| Cmh Professional Group | |
|
2401 Gillham Rd Kansas City MO 64108-4619 | |
| (816) 234-3000 | |
| Not Available |
| Full Name | Cmh Professional Group |
|---|---|
| Speciality | Pediatrics |
| Location | 2401 Gillham Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Robert D Finuf (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 8167015200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmh Professional Group 2401 Gillham Rd Kansas City MO 64108-4619 Ph: (816) 701-5200 | Cmh Professional Group 2401 Gillham Rd Kansas City MO 64108-4619 Ph: (816) 234-3000 |
| NPI Number | 1851437719 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Medicare PECOS PAC ID | 2466366026 |
|---|---|
| Medicare Enrollment ID | O20031118000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851437719 | NPI | - | NPPES |
| 500931605 | Medicaid | MO | |
| 100080290H | Medicaid | KS |
| Provider Name | Brent E Cully |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114921533 PECOS PAC ID: 1850282898 Enrollment ID: I20040322000286 |
| Provider Name | Komal B Desai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841298916 PECOS PAC ID: 9234122490 Enrollment ID: I20040405001411 |
| Provider Name | Joseph T Cernich |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568412377 PECOS PAC ID: 2365436722 Enrollment ID: I20040409000416 |
| Provider Name | Theodore Barnett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861438640 PECOS PAC ID: 6406842780 Enrollment ID: I20040422000446 |
| Provider Name | Kirsten L Weltmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659338622 PECOS PAC ID: 2668460817 Enrollment ID: I20040505000756 |
| Provider Name | Winston M Manimtim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477590024 PECOS PAC ID: 0840288890 Enrollment ID: I20040506000296 |
| Provider Name | Heather A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356308035 PECOS PAC ID: 0648251546 Enrollment ID: I20040526001388 |
| Provider Name | Chandra H Callow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508811886 PECOS PAC ID: 4789666835 Enrollment ID: I20040603000191 |
| Provider Name | Ann Christine Modrcin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619934684 PECOS PAC ID: 5799767729 Enrollment ID: I20040603000818 |
| Provider Name | Kevin Harry Latz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528018165 PECOS PAC ID: 7012991581 Enrollment ID: I20040614001513 |
| Provider Name | Melissa Kristine Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174573786 PECOS PAC ID: 7315922796 Enrollment ID: I20040621000768 |
| Provider Name | Kelly Ann Sinclair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710935291 PECOS PAC ID: 6800871203 Enrollment ID: I20040621000926 |
| Provider Name | James Edward O'brien |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1528017746 PECOS PAC ID: 1052391976 Enrollment ID: I20040722000004 |
| Provider Name | John M Gatti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689623845 PECOS PAC ID: 0042284374 Enrollment ID: I20040823001285 |
| Provider Name | Christine Moser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427095264 PECOS PAC ID: 5294708988 Enrollment ID: I20040902000934 |
| Provider Name | Megan Elizabeth Mcdonald |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164470779 PECOS PAC ID: 7012983620 Enrollment ID: I20040904000061 |
| Provider Name | Pamela Kae Finn |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1306895776 PECOS PAC ID: 0547236150 Enrollment ID: I20040904000086 |
| Provider Name | James Andrew Garner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194782516 PECOS PAC ID: 0446226807 Enrollment ID: I20040907001154 |
| Provider Name | Alan S Gamis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982630034 PECOS PAC ID: 1951377910 Enrollment ID: I20040909001273 |
| Provider Name | Eric E Weissend |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043268667 PECOS PAC ID: 9032009972 Enrollment ID: I20040920000435 |
| Provider Name | Alan Robert Reeves |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639174865 PECOS PAC ID: 6901703685 Enrollment ID: I20040927000689 |
| Provider Name | Julie L Strickland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093789547 PECOS PAC ID: 2860456175 Enrollment ID: I20041116001180 |
| Provider Name | Lance K Shipman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538125539 PECOS PAC ID: 9931166774 Enrollment ID: I20041214000440 |
| Provider Name | Larry K Midyett |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174555957 PECOS PAC ID: 5890744312 Enrollment ID: I20050121000303 |
| Provider Name | Rebecca Kahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033180906 PECOS PAC ID: 2961453493 Enrollment ID: I20050202000414 |
| Provider Name | Angela Leigh Myers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366493728 PECOS PAC ID: 1557313699 Enrollment ID: I20050216000759 |
| Provider Name | Jeffrey G Michael |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104876663 PECOS PAC ID: 0749233161 Enrollment ID: I20050225000378 |
| Provider Name | Lora A Bear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750339677 PECOS PAC ID: 7517904634 Enrollment ID: I20050411000889 |
| Provider Name | Laura Sue Fitzmaurice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912954447 PECOS PAC ID: 1557301439 Enrollment ID: I20050510000852 |
| Provider Name | Katharine Clark Novak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164409694 PECOS PAC ID: 2668408550 Enrollment ID: I20050712000842 |
| Provider Name | Ahmed Tawfik Abdelmoity |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992754337 PECOS PAC ID: 6305873761 Enrollment ID: I20050718001003 |
| Provider Name | Sarah S Nyp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508822164 PECOS PAC ID: 6204865926 Enrollment ID: I20050811000964 |
| Provider Name | Gerald M Woods |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003866856 PECOS PAC ID: 1557393956 Enrollment ID: I20050907000373 |
| Provider Name | Adam Craig Booser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932167111 PECOS PAC ID: 6002840428 Enrollment ID: I20050923000946 |
| Provider Name | Kristin Anne Leland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013968213 PECOS PAC ID: 2567497795 Enrollment ID: I20050927000903 |
| Provider Name | Steven L Olsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497737159 PECOS PAC ID: 9638194202 Enrollment ID: I20051012000861 |
| Provider Name | Renee Pamela Cation |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912963901 PECOS PAC ID: 8921049875 Enrollment ID: I20051108001027 |
| Provider Name | Brian Montgomery Wicklund |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275599417 PECOS PAC ID: 5395772586 Enrollment ID: I20051213000579 |
| Provider Name | Vicki J Keck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225009376 PECOS PAC ID: 8426070350 Enrollment ID: I20051220000709 |
| Provider Name | Angela Gethers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356307557 PECOS PAC ID: 5496778573 Enrollment ID: I20060104000880 |
| Provider Name | Eugenio M Taboada Arana |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053378455 PECOS PAC ID: 5294758579 Enrollment ID: I20060112000698 |
| Provider Name | Mukta Sharma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215970298 PECOS PAC ID: 9739103433 Enrollment ID: I20060120000601 |
| Provider Name | Stacey A Quick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780785741 PECOS PAC ID: 6103837943 Enrollment ID: I20060509000181 |
| Provider Name | Nicole K Mccartan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093763344 PECOS PAC ID: 9638182710 Enrollment ID: I20060712000163 |
| Provider Name | Abid M Bhat |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1730119330 PECOS PAC ID: 6608803283 Enrollment ID: I20060816000158 |
| Provider Name | Casey J Jason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164459657 PECOS PAC ID: 8426028515 Enrollment ID: I20061116000519 |
| Provider Name | Terrence W Carver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881633493 PECOS PAC ID: 6709857212 Enrollment ID: I20061208000513 |
| Provider Name | Rebecca J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760401731 PECOS PAC ID: 8426057068 Enrollment ID: I20061208000564 |
| Provider Name | Mark A Connelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407874753 PECOS PAC ID: 2961401344 Enrollment ID: I20061212000656 |
| Provider Name | Shawn D St Peter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871532473 PECOS PAC ID: 8527038447 Enrollment ID: I20061219000539 |
| Provider Name | Benjamin J Pieters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144338823 PECOS PAC ID: 9739189457 Enrollment ID: I20070103000282 |
| Provider Name | Nancy B Terwilliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982761953 PECOS PAC ID: 3476554866 Enrollment ID: I20070129000068 |
| Provider Name | Debabrata Maulik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417940503 PECOS PAC ID: 9436131356 Enrollment ID: I20070316000364 |
| Provider Name | Taryn R Vaeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649489907 PECOS PAC ID: 0941309520 Enrollment ID: I20070622000029 |
| Provider Name | Deanna D Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093918096 PECOS PAC ID: 8921108044 Enrollment ID: I20070702000628 |
| Provider Name | Douglas C Rivard |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891842365 PECOS PAC ID: 3779683909 Enrollment ID: I20070718000773 |
| Provider Name | Maria Dellera Korth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013966415 PECOS PAC ID: 7214028901 Enrollment ID: I20070809000588 |
| Provider Name | Catherine E Madden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467461731 PECOS PAC ID: 8022058908 Enrollment ID: I20070815000406 |
| Provider Name | Angela L Turpin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972553592 PECOS PAC ID: 1850348756 Enrollment ID: I20070821000318 |
| Provider Name | Karen B Lewing |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730136847 PECOS PAC ID: 3476645482 Enrollment ID: I20070822001060 |
| Provider Name | Patricia A Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518009299 PECOS PAC ID: 2264525583 Enrollment ID: I20070831000629 |
| Provider Name | Kristi M Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558482885 PECOS PAC ID: 0244323426 Enrollment ID: I20070904000437 |
| Provider Name | Valerie L Mcdougall Kestner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144263781 PECOS PAC ID: 0840384558 Enrollment ID: I20070925000480 |
| Provider Name | Svjetlana Tisma-dupanovic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194920918 PECOS PAC ID: 9335235001 Enrollment ID: I20071011000454 |
