335235027 Enrollment ID: I20101019000534 |
| Provider Name | Christopher R Snead |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467775650 PECOS PAC ID: 7315130515 Enrollment ID: I20101020000918 |
| Provider Name | Sebastine Elendu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073536074 PECOS PAC ID: 1658336979 Enrollment ID: I20101026000115 |
| Provider Name | James Dominic Lamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255337358 PECOS PAC ID: 8729272349 Enrollment ID: I20101027001454 |
| Provider Name | Vinay Jagadeesha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518175777 PECOS PAC ID: 7517152945 Enrollment ID: I20101111000553 |
| Provider Name | Jason D Harrah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043297419 PECOS PAC ID: 3173584430 Enrollment ID: I20101206000297 |
| Provider Name | Gopalbhai K Vaghela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013221589 PECOS PAC ID: 5799966834 Enrollment ID: I20110223000495 |
| Provider Name | Elvin C Irvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902888357 PECOS PAC ID: 2264456003 Enrollment ID: I20110309000418 |
| Provider Name | Deann W Jebaily |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952530982 PECOS PAC ID: 5597947564 Enrollment ID: I20110311000618 |
| Provider Name | Patrick J Jebaily |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649432428 PECOS PAC ID: 7517141369 Enrollment ID: I20110404000189 |
| Provider Name | Alexander Matthew Drew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538321765 PECOS PAC ID: 9739363466 Enrollment ID: I20110405000252 |
| Provider Name | Candida Maria Loiselle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588981757 PECOS PAC ID: 1850575796 Enrollment ID: I20110418000581 |
| Provider Name | John William Bingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457665994 PECOS PAC ID: 9537347166 Enrollment ID: I20110629000333 |
| Provider Name | Abhijit A Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508052275 PECOS PAC ID: 8325115108 Enrollment ID: I20110802000756 |
| Provider Name | Samuel J Skarote |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801985023 PECOS PAC ID: 5092605709 Enrollment ID: I20110810000180 |
| Provider Name | Christian F Reusche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932306545 PECOS PAC ID: 3678742244 Enrollment ID: I20110816000705 |
| Provider Name | Gary Douglas Bozeman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659348514 PECOS PAC ID: 6002085586 Enrollment ID: I20110818000332 |
| Provider Name | Michelle C Huxford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699932194 PECOS PAC ID: 5597899559 Enrollment ID: I20110819000255 |
| Provider Name | May F Suen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417254509 PECOS PAC ID: 7810167855 Enrollment ID: I20110830000237 |
| Provider Name | Ifeanyichu Madubobi Eruchalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043234834 PECOS PAC ID: 4880668037 Enrollment ID: I20110830000507 |
| Provider Name | Erik R Stopa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699935700 PECOS PAC ID: 8820129125 Enrollment ID: I20110928000438 |
| Provider Name | Jarrod Martin Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285672444 PECOS PAC ID: 0840202594 Enrollment ID: I20111003000489 |
| Provider Name | Gail Michelle Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316250301 PECOS PAC ID: 9739351305 Enrollment ID: I20111004000842 |
| Provider Name | Maddalithirumala S Charyalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760626063 PECOS PAC ID: 9830240225 Enrollment ID: I20111021000007 |
| Provider Name | Kenneth E Kerr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750334777 PECOS PAC ID: 3476524828 Enrollment ID: I20111114000415 |
| Provider Name | Catherine W Mogy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356301378 PECOS PAC ID: 7012181233 Enrollment ID: I20111123000650 |
| Provider Name | Esther E Ikuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801078506 PECOS PAC ID: 6709930183 Enrollment ID: I20111206000064 |
| Provider Name | Jarett R Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275836462 PECOS PAC ID: 0648445403 Enrollment ID: I20111207000374 |
| Provider Name | Keith A Torgersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598734923 PECOS PAC ID: 2365617818 Enrollment ID: I20111212000188 |
| Provider Name | Mary Jo Mcgowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104887835 PECOS PAC ID: 1557536018 Enrollment ID: I20111212000288 |
| Provider Name | Claudius Shuler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700815271 PECOS PAC ID: 2769658178 Enrollment ID: I20120106000498 |
| Provider Name | Lewis D Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962708354 PECOS PAC ID: 9537336672 Enrollment ID: I20120112000856 |
| Provider Name | Ashley N Gerrald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265702229 PECOS PAC ID: 1951568823 Enrollment ID: I20120203000440 |
| Provider Name | Erik Dehlinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073519542 PECOS PAC ID: 9739341512 Enrollment ID: I20120425000150 |
| Provider Name | John W Patton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508030313 PECOS PAC ID: 4082878657 Enrollment ID: I20120611000518 |
| Provider Name | Kimberly Anne Monnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720092166 PECOS PAC ID: 6002880986 Enrollment ID: I20120712000149 |
| Provider Name | Feerozeh D Jahanshahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598915381 PECOS PAC ID: 8426182411 Enrollment ID: I20120717000269 |
| Provider Name | Matthew Lee Robison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386883973 PECOS PAC ID: 5294981866 Enrollment ID: I20120814000503 |
| Provider Name | Kiasha Tessa James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568776672 PECOS PAC ID: 7517113988 Enrollment ID: I20120820000304 |
| Provider Name | Ali Y Mansour |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427279017 PECOS PAC ID: 6800043878 Enrollment ID: I20120827000255 |
| Provider Name | Mary Smyrnioudis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306073440 PECOS PAC ID: 8325295348 Enrollment ID: I20120827000782 |
| Provider Name | John T Atkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487638169 PECOS PAC ID: 3274579727 Enrollment ID: I20120906000896 |
| Provider Name | Joseph L Kearney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699903849 PECOS PAC ID: 6901054154 Enrollment ID: I20120913000611 |
| Provider Name | Jose Luis Plaza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922031319 PECOS PAC ID: 3971673914 Enrollment ID: I20120914000385 |
| Provider Name | Sheron Denise Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447548144 PECOS PAC ID: 6406004225 Enrollment ID: I20120919000419 |
| Provider Name | Bhawna Sethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104058130 PECOS PAC ID: 1355590613 Enrollment ID: I20121001000273 |
| Provider Name | Paul Lawson Davis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396929964 PECOS PAC ID: 8729238423 Enrollment ID: I20121015000270 |
| Provider Name | Eric L Kerley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770533523 PECOS PAC ID: 4183653520 Enrollment ID: I20121113000482 |
| Provider Name | Donna M Granger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215982608 PECOS PAC ID: 2860399987 Enrollment ID: I20121120000254 |
| Provider Name | Kelley F Shippey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245431105 PECOS PAC ID: 0345302949 Enrollment ID: I20130207000148 |
| Provider Name | Kikelomo Oshunkentan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588823629 PECOS PAC ID: 5496925182 Enrollment ID: I20130212000227 |
| Provider Name | David Floyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962740944 PECOS PAC ID: 5991950156 Enrollment ID: I20130220000106 |
| Provider Name | Vonny S Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407108954 PECOS PAC ID: 9931354024 Enrollment ID: I20130220000492 |
| Provider Name | Rommel P Lu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558575738 PECOS PAC ID: 7719011758 Enrollment ID: I20130221000077 |
| Provider Name | Daniel J Farmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245584051 PECOS PAC ID: 6800041666 Enrollment ID: I20130227000383 |
| Provider Name | Pawan A Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073560702 PECOS PAC ID: 3870569569 Enrollment ID: I20130326000346 |
| Provider Name | Jean Pablo Figueroa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366781379 PECOS PAC ID: 1759527997 Enrollment ID: I20130415000092 |
| Provider Name | Wendy Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578603338 PECOS PAC ID: 0345489068 Enrollment ID: I20130610000407 |
| Provider Name | Candace Anne Aguiar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023262839 PECOS PAC ID: 1759521149 Enrollment ID: I20130708000580 |
| Provider Name | Richard Francis Duff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447392444 PECOS PAC ID: 1153455290 Enrollment ID: I20130712000570 |
| Provider Name | Michelle R Puleo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619221652 PECOS PAC ID: 4183865967 Enrollment ID: I20130719000526 |
| Provider Name | Valarian A Bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730476342 PECOS PAC ID: 6204070485 Enrollment ID: I20130910000911 |
| Provider Name | Samuel Okoh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730381252 PECOS PAC ID: 9931277126 Enrollment ID: I20130910000984 |
| Provider Name | Katie E Jennings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639498405 PECOS PAC ID: 7214171321 Enrollment ID: I20130911000389 |
| Provider Name | Fritz E Jean-gilles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033121751 PECOS PAC ID: 0840366472 Enrollment ID: I20131114000839 |
| Provider Name | Alyson E Eastep |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164864112 PECOS PAC ID: 3476789587 Enrollment ID: I20131120000683 |
