| The Charlotte Hungerford Hospital | |
|
540 Litchfield St Torrington CT 06790 | |
| (860) 496-6729 | |
| (860) 496-6753 |
| Full Name | The Charlotte Hungerford Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 540 Litchfield St, Torrington, Connecticut |
| Authorized Official Name and Position | Susan M Schapp (CFO) |
| Authorized Official Contact | 8604966728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Charlotte Hungerford Hospital 540 Litchfield St Torrington CT 06790-6679 Ph: (860) 496-6729 | The Charlotte Hungerford Hospital 540 Litchfield St Torrington CT 06790 Ph: (860) 496-6729 |
| NPI Number | 1629075734 |
|---|---|
| Provider Enumeration Date | 07/05/2005 |
| Last Update Date | 01/04/2021 |
| Certification Date | 01/04/2021 |
| Medicare PECOS PAC ID | 4486557501 |
|---|---|
| Medicare Enrollment ID | O20040128000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629075734 | NPI | - | NPPES |
| 4025011 | Medicaid | CT | |
| 4041711 | Medicaid | CT |
| Provider Name | Thomas E Reinhardt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588648240 PECOS PAC ID: 0840102950 Enrollment ID: I20031105000501 |
| Provider Name | Meghan Canedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598730996 PECOS PAC ID: 3971407313 Enrollment ID: I20031126000243 |
| Provider Name | Angel M Rentas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447336417 PECOS PAC ID: 3476450826 Enrollment ID: I20031215000758 |
| Provider Name | Jorge Enrique Otero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881651644 PECOS PAC ID: 2668370685 Enrollment ID: I20031229000455 |
| Provider Name | Karen M Petrok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962423392 PECOS PAC ID: 7810895778 Enrollment ID: I20031230000226 |
| Provider Name | Melanie A Mollica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649281544 PECOS PAC ID: 4284527367 Enrollment ID: I20040203000855 |
| Provider Name | Carrie A Wolfberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952481186 PECOS PAC ID: 9830085539 Enrollment ID: I20040227000902 |
| Provider Name | Robert W Kahan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790871671 PECOS PAC ID: 6901792605 Enrollment ID: I20040227000948 |
| Provider Name | Luis R Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801863220 PECOS PAC ID: 2567350408 Enrollment ID: I20040310000888 |
| Provider Name | Michelle Apiado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255403473 PECOS PAC ID: 0547151433 Enrollment ID: I20040322000632 |
| Provider Name | Rosamond Everard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184657868 PECOS PAC ID: 6204828155 Enrollment ID: I20040331001087 |
| Provider Name | Sharon N Salesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528144508 PECOS PAC ID: 5496748543 Enrollment ID: I20040406000164 |
| Provider Name | Susan C Vontell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417936790 PECOS PAC ID: 7810983830 Enrollment ID: I20040423000606 |
| Provider Name | William F Polito |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205815586 PECOS PAC ID: 0749276798 Enrollment ID: I20040423000755 |
| Provider Name | Timothy Gostkowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992784268 PECOS PAC ID: 2365438314 Enrollment ID: I20040423000779 |
| Provider Name | William H Mcgeehin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295714319 PECOS PAC ID: 1153317102 Enrollment ID: I20040423000803 |
| Provider Name | Farid Force |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952318669 PECOS PAC ID: 3779574322 Enrollment ID: I20040521000445 |
| Provider Name | Erika Polyanskaya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457438020 PECOS PAC ID: 5698757680 Enrollment ID: I20040603000583 |
| Provider Name | Earl R Hornbake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770584906 PECOS PAC ID: 0042293250 Enrollment ID: I20040610000145 |
| Provider Name | Lisa Haut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962400150 PECOS PAC ID: 5496732737 Enrollment ID: I20040702001207 |
| Provider Name | Eric H Chanko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376638189 PECOS PAC ID: 0648233122 Enrollment ID: I20041105000403 |
| Provider Name | Andrea M Bates |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164566600 PECOS PAC ID: 8628031549 Enrollment ID: I20041110001097 |
| Provider Name | Joseph Bargellini |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619062494 PECOS PAC ID: 4385609148 Enrollment ID: I20041122000572 |
| Provider Name | David L Giles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700881406 PECOS PAC ID: 6002872926 Enrollment ID: I20041202000675 |
| Provider Name | Nancy B Hemingway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255318143 PECOS PAC ID: 1557310109 Enrollment ID: I20050120000754 |
| Provider Name | Eric D. Salk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609828334 PECOS PAC ID: 8628065265 Enrollment ID: I20050215000688 |
| Provider Name | Roger El-hachem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700834959 PECOS PAC ID: 6901850874 Enrollment ID: I20050303000924 |
| Provider Name | Shawn R London |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295733004 PECOS PAC ID: 8729033253 Enrollment ID: I20050317000771 |
| Provider Name | Yin Hung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588651822 PECOS PAC ID: 1153377353 Enrollment ID: I20050330000414 |
| Provider Name | Mark R Prete |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285683953 PECOS PAC ID: 5294720223 Enrollment ID: I20050510000650 |
| Provider Name | Richard N Krinsky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124084819 PECOS PAC ID: 6507809431 Enrollment ID: I20050603000036 |
| Provider Name | Mingfu Yu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376696146 PECOS PAC ID: 9032153192 Enrollment ID: I20050620000388 |
| Provider Name | David Tkeshelashvili |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306878731 PECOS PAC ID: 8527095488 Enrollment ID: I20050721000847 |
| Provider Name | Rockman Ferrigno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497774228 PECOS PAC ID: 9032147871 Enrollment ID: I20050802000605 |
| Provider Name | Jay D Kenkare |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1619940996 PECOS PAC ID: 5991730731 Enrollment ID: I20050930000207 |
| Provider Name | Michael S Fowler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750461992 PECOS PAC ID: 1658305677 Enrollment ID: I20051003000642 |
| Provider Name | Joseph E Abreu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003996240 PECOS PAC ID: 4981591682 Enrollment ID: I20051003000658 |
| Provider Name | Maria Baiulescu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063414910 PECOS PAC ID: 3971512948 Enrollment ID: I20060419000624 |
| Provider Name | Egils K Bogdanovics |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619065976 PECOS PAC ID: 8426068271 Enrollment ID: I20060425000358 |
| Provider Name | Alexandre Carre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174658017 PECOS PAC ID: 2668483462 Enrollment ID: I20060508000906 |
| Provider Name | James S Pope |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558318808 PECOS PAC ID: 7214944230 Enrollment ID: I20060601000167 |
| Provider Name | Mustafa Ugurlu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063491249 PECOS PAC ID: 9436162500 Enrollment ID: I20060714000028 |
| Provider Name | Gregory W Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336124437 PECOS PAC ID: 3072518463 Enrollment ID: I20060918000284 |
| Provider Name | Robert Mark Lincer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851359681 PECOS PAC ID: 4981600178 Enrollment ID: I20061011000381 |
| Provider Name | Jason Greenbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649205493 PECOS PAC ID: 7517963390 Enrollment ID: I20061019000026 |
| Provider Name | Henri Lamothe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952314916 PECOS PAC ID: 4587658992 Enrollment ID: I20061129000477 |