| Provider Name | Anna M Egan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467645978 PECOS PAC ID: 8022105337 Enrollment ID: I20071102000661 |
| Provider Name | Lisa L Schroeder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457305765 PECOS PAC ID: 7214024272 Enrollment ID: I20071107000647 |
| Provider Name | Jamie E Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215120894 PECOS PAC ID: 8628167350 Enrollment ID: I20071204000386 |
| Provider Name | Wayne V Moore |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821045816 PECOS PAC ID: 6204844814 Enrollment ID: I20080530000042 |
| Provider Name | Katie Lynn Lindberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891884573 PECOS PAC ID: 3173694536 Enrollment ID: I20080612000753 |
| Provider Name | Jay Matthew Portnoy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1568429066 PECOS PAC ID: 2769554930 Enrollment ID: I20080702000689 |
| Provider Name | Cara M Hoffart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962675645 PECOS PAC ID: 4486728169 Enrollment ID: I20080729000427 |
| Provider Name | Gary Doug Myers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497835805 PECOS PAC ID: 3072544279 Enrollment ID: I20080802000016 |
| Provider Name | Mark A Clements |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992902837 PECOS PAC ID: 8628142916 Enrollment ID: I20080805000305 |
| Provider Name | Brooke S Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326236043 PECOS PAC ID: 3072680990 Enrollment ID: I20080918000445 |
| Provider Name | Alexander Kats |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679518955 PECOS PAC ID: 0648347195 Enrollment ID: I20080924000626 |
| Provider Name | James Anderst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104837624 PECOS PAC ID: 8921075565 Enrollment ID: I20081114000455 |
| Provider Name | Diana B King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861576464 PECOS PAC ID: 0446310783 Enrollment ID: I20081117000740 |
| Provider Name | Shannon L Carpenter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730296716 PECOS PAC ID: 6800864844 Enrollment ID: I20081118000429 |
| Provider Name | Theresa Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639337918 PECOS PAC ID: 8022170596 Enrollment ID: I20081217000170 |
| Provider Name | Bruce D Banwart |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811945439 PECOS PAC ID: 1153404611 Enrollment ID: I20081231000450 |
| Provider Name | Amanda Drews Deacy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043464878 PECOS PAC ID: 4486717790 Enrollment ID: I20090113000646 |
| Provider Name | David Bryce Nielsen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649383027 PECOS PAC ID: 8820992472 Enrollment ID: I20090129000499 |
| Provider Name | Kristi L Kinder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821298357 PECOS PAC ID: 8921163775 Enrollment ID: I20090211000718 |
| Provider Name | Mindy E Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376732925 PECOS PAC ID: 3779631759 Enrollment ID: I20090505000293 |
| Provider Name | Daniel Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346284858 PECOS PAC ID: 1153470224 Enrollment ID: I20090520000049 |
| Provider Name | Bryce A Heese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689651218 PECOS PAC ID: 7214912641 Enrollment ID: I20090528000258 |
| Provider Name | Kathryn L Mcklin-worland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962638072 PECOS PAC ID: 1355492612 Enrollment ID: I20090625000573 |
| Provider Name | Sobia R Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194917906 PECOS PAC ID: 8820141732 Enrollment ID: I20090724000292 |
| Provider Name | Julia R Broussard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932393105 PECOS PAC ID: 1355495243 Enrollment ID: I20090811000671 |
| Provider Name | Matthew Brian Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235302662 PECOS PAC ID: 8224182753 Enrollment ID: I20090819000177 |
| Provider Name | Murari Vasudevan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386858975 PECOS PAC ID: 6002961133 Enrollment ID: I20090826000048 |
| Provider Name | Hugo Escobar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659531846 PECOS PAC ID: 8820143530 Enrollment ID: I20090902000132 |
| Provider Name | Megan Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568605145 PECOS PAC ID: 4082760269 Enrollment ID: I20090914000741 |
| Provider Name | Matthew M Feldt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073727269 PECOS PAC ID: 3577619642 Enrollment ID: I20090922000440 |
| Provider Name | Kim G Williamson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306076088 PECOS PAC ID: 9537205851 Enrollment ID: I20090930000077 |
| Provider Name | Naim Gustavo Del Carmen Mitre Calderon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851400691 PECOS PAC ID: 1850396235 Enrollment ID: I20091002000429 |
| Provider Name | Timothy P Zinkus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992995039 PECOS PAC ID: 3173678489 Enrollment ID: I20091016000277 |
| Provider Name | Brian Derek Burghardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609040716 PECOS PAC ID: 9436294485 Enrollment ID: I20100303000024 |
| Provider Name | Paige E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366516841 PECOS PAC ID: 7810027364 Enrollment ID: I20100610000559 |
| Provider Name | Gary Salzman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427017086 PECOS PAC ID: 8022148907 Enrollment ID: I20100621000260 |
| Provider Name | Jay Crockett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275577850 PECOS PAC ID: 1254463045 Enrollment ID: I20100714000342 |
| Provider Name | Charles S Atkinson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730220575 PECOS PAC ID: 4082746789 Enrollment ID: I20100715000648 |
| Provider Name | Lyudmyla Mykolaivna Trpkosh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104080241 PECOS PAC ID: 2365575446 Enrollment ID: I20100727000880 |
| Provider Name | Courtnay B Scarborough |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285832196 PECOS PAC ID: 6103950621 Enrollment ID: I20100818001154 |
| Provider Name | Douglas L Blowey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609826908 PECOS PAC ID: 6204993595 Enrollment ID: I20100818001324 |
| Provider Name | Christopher Randy Blue |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639210552 PECOS PAC ID: 4486778651 Enrollment ID: I20100825000941 |
| Provider Name | Joy M Fulbright |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902018377 PECOS PAC ID: 3476677873 Enrollment ID: I20100907000664 |
| Provider Name | Vimal Chadha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124121553 PECOS PAC ID: 4789727785 Enrollment ID: I20100917000459 |
| Provider Name | Michael A Mehrer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679503437 PECOS PAC ID: 5890811202 Enrollment ID: I20100922001248 |
| Provider Name | Susan J Whitney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437109246 PECOS PAC ID: 6002999414 Enrollment ID: I20101015001131 |
| Provider Name | Melinda K Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629028261 PECOS PAC ID: 8325121882 Enrollment ID: I20101018000214 |
| Provider Name | Kayla L Curiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538328802 PECOS PAC ID: 1456546274 Enrollment ID: I20101105001061 |
| Provider Name | James R Batterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629014071 PECOS PAC ID: 3971799016 Enrollment ID: I20101201000327 |
| Provider Name | Lesley Ann Friskel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851359335 PECOS PAC ID: 6103909668 Enrollment ID: I20101215000485 |
| Provider Name | Jennifer L Weiford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902854573 PECOS PAC ID: 5193808509 Enrollment ID: I20110105000550 |
| Provider Name | Kimberly E Moncure |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649252479 PECOS PAC ID: 1052311420 Enrollment ID: I20110112000919 |
| Provider Name | Jonathan R Chambers |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720396112 PECOS PAC ID: 7810176211 Enrollment ID: I20110131000693 |
| Provider Name | Kortnee L Sorbin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760606149 PECOS PAC ID: 5799886693 Enrollment ID: I20110401000141 |
| Provider Name | Kathleen F Mallett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932405206 PECOS PAC ID: 0547444200 Enrollment ID: I20110405000770 |
| Provider Name | Melissa A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487953261 PECOS PAC ID: 6709062391 Enrollment ID: I20110516000809 |
| Provider Name | Mandy M Sander Prather |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285655415 PECOS PAC ID: 0244234268 Enrollment ID: I20110519000100 |
| Provider Name | Larri Camele Harris |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457655607 PECOS PAC ID: 3072799436 Enrollment ID: I20110519000198 |
| Provider Name | Yun Yan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588857817 PECOS PAC ID: 4486823606 Enrollment ID: I20110804000348 |
| Provider Name | Danielle J Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164660494 PECOS PAC ID: 4385814052 Enrollment ID: I20110907001300 |
| Provider Name | Catherine C Ofallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396722062 PECOS PAC ID: 3476724766 Enrollment ID: I20110916000291 |
| Provider Name | Heather Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114984218 PECOS PAC ID: 1850562802 Enrollment ID: I20110922000525 |
| Provider Name | Emily L Weisberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689700361 PECOS PAC ID: 1951574904 Enrollment ID: I20111108000138 |
| Provider Name | Stephen F Kaine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225095821 PECOS PAC ID: 5597939397 Enrollment ID: I20111112000053 |
| Provider Name | Stephanie R Mcguire |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689831422 PECOS PAC ID: 4981878428 Enrollment ID: I20111121000023 |
| Provider Name | Anna L Martinez |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1760775464 PECOS PAC ID: 6507031069 Enrollment ID: I20111212000364 |
| Provider Name | Kristen D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891062063 PECOS PAC ID: 8921275066 Enrollment ID: I20120112000818 |
| Provider Name | Teia R Fleming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730451378 PECOS PAC ID: 7618135823 Enrollment ID: I20120220000563 |
| Provider Name | Mark A Wulff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043259351 PECOS PAC ID: 5092975284 Enrollment ID: I20120326000561 |
| Provider Name | Gladesia L Tolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699769109 PECOS PAC ID: 5890956361 Enrollment ID: I20120410000030 |
| Provider Name | Brandi L Missel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851661508 PECOS PAC ID: 7113189184 Enrollment ID: I20120509000143 |