| Provider Name | Cecilia Dyllis Boafoah Aduako |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679606867 PECOS PAC ID: 8527162080 Enrollment ID: I20131126000512 |
| Provider Name | Mahmood Shahab Sori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558662700 PECOS PAC ID: 8123254836 Enrollment ID: I20131127001725 |
| Provider Name | Morgan M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053779 PECOS PAC ID: 6103053152 Enrollment ID: I20131218001402 |
| Provider Name | Ramana R Guduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184958035 PECOS PAC ID: 7911154455 Enrollment ID: I20140204000470 |
| Provider Name | Derek A Melby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033266473 PECOS PAC ID: 9638252760 Enrollment ID: I20140219001605 |
| Provider Name | Syed Gilani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447451182 PECOS PAC ID: 3678646288 Enrollment ID: I20140311000766 |
| Provider Name | Timothy L Hagen |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1205860897 PECOS PAC ID: 5294712170 Enrollment ID: I20140312000723 |
| Provider Name | Kristin R Cain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730502469 PECOS PAC ID: 1456582691 Enrollment ID: I20140401000706 |
| Provider Name | Glen Hybarger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720249899 PECOS PAC ID: 3678749975 Enrollment ID: I20140407000071 |
| Provider Name | Loretta Ann Bostic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629068705 PECOS PAC ID: 2466357280 Enrollment ID: I20140416000573 |
| Provider Name | Jeffrey Rossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306080973 PECOS PAC ID: 4486887288 Enrollment ID: I20140501001328 |
| Provider Name | Benjamin Ellis Rawls |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003831710 PECOS PAC ID: 3173421492 Enrollment ID: I20140521001834 |
| Provider Name | Nowoghomwenma C Ibie |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073742953 PECOS PAC ID: 8729267638 Enrollment ID: I20140609001095 |
| Provider Name | Freda Marie Kerr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821255449 PECOS PAC ID: 3870652597 Enrollment ID: I20140708000907 |
| Provider Name | Jamie G Spicer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619224409 PECOS PAC ID: 6709002322 Enrollment ID: I20140716002493 |
| Provider Name | Kevin Lee Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558504316 PECOS PAC ID: 8628294295 Enrollment ID: I20140717001762 |
| Provider Name | Elizabeth A Harleston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194089789 PECOS PAC ID: 1052537511 Enrollment ID: I20140718002085 |
| Provider Name | David E Shupe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306192372 PECOS PAC ID: 5799901047 Enrollment ID: I20140723001416 |
| Provider Name | Alison P Smock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144541129 PECOS PAC ID: 8224255567 Enrollment ID: I20140811002174 |
| Provider Name | Michael D Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396064754 PECOS PAC ID: 6800037433 Enrollment ID: I20140820002002 |
| Provider Name | Joel Mcreynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518941376 PECOS PAC ID: 0244202448 Enrollment ID: I20140910001057 |
| Provider Name | Eileen Kelly Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043458581 PECOS PAC ID: 4587712955 Enrollment ID: I20140916000903 |
| Provider Name | Mian Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629172028 PECOS PAC ID: 6800991894 Enrollment ID: I20140916001399 |
| Provider Name | Wael Aljishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316105489 PECOS PAC ID: 3274773239 Enrollment ID: I20140922002823 |
| Provider Name | Rachel Ash Bernal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851317093 PECOS PAC ID: 4880648393 Enrollment ID: I20140926002168 |
| Provider Name | Melinda M Hensley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679729743 PECOS PAC ID: 3072679802 Enrollment ID: I20141003000061 |
| Provider Name | Nadia Parchment |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295056430 PECOS PAC ID: 3678793130 Enrollment ID: I20141003001627 |
| Provider Name | Marlo Denise Bruno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861787152 PECOS PAC ID: 5991921207 Enrollment ID: I20141008000267 |
| Provider Name | Jamie L Kenney Kalbuneh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336436591 PECOS PAC ID: 4789812124 Enrollment ID: I20141008000661 |
| Provider Name | Aloysius F Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477821155 PECOS PAC ID: 1355562273 Enrollment ID: I20141017001873 |
| Provider Name | Ryan Mackenzie Connor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205274693 PECOS PAC ID: 8820219363 Enrollment ID: I20141024002143 |
| Provider Name | Clifford Weller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699705269 PECOS PAC ID: 4587859947 Enrollment ID: I20141121000756 |
| Provider Name | Shawn C Charest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659355998 PECOS PAC ID: 7214195478 Enrollment ID: I20141124000559 |
| Provider Name | Frankie H White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548608813 PECOS PAC ID: 0547582561 Enrollment ID: I20141202002199 |
| Provider Name | David R Montney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306134499 PECOS PAC ID: 9436328283 Enrollment ID: I20141203001615 |
| Provider Name | Anton Marek Clemmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225163454 PECOS PAC ID: 5799868451 Enrollment ID: I20141209002414 |
| Provider Name | Bryan Wayne Howington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184062416 PECOS PAC ID: 8426370008 Enrollment ID: I20141210001224 |
| Provider Name | Marcus O Vaught |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396001897 PECOS PAC ID: 2567784168 Enrollment ID: I20141210001814 |
| Provider Name | Jessica Floyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386888113 PECOS PAC ID: 3779729868 Enrollment ID: I20141218001537 |
| Provider Name | Trisha Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104181742 PECOS PAC ID: 5991951790 Enrollment ID: I20141218001934 |
| Provider Name | Myra C Alton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417385709 PECOS PAC ID: 0446573687 Enrollment ID: I20141219001617 |
| Provider Name | Karol Annetta Richards |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639200025 PECOS PAC ID: 2163486754 Enrollment ID: I20141219002053 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20150105000473 |
| Provider Name | Gregory Nelson Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508880691 PECOS PAC ID: 5799721106 Enrollment ID: I20150119000221 |
| Provider Name | Jason F Heilemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922446970 PECOS PAC ID: 4082938758 Enrollment ID: I20150129000637 |
| Provider Name | Charles M Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700179249 PECOS PAC ID: 4880835396 Enrollment ID: I20150216000903 |
| Provider Name | Vinod K Doultani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487802377 PECOS PAC ID: 2668549924 Enrollment ID: I20150223001511 |
| Provider Name | Worku Mengesha Wondafrash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215233002 PECOS PAC ID: 8325229248 Enrollment ID: I20150324002790 |
| Provider Name | Hilliary M Goode |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164812046 PECOS PAC ID: 6507185220 Enrollment ID: I20150501000110 |
| Provider Name | Mhd A Alsaka |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184880049 PECOS PAC ID: 2264565456 Enrollment ID: I20150520002733 |
| Provider Name | Priyadarshan Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104947662 PECOS PAC ID: 8527128594 Enrollment ID: I20150616002022 |
| Provider Name | Andre St Christopher Dyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982022638 PECOS PAC ID: 6204147762 Enrollment ID: I20150624002313 |
| Provider Name | Tyler Kessler Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053519017 PECOS PAC ID: 3072604198 Enrollment ID: I20150629002945 |
| Provider Name | Natasha P Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154716181 PECOS PAC ID: 3375855810 Enrollment ID: I20150711000011 |
| Provider Name | Sunil Vallurupalli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811159239 PECOS PAC ID: 2365675568 Enrollment ID: I20150727001374 |
| Provider Name | Erin E Lusher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952666067 PECOS PAC ID: 4880831569 Enrollment ID: I20150903000736 |
| Provider Name | Vanesh Khetpal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093946832 PECOS PAC ID: 9234386384 Enrollment ID: I20150904000575 |
| Provider Name | Subash Regmi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316113004 PECOS PAC ID: 1951589332 Enrollment ID: I20150922000854 |
| Provider Name | Tammi Gay Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740676808 PECOS PAC ID: 5799093514 Enrollment ID: I20150929000280 |
| Provider Name | Maureen C Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548644560 PECOS PAC ID: 3173831807 Enrollment ID: I20150930001128 |
| Provider Name | Scott Dryzer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164494621 PECOS PAC ID: 1557335395 Enrollment ID: I20151009001589 |
| Provider Name | Sisay Getahun Debebe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891083143 PECOS PAC ID: 1759690175 Enrollment ID: I20151026000046 |
| Provider Name | Michael Sinclair Bolick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699168104 PECOS PAC ID: 6204145543 Enrollment ID: I20151027002572 |
| Provider Name | Scott A Deppe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437131422 PECOS PAC ID: 0244143329 Enrollment ID: I20151103002214 |
| Provider Name | Bryan Patrick Fleming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962843755 PECOS PAC ID: 0547215642 Enrollment ID: I20151106002282 |