| Provider Name | Abdul M Sheikh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992799829 PECOS PAC ID: 0446285647 Enrollment ID: I20070102000236 |
| Provider Name | Ana Maria M Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700954575 PECOS PAC ID: 5698775161 Enrollment ID: I20070106000013 |
| Provider Name | Michelle D Leon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265467633 PECOS PAC ID: 4385646082 Enrollment ID: I20070209000007 |
| Provider Name | Alexandre A Vdovenko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003874686 PECOS PAC ID: 1456353952 Enrollment ID: I20070213000548 |
| Provider Name | Darleen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396881751 PECOS PAC ID: 8729080098 Enrollment ID: I20070215000621 |
| Provider Name | Lori M Sills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679636682 PECOS PAC ID: 4587767603 Enrollment ID: I20070310000037 |
| Provider Name | Shaun R Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649312125 PECOS PAC ID: 2264535210 Enrollment ID: I20070312000214 |
| Provider Name | Rahul Magavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699988360 PECOS PAC ID: 2163521154 Enrollment ID: I20070615000011 |
| Provider Name | Albert H Langou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194924290 PECOS PAC ID: 6204927064 Enrollment ID: I20070808000320 |
| Provider Name | Gina Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114110160 PECOS PAC ID: 3577656503 Enrollment ID: I20070907000404 |
| Provider Name | Dmitry Aleks Drapach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669487542 PECOS PAC ID: 9032205331 Enrollment ID: I20071018000123 |
| Provider Name | Jeffrey Nachbar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619182953 PECOS PAC ID: 1355437468 Enrollment ID: I20071022000249 |
| Provider Name | Peter G Sandwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720294200 PECOS PAC ID: 9638266745 Enrollment ID: I20071106000220 |
| Provider Name | Jacquelyn A Meyer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811970551 PECOS PAC ID: 2668384819 Enrollment ID: I20071108000202 |
| Provider Name | Ann H Eddinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073709523 PECOS PAC ID: 4880782135 Enrollment ID: I20071120000258 |
| Provider Name | Mary B Mackessy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366637084 PECOS PAC ID: 3274622139 Enrollment ID: I20071130000350 |
| Provider Name | Deanne Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053513903 PECOS PAC ID: 9537245048 Enrollment ID: I20080325000161 |
| Provider Name | Michael Tocci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497953095 PECOS PAC ID: 1850470048 Enrollment ID: I20080429000638 |
| Provider Name | John Mcardle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124001284 PECOS PAC ID: 3678645330 Enrollment ID: I20080712000023 |
| Provider Name | Francoise J Roux |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679558449 PECOS PAC ID: 3173695830 Enrollment ID: I20080712000072 |
| Provider Name | Karen E Fahey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972780799 PECOS PAC ID: 6901979046 Enrollment ID: I20080722000575 |
| Provider Name | Elizabeth Whalen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265474787 PECOS PAC ID: 0345316188 Enrollment ID: I20080903000089 |
| Provider Name | Flora Parvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649420621 PECOS PAC ID: 0345309811 Enrollment ID: I20081113000017 |
| Provider Name | Judith E Peck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619173416 PECOS PAC ID: 9739240953 Enrollment ID: I20081206000041 |
| Provider Name | Susan M Parker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174674733 PECOS PAC ID: 2466513189 Enrollment ID: I20081212000235 |
| Provider Name | Darren Winkler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710966403 PECOS PAC ID: 2668483959 Enrollment ID: I20090107000591 |
| Provider Name | Joseph T Devassy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063632560 PECOS PAC ID: 0446307151 Enrollment ID: I20090416000035 |
| Provider Name | Michael Sean Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861632507 PECOS PAC ID: 6406906213 Enrollment ID: I20090616000444 |
| Provider Name | Kenneth M Weisman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194785642 PECOS PAC ID: 2961588918 Enrollment ID: I20090803000493 |
| Provider Name | Ingrid Salcedo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780849182 PECOS PAC ID: 4688727845 Enrollment ID: I20090805000502 |
| Provider Name | Barry G Jacobs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588612584 PECOS PAC ID: 0244382539 Enrollment ID: I20090810000283 |
| Provider Name | Brandy Sharack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396909586 PECOS PAC ID: 3072659549 Enrollment ID: I20091014000329 |
| Provider Name | Cesar F Fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689861866 PECOS PAC ID: 4880733971 Enrollment ID: I20091203000019 |
| Provider Name | Chinyelu E Oraedu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932357548 PECOS PAC ID: 3971642000 Enrollment ID: I20091203000337 |
| Provider Name | Andrew L Salner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942292834 PECOS PAC ID: 6800935628 Enrollment ID: I20091207000672 |
| Provider Name | Gregg H Grinspan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568558690 PECOS PAC ID: 4183707441 Enrollment ID: I20091210000251 |
| Provider Name | Olugbenga Arole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679738017 PECOS PAC ID: 3577631795 Enrollment ID: I20091229000009 |
| Provider Name | Ari J Namon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700975372 PECOS PAC ID: 9133191141 Enrollment ID: I20100111000128 |
| Provider Name | Paul J Scalise |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255310223 PECOS PAC ID: 5698818854 Enrollment ID: I20100210000386 |
| Provider Name | Christopher J Michos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407830128 PECOS PAC ID: 1052455896 Enrollment ID: I20100217000857 |
| Provider Name | Danette C Guertin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811104540 PECOS PAC ID: 6507901568 Enrollment ID: I20100303000044 |
| Provider Name | Bruce M Kaplan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003829615 PECOS PAC ID: 9739215047 Enrollment ID: I20100325000779 |
| Provider Name | Timothy S Boyd |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003818725 PECOS PAC ID: 5496882854 Enrollment ID: I20100416000533 |
| Provider Name | Susan Y Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982697363 PECOS PAC ID: 2264569623 Enrollment ID: I20100416000593 |
| Provider Name | Helaine Fannie Bertsch |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013909993 PECOS PAC ID: 4284761651 Enrollment ID: I20100416000691 |
| Provider Name | Robert J Dowsett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093700643 PECOS PAC ID: 1254468523 Enrollment ID: I20100416000732 |
| Provider Name | Kenneth A Leopold |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780678078 PECOS PAC ID: 4486781796 Enrollment ID: I20100419000331 |
| Provider Name | Lisa C Diamond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184710550 PECOS PAC ID: 6800924663 Enrollment ID: I20100514000692 |
| Provider Name | Bennett S Goss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447356894 PECOS PAC ID: 9537262332 Enrollment ID: I20100615000572 |
| Provider Name | Kenrick E Hom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447262498 PECOS PAC ID: 3971409822 Enrollment ID: I20100617000378 |
| Provider Name | Ulysses Wu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750582805 PECOS PAC ID: 2769564855 Enrollment ID: I20100626000234 |
| Provider Name | Penny Mcevoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801806724 PECOS PAC ID: 6002947413 Enrollment ID: I20100629000679 |
| Provider Name | Donna M Mchugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518949536 PECOS PAC ID: 6800920547 Enrollment ID: I20100817000126 |