| Provider Name | Richard J Hendrickson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306893300 PECOS PAC ID: 3072550730 Enrollment ID: I20120516000502 |
| Provider Name | Sarah J L Tsai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912264789 PECOS PAC ID: 2466615547 Enrollment ID: I20120530000325 |
| Provider Name | Nichole M Doyle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962614123 PECOS PAC ID: 6507022142 Enrollment ID: I20120730000672 |
| Provider Name | Gregory J Ramirez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295998987 PECOS PAC ID: 5991951733 Enrollment ID: I20120809000325 |
| Provider Name | Valerie K Weaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770845331 PECOS PAC ID: 5395992556 Enrollment ID: I20120823000711 |
| Provider Name | Rachel M Luptak Bayer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1801157698 PECOS PAC ID: 4789831835 Enrollment ID: I20120824000783 |
| Provider Name | Emily A Murdock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063787075 PECOS PAC ID: 2668629247 Enrollment ID: I20120904000807 |
| Provider Name | Emily J Montgomery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578724076 PECOS PAC ID: 5799933818 Enrollment ID: I20120914000681 |
| Provider Name | Kevin Ginn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124218755 PECOS PAC ID: 9638327760 Enrollment ID: I20120914000703 |
| Provider Name | Pholaphat C Inboriboon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578673281 PECOS PAC ID: 2668575481 Enrollment ID: I20120914000783 |
| Provider Name | Christina M Twardowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689988446 PECOS PAC ID: 9931396330 Enrollment ID: I20120917000811 |
| Provider Name | Tiffany S Musick |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104044874 PECOS PAC ID: 0941458830 Enrollment ID: I20120918000911 |
| Provider Name | Michael R Christian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528224698 PECOS PAC ID: 1153446273 Enrollment ID: I20121005000561 |
| Provider Name | Marita Toby Thompson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164482063 PECOS PAC ID: 9234197377 Enrollment ID: I20121017000263 |
| Provider Name | Tara C Benton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609032895 PECOS PAC ID: 7315197829 Enrollment ID: I20121018000375 |
| Provider Name | Lindsey Fricke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548524192 PECOS PAC ID: 7719137165 Enrollment ID: I20121022000446 |
| Provider Name | Dena R Wideman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831445915 PECOS PAC ID: 3375793334 Enrollment ID: I20121029000256 |
| Provider Name | John J Erkmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356548044 PECOS PAC ID: 8022269885 Enrollment ID: I20121105000284 |
| Provider Name | Paul W Sheeran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932150620 PECOS PAC ID: 0648266056 Enrollment ID: I20121116000500 |
| Provider Name | Jenifer L Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760610018 PECOS PAC ID: 3375796972 Enrollment ID: I20130110000079 |
| Provider Name | Hillary Vanslyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205182342 PECOS PAC ID: 4688819113 Enrollment ID: I20130408000134 |
| Provider Name | Laurel K Willig |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558568964 PECOS PAC ID: 2264678192 Enrollment ID: I20130424000981 |
| Provider Name | Samantha A Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154620342 PECOS PAC ID: 5193960920 Enrollment ID: I20130424001064 |
| Provider Name | Christine M Clune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720393325 PECOS PAC ID: 9931347135 Enrollment ID: I20130530000662 |
| Provider Name | Calie M Donohue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609004076 PECOS PAC ID: 7618117730 Enrollment ID: I20130712000081 |
| Provider Name | Bradley A Warady |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114977378 PECOS PAC ID: 7911941430 Enrollment ID: I20130723000245 |
| Provider Name | Katie J Macaluso |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780882670 PECOS PAC ID: 2163608340 Enrollment ID: I20130731000315 |
| Provider Name | Michael S Silvey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578747994 PECOS PAC ID: 7214179696 Enrollment ID: I20130814000623 |
| Provider Name | Jonathan B Wagner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851611362 PECOS PAC ID: 7315189552 Enrollment ID: I20130816000790 |
| Provider Name | Kavitha Dileepan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801052923 PECOS PAC ID: 0042452237 Enrollment ID: I20130819000418 |
| Provider Name | Neal F Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255652715 PECOS PAC ID: 3577696517 Enrollment ID: I20130819000478 |
| Provider Name | Melissa S Mcgraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427305184 PECOS PAC ID: 3072759943 Enrollment ID: I20130820000494 |
| Provider Name | Jaime L Velasco Masson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356541197 PECOS PAC ID: 4183872898 Enrollment ID: I20130826000738 |
| Provider Name | Veronica N Lawrence |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164743605 PECOS PAC ID: 6103060512 Enrollment ID: I20130924000746 |
| Provider Name | Jennifer L Flint |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700819943 PECOS PAC ID: 5698919017 Enrollment ID: I20130924000808 |
| Provider Name | Jenna O Miller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235302472 PECOS PAC ID: 5991939829 Enrollment ID: I20131009000816 |
| Provider Name | Amy L Waters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093975153 PECOS PAC ID: 1557596889 Enrollment ID: I20131022002184 |
| Provider Name | Erin D Stahl |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487868345 PECOS PAC ID: 0648440487 Enrollment ID: I20131109000252 |
| Provider Name | Ryan T Fischer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093981946 PECOS PAC ID: 3779638010 Enrollment ID: I20131204001967 |
| Provider Name | Lori Tritsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780017640 PECOS PAC ID: 9931336641 Enrollment ID: I20131227001742 |
| Provider Name | Jessica N Costalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457672982 PECOS PAC ID: 7810125283 Enrollment ID: I20140109000678 |
| Provider Name | Rebecca A Eck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407284938 PECOS PAC ID: 1254562952 Enrollment ID: I20140321001431 |
| Provider Name | Justin Randolph Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629282496 PECOS PAC ID: 0749468791 Enrollment ID: I20140324001478 |
| Provider Name | Ibrahim Abdel-kader-sayed Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396954707 PECOS PAC ID: 3971787011 Enrollment ID: I20140331001986 |
| Provider Name | Lori A Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750525499 PECOS PAC ID: 9032348628 Enrollment ID: I20140403001661 |
| Provider Name | Rebecca Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083035083 PECOS PAC ID: 4082846654 Enrollment ID: I20140414000721 |
| Provider Name | Nina M Escobar-petersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093030389 PECOS PAC ID: 8628200250 Enrollment ID: I20140415000710 |
| Provider Name | Alicia E Daggett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083939995 PECOS PAC ID: 0749412187 Enrollment ID: I20140417000249 |
| Provider Name | Jennifer L Hargis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124438932 PECOS PAC ID: 7618191081 Enrollment ID: I20140605001372 |
| Provider Name | Joseph C Huffman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801024351 PECOS PAC ID: 9234390345 Enrollment ID: I20140711002112 |
| Provider Name | Gary L Jones |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629341243 PECOS PAC ID: 3375769003 Enrollment ID: I20140801000129 |
| Provider Name | Sean M Gratton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952535353 PECOS PAC ID: 4082857495 Enrollment ID: I20140807001332 |
| Provider Name | Wendy Hein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386044576 PECOS PAC ID: 4981822970 Enrollment ID: I20140904002637 |
| Provider Name | Erin J Bass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245508506 PECOS PAC ID: 7810117850 Enrollment ID: I20140925001555 |
| Provider Name | Scotti R Brackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518224096 PECOS PAC ID: 0143440024 Enrollment ID: I20140926000909 |
| Provider Name | Justin W Ramsey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295866713 PECOS PAC ID: 1254456593 Enrollment ID: I20141001000894 |
| Provider Name | Luisa Fernanda Waitman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881675593 PECOS PAC ID: 4688633746 Enrollment ID: I20141001001156 |
| Provider Name | Kristen M Mcknight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699095133 PECOS PAC ID: 4082748561 Enrollment ID: I20141002000612 |
| Provider Name | Stephanie B Theut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114077062 PECOS PAC ID: 4688770142 Enrollment ID: I20141003001306 |
| Provider Name | Brenton D Reading |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356556112 PECOS PAC ID: 9537389978 Enrollment ID: I20141006002426 |
| Provider Name | Shayla A Sullivant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710009774 PECOS PAC ID: 3274753694 Enrollment ID: I20141008000081 |
| Provider Name | Girish S Shirali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619085651 PECOS PAC ID: 9931298890 Enrollment ID: I20141009001419 |
| Provider Name | Tania S Burgert |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073596292 PECOS PAC ID: 6608907076 Enrollment ID: I20141020000672 |
| Provider Name | Jane M Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023334042 PECOS PAC ID: 0941422380 Enrollment ID: I20141119001305 |
| Provider Name | Brian D Belden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356381149 PECOS PAC ID: 7719209402 Enrollment ID: I20141209000119 |
| Provider Name | Lisa B Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992954697 PECOS PAC ID: 1658693213 Enrollment ID: I20141210000452 |
| Provider Name | Carla C Allan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154628444 PECOS PAC ID: 1557683901 Enrollment ID: I20141215000324 |
| Provider Name | Vincent J Barone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265473342 PECOS PAC ID: 1153643515 Enrollment ID: I20141215000885 |
| Provider Name | Elizabeth A Hastings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164625877 PECOS PAC ID: 8729301197 Enrollment ID: I20141217000246 |
| Provider Name | Jami N Gross-toalson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487873725 PECOS PAC ID: 6406953454 Enrollment ID: I20141218000255 |
| Provider Name | Sara R Gould |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033368659 PECOS PAC ID: 3173846441 Enrollment ID: I20141218001382 |