| Provider Name | Brian D Blaker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134495138 PECOS PAC ID: 6709011208 Enrollment ID: I20151110002968 |
| Provider Name | Nikunjkumar Trambaklal Modi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003131343 PECOS PAC ID: 1658671128 Enrollment ID: I20151207000077 |
| Provider Name | Jihad O Arteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174713846 PECOS PAC ID: 2567637093 Enrollment ID: I20151215002391 |
| Provider Name | Michele L Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932494861 PECOS PAC ID: 6406025212 Enrollment ID: I20160119000589 |
| Provider Name | Mahendrabhai Nagjibhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841240298 PECOS PAC ID: 0244258903 Enrollment ID: I20160201000815 |
| Provider Name | Terra Lynn Kloth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285010611 PECOS PAC ID: 5698079358 Enrollment ID: I20160201002264 |
| Provider Name | Ansal D Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861767733 PECOS PAC ID: 5799932968 Enrollment ID: I20160229001102 |
| Provider Name | Roy Allen Harvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902821804 PECOS PAC ID: 3072656669 Enrollment ID: I20160229001618 |
| Provider Name | Lamar Marquis Ward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437568706 PECOS PAC ID: 7012214455 Enrollment ID: I20160329002799 |
| Provider Name | Sherika Tarshall Stuckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437531993 PECOS PAC ID: 6608183900 Enrollment ID: I20160401001629 |
| Provider Name | Dana M Huber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699131268 PECOS PAC ID: 6002114824 Enrollment ID: I20160412001370 |
| Provider Name | Ashley Ann Whittington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427414978 PECOS PAC ID: 5395986376 Enrollment ID: I20160427000051 |
| Provider Name | Fidelis Ajobome Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20160428001402 |
| Provider Name | Kelash K Punjabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043516503 PECOS PAC ID: 3375721855 Enrollment ID: I20160429001411 |
| Provider Name | Caren E Chinich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508223322 PECOS PAC ID: 7618276908 Enrollment ID: I20160509002043 |
| Provider Name | Tareq Haidary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356754154 PECOS PAC ID: 9032416110 Enrollment ID: I20160526000312 |
| Provider Name | Lisa Lanning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023207784 PECOS PAC ID: 2062596927 Enrollment ID: I20160526002481 |
| Provider Name | Robert A Craven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518132257 PECOS PAC ID: 6204007669 Enrollment ID: I20160526002569 |
| Provider Name | Georges Antoine Hneich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205121001 PECOS PAC ID: 4880983972 Enrollment ID: I20160714000495 |
| Provider Name | Srinivasa Reddy Reddy Kamatam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750721197 PECOS PAC ID: 3274835780 Enrollment ID: I20160719001606 |
| Provider Name | Rushiraj Chaitanya Laiwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497985303 PECOS PAC ID: 6002063757 Enrollment ID: I20160721002303 |
| Provider Name | Teresa Ann Yarborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881088789 PECOS PAC ID: 5698069342 Enrollment ID: I20160803002272 |
| Provider Name | Gerald F O'malley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356300057 PECOS PAC ID: 8729086806 Enrollment ID: I20160818001926 |
| Provider Name | David Heverly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649205170 PECOS PAC ID: 5496792152 Enrollment ID: I20160909000027 |
| Provider Name | Satya Surya Narayana Varma Datla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003258237 PECOS PAC ID: 4981906138 Enrollment ID: I20160922001058 |
| Provider Name | Ashley A Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396110599 PECOS PAC ID: 1456648088 Enrollment ID: I20160927000162 |
| Provider Name | Benjamin R Schoener |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295097343 PECOS PAC ID: 4789904947 Enrollment ID: I20161003000139 |
| Provider Name | Timothy Roger Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902033624 PECOS PAC ID: 3870812829 Enrollment ID: I20161004001544 |
| Provider Name | Shawn Sullivan Fleming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740542752 PECOS PAC ID: 0547412140 Enrollment ID: I20161005000991 |
| Provider Name | Hope B Mclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417308040 PECOS PAC ID: 5496043028 Enrollment ID: I20161013001083 |
| Provider Name | Hsiao L Soriano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366737132 PECOS PAC ID: 3173740529 Enrollment ID: I20161014001866 |
| Provider Name | Adam M Gude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225482524 PECOS PAC ID: 7810285293 Enrollment ID: I20161018002132 |
| Provider Name | Ashley Nicole Denmark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912388943 PECOS PAC ID: 6406135078 Enrollment ID: I20161122002485 |
| Provider Name | Elizabeth Anne Sorg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144560111 PECOS PAC ID: 5597903898 Enrollment ID: I20161207001141 |
| Provider Name | Kinzie Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609258243 PECOS PAC ID: 5597062968 Enrollment ID: I20161212001861 |
| Provider Name | Lauren Shurtliff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164803193 PECOS PAC ID: 2668770868 Enrollment ID: I20161220001996 |
| Provider Name | Garrett Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518349158 PECOS PAC ID: 0648577023 Enrollment ID: I20161221001813 |
| Provider Name | Brady W Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295109270 PECOS PAC ID: 6507164951 Enrollment ID: I20161222000171 |
| Provider Name | Mohit Datta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720217102 PECOS PAC ID: 2961657176 Enrollment ID: I20161227000730 |
| Provider Name | Gina Shawkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730539347 PECOS PAC ID: 6709167166 Enrollment ID: I20161227001466 |
| Provider Name | Brooke Howell Perugini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538540562 PECOS PAC ID: 0941599013 Enrollment ID: I20170109000680 |
| Provider Name | Richard W Merryman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255465225 PECOS PAC ID: 9931013448 Enrollment ID: I20170210000362 |
| Provider Name | Rajesh Rohilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003074154 PECOS PAC ID: 8325210800 Enrollment ID: I20170217001843 |
| Provider Name | Bipin D Sarodia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467444752 PECOS PAC ID: 9234115338 Enrollment ID: I20170322000020 |
| Provider Name | Kittipong Burt Srisuwan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184163503 PECOS PAC ID: 1557647591 Enrollment ID: I20170406000183 |
| Provider Name | Tameru D Demsie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891081618 PECOS PAC ID: 4587836259 Enrollment ID: I20170420001596 |
| Provider Name | Benjamin Wells Weston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225419252 PECOS PAC ID: 3870890296 Enrollment ID: I20170524001451 |
| Provider Name | Carmen Amelia Taype-roberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609039734 PECOS PAC ID: 0547482663 Enrollment ID: I20170615001008 |
| Provider Name | Amanda G Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417490640 PECOS PAC ID: 1355610080 Enrollment ID: I20170711003407 |
| Provider Name | Robyn Hendrix |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205372992 PECOS PAC ID: 5496024291 Enrollment ID: I20170713001582 |
| Provider Name | Margaret A Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164719894 PECOS PAC ID: 9537380522 Enrollment ID: I20170717001242 |
| Provider Name | Karianne M Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982085916 PECOS PAC ID: 5092013292 Enrollment ID: I20170725000182 |
| Provider Name | Audrey B Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851836811 PECOS PAC ID: 3375814981 Enrollment ID: I20170731003501 |
| Provider Name | Danielle G Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447602057 PECOS PAC ID: 9032480645 Enrollment ID: I20170731003697 |
| Provider Name | Orran Coretta Bethea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295961985 PECOS PAC ID: 8123390820 Enrollment ID: I20170815003577 |
| Provider Name | Mallory B Chestnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811435670 PECOS PAC ID: 2365714003 Enrollment ID: I20170816000487 |
| Provider Name | Laura J Donnell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245656271 PECOS PAC ID: 2567681554 Enrollment ID: I20170816003585 |
| Provider Name | Sherrie Covarrubias |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669445219 PECOS PAC ID: 7719935972 Enrollment ID: I20170816003722 |
| Provider Name | Tg Sriram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518937309 PECOS PAC ID: 8921097205 Enrollment ID: I20170816004335 |
| Provider Name | Deborah Cintron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821195892 PECOS PAC ID: 6507833753 Enrollment ID: I20170823003015 |
| Provider Name | Kristy Kethe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881139699 PECOS PAC ID: 9335411255 Enrollment ID: I20170828000184 |
| Provider Name | Donny V Huynh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942598560 PECOS PAC ID: 1153693080 Enrollment ID: I20170828000668 |
| Provider Name | Ofego Okpobrisi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790104024 PECOS PAC ID: 5294037123 Enrollment ID: I20170828001095 |
| Provider Name | Hannah E Pettigrew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013363613 PECOS PAC ID: 2860765443 Enrollment ID: I20170901000973 |
| Provider Name | David D Buckland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700013570 PECOS PAC ID: 1355584657 Enrollment ID: I20170906002641 |
| Provider Name | Jason O Hewett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568900686 PECOS PAC ID: 7719251537 Enrollment ID: I20170918002546 |