| Provider Name | Andrew Szczepanski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689656613 PECOS PAC ID: 8527192277 Enrollment ID: I20100817000256 |
| Provider Name | Alexis Bouteneff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316982515 PECOS PAC ID: 1153461876 Enrollment ID: I20100916001038 |
| Provider Name | Frank A Luzzi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023046349 PECOS PAC ID: 0840330569 Enrollment ID: I20100916001135 |
| Provider Name | Zhongqiu John Zhang |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1679725816 PECOS PAC ID: 4284750589 Enrollment ID: I20100923001099 |
| Provider Name | Megan M Cosentino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609841675 PECOS PAC ID: 6507050440 Enrollment ID: I20101104000420 |
| Provider Name | Stacy Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104837483 PECOS PAC ID: 6305031014 Enrollment ID: I20101108001001 |
| Provider Name | Catherine Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821264086 PECOS PAC ID: 8729273859 Enrollment ID: I20101115000269 |
| Provider Name | Michael J Drescher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295869113 PECOS PAC ID: 1254529258 Enrollment ID: I20101216001093 |
| Provider Name | Tiffany Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508868944 PECOS PAC ID: 6507829496 Enrollment ID: I20101227000375 |
| Provider Name | James F Devanney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821096579 PECOS PAC ID: 4880792522 Enrollment ID: I20110110000632 |
| Provider Name | Johnny Chang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619975182 PECOS PAC ID: 6608974340 Enrollment ID: I20110110000788 |
| Provider Name | Richard S Childs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013060599 PECOS PAC ID: 9638252992 Enrollment ID: I20110119000653 |
| Provider Name | Nirmal B Kathuria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962545319 PECOS PAC ID: 0143409334 Enrollment ID: I20110120000003 |
| Provider Name | Kathryn C Moran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386787562 PECOS PAC ID: 9032398136 Enrollment ID: I20110121000146 |
| Provider Name | Stephen Chin-ung Yu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497727978 PECOS PAC ID: 9335242890 Enrollment ID: I20110124000288 |
| Provider Name | Roberta Meltzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659425536 PECOS PAC ID: 4880873736 Enrollment ID: I20110124001016 |
| Provider Name | Joseph G Sinning |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578571576 PECOS PAC ID: 2567641087 Enrollment ID: I20110128000769 |
| Provider Name | Maurice E Defina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588749055 PECOS PAC ID: 3274616107 Enrollment ID: I20110204000074 |
| Provider Name | Ali Saniee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356421242 PECOS PAC ID: 6002720679 Enrollment ID: I20110207000605 |
| Provider Name | Gurender S Sahani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609890995 PECOS PAC ID: 8426238569 Enrollment ID: I20110208000098 |
| Provider Name | Michael Caruso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164565438 PECOS PAC ID: 8022299338 Enrollment ID: I20110221000001 |
| Provider Name | Lincoln F Abbott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518965433 PECOS PAC ID: 9739361874 Enrollment ID: I20110310000191 |
| Provider Name | Monica M Gilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053611673 PECOS PAC ID: 9436331154 Enrollment ID: I20110316000558 |
| Provider Name | Seth A Lotterman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104028547 PECOS PAC ID: 3870640311 Enrollment ID: I20110331000706 |
| Provider Name | Irshad Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730219403 PECOS PAC ID: 7012191851 Enrollment ID: I20110404000008 |
| Provider Name | Joyce S Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881832327 PECOS PAC ID: 8022292705 Enrollment ID: I20110404000601 |
| Provider Name | Derek T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790954931 PECOS PAC ID: 7416131685 Enrollment ID: I20110413000040 |
| Provider Name | Ofer N Sagiv |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689810491 PECOS PAC ID: 7214111491 Enrollment ID: I20110413000077 |
| Provider Name | Amy B Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417143074 PECOS PAC ID: 6002091527 Enrollment ID: I20110427000621 |
| Provider Name | Loretta Staples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366697187 PECOS PAC ID: 8123203122 Enrollment ID: I20110505000651 |
| Provider Name | Tarik Ramahi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023023504 PECOS PAC ID: 3274538756 Enrollment ID: I20110601000317 |
| Provider Name | Denis Valentin Kapkov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043466022 PECOS PAC ID: 3476747700 Enrollment ID: I20110601000558 |
| Provider Name | Robert W Kogel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790867125 PECOS PAC ID: 3779578141 Enrollment ID: I20110719000762 |
| Provider Name | Dennis Donofrio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922056951 PECOS PAC ID: 0143433326 Enrollment ID: I20110725000685 |
| Provider Name | Amanda L Sirignano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114174356 PECOS PAC ID: 7012187321 Enrollment ID: I20110824000264 |
| Provider Name | Carlos A Enciso Chaves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669635645 PECOS PAC ID: 1759551450 Enrollment ID: I20110908001689 |
| Provider Name | Ali C Torabzadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710176631 PECOS PAC ID: 7810062163 Enrollment ID: I20110921000399 |
| Provider Name | Jessica Palozie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881901742 PECOS PAC ID: 6305018045 Enrollment ID: I20110930000486 |
| Provider Name | Jean M Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972780005 PECOS PAC ID: 6709058506 Enrollment ID: I20111019000787 |
| Provider Name | Diana M Paez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518150010 PECOS PAC ID: 1456524834 Enrollment ID: I20111031000367 |
| Provider Name | Devon M Kwassman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619259611 PECOS PAC ID: 1052587664 Enrollment ID: I20120103000719 |
| Provider Name | Pamela M Cipriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679850408 PECOS PAC ID: 0840457974 Enrollment ID: I20120201000573 |
| Provider Name | Lucia C Benzoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285660308 PECOS PAC ID: 9537329321 Enrollment ID: I20120403000003 |
| Provider Name | Deepti Rawal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821239138 PECOS PAC ID: 7517139777 Enrollment ID: I20120411000612 |
| Provider Name | Doodnauth Hiraman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467549550 PECOS PAC ID: 9436122355 Enrollment ID: I20120509000318 |
| Provider Name | Rachana Kanaujia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043441439 PECOS PAC ID: 9032373808 Enrollment ID: I20120606000489 |
| Provider Name | Jin Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720312531 PECOS PAC ID: 0840454674 Enrollment ID: I20120607000286 |
| Provider Name | Pooia Fattahi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669625174 PECOS PAC ID: 1850547795 Enrollment ID: I20120809000253 |
| Provider Name | Patricia M Dione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659605426 PECOS PAC ID: 8022264712 Enrollment ID: I20120813000362 |
| Provider Name | Remy A Sirken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740418698 PECOS PAC ID: 4486801255 Enrollment ID: I20120829000818 |
| Provider Name | Louis G Forouhar-graff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760794820 PECOS PAC ID: 4284881772 Enrollment ID: I20120906000554 |
| Provider Name | Louis V Pito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538114814 PECOS PAC ID: 5799933586 Enrollment ID: I20120920000321 |
| Provider Name | Jonathan A Cosin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1417936139 PECOS PAC ID: 3173709920 Enrollment ID: I20121011000526 |
| Provider Name | Eugene Rozenshteyn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083881544 PECOS PAC ID: 0941374896 Enrollment ID: I20121018000026 |