| Provider Name | Cynthia R Call |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750470191 PECOS PAC ID: 9133442338 Enrollment ID: I20141219001470 |
| Provider Name | Rochelle L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356385363 PECOS PAC ID: 3072836337 Enrollment ID: I20141222000550 |
| Provider Name | Lindsay S Tobler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184899064 PECOS PAC ID: 8123254125 Enrollment ID: I20141231002104 |
| Provider Name | Jennifer L Gannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740218270 PECOS PAC ID: 4183622244 Enrollment ID: I20150122000504 |
| Provider Name | Erin Marie Hall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740577105 PECOS PAC ID: 8527382449 Enrollment ID: I20150126001017 |
| Provider Name | Kevin C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437172475 PECOS PAC ID: 3375868110 Enrollment ID: I20150219000045 |
| Provider Name | Sarah E Soden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164463097 PECOS PAC ID: 3577888312 Enrollment ID: I20150219000332 |
| Provider Name | Dustin P Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679705214 PECOS PAC ID: 9931391349 Enrollment ID: I20150219001039 |
| Provider Name | Catherine I Brouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285026286 PECOS PAC ID: 2860718772 Enrollment ID: I20150311000881 |
| Provider Name | Jill A Anderson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1154374403 PECOS PAC ID: 5193042216 Enrollment ID: I20150327002464 |
| Provider Name | Aliessa Phipps Barnes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780880443 PECOS PAC ID: 8426149618 Enrollment ID: I20150406001428 |
| Provider Name | Sean C Kumer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134248016 PECOS PAC ID: 7618001710 Enrollment ID: I20150409002404 |
| Provider Name | Michelle Bertuglia-haley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902037666 PECOS PAC ID: 2062658685 Enrollment ID: I20150410000684 |
| Provider Name | Summer J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194947622 PECOS PAC ID: 1052639655 Enrollment ID: I20150410001543 |
| Provider Name | Matthew Conrad Sniegowski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033360094 PECOS PAC ID: 0749403384 Enrollment ID: I20150429002148 |
| Provider Name | Jennifer D Bitner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003200080 PECOS PAC ID: 0143549436 Enrollment ID: I20150508000482 |
| Provider Name | Timothy M Schmitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376550814 PECOS PAC ID: 6103820956 Enrollment ID: I20150518000422 |
| Provider Name | Amber L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285865899 PECOS PAC ID: 5799005658 Enrollment ID: I20150527001668 |
| Provider Name | Heather Sambol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225277635 PECOS PAC ID: 7719208677 Enrollment ID: I20150603001674 |
| Provider Name | Tyler H Werth |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124409867 PECOS PAC ID: 4981915345 Enrollment ID: I20150625002394 |
| Provider Name | George G Abraham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114156221 PECOS PAC ID: 4880906262 Enrollment ID: I20150629001543 |
| Provider Name | Landon Ray Streed |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891176962 PECOS PAC ID: 4880906189 Enrollment ID: I20150629002532 |
| Provider Name | Christopher L Sweeney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275649733 PECOS PAC ID: 2365479482 Enrollment ID: I20150720001593 |
| Provider Name | Benjamin Thomas Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427286897 PECOS PAC ID: 4587977400 Enrollment ID: I20150722003637 |
| Provider Name | Darcy K Weidemann |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932343910 PECOS PAC ID: 3577718196 Enrollment ID: I20150727000175 |
| Provider Name | Aimee E Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639552821 PECOS PAC ID: 3072827120 Enrollment ID: I20150803000781 |
| Provider Name | Nazia Iqbal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285881524 PECOS PAC ID: 6002120623 Enrollment ID: I20150803000831 |
| Provider Name | Justin D Marsh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568774628 PECOS PAC ID: 7012239056 Enrollment ID: I20150807014126 |
| Provider Name | David A Jara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225338213 PECOS PAC ID: 3476867177 Enrollment ID: I20150807014140 |
| Provider Name | Mary E Moffatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639123946 PECOS PAC ID: 1052368941 Enrollment ID: I20150813010476 |
| Provider Name | Jay F Rilinger |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376785840 PECOS PAC ID: 6608181508 Enrollment ID: I20150821013217 |
| Provider Name | Joel Friedrich Koenig |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093943060 PECOS PAC ID: 8022259282 Enrollment ID: I20150827001327 |
| Provider Name | Kelsey N Hawkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306224449 PECOS PAC ID: 8123334539 Enrollment ID: I20150831002512 |
| Provider Name | Emily A Covington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558737619 PECOS PAC ID: 6002122447 Enrollment ID: I20150901000459 |
| Provider Name | Roseann L Scheller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538397534 PECOS PAC ID: 1456506096 Enrollment ID: I20150909000412 |
| Provider Name | Rebecca Coney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922482603 PECOS PAC ID: 5496063661 Enrollment ID: I20151008000091 |
| Provider Name | John Bahling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205018546 PECOS PAC ID: 0547336307 Enrollment ID: I20151020001563 |
| Provider Name | John T Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437529633 PECOS PAC ID: 5092025734 Enrollment ID: I20151109000988 |
| Provider Name | Kimberly J Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144693565 PECOS PAC ID: 4183924731 Enrollment ID: I20151203002363 |
| Provider Name | Ashley Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548633282 PECOS PAC ID: 6103126503 Enrollment ID: I20151207001940 |
| Provider Name | Lyndsey A Borton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992177232 PECOS PAC ID: 3173826757 Enrollment ID: I20160115000709 |
| Provider Name | Julia E Horowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720346679 PECOS PAC ID: 0143524967 Enrollment ID: I20160219001410 |
| Provider Name | Becky J Austin Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114207537 PECOS PAC ID: 7517133267 Enrollment ID: I20160317001024 |
| Provider Name | Rakesh K Goyal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629042254 PECOS PAC ID: 2163607060 Enrollment ID: I20160322002182 |
| Provider Name | Asdis Finnsdottir Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407142748 PECOS PAC ID: 9133426596 Enrollment ID: I20160330000449 |
| Provider Name | Kelsee L Halpin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740541283 PECOS PAC ID: 2365749744 Enrollment ID: I20160330001009 |
| Provider Name | Sathya Vadivelu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023265667 PECOS PAC ID: 7517102189 Enrollment ID: I20160407001035 |
| Provider Name | Kristie Lee Sabol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396975298 PECOS PAC ID: 8224336912 Enrollment ID: I20160413001465 |
| Provider Name | Glenson Samuel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457543985 PECOS PAC ID: 9931397098 Enrollment ID: I20160719000667 |
| Provider Name | Shabnam Iqbal Hussain Arsiwala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750519468 PECOS PAC ID: 5092000703 Enrollment ID: I20160819001010 |
| Provider Name | Jasma M Dydell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639623812 PECOS PAC ID: 6305132069 Enrollment ID: I20160906001485 |
| Provider Name | Ashley E Hammontree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811441017 PECOS PAC ID: 8820384589 Enrollment ID: I20160906001497 |
| Provider Name | Sarah A Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720531494 PECOS PAC ID: 6709172455 Enrollment ID: I20160907001411 |
| Provider Name | James Suit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619106978 PECOS PAC ID: 6002102316 Enrollment ID: I20160913002681 |
| Provider Name | John Patzkowsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750608675 PECOS PAC ID: 1557586807 Enrollment ID: I20160914000116 |
| Provider Name | Todd A Glenski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982994877 PECOS PAC ID: 6901043462 Enrollment ID: I20161017001694 |
| Provider Name | Shivarajan Manickavasagam Amudhavalli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700021706 PECOS PAC ID: 7315235652 Enrollment ID: I20161021000654 |
| Provider Name | Garrett L Withers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396197232 PECOS PAC ID: 7416235429 Enrollment ID: I20161026001543 |
| Provider Name | Jaclyn K. Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881146827 PECOS PAC ID: 2163702424 Enrollment ID: I20161205000208 |
| Provider Name | Baha'uddin Al-shawwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144271651 PECOS PAC ID: 1254379449 Enrollment ID: I20161227000184 |
| Provider Name | Jennifer C Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497078851 PECOS PAC ID: 8729360409 Enrollment ID: I20170113001337 |
| Provider Name | Jane G Buss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669439477 PECOS PAC ID: 4486716024 Enrollment ID: I20170118000100 |
| Provider Name | Jeremy Rowland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710381850 PECOS PAC ID: 3173805173 Enrollment ID: I20170127001395 |
| Provider Name | Zarmina Ehsan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710116629 PECOS PAC ID: 7719261551 Enrollment ID: I20170223000558 |
| Provider Name | Paige Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124567953 PECOS PAC ID: 2860776499 Enrollment ID: I20170228000572 |
| Provider Name | Manuel David Camejo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003250606 PECOS PAC ID: 5991073082 Enrollment ID: I20170614000056 |
| Provider Name | Fadi Jamil Odeh Al Muhaisen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164710026 PECOS PAC ID: 8527338896 Enrollment ID: I20170719000946 |
| Provider Name | Alison Curfman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023306578 PECOS PAC ID: 2961772660 Enrollment ID: I20170727002055 |
| Provider Name | Nathan T Beins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346531142 PECOS PAC ID: 7416250345 Enrollment ID: I20170809001800 |
| Provider Name | Andrew M Ausmus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942511233 PECOS PAC ID: 3678707536 Enrollment ID: I20170816003116 |