| Provider Name | Bonnie F Patrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992856249 PECOS PAC ID: 4183679921 Enrollment ID: I20171002003712 |
| Provider Name | Li Hua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780812198 PECOS PAC ID: 9032434758 Enrollment ID: I20171026000328 |
| Provider Name | Scott L Tanner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841264124 PECOS PAC ID: 5799752713 Enrollment ID: I20171026001100 |
| Provider Name | Heather Linn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780620898 PECOS PAC ID: 0244234284 Enrollment ID: I20171030002286 |
| Provider Name | Abraham Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134306566 PECOS PAC ID: 9032276258 Enrollment ID: I20171101002770 |
| Provider Name | Alyssa K Polson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366885790 PECOS PAC ID: 6608017942 Enrollment ID: I20171106002456 |
| Provider Name | David Estephan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508286550 PECOS PAC ID: 8022310085 Enrollment ID: I20171108001591 |
| Provider Name | Ravneet Bajwa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396033700 PECOS PAC ID: 7517191257 Enrollment ID: I20171128001510 |
| Provider Name | Sutira Scheef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902211386 PECOS PAC ID: 8921307745 Enrollment ID: I20171201002066 |
| Provider Name | Paul A Ledford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295900959 PECOS PAC ID: 3375716061 Enrollment ID: I20171204002974 |
| Provider Name | Zulfiqar Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20171228000018 |
| Provider Name | Kanaklakshmi Masodkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164860748 PECOS PAC ID: 6002114345 Enrollment ID: I20171229001853 |
| Provider Name | Eunice C Abrams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942598909 PECOS PAC ID: 6608184841 Enrollment ID: I20180109002879 |
| Provider Name | Paul Abrams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619264280 PECOS PAC ID: 8729238381 Enrollment ID: I20180112000011 |
| Provider Name | Jonathan Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992933584 PECOS PAC ID: 5698913390 Enrollment ID: I20180112000045 |
| Provider Name | Mohammed Taoudi Benchekroun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255561189 PECOS PAC ID: 9931355567 Enrollment ID: I20180124001187 |
| Provider Name | Donald Ray Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447208251 PECOS PAC ID: 0345264420 Enrollment ID: I20180206001040 |
| Provider Name | Donald Wade Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316965395 PECOS PAC ID: 8921073305 Enrollment ID: I20180317000026 |
| Provider Name | Hanaa Benchekroun Belabbes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013324730 PECOS PAC ID: 1052673670 Enrollment ID: I20180320001049 |
| Provider Name | Misty D Audette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043631245 PECOS PAC ID: 6709017668 Enrollment ID: I20180320002898 |
| Provider Name | Whitney Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053822114 PECOS PAC ID: 2163784521 Enrollment ID: I20180322001697 |
| Provider Name | Segee Raquel Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225550700 PECOS PAC ID: 5092078436 Enrollment ID: I20180417000833 |
| Provider Name | Maureen A Tumolo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891963286 PECOS PAC ID: 4385814235 Enrollment ID: I20180508001033 |
| Provider Name | Courtney Beattie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639685795 PECOS PAC ID: 7911261409 Enrollment ID: I20180509001782 |
| Provider Name | Machelle S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689175408 PECOS PAC ID: 7719242767 Enrollment ID: I20180523000944 |
| Provider Name | Curtis Jamison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055790 PECOS PAC ID: 6103041603 Enrollment ID: I20180613001170 |
| Provider Name | Srinadh O Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669455911 PECOS PAC ID: 1658301197 Enrollment ID: I20180621000008 |
| Provider Name | Tony G Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184121451 PECOS PAC ID: 6800142746 Enrollment ID: I20180706000359 |
| Provider Name | Kathy Juanita Horne Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043698848 PECOS PAC ID: 7810290137 Enrollment ID: I20180709003386 |
| Provider Name | Ravish Ashokkumar Kothari |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1497195390 PECOS PAC ID: 5890081855 Enrollment ID: I20180711001466 |
| Provider Name | Sheila Keasler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023332723 PECOS PAC ID: 0446381149 Enrollment ID: I20180717002255 |
| Provider Name | Nivedita P Adabala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932583671 PECOS PAC ID: 7214228907 Enrollment ID: I20180823002426 |
| Provider Name | Sandra M Francis Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497935183 PECOS PAC ID: 2567501208 Enrollment ID: I20180904001658 |
| Provider Name | Douglas L Stofko |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942525704 PECOS PAC ID: 7517100308 Enrollment ID: I20180907001353 |
| Provider Name | Peter Andrew Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871974808 PECOS PAC ID: 7214236959 Enrollment ID: I20180918003850 |
| Provider Name | Tatiana P Mccuen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417955329 PECOS PAC ID: 6608858188 Enrollment ID: I20181004002152 |
| Provider Name | Joseph Ralph Paonessa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720341696 PECOS PAC ID: 5092061291 Enrollment ID: I20181004002998 |
| Provider Name | Catherine A Carlson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558517565 PECOS PAC ID: 5395933246 Enrollment ID: I20181005001461 |
| Provider Name | Robin M Kass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457370140 PECOS PAC ID: 7315934890 Enrollment ID: I20181007000009 |
| Provider Name | Elizabeth A Haselden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205359502 PECOS PAC ID: 6002168853 Enrollment ID: I20181007000024 |
| Provider Name | Christopher Keen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528324050 PECOS PAC ID: 9133346943 Enrollment ID: I20181025001067 |
| Provider Name | Nicole Joyner-powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376072496 PECOS PAC ID: 2567732027 Enrollment ID: I20181106003173 |
| Provider Name | Kranthi K Sitammagari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184988776 PECOS PAC ID: 1355650466 Enrollment ID: I20181107002278 |
| Provider Name | Kristen Elizabeth Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932674645 PECOS PAC ID: 2264786763 Enrollment ID: I20181120002001 |
| Provider Name | Elina Levin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205193513 PECOS PAC ID: 4880986819 Enrollment ID: I20181127002210 |
| Provider Name | Lindsey M Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356828982 PECOS PAC ID: 3173867413 Enrollment ID: I20181127003493 |
| Provider Name | Heather Driggers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942734199 PECOS PAC ID: 1951645175 Enrollment ID: I20181129000272 |
| Provider Name | Abiy Mekoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023064938 PECOS PAC ID: 3678590346 Enrollment ID: I20181203003315 |
| Provider Name | Isaac Ikwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780017988 PECOS PAC ID: 0749503266 Enrollment ID: I20181211002180 |
| Provider Name | Huley Dru Shumpert Dickert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841639143 PECOS PAC ID: 6204058183 Enrollment ID: I20181212002159 |
| Provider Name | Shawna Michelle Price |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811336878 PECOS PAC ID: 7113151986 Enrollment ID: I20181213003218 |
| Provider Name | Vlad Apostol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629334669 PECOS PAC ID: 7315264066 Enrollment ID: I20181219002513 |
| Provider Name | Teji Dhami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790104131 PECOS PAC ID: 0244539500 Enrollment ID: I20181219002927 |
| Provider Name | Tonya D Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134606221 PECOS PAC ID: 2961748736 Enrollment ID: I20190115003853 |
| Provider Name | Diana Eileen Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023481041 PECOS PAC ID: 5496056392 Enrollment ID: I20190210000010 |
| Provider Name | Amar Mahendrakant Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740506450 PECOS PAC ID: 0941448286 Enrollment ID: I20190213001940 |
| Provider Name | Kenneth Kalassian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700897048 PECOS PAC ID: 3173417292 Enrollment ID: I20190226001198 |
| Provider Name | Justin B Altman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417429432 PECOS PAC ID: 9032458344 Enrollment ID: I20190305000416 |
| Provider Name | Nichelle K Coleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629526587 PECOS PAC ID: 0749568491 Enrollment ID: I20190306002881 |
| Provider Name | Stephanie Lauren Boice |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568928802 PECOS PAC ID: 4981944188 Enrollment ID: I20190326002623 |
| Provider Name | Pamela Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912398843 PECOS PAC ID: 2365760907 Enrollment ID: I20190328002166 |
| Provider Name | Christopher L Petrey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245551795 PECOS PAC ID: 6002052644 Enrollment ID: I20190403000067 |
| Provider Name | Johnette P Touchberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265906218 PECOS PAC ID: 1557602232 Enrollment ID: I20190405001081 |
| Provider Name | Theodore J Woo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720254105 PECOS PAC ID: 6204082019 Enrollment ID: I20190422002352 |
| Provider Name | Stephanie B Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326504127 PECOS PAC ID: 2668714213 Enrollment ID: I20190430002498 |