| Provider Name | Holly Hillburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265734842 PECOS PAC ID: 6709039597 Enrollment ID: I20130103000016 |
| Provider Name | Heidi Schiff Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811281660 PECOS PAC ID: 4688819865 Enrollment ID: I20130315000311 |
| Provider Name | Elizabeth Krynicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790038735 PECOS PAC ID: 4284879180 Enrollment ID: I20130325000557 |
| Provider Name | Danielle C Betti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912216243 PECOS PAC ID: 8325288764 Enrollment ID: I20130709000355 |
| Provider Name | Jason Kurtzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093035883 PECOS PAC ID: 3476794132 Enrollment ID: I20130724000004 |
| Provider Name | Jacquelyn Renee Kimball |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881822419 PECOS PAC ID: 4880836733 Enrollment ID: I20130806000686 |
| Provider Name | Asma Iftikhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427344761 PECOS PAC ID: 2163664715 Enrollment ID: I20130809000393 |
| Provider Name | Felix Pacheco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104146307 PECOS PAC ID: 9032351291 Enrollment ID: I20130819000057 |
| Provider Name | Misbahul H Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396083481 PECOS PAC ID: 4587807375 Enrollment ID: I20130827000068 |
| Provider Name | Rizwan Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649403601 PECOS PAC ID: 7517101447 Enrollment ID: I20130916000685 |
| Provider Name | Caitlin R Williams |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003254251 PECOS PAC ID: 3274777040 Enrollment ID: I20130917000393 |
| Provider Name | Devika Umashanker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881909158 PECOS PAC ID: 3476787136 Enrollment ID: I20131011000507 |
| Provider Name | Ralph Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891019519 PECOS PAC ID: 4587890512 Enrollment ID: I20131122000630 |
| Provider Name | Aniela Marie Salamacha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962838144 PECOS PAC ID: 7012143803 Enrollment ID: I20131127000660 |
| Provider Name | Suzanne E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003996273 PECOS PAC ID: 3274760574 Enrollment ID: I20131212000080 |
| Provider Name | Sita Singhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346568961 PECOS PAC ID: 0749417558 Enrollment ID: I20131223001468 |
| Provider Name | Iris S Guillemette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477987923 PECOS PAC ID: 1254569882 Enrollment ID: I20140106000659 |
| Provider Name | Tracey Ann Morales-gabelmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053478065 PECOS PAC ID: 0244330694 Enrollment ID: I20140613000491 |
| Provider Name | Chantale Vante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942319504 PECOS PAC ID: 3870693690 Enrollment ID: I20140624001425 |
| Provider Name | Paul Anthony |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912156597 PECOS PAC ID: 0547485054 Enrollment ID: I20140625001108 |
| Provider Name | George Sunny Pazhayattil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588810055 PECOS PAC ID: 7618193210 Enrollment ID: I20140716001630 |
| Provider Name | Narrani Kanapathippillai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952530420 PECOS PAC ID: 6608093240 Enrollment ID: I20140806000098 |
| Provider Name | Husnain Kermalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912292483 PECOS PAC ID: 1254558455 Enrollment ID: I20140812001985 |
| Provider Name | Margaret J Noonan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154635217 PECOS PAC ID: 4183854268 Enrollment ID: I20141023001934 |
| Provider Name | Janette L Coury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609919893 PECOS PAC ID: 0446471809 Enrollment ID: I20141028001840 |
| Provider Name | Mohit Manandhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053624361 PECOS PAC ID: 1456573567 Enrollment ID: I20141105000569 |
| Provider Name | David Ohotnicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699067314 PECOS PAC ID: 2365664133 Enrollment ID: I20141111000793 |
| Provider Name | Salil Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770804536 PECOS PAC ID: 1355581299 Enrollment ID: I20141126000777 |
| Provider Name | Jayme L Mickelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497989123 PECOS PAC ID: 2961653738 Enrollment ID: I20150130000250 |
| Provider Name | Lynda R Dunlop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013312206 PECOS PAC ID: 5991029522 Enrollment ID: I20150130000483 |
| Provider Name | Alex Deshields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497916472 PECOS PAC ID: 0446575872 Enrollment ID: I20150206000550 |
| Provider Name | Saba Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669769824 PECOS PAC ID: 3173848504 Enrollment ID: I20150206000556 |
| Provider Name | Anumeha Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790971455 PECOS PAC ID: 6507052313 Enrollment ID: I20150206000692 |
| Provider Name | Stacy Martwinski Nardozzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831470210 PECOS PAC ID: 0547585614 Enrollment ID: I20150212000304 |
| Provider Name | Kimberly S Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851527196 PECOS PAC ID: 9133445737 Enrollment ID: I20150225001652 |
| Provider Name | Christine L Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639560048 PECOS PAC ID: 8325365729 Enrollment ID: I20150324001218 |
| Provider Name | Anabell Ramos-merced |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215134085 PECOS PAC ID: 8022336965 Enrollment ID: I20150406000975 |
| Provider Name | Yosef Y Feld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346575693 PECOS PAC ID: 3476872417 Enrollment ID: I20150424001491 |
| Provider Name | Paul J Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114164530 PECOS PAC ID: 0244541084 Enrollment ID: I20150619000430 |
| Provider Name | Samuel Antwi-boasiako |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700152063 PECOS PAC ID: 7810208253 Enrollment ID: I20150625001757 |
| Provider Name | Tamara R Dildy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306804000 PECOS PAC ID: 9931195088 Enrollment ID: I20150629000024 |
| Provider Name | Hemal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245506674 PECOS PAC ID: 1557674330 Enrollment ID: I20150722005898 |
| Provider Name | Silda James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407105992 PECOS PAC ID: 3870807183 Enrollment ID: I20150730013165 |
| Provider Name | Nathan Nartey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316212509 PECOS PAC ID: 5597070011 Enrollment ID: I20150813009328 |
| Provider Name | Alpen R. Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962652735 PECOS PAC ID: 0345304762 Enrollment ID: I20150814014693 |
| Provider Name | Kevin Reddington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447639208 PECOS PAC ID: 6204141435 Enrollment ID: I20150818004534 |
| Provider Name | Kaushal B Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265758981 PECOS PAC ID: 1254646029 Enrollment ID: I20150824000851 |
| Provider Name | Jared D Wasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528334695 PECOS PAC ID: 2163745241 Enrollment ID: I20150910000237 |
| Provider Name | Marylliam Gagne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427430503 PECOS PAC ID: 0749597623 Enrollment ID: I20150910001325 |
| Provider Name | Resham S. Pawar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891040044 PECOS PAC ID: 2567779671 Enrollment ID: I20150922000257 |
| Provider Name | Kimberly A Rinko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104267798 PECOS PAC ID: 7416264429 Enrollment ID: I20150923000783 |
| Provider Name | Esam Alhariri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154676674 PECOS PAC ID: 4082939624 Enrollment ID: I20151026002234 |
| Provider Name | Cheryl L. Cappabianca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487733382 PECOS PAC ID: 4385954502 Enrollment ID: I20151030000067 |