| Provider Name | Ram Chettiar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104197136 PECOS PAC ID: 6204133325 Enrollment ID: I20170816003221 |
| Provider Name | Kathryn Doran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811314990 PECOS PAC ID: 1557663879 Enrollment ID: I20170816004079 |
| Provider Name | Kerry Shutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629598883 PECOS PAC ID: 5597037903 Enrollment ID: I20170821000317 |
| Provider Name | Cindy Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881122828 PECOS PAC ID: 4587936992 Enrollment ID: I20170821000440 |
| Provider Name | Bridget M Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912264292 PECOS PAC ID: 7618116203 Enrollment ID: I20170822002007 |
| Provider Name | Nathaniel Joseph Lata |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730446139 PECOS PAC ID: 2365715232 Enrollment ID: I20170829002986 |
| Provider Name | Alyssa A Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508381732 PECOS PAC ID: 0840563722 Enrollment ID: I20170829003475 |
| Provider Name | Anik S Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225457625 PECOS PAC ID: 6901108232 Enrollment ID: I20170830002328 |
| Provider Name | Frances Turcotte Benedict |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346401361 PECOS PAC ID: 7315118486 Enrollment ID: I20170830002730 |
| Provider Name | Rachel Chevalier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538454848 PECOS PAC ID: 4082862404 Enrollment ID: I20170831001032 |
| Provider Name | Tyler Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114213451 PECOS PAC ID: 8628370954 Enrollment ID: I20170831001304 |
| Provider Name | Michelle L Dephillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851687289 PECOS PAC ID: 8820390032 Enrollment ID: I20170831002753 |
| Provider Name | Ariel Steinhart Alden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053850701 PECOS PAC ID: 5193098788 Enrollment ID: I20170905000166 |
| Provider Name | Armand Morel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538425244 PECOS PAC ID: 4880832567 Enrollment ID: I20170905000284 |
| Provider Name | Christian Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972860682 PECOS PAC ID: 2668776857 Enrollment ID: I20170907002014 |
| Provider Name | Anne H Kancel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295091106 PECOS PAC ID: 8123262698 Enrollment ID: I20170921000850 |
| Provider Name | William Robert Carter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912905563 PECOS PAC ID: 9830337286 Enrollment ID: I20170928002122 |
| Provider Name | Jennifer Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780106039 PECOS PAC ID: 2769757475 Enrollment ID: I20171005003346 |
| Provider Name | Lucy Delaney Carter Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669902706 PECOS PAC ID: 9830464403 Enrollment ID: I20171006001835 |
| Provider Name | Joanne Hoang |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720536873 PECOS PAC ID: 5193004521 Enrollment ID: I20171114002781 |
| Provider Name | Windsor Durm Reeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164516761 PECOS PAC ID: 2062411366 Enrollment ID: I20180104001812 |
| Provider Name | Rana El Feghaly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013172055 PECOS PAC ID: 8022243336 Enrollment ID: I20180111002837 |
| Provider Name | Kathryn E Kyler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427390962 PECOS PAC ID: 8426317504 Enrollment ID: I20180117003054 |
| Provider Name | Alyssa Catherine Stoner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588930358 PECOS PAC ID: 9234457441 Enrollment ID: I20180119001780 |
| Provider Name | Heather L Ruck |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1790293637 PECOS PAC ID: 3577822329 Enrollment ID: I20180124000766 |
| Provider Name | Emily Jane Goodwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699034876 PECOS PAC ID: 0840551214 Enrollment ID: I20180227001530 |
| Provider Name | Catricia Renea Tilford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912135450 PECOS PAC ID: 9133368301 Enrollment ID: I20180412001264 |
| Provider Name | Melissa Claire Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609379072 PECOS PAC ID: 9638424716 Enrollment ID: I20180613000834 |
| Provider Name | Kimberly C Hartman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265634976 PECOS PAC ID: 3577818699 Enrollment ID: I20180613002448 |
| Provider Name | Chelsea A Dangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578952925 PECOS PAC ID: 9032464953 Enrollment ID: I20180618003079 |
| Provider Name | Matthew J Mclaughlin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639313778 PECOS PAC ID: 9032464821 Enrollment ID: I20180619002559 |
| Provider Name | July K Jean Cuevas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609271287 PECOS PAC ID: 0941591192 Enrollment ID: I20180711001374 |
| Provider Name | Samantha P. Herretes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770995862 PECOS PAC ID: 2365733862 Enrollment ID: I20180712003338 |
| Provider Name | Alonso Carrasco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710299706 PECOS PAC ID: 4981877057 Enrollment ID: I20180717001767 |
| Provider Name | Mala Goyal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780962910 PECOS PAC ID: 7517264468 Enrollment ID: I20180727001860 |
| Provider Name | Sarah Willard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033505367 PECOS PAC ID: 9537461868 Enrollment ID: I20180727002181 |
| Provider Name | Jessica Sauber Wallisch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891080834 PECOS PAC ID: 2264701275 Enrollment ID: I20180814003856 |
| Provider Name | Cynthia Chow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841672839 PECOS PAC ID: 2961707971 Enrollment ID: I20180816000355 |
| Provider Name | Alexandra Paffenroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215414743 PECOS PAC ID: 8022368760 Enrollment ID: I20180830001505 |
| Provider Name | Lauren E Amos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225390370 PECOS PAC ID: 4880986215 Enrollment ID: I20180912002937 |
| Provider Name | Jennifer Diane Boyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386905768 PECOS PAC ID: 6002166097 Enrollment ID: I20180913000050 |
| Provider Name | Thomas Champion |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386878643 PECOS PAC ID: 8729396783 Enrollment ID: I20180914000656 |
| Provider Name | Kelsee L Halpin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740541283 PECOS PAC ID: 2365749744 Enrollment ID: I20180914000735 |
| Provider Name | Yvonne Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346799699 PECOS PAC ID: 1658622055 Enrollment ID: I20180925000721 |
| Provider Name | Trenton Michael Myers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922441450 PECOS PAC ID: 8820391030 Enrollment ID: I20180928000033 |
| Provider Name | Nicholas Simons Bracken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235561366 PECOS PAC ID: 8224381835 Enrollment ID: I20181107002337 |
| Provider Name | Christine Ely |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689917734 PECOS PAC ID: 8022251305 Enrollment ID: I20181120002605 |
| Provider Name | Eric Donald Nau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053731109 PECOS PAC ID: 2264773167 Enrollment ID: I20190402001761 |
| Provider Name | Eric T Rush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952420705 PECOS PAC ID: 9032264627 Enrollment ID: I20190524000965 |
| Provider Name | Joel C Thompson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225352297 PECOS PAC ID: 5597066043 Enrollment ID: I20190604000445 |
| Provider Name | Abraham Zabih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265894729 PECOS PAC ID: 9739414293 Enrollment ID: I20190706000116 |
| Provider Name | Jessica Lynn Talley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538723994 PECOS PAC ID: 3577890201 Enrollment ID: I20190802002764 |
| Provider Name | Jacob Dusselier |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1750941456 PECOS PAC ID: 9436489747 Enrollment ID: I20190930003227 |
| Provider Name | Sarah Devlin Brunner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992070189 PECOS PAC ID: 1951632538 Enrollment ID: I20191011002624 |
| Provider Name | Nicholas Reynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912240607 PECOS PAC ID: 4981907508 Enrollment ID: I20191021002138 |
| Provider Name | Maria Victoria Blanco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124482112 PECOS PAC ID: 8022301290 Enrollment ID: I20191024000202 |
| Provider Name | Daniel Reed Jensen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598926933 PECOS PAC ID: 3870925514 Enrollment ID: I20191118001884 |
| Provider Name | Samantha Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225481815 PECOS PAC ID: 9739511486 Enrollment ID: I20191118002090 |
| Provider Name | Ronny L Rotondo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285948810 PECOS PAC ID: 9638304827 Enrollment ID: I20191118002799 |
| Provider Name | Kara L Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720643943 PECOS PAC ID: 8022440601 Enrollment ID: I20191120001168 |
| Provider Name | Elizabeth M Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861930141 PECOS PAC ID: 6204268709 Enrollment ID: I20191122000112 |
| Provider Name | Ayanda Chakawa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083260574 PECOS PAC ID: 9537592746 Enrollment ID: I20191202001734 |
| Provider Name | Sherwin S Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023274677 PECOS PAC ID: 5991138158 Enrollment ID: I20191203001132 |
| Provider Name | Manish K Kotecha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346496528 PECOS PAC ID: 1951447564 Enrollment ID: I20191203001157 |
| Provider Name | Grace Saeko Mitchell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295964666 PECOS PAC ID: 0345484861 Enrollment ID: I20191211001810 |
| Provider Name | Jason F Tobler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538305362 PECOS PAC ID: 4284872482 Enrollment ID: I20191211002506 |
| Provider Name | Jason Cordero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881854289 PECOS PAC ID: 4981857984 Enrollment ID: I20200310000737 |
| Provider Name | Brian S Dunoski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083933584 PECOS PAC ID: 4284758939 Enrollment ID: I20200323002826 |
| Provider Name | Mark Fisher |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598007254 PECOS PAC ID: 9739322959 Enrollment ID: I20200326000293 |
| Provider Name | Laura N Dinneen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861466096 PECOS PAC ID: 7214366251 Enrollment ID: I20200326002230 |
| Provider Name | Amy N Dahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720200124 PECOS PAC ID: 4789862004 Enrollment ID: I20200402003212 |