| Provider Name | Richard G Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841268489 PECOS PAC ID: 3274503313 Enrollment ID: I20190502003036 |
| Provider Name | Aliaksandr Savitski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053654863 PECOS PAC ID: 1658679170 Enrollment ID: I20190509001590 |
| Provider Name | Melissa M Hamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447717244 PECOS PAC ID: 5698018646 Enrollment ID: I20190515002097 |
| Provider Name | Michael John Hadnagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164493839 PECOS PAC ID: 4385730399 Enrollment ID: I20190615000038 |
| Provider Name | Daniel R Troha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508126418 PECOS PAC ID: 4587972492 Enrollment ID: I20190628002047 |
| Provider Name | Arpit Khandelwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609281435 PECOS PAC ID: 3375828460 Enrollment ID: I20190719001925 |
| Provider Name | Alkesh Bhupendra Gajjar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841506227 PECOS PAC ID: 7113143736 Enrollment ID: I20190725001982 |
| Provider Name | Nneamaka N Enwemnwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801026448 PECOS PAC ID: 4587803283 Enrollment ID: I20190806002065 |
| Provider Name | Ravi J Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134535701 PECOS PAC ID: 7517231277 Enrollment ID: I20190821004149 |
| Provider Name | Yazan Haddadin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942464391 PECOS PAC ID: 9830377324 Enrollment ID: I20190822000871 |
| Provider Name | Elizabeth K Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891258778 PECOS PAC ID: 7719216555 Enrollment ID: I20190904002186 |
| Provider Name | Brian S Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497894562 PECOS PAC ID: 4183777014 Enrollment ID: I20190911001019 |
| Provider Name | Amid Hamidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568813327 PECOS PAC ID: 1153650445 Enrollment ID: I20190911003815 |
| Provider Name | Akal Saagu Zeleke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932639242 PECOS PAC ID: 8921378027 Enrollment ID: I20191001001431 |
| Provider Name | Matthew D Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467814293 PECOS PAC ID: 3577832252 Enrollment ID: I20191015002129 |
| Provider Name | Shannon Mcdowell Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346712445 PECOS PAC ID: 2668704842 Enrollment ID: I20191022001338 |
| Provider Name | Dustin Harvey Melton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316375694 PECOS PAC ID: 0941437396 Enrollment ID: I20191022003922 |
| Provider Name | Ashton Cagle Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508343526 PECOS PAC ID: 5092047092 Enrollment ID: I20191024000152 |
| Provider Name | Darrell J Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912406026 PECOS PAC ID: 8123350170 Enrollment ID: I20191024002255 |
| Provider Name | Rachel Kirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710417498 PECOS PAC ID: 7012288640 Enrollment ID: I20191028001939 |
| Provider Name | Nithasha Moideen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194176875 PECOS PAC ID: 9537494687 Enrollment ID: I20191107000826 |
| Provider Name | Omar Ahmad Ilyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528412764 PECOS PAC ID: 2062747116 Enrollment ID: I20191112003193 |
| Provider Name | Eskinder Nesrane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528415775 PECOS PAC ID: 6709219173 Enrollment ID: I20191126001846 |
| Provider Name | Vanitha Andal Gopal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821357815 PECOS PAC ID: 1658665484 Enrollment ID: I20191210003558 |
| Provider Name | Melissa L Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588200018 PECOS PAC ID: 6103252796 Enrollment ID: I20200129002789 |
| Provider Name | Jitendra K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265728281 PECOS PAC ID: 6002035045 Enrollment ID: I20200206001681 |
| Provider Name | Bhanji D Kundaria |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619906872 PECOS PAC ID: 3779653555 Enrollment ID: I20200211002412 |
| Provider Name | Aimee Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902466220 PECOS PAC ID: 5395171284 Enrollment ID: I20200213000802 |
| Provider Name | Avinesh Singh Bhar Jaswindar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760634505 PECOS PAC ID: 0244472223 Enrollment ID: I20200317001905 |
| Provider Name | Katelyn H Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053877761 PECOS PAC ID: 8022446137 Enrollment ID: I20200323002637 |
| Provider Name | Mohamed Mustafa Elsunni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376982348 PECOS PAC ID: 9335432327 Enrollment ID: I20200325001838 |
| Provider Name | Lasheena T Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942782305 PECOS PAC ID: 9931538659 Enrollment ID: I20200401001045 |
| Provider Name | Michael Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225003593 PECOS PAC ID: 4587661277 Enrollment ID: I20200413003399 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20200415001398 |
| Provider Name | James Murtagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760655526 PECOS PAC ID: 5991859456 Enrollment ID: I20200417003045 |
| Provider Name | Pramod Chopade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386025658 PECOS PAC ID: 7719294784 Enrollment ID: I20200513002537 |
| Provider Name | Hanh Truong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881854024 PECOS PAC ID: 8224184882 Enrollment ID: I20200527001136 |
| Provider Name | Olukayode A Bamgbelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164677845 PECOS PAC ID: 1557496965 Enrollment ID: I20200528003260 |
| Provider Name | Jason C Messervy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497169296 PECOS PAC ID: 9335365444 Enrollment ID: I20200602001318 |
| Provider Name | Sonya L Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174177570 PECOS PAC ID: 2365863115 Enrollment ID: I20200602002485 |
| Provider Name | Priscilla Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992332027 PECOS PAC ID: 0941621601 Enrollment ID: I20200604001412 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20200604003251 |
| Provider Name | Carlos A Feliciano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649469776 PECOS PAC ID: 9436302189 Enrollment ID: I20200605000460 |
| Provider Name | Raina Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366698482 PECOS PAC ID: 4385816685 Enrollment ID: I20200605001456 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20200605001629 |
| Provider Name | Adam L Heller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710183041 PECOS PAC ID: 5991879793 Enrollment ID: I20200608000005 |
| Provider Name | Amanda J Avila |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184841397 PECOS PAC ID: 9830345735 Enrollment ID: I20200608000049 |
| Provider Name | Amanda L Cheshire |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619188927 PECOS PAC ID: 8527134410 Enrollment ID: I20200608000118 |
| Provider Name | Mai Won |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871676676 PECOS PAC ID: 2860418175 Enrollment ID: I20200608000430 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20200608000491 |
| Provider Name | Sam Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20200608000610 |
| Provider Name | Clifford William Meyers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699090217 PECOS PAC ID: 4688988256 Enrollment ID: I20200608000860 |
| Provider Name | Deb K Mojumder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396023818 PECOS PAC ID: 4183928849 Enrollment ID: I20200608001041 |
| Provider Name | Mohammed Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215126032 PECOS PAC ID: 4284882895 Enrollment ID: I20200608001258 |
| Provider Name | Jason R Sebesto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861786246 PECOS PAC ID: 0749416238 Enrollment ID: I20200608001372 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20200608001525 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20200608001586 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20200608001753 |
| Provider Name | Christopher Bixler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770575656 PECOS PAC ID: 8224100334 Enrollment ID: I20200608001977 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20200608002176 |
| Provider Name | Douglas A Valenta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851553879 PECOS PAC ID: 4688728181 Enrollment ID: I20200608002460 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20200609002585 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20200609002747 |
| Provider Name | Nima Mowzoon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992774327 PECOS PAC ID: 1254358401 Enrollment ID: I20200609002840 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20200609002926 |
| Provider Name | Vivek Baluja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538205539 PECOS PAC ID: 0143408989 Enrollment ID: I20200609003008 |
| Provider Name | Vahid Behravan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871722520 PECOS PAC ID: 6507189123 Enrollment ID: I20200612002464 |
| Provider Name | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20200615000096 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20200615000501 |
| Provider Name | Shubhangi Chumble |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881684074 PECOS PAC ID: 6305844242 Enrollment ID: I20200615000887 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20200616003342 |
| Provider Name | Maria Aguilar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518924190 PECOS PAC ID: 9133130156 Enrollment ID: I20200618000596 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20200626001608 |
| Provider Name | Mark Mitchell Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20200626001932 |
| Provider Name | Alberto R Figueroa-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912167594 PECOS PAC ID: 3072754175 Enrollment ID: I20200626002126 |