| Provider Name | David K. Hahn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053625459 PECOS PAC ID: 7911217724 Enrollment ID: I20151106001648 |
| Provider Name | Gregory Flis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922484161 PECOS PAC ID: 6406156314 Enrollment ID: I20151125001520 |
| Provider Name | Kipp Vanmeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013145101 PECOS PAC ID: 6800113804 Enrollment ID: I20151201001261 |
| Provider Name | Katherine Kedzierski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548571110 PECOS PAC ID: 6204137672 Enrollment ID: I20151209002227 |
| Provider Name | Alicia M Whiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992176077 PECOS PAC ID: 2961703277 Enrollment ID: I20151210001095 |
| Provider Name | Carrie A. Miranda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588096440 PECOS PAC ID: 1557664695 Enrollment ID: I20160122000995 |
| Provider Name | Elizabeth Connole-pond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346633435 PECOS PAC ID: 0840518320 Enrollment ID: I20160216000951 |
| Provider Name | Allison Polesel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508233602 PECOS PAC ID: 8729385570 Enrollment ID: I20160323000406 |
| Provider Name | Hasmukh L Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659792588 PECOS PAC ID: 3577877059 Enrollment ID: I20160404001255 |
| Provider Name | Eszter T Peterfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528427754 PECOS PAC ID: 1759689128 Enrollment ID: I20160419000346 |
| Provider Name | Zofia Stec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639567530 PECOS PAC ID: 9739408386 Enrollment ID: I20160524000162 |
| Provider Name | Saurabh Malhotra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437314648 PECOS PAC ID: 2062655632 Enrollment ID: I20160707000088 |
| Provider Name | Jyothilekshmi Pillai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497929285 PECOS PAC ID: 3476845322 Enrollment ID: I20160713000983 |
| Provider Name | Charles Eugene Rutter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346532173 PECOS PAC ID: 7810218682 Enrollment ID: I20160827000395 |
| Provider Name | Anna Sastre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346686136 PECOS PAC ID: 7719298074 Enrollment ID: I20160907000990 |
| Provider Name | Moshe Zutler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114146438 PECOS PAC ID: 9032279195 Enrollment ID: I20160927000526 |
| Provider Name | Morgan A Mc Dermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265985964 PECOS PAC ID: 3072801406 Enrollment ID: I20161018000405 |
| Provider Name | Navkiran Brar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598100190 PECOS PAC ID: 6406176031 Enrollment ID: I20161116000441 |
| Provider Name | Erin E Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477004612 PECOS PAC ID: 6709166747 Enrollment ID: I20161208000093 |
| Provider Name | Marina Davitiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265771752 PECOS PAC ID: 4183907926 Enrollment ID: I20170201002748 |
| Provider Name | Nirav V Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871869073 PECOS PAC ID: 3476862350 Enrollment ID: I20170215002865 |
| Provider Name | Joel Michael Zinberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609897297 PECOS PAC ID: 2668475492 Enrollment ID: I20170412000201 |
| Provider Name | Nicole Kh Maskaitis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487869269 PECOS PAC ID: 2668541640 Enrollment ID: I20170428001407 |
| Provider Name | Evelyn Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649699851 PECOS PAC ID: 5890062988 Enrollment ID: I20170519001852 |
| Provider Name | Christofer John Fort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366856817 PECOS PAC ID: 8123312600 Enrollment ID: I20170713001663 |
| Provider Name | Ishan Malhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083960934 PECOS PAC ID: 4082984950 Enrollment ID: I20170726000149 |
| Provider Name | Emily M Mensel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417360827 PECOS PAC ID: 0547589855 Enrollment ID: I20170818002002 |
| Provider Name | Benish Ali |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457551830 PECOS PAC ID: 7517239643 Enrollment ID: I20170823003732 |
| Provider Name | Alph J Emmanuel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134416860 PECOS PAC ID: 4385949130 Enrollment ID: I20170907003312 |
| Provider Name | Ho H Yoo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871598367 PECOS PAC ID: 5496731416 Enrollment ID: I20170908000462 |
| Provider Name | Salim E Kabawat |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558473140 PECOS PAC ID: 6406813641 Enrollment ID: I20170929000872 |
| Provider Name | Julee Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932658903 PECOS PAC ID: 5799050779 Enrollment ID: I20170929002739 |
| Provider Name | Janeen E. White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861910655 PECOS PAC ID: 6507132404 Enrollment ID: I20171020001059 |
| Provider Name | Joseph James Ingrassia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336432517 PECOS PAC ID: 7618295668 Enrollment ID: I20171023002553 |
| Provider Name | Clifford Kye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629457072 PECOS PAC ID: 2062778640 Enrollment ID: I20171115000781 |
| Provider Name | Waqar Ahmad Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396030631 PECOS PAC ID: 0840509931 Enrollment ID: I20180105000252 |
| Provider Name | Tracy Follert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245741701 PECOS PAC ID: 9436419629 Enrollment ID: I20180208000791 |
| Provider Name | Drini Kroni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568857282 PECOS PAC ID: 4183986300 Enrollment ID: I20180327002194 |
| Provider Name | Karin Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407366883 PECOS PAC ID: 7911260625 Enrollment ID: I20180411000993 |
| Provider Name | Stephanie A Balint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871093757 PECOS PAC ID: 6709140304 Enrollment ID: I20180508000599 |
| Provider Name | Darcey R Cusano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114414547 PECOS PAC ID: 9739443946 Enrollment ID: I20180515002370 |
| Provider Name | Andrew T Ferrara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134515604 PECOS PAC ID: 3476865510 Enrollment ID: I20180628000307 |
| Provider Name | Allison R Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194821470 PECOS PAC ID: 5890852438 Enrollment ID: I20180628003405 |
| Provider Name | Arpit Chhabra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396006599 PECOS PAC ID: 2668770843 Enrollment ID: I20180711001671 |
| Provider Name | Thayer A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477052157 PECOS PAC ID: 1557610482 Enrollment ID: I20180824002571 |
| Provider Name | Inam Shaikh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932332954 PECOS PAC ID: 8123317617 Enrollment ID: I20180831001364 |
| Provider Name | Siena Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124506043 PECOS PAC ID: 0840540316 Enrollment ID: I20180904001431 |
| Provider Name | Anna Victoria Scarbrough |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902384316 PECOS PAC ID: 0345590832 Enrollment ID: I20180904002091 |
| Provider Name | Belinda Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326538018 PECOS PAC ID: 8123370012 Enrollment ID: I20181003002565 |
| Provider Name | John Lapadula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811203342 PECOS PAC ID: 0042445405 Enrollment ID: I20181008002914 |
| Provider Name | Aneesuddin S Hashmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164464962 PECOS PAC ID: 9830369602 Enrollment ID: I20181009000139 |
| Provider Name | Andrea Sobinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215417381 PECOS PAC ID: 0941552517 Enrollment ID: I20181009002600 |
| Provider Name | Amber Madeux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215322813 PECOS PAC ID: 8426300062 Enrollment ID: I20181010001395 |