| Provider Name | Kay L North |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679503528 PECOS PAC ID: 2860821303 Enrollment ID: I20200403000339 |
| Provider Name | Erin Opfer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790764124 PECOS PAC ID: 1557790011 Enrollment ID: I20200403001036 |
| Provider Name | Ashley Auffert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104365139 PECOS PAC ID: 8022448208 Enrollment ID: I20200508002749 |
| Provider Name | Darren Lorenzo Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417304239 PECOS PAC ID: 1052742442 Enrollment ID: I20200519002983 |
| Provider Name | Ashley Ann Eichelberger |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1356966485 PECOS PAC ID: 3779905724 Enrollment ID: I20200619000621 |
| Provider Name | Hanein Edrees |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548691173 PECOS PAC ID: 6305146382 Enrollment ID: I20200803000052 |
| Provider Name | Gabriel F Gallegos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245615244 PECOS PAC ID: 2668769530 Enrollment ID: I20200818001709 |
| Provider Name | Brian F Birnbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942424163 PECOS PAC ID: 6901222157 Enrollment ID: I20200818002743 |
| Provider Name | Rachel M Berkovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912167933 PECOS PAC ID: 1557500444 Enrollment ID: I20200930000873 |
| Provider Name | Thuy-tien Thi Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225332588 PECOS PAC ID: 6800215211 Enrollment ID: I20201005002537 |
| Provider Name | Daniel Roberson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083172415 PECOS PAC ID: 6901132851 Enrollment ID: I20201014003405 |
| Provider Name | Christopher Oermann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821178237 PECOS PAC ID: 3779768502 Enrollment ID: I20201215001040 |
| Provider Name | Cree Kachelski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629432398 PECOS PAC ID: 4385936954 Enrollment ID: I20210114000710 |
| Provider Name | Sarah Margaret Wright |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1710376561 PECOS PAC ID: 5092006247 Enrollment ID: I20210114000763 |
| Provider Name | Susan Elmore |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114106804 PECOS PAC ID: 1850478611 Enrollment ID: I20210114001166 |
| Provider Name | Jessie Fazel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255682076 PECOS PAC ID: 7012231020 Enrollment ID: I20210122001970 |
| Provider Name | Lisa Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669882106 PECOS PAC ID: 3678796513 Enrollment ID: I20210128002404 |
| Provider Name | Jana J. Etherton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649238585 PECOS PAC ID: 9133533342 Enrollment ID: I20210129001958 |
| Provider Name | Emily Orscheln |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356631444 PECOS PAC ID: 2567600141 Enrollment ID: I20210129002224 |
| Provider Name | Amy L Gab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629341631 PECOS PAC ID: 9638583503 Enrollment ID: I20210204001654 |
| Provider Name | Bailey Adele Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962094516 PECOS PAC ID: 0244645083 Enrollment ID: I20210211003240 |
| Provider Name | Kellie Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932292760 PECOS PAC ID: 6800972290 Enrollment ID: I20210216002680 |
| Provider Name | Marcela Gonzalez Oropeza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316505001 PECOS PAC ID: 9638584709 Enrollment ID: I20210223001854 |
| Provider Name | Brooke R Sweeney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083722904 PECOS PAC ID: 2961437660 Enrollment ID: I20210225000072 |
| Provider Name | Ambria Wimsatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073086955 PECOS PAC ID: 3072929116 Enrollment ID: I20210315002275 |
| Provider Name | Jennifer Woodke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043628886 PECOS PAC ID: 1254748205 Enrollment ID: I20210318002383 |
| Provider Name | Chelsea S. Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548854128 PECOS PAC ID: 4082021969 Enrollment ID: I20210319000695 |
| Provider Name | Ashley Cooper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740485721 PECOS PAC ID: 6103139357 Enrollment ID: I20210401000561 |
| Provider Name | Geoffrey L Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497705933 PECOS PAC ID: 0244313708 Enrollment ID: I20210405000638 |
| Provider Name | Craig Friesen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508892423 PECOS PAC ID: 8224266994 Enrollment ID: I20210407000955 |
| Provider Name | Elizabeth Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861703936 PECOS PAC ID: 0244461572 Enrollment ID: I20210409000602 |
| Provider Name | Denise Bratcher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154371615 PECOS PAC ID: 6204997901 Enrollment ID: I20210412000788 |
| Provider Name | Robin Onikul |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588613319 PECOS PAC ID: 0345297248 Enrollment ID: I20210426001139 |
| Provider Name | Jennifer Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013182427 PECOS PAC ID: 6103234430 Enrollment ID: I20210426001679 |
| Provider Name | Jeffrey Goldstein |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992895312 PECOS PAC ID: 4688773765 Enrollment ID: I20210429000757 |
| Provider Name | Robert Weatherly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174580096 PECOS PAC ID: 2163555038 Enrollment ID: I20210503001634 |
| Provider Name | Marjorie Ruhl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558991216 PECOS PAC ID: 6507275070 Enrollment ID: I20210513000877 |
| Provider Name | Johnston Fite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760865984 PECOS PAC ID: 8224452586 Enrollment ID: I20210517002121 |
| Provider Name | Amy Nopper |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457319956 PECOS PAC ID: 6002817111 Enrollment ID: I20210520000970 |
| Provider Name | Kay Allyn Hoffsommer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487784351 PECOS PAC ID: 6406255413 Enrollment ID: I20210525001094 |
| Provider Name | George Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013902709 PECOS PAC ID: 9436242278 Enrollment ID: I20210527002468 |
| Provider Name | Emily D Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134703176 PECOS PAC ID: 0941609648 Enrollment ID: I20210601000380 |
| Provider Name | Ugne Brazlauskaite Krupskis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659945970 PECOS PAC ID: 8921408063 Enrollment ID: I20210611000936 |
| Provider Name | Elizabeth Ditch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427668912 PECOS PAC ID: 4789086828 Enrollment ID: I20210712001983 |
| Provider Name | Melissa Fetterer Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386213478 PECOS PAC ID: 8022411347 Enrollment ID: I20210723003264 |
| Provider Name | Soroush Merchant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205268497 PECOS PAC ID: 1951698745 Enrollment ID: I20210728003485 |
| Provider Name | Rachel Erin Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013371939 PECOS PAC ID: 4789087529 Enrollment ID: I20210730001472 |
| Provider Name | Hilary Sheridan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619324134 PECOS PAC ID: 8527354067 Enrollment ID: I20210818000522 |
| Provider Name | Hayden W Head |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144401126 PECOS PAC ID: 2264558618 Enrollment ID: I20210818000713 |
| Provider Name | Mallory Danielle Netz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376197004 PECOS PAC ID: 1759786247 Enrollment ID: I20210820002827 |
| Provider Name | Alexandra Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659939106 PECOS PAC ID: 8729483862 Enrollment ID: I20210826003467 |
| Provider Name | Danielle M Horton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821483439 PECOS PAC ID: 0749582906 Enrollment ID: I20210827002394 |
| Provider Name | Ashley E Daniel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679935647 PECOS PAC ID: 7517250707 Enrollment ID: I20210831001619 |
| Provider Name | John Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568704930 PECOS PAC ID: 2567764897 Enrollment ID: I20210910000675 |
| Provider Name | Megan Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598435018 PECOS PAC ID: 6901203678 Enrollment ID: I20210922002220 |
| Provider Name | Paige Elaine Mcardle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104281039 PECOS PAC ID: 5294124293 Enrollment ID: I20211115000376 |
| Provider Name | Aditi Hendi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508127283 PECOS PAC ID: 9537306311 Enrollment ID: I20220104001541 |
| Provider Name | Meghan M Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518482793 PECOS PAC ID: 7012308844 Enrollment ID: I20220105000375 |
| Provider Name | Stephanie N Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629310156 PECOS PAC ID: 2163724402 Enrollment ID: I20220106000734 |
| Provider Name | Mackenzie L Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184381915 PECOS PAC ID: 5890187074 Enrollment ID: I20220120000971 |
| Provider Name | Bhargava Mullapudi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649584780 PECOS PAC ID: 1052534856 Enrollment ID: I20220216000607 |
| Provider Name | Katharina Barbara Modes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366608010 PECOS PAC ID: 0840432050 Enrollment ID: I20220303001988 |
| Provider Name | Natalie Brooke Heim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972258010 PECOS PAC ID: 1456745652 Enrollment ID: I20220307002075 |
| Provider Name | Joan Strong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720492259 PECOS PAC ID: 3173874609 Enrollment ID: I20220311000670 |
| Provider Name | Lauren Mae Kaberline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527658 PECOS PAC ID: 3577959360 Enrollment ID: I20220404002580 |
| Provider Name | Kevin Hyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629465257 PECOS PAC ID: 5395002604 Enrollment ID: I20220504001516 |
| Provider Name | Natalie Pare |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801417845 PECOS PAC ID: 1557748837 Enrollment ID: I20220509000737 |
| Provider Name | Danielle Sarlo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114387891 PECOS PAC ID: 8820486574 Enrollment ID: I20220519001446 |
| Provider Name | Caroline R Holton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275995375 PECOS PAC ID: 6305130337 Enrollment ID: I20220526000520 |
| Provider Name | Irene S Guenther |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790216885 PECOS PAC ID: 9931470978 Enrollment ID: I20220606000448 |
| Provider Name | Grace Winningham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194067637 PECOS PAC ID: 5092017327 Enrollment ID: I20220617000679 |