| Provider Name | Neil J Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295155364 PECOS PAC ID: 5193076578 Enrollment ID: I20200629000444 |
| Provider Name | Bonnie T Gleason |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023086881 PECOS PAC ID: 4688735053 Enrollment ID: I20200701001327 |
| Provider Name | Michael Snyder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932239142 PECOS PAC ID: 7719084896 Enrollment ID: I20200706000376 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20200708001093 |
| Provider Name | Mark N Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932181849 PECOS PAC ID: 5092732388 Enrollment ID: I20200713001232 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20200715000088 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20200717000033 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20200717000667 |
| Provider Name | Nattasha Acevedo Ramirez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366786451 PECOS PAC ID: 7214217793 Enrollment ID: I20200717002299 |
| Provider Name | Natan Khishchenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821202441 PECOS PAC ID: 8224128012 Enrollment ID: I20200720001446 |
| Provider Name | Deleisha Mcfadden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437788056 PECOS PAC ID: 9032533161 Enrollment ID: I20200722003088 |
| Provider Name | Christopher Bradley Tyner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326661000 PECOS PAC ID: 8820412778 Enrollment ID: I20200723003671 |
| Provider Name | Philipp Eichler Talley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659892941 PECOS PAC ID: 9830460013 Enrollment ID: I20200730002071 |
| Provider Name | Ravi Hemant Parikh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205126422 PECOS PAC ID: 6002115193 Enrollment ID: I20200731002563 |
| Provider Name | Cyrus Isaac Kocherla |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841581469 PECOS PAC ID: 3971721184 Enrollment ID: I20200810002919 |
| Provider Name | Matthew Lucky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841641966 PECOS PAC ID: 0840616587 Enrollment ID: I20200812002396 |
| Provider Name | Lorianne Elizabeth Avino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306898762 PECOS PAC ID: 6305859919 Enrollment ID: I20200813001032 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20200813001310 |
| Provider Name | Mazen Almidani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912936725 PECOS PAC ID: 4587667282 Enrollment ID: I20200813003114 |
| Provider Name | Elizabeth A |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215064852 PECOS PAC ID: 2860663416 Enrollment ID: I20200813003628 |
| Provider Name | Tao Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942401815 PECOS PAC ID: 2961558168 Enrollment ID: I20200818000957 |
| Provider Name | Richard Newman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831199850 PECOS PAC ID: 2365415957 Enrollment ID: I20200818001267 |
| Provider Name | Robin M Fuchs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346602596 PECOS PAC ID: 9830482447 Enrollment ID: I20200824000578 |
| Provider Name | Ryan Fuchs |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1700248952 PECOS PAC ID: 5890088470 Enrollment ID: I20200824000767 |
| Provider Name | Rika N Omalley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003024365 PECOS PAC ID: 7315011509 Enrollment ID: I20200831001357 |
| Provider Name | Frederick Ryan Caballes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225220262 PECOS PAC ID: 5991977977 Enrollment ID: I20200904000345 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20200908002546 |
| Provider Name | Jason Alexis Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821301862 PECOS PAC ID: 9537312251 Enrollment ID: I20200914000610 |
| Provider Name | Daniel W Lampignano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437474632 PECOS PAC ID: 8426368317 Enrollment ID: I20200924001450 |
| Provider Name | Vijeyaluxmy Motilal Nehru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841638939 PECOS PAC ID: 9739477381 Enrollment ID: I20200925000407 |
| Provider Name | Devam Pareshkumar Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104164367 PECOS PAC ID: 1456659044 Enrollment ID: I20201001001811 |
| Provider Name | Robyn-ann Lee Hing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114468378 PECOS PAC ID: 2163708678 Enrollment ID: I20201008001108 |
| Provider Name | Bryan Daniel Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245750900 PECOS PAC ID: 2567733751 Enrollment ID: I20201013000356 |
| Provider Name | Roberto Aguilera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649658089 PECOS PAC ID: 9638468200 Enrollment ID: I20201016002193 |
| Provider Name | Qaisar Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346322823 PECOS PAC ID: 6709978117 Enrollment ID: I20201019002303 |
| Provider Name | Viral P Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922207877 PECOS PAC ID: 0042301616 Enrollment ID: I20201020000149 |
| Provider Name | Anthony M Consonery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669917274 PECOS PAC ID: 4486930419 Enrollment ID: I20201027001999 |
| Provider Name | Marcus Markette Tedder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407467038 PECOS PAC ID: 4183034176 Enrollment ID: I20201103000503 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20201105002407 |
| Provider Name | Angela Schafer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134516727 PECOS PAC ID: 7012209158 Enrollment ID: I20201106001860 |
| Provider Name | Xenequia Monique Guidry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598121493 PECOS PAC ID: 3779889746 Enrollment ID: I20201201000969 |
| Provider Name | Jorge Martin Paulino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841397866 PECOS PAC ID: 9830295476 Enrollment ID: I20201202001634 |
| Provider Name | David John Wallace |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770780835 PECOS PAC ID: 5799957916 Enrollment ID: I20201216001619 |
| Provider Name | Meghan J Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669070694 PECOS PAC ID: 7416369269 Enrollment ID: I20201218002090 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20201229001666 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20210129001829 |
| Provider Name | Erlinda P Mercado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790898278 PECOS PAC ID: 0446216782 Enrollment ID: I20210203001378 |
| Provider Name | William Clinton Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932604915 PECOS PAC ID: 4082643168 Enrollment ID: I20210209000842 |
| Provider Name | John Chapman Whitlock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699362707 PECOS PAC ID: 9638584840 Enrollment ID: I20210222002121 |
| Provider Name | Richard M Pianti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144601279 PECOS PAC ID: 2860813664 Enrollment ID: I20210319000149 |
| Provider Name | Stephenie L Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093322703 PECOS PAC ID: 9537576509 Enrollment ID: I20210319000289 |
| Provider Name | Nimit Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770997108 PECOS PAC ID: 8426342171 Enrollment ID: I20210331001652 |
| Provider Name | Jane Mangwi Fon-ndikum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205377629 PECOS PAC ID: 5092082180 Enrollment ID: I20210331001668 |
| Provider Name | Kristi Patricia Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750514261 PECOS PAC ID: 6406080811 Enrollment ID: I20210412001406 |
| Provider Name | Hannah Sellers Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356939995 PECOS PAC ID: 9931517851 Enrollment ID: I20210414000975 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20210429001005 |
| Provider Name | Philippe Gerard Douyon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306169487 PECOS PAC ID: 3072755396 Enrollment ID: I20210503001106 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20210506000456 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20210513001985 |
| Provider Name | Peter T Fortkort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649362138 PECOS PAC ID: 7719930429 Enrollment ID: I20210602002016 |
| Provider Name | Justin Ross Moore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235339870 PECOS PAC ID: 5890955041 Enrollment ID: I20210607000286 |
| Provider Name | Heather Horton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861754657 PECOS PAC ID: 0244476901 Enrollment ID: I20210617001640 |
| Provider Name | Sarah Campos-monell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316010853 PECOS PAC ID: 6709921166 Enrollment ID: I20210630004104 |
| Provider Name | Emily Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669064481 PECOS PAC ID: 6305248238 Enrollment ID: I20210714001777 |
| Provider Name | Joshua Phillip Rouhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689161523 PECOS PAC ID: 4880947910 Enrollment ID: I20210716001102 |
| Provider Name | Katlyn Mccabe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306426127 PECOS PAC ID: 6901209865 Enrollment ID: I20210729002013 |
| Provider Name | Elliot Bradley Litteral |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386227908 PECOS PAC ID: 1850794660 Enrollment ID: I20210730000329 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20210804000789 |
| Provider Name | David T Lake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154853430 PECOS PAC ID: 6204103245 Enrollment ID: I20210805002004 |
| Provider Name | John Morrissey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740293984 PECOS PAC ID: 5597934422 Enrollment ID: I20210819001152 |
| Provider Name | Nadine Zahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386028728 PECOS PAC ID: 4082019237 Enrollment ID: I20210825003843 |
| Provider Name | Eric Charles Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790277911 PECOS PAC ID: 6507102134 Enrollment ID: I20210826003091 |