| Provider Name | Barbara Fay Willis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245395029 PECOS PAC ID: 9537153432 Enrollment ID: I20181015002305 |
| Provider Name | Maram Khalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528441169 PECOS PAC ID: 7517219777 Enrollment ID: I20181016003656 |
| Provider Name | Seana Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215426481 PECOS PAC ID: 8820341977 Enrollment ID: I20181019000886 |
| Provider Name | Jharon Silva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649667882 PECOS PAC ID: 2567774292 Enrollment ID: I20181029001743 |
| Provider Name | Kyle Shepard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750738688 PECOS PAC ID: 0941545867 Enrollment ID: I20181221000825 |
| Provider Name | Emily Anna Burk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689939936 PECOS PAC ID: 1355649435 Enrollment ID: I20181227000753 |
| Provider Name | Kwesi A Ntiforo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730345794 PECOS PAC ID: 0042356693 Enrollment ID: I20190108000206 |
| Provider Name | Ryan Lawlor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598237042 PECOS PAC ID: 8123366887 Enrollment ID: I20190220002494 |
| Provider Name | David Emmanuel Gutierrez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760828172 PECOS PAC ID: 5991079469 Enrollment ID: I20190301002000 |
| Provider Name | Shilpa S Lad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740667492 PECOS PAC ID: 0648510214 Enrollment ID: I20190318001585 |
| Provider Name | Shirley Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760921647 PECOS PAC ID: 1850631250 Enrollment ID: I20190321001905 |
| Provider Name | Andaleeb Shariff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245795673 PECOS PAC ID: 8729328026 Enrollment ID: I20190325000812 |
| Provider Name | Joseph James Wolf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811315138 PECOS PAC ID: 3678829058 Enrollment ID: I20190424001291 |
| Provider Name | Athela E Sibilia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528400835 PECOS PAC ID: 5597008599 Enrollment ID: I20190514003151 |
| Provider Name | Dmitriy M. Golovyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730455221 PECOS PAC ID: 5496068447 Enrollment ID: I20190523000375 |
| Provider Name | Khaled Carvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811350499 PECOS PAC ID: 3971893785 Enrollment ID: I20190524001300 |
| Provider Name | Elie Jose Checo Heinsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467764381 PECOS PAC ID: 9739322884 Enrollment ID: I20190531000104 |
| Provider Name | Joan Neveski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235273236 PECOS PAC ID: 7618200718 Enrollment ID: I20190604003107 |
| Provider Name | John M. Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568400869 PECOS PAC ID: 7113993650 Enrollment ID: I20190621001092 |
| Provider Name | Lucas Meira Benchaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285048538 PECOS PAC ID: 8820392871 Enrollment ID: I20190628000363 |
| Provider Name | Sarah Meira Benchaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831503101 PECOS PAC ID: 1850610924 Enrollment ID: I20190701002361 |
| Provider Name | Zakia D Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053339465 PECOS PAC ID: 0648332866 Enrollment ID: I20190715002344 |
| Provider Name | Olvas Dallaku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659727709 PECOS PAC ID: 7911247622 Enrollment ID: I20190715002784 |
| Provider Name | David Maslak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477916179 PECOS PAC ID: 2163701293 Enrollment ID: I20190723002797 |
| Provider Name | Rahila Oluwatomi Ogunnaike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336501816 PECOS PAC ID: 9335438159 Enrollment ID: I20190725001537 |
| Provider Name | Alfred Kokwaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184004400 PECOS PAC ID: 8628304458 Enrollment ID: I20190731001769 |
| Provider Name | Sheila Santhappa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013116730 PECOS PAC ID: 0345485389 Enrollment ID: I20190805002310 |
| Provider Name | Chana L Rich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629456280 PECOS PAC ID: 2062720097 Enrollment ID: I20190816001673 |
| Provider Name | Hugh B. Cahill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982091666 PECOS PAC ID: 7810299427 Enrollment ID: I20190920001023 |
| Provider Name | Ajay Mohan Tunguturi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104138346 PECOS PAC ID: 2668695008 Enrollment ID: I20190925000317 |
| Provider Name | Brittany Delasos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356879266 PECOS PAC ID: 5991137259 Enrollment ID: I20191107002382 |
| Provider Name | Trevor Rishawn Marquis York |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174054456 PECOS PAC ID: 6608112370 Enrollment ID: I20191108001213 |
| Provider Name | Sean M. Caffyn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144684523 PECOS PAC ID: 8729372131 Enrollment ID: I20191112003145 |
| Provider Name | Jessica Kluewer-damico |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497282578 PECOS PAC ID: 9234563503 Enrollment ID: I20191218002930 |
| Provider Name | Domenick P Sciaruto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912994815 PECOS PAC ID: 9234176462 Enrollment ID: I20200123003108 |
| Provider Name | Mitchell Lee Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912438912 PECOS PAC ID: 7911279930 Enrollment ID: I20200130000055 |
| Provider Name | Michelle L Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811218076 PECOS PAC ID: 5496183006 Enrollment ID: I20200313001278 |
| Provider Name | James Koola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609257757 PECOS PAC ID: 9931537057 Enrollment ID: I20200323003135 |
| Provider Name | Anuj Vohra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184891624 PECOS PAC ID: 4688747454 Enrollment ID: I20200325001592 |
| Provider Name | Matthew Ebling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770534075 PECOS PAC ID: 9739261033 Enrollment ID: I20200407001135 |
| Provider Name | Tracy T Mack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982866935 PECOS PAC ID: 0244415388 Enrollment ID: I20200413001469 |
| Provider Name | Trent T She |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306230859 PECOS PAC ID: 1557625761 Enrollment ID: I20200416000441 |
| Provider Name | Obinna Ibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093179111 PECOS PAC ID: 1052656006 Enrollment ID: I20200428001881 |
| Provider Name | Alana E John |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760730824 PECOS PAC ID: 2769730084 Enrollment ID: I20200429001154 |
| Provider Name | Sami El Hamwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992191449 PECOS PAC ID: 6709217565 Enrollment ID: I20200511002099 |
| Provider Name | Raymond Chai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871948836 PECOS PAC ID: 4688969397 Enrollment ID: I20200513002064 |
| Provider Name | Susan Dains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265086706 PECOS PAC ID: 9234560640 Enrollment ID: I20200518002639 |
| Provider Name | Frank Marino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619401858 PECOS PAC ID: 1557633609 Enrollment ID: I20200520000126 |
| Provider Name | Richard M Pianti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144601279 PECOS PAC ID: 2860813664 Enrollment ID: I20200603001592 |
| Provider Name | Gregory Maslak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720439235 PECOS PAC ID: 7911328380 Enrollment ID: I20200611000485 |
| Provider Name | Alyssa M Meehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952846594 PECOS PAC ID: 9133541683 Enrollment ID: I20200630000375 |
| Provider Name | Cristal Alicea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093233421 PECOS PAC ID: 3072936566 Enrollment ID: I20200630001881 |
| Provider Name | Mansur Javaid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265662084 PECOS PAC ID: 6406909431 Enrollment ID: I20200729001535 |