| Provider Name | Aali M Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124273909 PECOS PAC ID: 0749436095 Enrollment ID: I20220713004159 |
| Provider Name | Casey Lawless |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205453610 PECOS PAC ID: 8628492766 Enrollment ID: I20220715001212 |
| Provider Name | Benjamin L Spector |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306294558 PECOS PAC ID: 2769774330 Enrollment ID: I20220719001434 |
| Provider Name | Dana Bakula |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376172080 PECOS PAC ID: 4486036514 Enrollment ID: I20220805000194 |
| Provider Name | Viet Le |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033504006 PECOS PAC ID: 1456667831 Enrollment ID: I20220805000561 |
| Provider Name | Lauren Louvina Traill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629598594 PECOS PAC ID: 8022491323 Enrollment ID: I20220819000457 |
| Provider Name | Trent Sims |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619219193 PECOS PAC ID: 0648564526 Enrollment ID: I20220823001401 |
| Provider Name | Kristi Alison Pence |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982048609 PECOS PAC ID: 5092061101 Enrollment ID: I20220909000800 |
| Provider Name | Kevin Campbell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326433236 PECOS PAC ID: 2264831601 Enrollment ID: I20220916001481 |
| Provider Name | Bianca Cherestal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144682261 PECOS PAC ID: 5092044735 Enrollment ID: I20220926001013 |
| Provider Name | Sally Jo Collier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407576739 PECOS PAC ID: 4981080637 Enrollment ID: I20221003002533 |
| Provider Name | Mollie M Walton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780173294 PECOS PAC ID: 5991108235 Enrollment ID: I20221006003400 |
| Provider Name | Megan Elizabeth Cunningham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104203561 PECOS PAC ID: 1456651959 Enrollment ID: I20221018001352 |
| Provider Name | Ellen Kathleen Ritchie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811220817 PECOS PAC ID: 7214303981 Enrollment ID: I20221020002350 |
| Provider Name | Keller C Grado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386204873 PECOS PAC ID: 8426425190 Enrollment ID: I20221109001980 |
| Provider Name | Michael Struck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144296674 PECOS PAC ID: 2961537436 Enrollment ID: I20221121001391 |
| Provider Name | Katherine Tepper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255970455 PECOS PAC ID: 9335568732 Enrollment ID: I20221206003368 |
| Provider Name | Jessica Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174059059 PECOS PAC ID: 1557785813 Enrollment ID: I20221212000325 |
| Provider Name | Nirav Shastri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760592836 PECOS PAC ID: 9234232455 Enrollment ID: I20221213002602 |
| Provider Name | Naseem Nikaeen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255751038 PECOS PAC ID: 2769775949 Enrollment ID: I20221221000743 |
| Provider Name | Allyson Hall Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669143756 PECOS PAC ID: 3072916774 Enrollment ID: I20221227000213 |
| Provider Name | Henson Sullivan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1831820133 PECOS PAC ID: 3779954524 Enrollment ID: I20230113002148 |
| Provider Name | Erika Kokoruda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881182723 PECOS PAC ID: 1052782042 Enrollment ID: I20230203000543 |
| Provider Name | Haya Azouz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750948709 PECOS PAC ID: 6406189703 Enrollment ID: I20230207002195 |
| Provider Name | Ashton Davey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265144265 PECOS PAC ID: 1850763905 Enrollment ID: I20230217002592 |
| Provider Name | Alyssa Strain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871107334 PECOS PAC ID: 7618340688 Enrollment ID: I20230223000093 |
| Provider Name | Haley Marie Nall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790259521 PECOS PAC ID: 3678946365 Enrollment ID: I20230228001153 |
| Provider Name | Jennifer Leigh Mcharek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932809209 PECOS PAC ID: 5395100499 Enrollment ID: I20230425000792 |
| Provider Name | Nizar Dowla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962814863 PECOS PAC ID: 6507083094 Enrollment ID: I20230508002247 |
| Provider Name | Mary E Haywood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184121501 PECOS PAC ID: 6709289432 Enrollment ID: I20230509002182 |
| Provider Name | Yoon Young Cho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598299463 PECOS PAC ID: 2264813997 Enrollment ID: I20230510001277 |
| Provider Name | Thomas Robert Cochran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013437144 PECOS PAC ID: 5597038661 Enrollment ID: I20230515000487 |
| Provider Name | Thao Phuong Le |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205330321 PECOS PAC ID: 9638422629 Enrollment ID: I20230523000934 |
| Provider Name | Gabriel Cecenas-salas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326677147 PECOS PAC ID: 3870916943 Enrollment ID: I20230606001463 |
| Provider Name | Robert Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811964497 PECOS PAC ID: 7719241827 Enrollment ID: I20230607000271 |
| Provider Name | Carey Wagoner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912466871 PECOS PAC ID: 1456718360 Enrollment ID: I20230608001786 |
| Provider Name | Dean Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1265079586 PECOS PAC ID: 8820410558 Enrollment ID: I20230608002825 |
| Provider Name | Lindsey Kathryn Harrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528696374 PECOS PAC ID: 7517380686 Enrollment ID: I20230618000071 |
| Provider Name | Katherine Michelle Brown |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396234308 PECOS PAC ID: 2961739347 Enrollment ID: I20230628003790 |
| Provider Name | Christopher J Elberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528696887 PECOS PAC ID: 1153744222 Enrollment ID: I20230703001927 |
| Provider Name | Brittany L Sleyster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114612512 PECOS PAC ID: 6507225448 Enrollment ID: I20230710002869 |
| Provider Name | Chandler Catherine Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710677992 PECOS PAC ID: 9739549122 Enrollment ID: I20230717002961 |
| Provider Name | Sarah Rose Rapp |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386332278 PECOS PAC ID: 4385005222 Enrollment ID: I20230725003036 |
| Provider Name | Shellie Anne Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659905974 PECOS PAC ID: 3678932456 Enrollment ID: I20230731001205 |
| Provider Name | Avner Meoded |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528479631 PECOS PAC ID: 5193001782 Enrollment ID: I20230804000515 |
| Provider Name | Samantha A Fee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528564085 PECOS PAC ID: 7416202593 Enrollment ID: I20230808000607 |
| Provider Name | Jennifer Huo Lightfoot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922504869 PECOS PAC ID: 8729440722 Enrollment ID: I20230808001246 |
| Provider Name | Katherine Marie Bey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932885282 PECOS PAC ID: 9335501758 Enrollment ID: I20230817001113 |
| Provider Name | Alexandra N Biller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770080210 PECOS PAC ID: 5294084075 Enrollment ID: I20230829000475 |
| Provider Name | Rachel Alicia Morgan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972040673 PECOS PAC ID: 2163885492 Enrollment ID: I20230901003124 |
| Provider Name | Kacy Lee Chau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053803429 PECOS PAC ID: 4688922214 Enrollment ID: I20230906001697 |
| Provider Name | Danielle Anne Cunningham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962997700 PECOS PAC ID: 0749539310 Enrollment ID: I20230907003703 |
| Provider Name | Jasmine C Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255901229 PECOS PAC ID: 1759745201 Enrollment ID: I20230915003186 |
| Provider Name | Jennifer Scheurich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740818194 PECOS PAC ID: 8729432711 Enrollment ID: I20230925002456 |
| Provider Name | Danielle Claire Deville |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376021212 PECOS PAC ID: 4981058419 Enrollment ID: I20231005001369 |
| Provider Name | Stephanie Polen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376322925 PECOS PAC ID: 4284089525 Enrollment ID: I20231006001462 |
| Provider Name | Margaret Cavener |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124809686 PECOS PAC ID: 1951756592 Enrollment ID: I20231017001572 |
| Provider Name | Erin Marie Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770080871 PECOS PAC ID: 7911380662 Enrollment ID: I20231120001484 |
| Provider Name | Adelle Mcmahon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245868868 PECOS PAC ID: 6406270560 Enrollment ID: I20231128001612 |
| Provider Name | Meghan Nichols |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326007550 PECOS PAC ID: 6305849811 Enrollment ID: I20231128002915 |
| Provider Name | Grace E Arends |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992265946 PECOS PAC ID: 7911232079 Enrollment ID: I20231201002337 |
| Provider Name | Kerry Ann Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770021073 PECOS PAC ID: 2264881085 Enrollment ID: I20231205003268 |
| Provider Name | Mauro D Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336645472 PECOS PAC ID: 3476962101 Enrollment ID: I20231206000679 |
| Provider Name | Alexandra L Prosser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104357383 PECOS PAC ID: 2769753706 Enrollment ID: I20231206000734 |
| Provider Name | Nicole Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184395220 PECOS PAC ID: 2163887688 Enrollment ID: I20231212001771 |
| Provider Name | Stacie Elizabeth Mccall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902188006 PECOS PAC ID: 4587014212 Enrollment ID: I20231221001159 |
| Provider Name | Karen Calonge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275750358 PECOS PAC ID: 9739179516 Enrollment ID: I20231226000613 |
| Provider Name | Patience Ozor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710321245 PECOS PAC ID: 5496048175 Enrollment ID: I20231226001697 |
| Provider Name | Jonathan Jerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033382858 PECOS PAC ID: 8426214289 Enrollment ID: I20240118001995 |
| Provider Name | Tiffany M Nay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225518939 PECOS PAC ID: 7618320003 Enrollment ID: I20240201002927 |
| Provider Name | Ryan Pasternak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326060195 PECOS PAC ID: 7012947708 Enrollment ID: I20240222004107 |