| Provider Name | Dipendra Sharma Chapagain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104314467 PECOS PAC ID: 6406102904 Enrollment ID: I20210826003268 |
| Provider Name | Ronald Scott Wells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891872008 PECOS PAC ID: 0941605976 Enrollment ID: I20210830000268 |
| Provider Name | Jeremy A Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285131912 PECOS PAC ID: 0345646709 Enrollment ID: I20210909002773 |
| Provider Name | Brittany W Mimms |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609457431 PECOS PAC ID: 9638576713 Enrollment ID: I20210916003323 |
| Provider Name | Olumuyiwa Adeoye Rotimi Joshua |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144322157 PECOS PAC ID: 5991748048 Enrollment ID: I20210929001626 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20211012001506 |
| Provider Name | Vandana Yanamadala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467957787 PECOS PAC ID: 4385992288 Enrollment ID: I20211019001987 |
| Provider Name | Natalie R Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528734449 PECOS PAC ID: 0042608002 Enrollment ID: I20211022002474 |
| Provider Name | Sam Meshkinfam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952657348 PECOS PAC ID: 9032356720 Enrollment ID: I20211027000447 |
| Provider Name | Sherica Lynn Warfield Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558984203 PECOS PAC ID: 5799173555 Enrollment ID: I20211027001754 |
| Provider Name | Somtochukwu Nwokoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144725284 PECOS PAC ID: 8123378486 Enrollment ID: I20211027002023 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20211130001940 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20211201002632 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20211202000058 |
| Provider Name | Ravi Yarlagadda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679531636 PECOS PAC ID: 7911975560 Enrollment ID: I20211202000927 |
| Provider Name | Morgan Elizabeth Figurelle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801241260 PECOS PAC ID: 8729373642 Enrollment ID: I20211203000288 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20211227001325 |
| Provider Name | Colby A. Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20211229000099 |
| Provider Name | Jessica Shin Choe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215194030 PECOS PAC ID: 3678857323 Enrollment ID: I20220105002478 |
| Provider Name | Jessica C Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760154447 PECOS PAC ID: 8022400415 Enrollment ID: I20220114001507 |
| Provider Name | Hannah C Carsten Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609546472 PECOS PAC ID: 2466844790 Enrollment ID: I20220119001583 |
| Provider Name | Christel Laterice Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649651043 PECOS PAC ID: 7719998756 Enrollment ID: I20220121001380 |
| Provider Name | Jonathan Edward Crosby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801335203 PECOS PAC ID: 9739580929 Enrollment ID: I20220124002402 |
| Provider Name | Oleksandr Osipchuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700045416 PECOS PAC ID: 3476604406 Enrollment ID: I20220209001267 |
| Provider Name | Jazmine Danielle Porterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235881772 PECOS PAC ID: 8123411311 Enrollment ID: I20220210002812 |
| Provider Name | Zulfia Kafanovna Subanbaeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881841229 PECOS PAC ID: 1254497712 Enrollment ID: I20220211001007 |
| Provider Name | Lakshmi Mukundan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619137015 PECOS PAC ID: 6800111303 Enrollment ID: I20220307001548 |
| Provider Name | Satinder Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20220315000041 |
| Provider Name | Virginia M Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197057 PECOS PAC ID: 0345570008 Enrollment ID: I20220317001381 |
| Provider Name | Steven Gangloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20220322000884 |
| Provider Name | Wesley Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447600580 PECOS PAC ID: 6608261862 Enrollment ID: I20220325000079 |
| Provider Name | Wendi I Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20220405000818 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20220407002771 |
| Provider Name | James Andry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205192838 PECOS PAC ID: 6002119633 Enrollment ID: I20220411000394 |
| Provider Name | Irene A Carrothers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003041831 PECOS PAC ID: 0547418238 Enrollment ID: I20220506000368 |
| Provider Name | Christopher E Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174643662 PECOS PAC ID: 4385749878 Enrollment ID: I20220518001144 |
| Provider Name | Matthew Chase Lustig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679006746 PECOS PAC ID: 7618254491 Enrollment ID: I20220610001484 |
| Provider Name | William S Outler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194474767 PECOS PAC ID: 4880073303 Enrollment ID: I20220614000363 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20220617000023 |
| Provider Name | Matthew John Khayata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982137204 PECOS PAC ID: 0941681936 Enrollment ID: I20220721003882 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20220729000173 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20220809001297 |
| Provider Name | Jason T Hance |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528626520 PECOS PAC ID: 8628303260 Enrollment ID: I20220812002079 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20220818002231 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20220827000325 |
| Provider Name | Monica M Noya Santana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598297228 PECOS PAC ID: 1658755574 Enrollment ID: I20220829000412 |
| Provider Name | Felix Rivera-perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078692 PECOS PAC ID: 4981755733 Enrollment ID: I20220902000234 |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20220910000459 |
| Provider Name | Edward N Misulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902396559 PECOS PAC ID: 8123409125 Enrollment ID: I20220912000297 |
| Provider Name | Igor Alexandrovich Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20220914003164 |
| Provider Name | Imene M.d Boumaza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093109993 PECOS PAC ID: 8325423080 Enrollment ID: I20220915002358 |
| Provider Name | Nathanael J Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255794525 PECOS PAC ID: 0648560250 Enrollment ID: I20220915003808 |
| Provider Name | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20220916002981 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20221007000448 |
| Provider Name | Prashant Upadhyaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003177361 PECOS PAC ID: 7911296587 Enrollment ID: I20221010000654 |
| Provider Name | Aileen Catherine Cangiano-heath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609074616 PECOS PAC ID: 9234544735 Enrollment ID: I20221010001201 |
| Provider Name | Mary B Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205566742 PECOS PAC ID: 4486020542 Enrollment ID: I20221014002441 |
| Provider Name | Kristen L Veal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20221017001569 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20221017002145 |
| Provider Name | Benjamin C Groves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242202 PECOS PAC ID: 7012399033 Enrollment ID: I20221018003697 |
| Provider Name | Tammy B Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932712148 PECOS PAC ID: 6002282548 Enrollment ID: I20221025000356 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20221110000009 |
| Provider Name | Robert A Fishman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982807921 PECOS PAC ID: 2062667454 Enrollment ID: I20221110002533 |
| Provider Name | Edward George Boyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073953683 PECOS PAC ID: 3779885678 Enrollment ID: I20221110002674 |
| Provider Name | Kerolos George Rizk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346621703 PECOS PAC ID: 5294042081 Enrollment ID: I20221112000004 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20221117001694 |
| Provider Name | Rebecca M Dessez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306294236 PECOS PAC ID: 5799078838 Enrollment ID: I20221122003637 |
| Provider Name | Matthew A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073595799 PECOS PAC ID: 0446225387 Enrollment ID: I20221130000983 |
| Provider Name | Kamel Munther Massarweh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518373737 PECOS PAC ID: 8123305950 Enrollment ID: I20221208002967 |
| Provider Name | Mallory Noelle Luckey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770932170 PECOS PAC ID: 4183902356 Enrollment ID: I20221228000390 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20221229002517 |
| Provider Name | Inyene S Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275268856 PECOS PAC ID: 9931579109 Enrollment ID: I20230104001329 |
| Provider Name | Charles Adam Mccoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144516162 PECOS PAC ID: 5193964468 Enrollment ID: I20230109001756 |
| Provider Name | Mark Sabra |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20230130000671 |
| Provider Name | Jeremy Thomas Ragland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174750376 PECOS PAC ID: 0446499925 Enrollment ID: I20230202003205 |
| Provider Name | Neil G Jhamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477787067 PECOS PAC ID: 4082852769 Enrollment ID: I20230206002345 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20230213000632 |
| Provider Name | Anand R Kumar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386614741 PECOS PAC ID: 9234322579 Enrollment ID: I20230220002673 |