| Provider Name | Jeffrey Philip Lahrmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851770861 PECOS PAC ID: 7012332570 Enrollment ID: I20200731001215 |
| Provider Name | Karen Lainas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962952473 PECOS PAC ID: 3072938216 Enrollment ID: I20200804002975 |
| Provider Name | David Christopher Aughton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275912818 PECOS PAC ID: 1557602646 Enrollment ID: I20200831002265 |
| Provider Name | Amarnath Narayanappa Polepalle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952836124 PECOS PAC ID: 3678990124 Enrollment ID: I20200925000812 |
| Provider Name | Brianne S Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558850131 PECOS PAC ID: 9537588447 Enrollment ID: I20200925002296 |
| Provider Name | Ninad Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386031441 PECOS PAC ID: 9830401421 Enrollment ID: I20201001001816 |
| Provider Name | Raj Parikh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790122794 PECOS PAC ID: 2567753932 Enrollment ID: I20201103000552 |
| Provider Name | Ahmed Chaudhary |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205145398 PECOS PAC ID: 3577877075 Enrollment ID: I20201121000167 |
| Provider Name | Stefanie Gillson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477087237 PECOS PAC ID: 1355613365 Enrollment ID: I20201205000171 |
| Provider Name | Raabeaa A Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912138405 PECOS PAC ID: 3971659038 Enrollment ID: I20201210002704 |
| Provider Name | Bonnie Blethen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801491345 PECOS PAC ID: 2860804739 Enrollment ID: I20201217001347 |
| Provider Name | Michael Connolly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003303181 PECOS PAC ID: 3173872546 Enrollment ID: I20210107001855 |
| Provider Name | Alexandria C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407201957 PECOS PAC ID: 6204249436 Enrollment ID: I20210107002918 |
| Provider Name | Shana Heather Rackmill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164757654 PECOS PAC ID: 3577977891 Enrollment ID: I20210128000721 |
| Provider Name | Bella Tenenbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881284529 PECOS PAC ID: 8224445374 Enrollment ID: I20210407003016 |
| Provider Name | Abbie L Saccary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013371665 PECOS PAC ID: 4688944259 Enrollment ID: I20210409001787 |
| Provider Name | Mitchelee K Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356961247 PECOS PAC ID: 6800204777 Enrollment ID: I20210413001879 |
| Provider Name | Natalie Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669022232 PECOS PAC ID: 5991104119 Enrollment ID: I20210520001052 |
| Provider Name | Olga Deengar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770069510 PECOS PAC ID: 2860744653 Enrollment ID: I20210614000954 |
| Provider Name | Adam Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821594458 PECOS PAC ID: 7810245990 Enrollment ID: I20210614002294 |
| Provider Name | Maxwell Reback |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700271905 PECOS PAC ID: 8628372422 Enrollment ID: I20210615003479 |
| Provider Name | Jordan Borgman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649775883 PECOS PAC ID: 0749539484 Enrollment ID: I20210623002919 |
| Provider Name | Maria Katrina F Villanueva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073019501 PECOS PAC ID: 9234486952 Enrollment ID: I20210701003511 |
| Provider Name | Karen B Arel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518548312 PECOS PAC ID: 0648670265 Enrollment ID: I20210708001623 |
| Provider Name | Benjamin Velardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386142040 PECOS PAC ID: 5496004426 Enrollment ID: I20210709002714 |
| Provider Name | Peter Johnston Shaughnessy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982099016 PECOS PAC ID: 2062717549 Enrollment ID: I20210712002912 |
| Provider Name | Edward Shalom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497251540 PECOS PAC ID: 6406258474 Enrollment ID: I20210713003346 |
| Provider Name | Mildred D Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770089237 PECOS PAC ID: 5799033528 Enrollment ID: I20210721000172 |
| Provider Name | Michael Grant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649703703 PECOS PAC ID: 0547530313 Enrollment ID: I20210721003226 |
| Provider Name | Michael Mcclurkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902366768 PECOS PAC ID: 5092040188 Enrollment ID: I20210723002476 |
| Provider Name | Eric Sussman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437569522 PECOS PAC ID: 0547663486 Enrollment ID: I20210729001116 |
| Provider Name | Ahmed I Tahseen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154883015 PECOS PAC ID: 7911301734 Enrollment ID: I20210802000814 |
| Provider Name | Sara Sumner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922182443 PECOS PAC ID: 8921049701 Enrollment ID: I20210806000454 |
| Provider Name | Benjamin John Dorfman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043697709 PECOS PAC ID: 2163833054 Enrollment ID: I20210815000019 |
| Provider Name | Harold Cedeno Abreu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174029417 PECOS PAC ID: 8123377645 Enrollment ID: I20210818002280 |
| Provider Name | Nicholas Paul Bodmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134626062 PECOS PAC ID: 7315343142 Enrollment ID: I20210902001556 |
| Provider Name | Siddharth Khasnavis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144617333 PECOS PAC ID: 2264788496 Enrollment ID: I20210915000302 |
| Provider Name | Amanda Calhoun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992360903 PECOS PAC ID: 2466780853 Enrollment ID: I20210920000161 |
| Provider Name | Corey Tyler Stepeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972130896 PECOS PAC ID: 3375955735 Enrollment ID: I20210922002870 |
| Provider Name | Mareesa Fabiaschi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588333272 PECOS PAC ID: 3173921897 Enrollment ID: I20211012000070 |
| Provider Name | Nancy Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063189124 PECOS PAC ID: 5193113447 Enrollment ID: I20211019002945 |
| Provider Name | Edgar O Lopez De Castro Delgado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316500762 PECOS PAC ID: 6800284084 Enrollment ID: I20211020000771 |
| Provider Name | Dawn Brooks |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336465715 PECOS PAC ID: 1153563457 Enrollment ID: I20211110001499 |
| Provider Name | Venkatesha G S Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245218817 PECOS PAC ID: 6608820998 Enrollment ID: I20211119002302 |
| Provider Name | Kimberly L. Lemay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558031708 PECOS PAC ID: 5193116051 Enrollment ID: I20220103001819 |
| Provider Name | Casey J Lenderman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578069084 PECOS PAC ID: 8820346059 Enrollment ID: I20220207001760 |
| Provider Name | Troy Christopher Cote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457901381 PECOS PAC ID: 4880089143 Enrollment ID: I20220323001498 |
| Provider Name | Lisa Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447856976 PECOS PAC ID: 4688074818 Enrollment ID: I20220406000111 |
| Provider Name | Pooja Sareen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962780288 PECOS PAC ID: 5395963136 Enrollment ID: I20220406002161 |
| Provider Name | Matthew Robbins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316443450 PECOS PAC ID: 9234488941 Enrollment ID: I20220427000416 |
| Provider Name | Huzaifa Ali Jaliawala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033561998 PECOS PAC ID: 8921487414 Enrollment ID: I20220613002425 |
| Provider Name | Amarinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053689901 PECOS PAC ID: 1658517560 Enrollment ID: I20220706000788 |
| Provider Name | Haripriya Andanamala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689134041 PECOS PAC ID: 9739414053 Enrollment ID: I20220712001301 |
| Provider Name | Thien Tien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235699919 PECOS PAC ID: 8022343235 Enrollment ID: I20220713001054 |
| Provider Name | Israr Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790219285 PECOS PAC ID: 6507287265 Enrollment ID: I20220713002652 |
| Provider Name | Aashutosh Ramakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417302324 PECOS PAC ID: 8628365426 Enrollment ID: I20220715000906 |
| Provider Name | Nasreen Bagwan Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457606576 PECOS PAC ID: 3577865112 Enrollment ID: I20220721002940 |
| Provider Name | Fidel J Martinez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922452911 PECOS PAC ID: 3779820386 Enrollment ID: I20220803003374 |
| Provider Name | Yasser Tajali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952764300 PECOS PAC ID: 6901288877 Enrollment ID: I20220809002966 |
| Provider Name | Ronald E Weir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225657521 PECOS PAC ID: 5092198614 Enrollment ID: I20220815002899 |
| Provider Name | Uneza R Khawaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982164315 PECOS PAC ID: 3476985003 Enrollment ID: I20220822003519 |
| Provider Name | Peter Vlismas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720491384 PECOS PAC ID: 3678845245 Enrollment ID: I20220831000462 |
| Provider Name | Sara M Hassani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154775559 PECOS PAC ID: 0840560850 Enrollment ID: I20220831002596 |
| Provider Name | Erin Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396232476 PECOS PAC ID: 8628453586 Enrollment ID: I20220914001338 |
| Provider Name | Barbara Noemi Trejo Ortega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467089326 PECOS PAC ID: 2365830569 Enrollment ID: I20220921000824 |
| Provider Name | Justin Robert Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215564182 PECOS PAC ID: 0042633513 Enrollment ID: I20221025001234 |
| Provider Name | Robin Edwards Bonomi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306465406 PECOS PAC ID: 8921421413 Enrollment ID: I20221130003157 |
| Provider Name | Paul Eigenberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013544816 PECOS PAC ID: 6204207087 Enrollment ID: I20230116000556 |
| Provider Name | Alexandra Sanowski-bell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609224898 PECOS PAC ID: 6406224179 Enrollment ID: I20230206001359 |
| Provider Name | Parmanand Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194902437 PECOS PAC ID: 1951589530 Enrollment ID: I20230216000913 |
| Provider Name | Jamie Laviana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699480251 PECOS PAC ID: 3375915499 Enrollment ID: I20230217001196 |
| Provider Name | Robert Jacoby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518961531 PECOS PAC ID: 9032003462 Enrollment ID: I20230303001822 |
| Provider Name | Jennifer M Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811649726 PECOS PAC ID: 6305224775 Enrollment ID: I20230308001555 |
| Provider Name | Taylor Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760181242 PECOS PAC ID: 5496128555 Enrollment ID: I20230310001432 |
| Provider Name | Ajay Ranade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760638795 PECOS PAC ID: 2961626650 Enrollment ID: I20230313002530 |
| Provider Name | Linda Moses |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689383630 PECOS PAC ID: 1456716653 Enrollment ID: I20230421001682 |
| Provider Name | Emily Jenna Anstadt Lutz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295222784 PECOS PAC ID: 2062760218 Enrollment ID: I20230524000217 |
| Provider Name | Samar Hazzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952458929 PECOS PAC ID: 4981632304 Enrollment ID: I20230602002521 |
| Provider Name | Anup Ojha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235741596 PECOS PAC ID: 2163884438 Enrollment ID: I20230817003853 |
| Provider Name | Rachael Allison Mcclelland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407551179 PECOS PAC ID: 2163882952 Enrollment ID: I20230829000411 |
| Provider Name | Megan Mancinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912684408 PECOS PAC ID: 1850746082 Enrollment ID: I20231009001315 |
| Provider Name | Yang Jae Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902482375 PECOS PAC ID: 4284034026 Enrollment ID: I20231019003306 |
| Provider Name | Katharine Korte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043809510 PECOS PAC ID: 9739535055 Enrollment ID: I20231023003293 |
| Provider Name | Krishna Gunturu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699881037 PECOS PAC ID: 9537227780 Enrollment ID: I20231101002057 |
| Provider Name | Lauren Elizabeth Ozimek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346978343 PECOS PAC ID: 9133578552 Enrollment ID: I20231211003136 |
| Provider Name | Jill Catherine Humphrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487808143 PECOS PAC ID: 5294146098 Enrollment ID: I20240131003657 |
| Provider Name | Kaitlyn Keddy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699448647 PECOS PAC ID: 2163802935 Enrollment ID: I20240206002766 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396733713 PECOS PAC ID: 6800786989 Enrollment ID: I20240207001943 |
| Provider Name | Arianna Pina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184499972 PECOS PAC ID: 2769825660 Enrollment ID: I20240207003636 |
| Provider Name | Kim Monahan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548303860 PECOS PAC ID: 6901251149 Enrollment ID: I20240214000871 |
| Provider Name | Abigail Brewerton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396377560 PECOS PAC ID: 1254728363 Enrollment ID: I20240222002981 |
| Provider Name | Allison Kosloffsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669915724 PECOS PAC ID: 4880039395 Enrollment ID: I20240223002568 |
| Provider Name | Dia O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750168951 PECOS PAC ID: 1456796424 Enrollment ID: I20240229001174 |
| Provider Name | Daniel Joseph De Gala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892612 PECOS PAC ID: 0244517027 Enrollment ID: I20240312001400 |
| Provider Name | Valerie M Lange |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831570803 PECOS PAC ID: 1658782958 Enrollment ID: I20240315003382 |
| Provider Name | Daniel Griswold Gordon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447364955 PECOS PAC ID: 4082055264 Enrollment ID: I20240520000738 |
| Provider Name | Patrick Gondek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033673439 PECOS PAC ID: 9234462664 Enrollment ID: I20240521002921 |
| Provider Name | Anna Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417615485 PECOS PAC ID: 7517309073 Enrollment ID: I20240529002844 |
| Provider Name | Yar Rasul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053841320 PECOS PAC ID: 4789921966 Enrollment ID: I20240610001680 |
Mccall Foundation, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 58 High St, Torrington, CT 06790 Phone: 860-496-2100 Fax: 860-496-2111 | |
Mccall Foundation Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 Migeon Avenue, Torrington, CT 06790 Phone: 860-496-2100 Fax: 860-496-2111 | |
Morning Star Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 257 Main St Ste 205, Torrington, CT 06790 Phone: 203-364-4596 | |
Therapy On The Run Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Torrington Office Plz, Suite 211, Torrington, CT 06790 Phone: 860-618-3236 Fax: 860-201-5716 | |
Edadvance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Litchfield St, Torrington, CT 06790 Phone: 860-294-7473 Fax: 860-567-3381 | |
Premier Therapy Wellness Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 379 Prospect St Fl 2, Torrington, CT 06790 Phone: 860-960-3542 | |
Counseling Services Of Litchfield County, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 913 New Harwinton Rd, Torrington, CT 06790 Phone: 860-309-7262 Fax: 860-485-9375 |