| Provider Name | Chris R Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114362613 PECOS PAC ID: 7416196639 Enrollment ID: I20230221002498 |
| Provider Name | Cesar Abraham Santillana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063974889 PECOS PAC ID: 9133508146 Enrollment ID: I20230222002276 |
| Provider Name | Stafford A Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366498206 PECOS PAC ID: 3870515752 Enrollment ID: I20230313001767 |
| Provider Name | Denise Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821708744 PECOS PAC ID: 5193199164 Enrollment ID: I20230315001571 |
| Provider Name | Kenan A Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619472321 PECOS PAC ID: 7911256946 Enrollment ID: I20230316000359 |
| Provider Name | Arun Grover |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720145998 PECOS PAC ID: 2567456742 Enrollment ID: I20230317001795 |
| Provider Name | Patricia Kleinholz-owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629344882 PECOS PAC ID: 5496043440 Enrollment ID: I20230318000087 |
| Provider Name | Wendy E Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285780718 PECOS PAC ID: 3678613544 Enrollment ID: I20230330000500 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20230414002144 |
| Provider Name | Amanda Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902338262 PECOS PAC ID: 7012280415 Enrollment ID: I20230418000443 |
| Provider Name | Jorge Torres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134652134 PECOS PAC ID: 2668725417 Enrollment ID: I20230424001490 |
| Provider Name | Charlene L Gunasekera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891292538 PECOS PAC ID: 1850648015 Enrollment ID: I20230426000120 |
| Provider Name | Kyle Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20230502001121 |
| Provider Name | Hermelinda Abcede |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891956678 PECOS PAC ID: 3577732601 Enrollment ID: I20230502001401 |
| Provider Name | Ashish M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851372585 PECOS PAC ID: 1052482338 Enrollment ID: I20230509000223 |
| Provider Name | Arielle Vonstrolley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134579006 PECOS PAC ID: 1456647486 Enrollment ID: I20230608001940 |
| Provider Name | Crystal Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801021886 PECOS PAC ID: 9931321338 Enrollment ID: I20230614001706 |
| Provider Name | William F Dotson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033343579 PECOS PAC ID: 7719103332 Enrollment ID: I20230616001631 |
| Provider Name | Numthip Chitravas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073761789 PECOS PAC ID: 4486898095 Enrollment ID: I20230721001444 |
| Provider Name | Philip Yeung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316443575 PECOS PAC ID: 6406213156 Enrollment ID: I20230731003519 |
| Provider Name | Justin De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20230809001697 |
| Provider Name | Julie Ann Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881395499 PECOS PAC ID: 1759743388 Enrollment ID: I20230815000925 |
| Provider Name | Tarandeep Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437516580 PECOS PAC ID: 9436447570 Enrollment ID: I20230816000372 |
| Provider Name | Arrvind Raghunath |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952753139 PECOS PAC ID: 9234411976 Enrollment ID: I20230818002124 |
| Provider Name | Danoushka Loris Tememe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255742227 PECOS PAC ID: 5294950812 Enrollment ID: I20230822002544 |
| Provider Name | Amol R Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775503 PECOS PAC ID: 5395095293 Enrollment ID: I20230911004165 |
| Provider Name | Aubrey Moyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861539926 PECOS PAC ID: 9537233275 Enrollment ID: I20230918001321 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20230928002966 |
| Provider Name | Amy E Steinberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780180885 PECOS PAC ID: 8527316975 Enrollment ID: I20231006002961 |
| Provider Name | Adaku Mennwa Uzo-okereke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497105704 PECOS PAC ID: 6103249933 Enrollment ID: I20231016002705 |
| Provider Name | Sung O Jeon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669979654 PECOS PAC ID: 9537415633 Enrollment ID: I20231017001195 |
| Provider Name | Simbiat K Olayiwola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871122929 PECOS PAC ID: 7416303789 Enrollment ID: I20231023001194 |
| Provider Name | Valery Christian Batimba Bessi |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1164050613 PECOS PAC ID: 6800209800 Enrollment ID: I20231024001070 |
| Provider Name | Ava M Giugliano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851826309 PECOS PAC ID: 1557631793 Enrollment ID: I20231024003432 |
| Provider Name | Parham J Zamani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184287427 PECOS PAC ID: 6800254327 Enrollment ID: I20231102002029 |
| Provider Name | Jacob A Sambursky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619436474 PECOS PAC ID: 2365806262 Enrollment ID: I20231114003273 |
| Provider Name | Conny Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902365745 PECOS PAC ID: 2860856598 Enrollment ID: I20231205000533 |
| Provider Name | Rania A Habib |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1538395843 PECOS PAC ID: 8628335833 Enrollment ID: I20231205004036 |
| Provider Name | Swaroopa Pulivarthi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780174268 PECOS PAC ID: 9931452059 Enrollment ID: I20231206003343 |
| Provider Name | Sree R Chalasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922636042 PECOS PAC ID: 3971925405 Enrollment ID: I20231207003878 |
| Provider Name | Piotr T Tekiela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902268626 PECOS PAC ID: 2264725290 Enrollment ID: I20231208000075 |
| Provider Name | Rhonda B Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275316325 PECOS PAC ID: 0941650618 Enrollment ID: I20231220003231 |
| Provider Name | Courtney Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861264327 PECOS PAC ID: 7416308291 Enrollment ID: I20240105000931 |
| Provider Name | Neal M Nolan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982194239 PECOS PAC ID: 0840542668 Enrollment ID: I20240122002975 |
| Provider Name | Estella Margaret Kidwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184696122 PECOS PAC ID: 1456398056 Enrollment ID: I20240123000190 |
| Provider Name | Sang Myung Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700433398 PECOS PAC ID: 9739512278 Enrollment ID: I20240126003077 |
| Provider Name | Ahmed B Arshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154461531 PECOS PAC ID: 1759579634 Enrollment ID: I20240130003348 |
| Provider Name | Brian-fred M Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134210594 PECOS PAC ID: 9032116082 Enrollment ID: I20240201001368 |
| Provider Name | Lisa M Ryder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033644604 PECOS PAC ID: 4981943610 Enrollment ID: I20240228003854 |
| Provider Name | Danielle Haskins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144232893 PECOS PAC ID: 0840337333 Enrollment ID: I20240229004065 |
| Provider Name | Julio Ventura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164659546 PECOS PAC ID: 2163662495 Enrollment ID: I20240306000032 |
| Provider Name | Melissa Channell Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679348452 PECOS PAC ID: 7012354624 Enrollment ID: I20240319000886 |
| Provider Name | Tomeka Lynn Harley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295513349 PECOS PAC ID: 1052758349 Enrollment ID: I20240321004119 |
| Provider Name | William T Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649706474 PECOS PAC ID: 6204105380 Enrollment ID: I20240404000892 |
| Provider Name | Olivia Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205249968 PECOS PAC ID: 8224378138 Enrollment ID: I20240430000877 |
| Provider Name | Nicholas L Zalewski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669818399 PECOS PAC ID: 5597906115 Enrollment ID: I20240502001156 |
| Provider Name | William M Caldwell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205850153 PECOS PAC ID: 1355473182 Enrollment ID: I20240509002417 |
| Provider Name | Hayley Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225894090 PECOS PAC ID: 8224479621 Enrollment ID: I20240516001756 |
| Provider Name | Gabriel J Menendez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619400520 PECOS PAC ID: 4183901960 Enrollment ID: I20240529001346 |
| Provider Name | Karl Meisel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508068750 PECOS PAC ID: 2365608965 Enrollment ID: I20240606004321 |
| Provider Name | Douglas M Franz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053582221 PECOS PAC ID: 7214009042 Enrollment ID: I20240610003943 |
Janet D. Woolery,m.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W Palmetto St, Florence, SC 29501 Phone: 843-667-6226 Fax: 843-667-6224 | |
Aba Depot Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 E Cheves St Ste 280, Florence, SC 29506 Phone: 843-799-0076 Fax: 800-557-0208 | |
Assure Behavioral Health Services Of South Carolina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Mcleod Aly, Florence, SC 29501 Phone: 252-933-7203 | |
Nu-start & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601a W Lucas St, Florence, SC 29501 Phone: 843-453-6071 Fax: 843-665-8809 | |
Florence Schools District One Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E Old Marion Hwy, Florence, SC 29506 Phone: 843-678-4193 Fax: 843-664-8180 | |
Pee Dee Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4089 | |
Amethyst Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 West Even Street, Florence, SC 29501 Phone: 980-316-5129 |