| Provider Name | Sara M Mcelroy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023466463 PECOS PAC ID: 7315273513 Enrollment ID: I20240306003623 |
| Provider Name | Seth Lamb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013544725 PECOS PAC ID: 9638592843 Enrollment ID: I20240308002411 |
| Provider Name | Aimee Parnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558492744 PECOS PAC ID: 1557434735 Enrollment ID: I20240320000752 |
| Provider Name | Romy Gabay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992560130 PECOS PAC ID: 5395182539 Enrollment ID: I20240322002523 |
| Provider Name | Esosa A Adah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831650514 PECOS PAC ID: 1355679176 Enrollment ID: I20240325001364 |
| Provider Name | Sara Kilbride |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316280969 PECOS PAC ID: 8729381371 Enrollment ID: I20240325002151 |
| Provider Name | Alliyia Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205093879 PECOS PAC ID: 0345393187 Enrollment ID: I20240325003071 |
| Provider Name | William Blair Daniels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932149002 PECOS PAC ID: 9931282498 Enrollment ID: I20240325003265 |
| Provider Name | Kathryn Benton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497849194 PECOS PAC ID: 3072666890 Enrollment ID: I20240325003283 |
| Provider Name | Stephanie Hoff Griesbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386234037 PECOS PAC ID: 7618314741 Enrollment ID: I20240326000123 |
| Provider Name | Vivek Dubey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548674484 PECOS PAC ID: 0648617662 Enrollment ID: I20240326001062 |
| Provider Name | James Hubbard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568413599 PECOS PAC ID: 4385670843 Enrollment ID: I20240326001072 |
| Provider Name | Jennifer Anne Mckinsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972831527 PECOS PAC ID: 6507203536 Enrollment ID: I20240326001302 |
| Provider Name | Koji Ebersole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508061425 PECOS PAC ID: 7416126909 Enrollment ID: I20240326001386 |
| Provider Name | Sarah Katherine Cassias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104945153 PECOS PAC ID: 7113247511 Enrollment ID: I20240326001446 |
| Provider Name | Danielle Marie Leivian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194954081 PECOS PAC ID: 5395182323 Enrollment ID: I20240326001651 |
| Provider Name | Mala Bhagat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871550095 PECOS PAC ID: 7810271434 Enrollment ID: I20240326001828 |
| Provider Name | Lisa Kershisnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093268765 PECOS PAC ID: 6901243955 Enrollment ID: I20240326001895 |
| Provider Name | Laura J Levine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831576545 PECOS PAC ID: 2961708516 Enrollment ID: I20240326002144 |
| Provider Name | Dinah Villarino Dosdos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447466966 PECOS PAC ID: 2668819624 Enrollment ID: I20240326002169 |
| Provider Name | Emily Fitch Killough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770744278 PECOS PAC ID: 0749627701 Enrollment ID: I20240326002212 |
| Provider Name | Kelly Byrd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326309162 PECOS PAC ID: 5092962076 Enrollment ID: I20240326002532 |
| Provider Name | Maria Avitia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528706397 PECOS PAC ID: 5294119897 Enrollment ID: I20240326002590 |
| Provider Name | Mary Champion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760779722 PECOS PAC ID: 9830400878 Enrollment ID: I20240326002835 |
| Provider Name | Elizabeth M Milkovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316203391 PECOS PAC ID: 5991002859 Enrollment ID: I20240326003397 |
| Provider Name | Jessica Brunkhorst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750542254 PECOS PAC ID: 2365737822 Enrollment ID: I20240326003456 |
| Provider Name | Diana Marchese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912343922 PECOS PAC ID: 2860634151 Enrollment ID: I20240327000414 |
| Provider Name | Tiffany Addington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518161439 PECOS PAC ID: 8820189731 Enrollment ID: I20240329000934 |
| Provider Name | Prema Fancy D Souza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225417397 PECOS PAC ID: 1052759883 Enrollment ID: I20240329000949 |
| Provider Name | Naile Tufan Pekkucuksen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962992230 PECOS PAC ID: 4284985631 Enrollment ID: I20240401000567 |
| Provider Name | Meredith Scafe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801216452 PECOS PAC ID: 8426496159 Enrollment ID: I20240401002012 |
| Provider Name | Pratibha Rana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609183284 PECOS PAC ID: 0143506634 Enrollment ID: I20240403001808 |
| Provider Name | Hannah Elizabeth Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295208254 PECOS PAC ID: 9335587849 Enrollment ID: I20240403002108 |
| Provider Name | Emily L Paprocki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962744334 PECOS PAC ID: 9133421456 Enrollment ID: I20240403003004 |
| Provider Name | Joseph John Ptasinski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902434459 PECOS PAC ID: 2365880671 Enrollment ID: I20240405001740 |
| Provider Name | Nicholas Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205149036 PECOS PAC ID: 9436393857 Enrollment ID: I20240405001929 |
| Provider Name | Marsha Dannenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194781187 PECOS PAC ID: 8921022138 Enrollment ID: I20240406000324 |
| Provider Name | Ruairi Smith-dewey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467959395 PECOS PAC ID: 5496000986 Enrollment ID: I20240409003050 |
| Provider Name | Hayley Elizabeth Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609268721 PECOS PAC ID: 6103111505 Enrollment ID: I20240410000863 |
| Provider Name | Jacob M Redel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588954655 PECOS PAC ID: 3476879073 Enrollment ID: I20240410002401 |
| Provider Name | Thuylinh Ngoc Pham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245468081 PECOS PAC ID: 7618315540 Enrollment ID: I20240410003450 |
| Provider Name | Cintya L Schweisberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760845796 PECOS PAC ID: 6709179997 Enrollment ID: I20240410003795 |
| Provider Name | Catherine O'bryan Watts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518130780 PECOS PAC ID: 2466890348 Enrollment ID: I20240411000732 |
| Provider Name | Shauna Michelle Vandoren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053572552 PECOS PAC ID: 5092154922 Enrollment ID: I20240411003065 |
| Provider Name | Andrew Thill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043471543 PECOS PAC ID: 9133397797 Enrollment ID: I20240411003606 |
| Provider Name | Amanda Montalbano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295046977 PECOS PAC ID: 4688012529 Enrollment ID: I20240412000420 |
| Provider Name | Madeline Kay Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619674710 PECOS PAC ID: 0345689279 Enrollment ID: I20240412003176 |
| Provider Name | Abby Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508198367 PECOS PAC ID: 6901180959 Enrollment ID: I20240413000417 |
| Provider Name | Christina Alene Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174968101 PECOS PAC ID: 3678716388 Enrollment ID: I20240415000336 |
| Provider Name | Nicole Michelle Wood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811259138 PECOS PAC ID: 8022307578 Enrollment ID: I20240415000870 |
| Provider Name | Brianna Nicole Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851095186 PECOS PAC ID: 6507205754 Enrollment ID: I20240419002885 |
| Provider Name | Meghan Tondi Mcvary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821754854 PECOS PAC ID: 2163862939 Enrollment ID: I20240426000342 |
| Provider Name | Mia Woodward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184479727 PECOS PAC ID: 3779923552 Enrollment ID: I20240426000861 |
| Provider Name | Ashlan Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952180424 PECOS PAC ID: 4082054804 Enrollment ID: I20240426002384 |
| Provider Name | Julie Elizabeth Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619690708 PECOS PAC ID: 8628418472 Enrollment ID: I20240427001808 |
| Provider Name | Eric D Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780102863 PECOS PAC ID: 5890135016 Enrollment ID: I20240503002524 |
| Provider Name | Rachel Lapidus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821611195 PECOS PAC ID: 0547632168 Enrollment ID: I20240509001797 |
| Provider Name | Jean-baptiste Le Pichon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649469362 PECOS PAC ID: 4486735982 Enrollment ID: I20240510000677 |
| Provider Name | Jenna Degennaro Bob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982223780 PECOS PAC ID: 9830530682 Enrollment ID: I20240511000214 |
| Provider Name | Michael Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366865834 PECOS PAC ID: 1456799048 Enrollment ID: I20240514001247 |
| Provider Name | Judith Borger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093026007 PECOS PAC ID: 5294972790 Enrollment ID: I20240523003381 |
| Provider Name | Edward Ferenczy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396033783 PECOS PAC ID: 1355637992 Enrollment ID: I20240524000349 |
| Provider Name | Rohan K Akhouri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558866608 PECOS PAC ID: 8224374053 Enrollment ID: I20240529002412 |
| Provider Name | Mitchell A. Mckinnon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790226983 PECOS PAC ID: 3274805718 Enrollment ID: I20240530000531 |
| Provider Name | Melissa List |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124572219 PECOS PAC ID: 8729520069 Enrollment ID: I20240603000918 |
| Provider Name | Theodore Brisimitzakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245897859 PECOS PAC ID: 2769818996 Enrollment ID: I20240613002072 |
The Faith Housing Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5036 Prospect Ave, Kansas City, MO 64130 Phone: 816-506-6505 Fax: 816-236-7957 | |
Encourage Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4214 Nw Cookingham Rd, Kansas City, MO 64164 Phone: 816-223-6376 | |
Restore Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6155 Oak St Ste B, Kansas City, MO 64113 Phone: 816-607-1775 | |
Beacon Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 83rd St, Suite 1001, Kansas City, MO 64119 Phone: 816-468-0400 Fax: 816-468-6635 | |
Partners In Behavioral Milestones, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6412 E 87th St, Kansas City, MO 64138 Phone: 816-501-5138 Fax: 816-777-0626 | |
Spofford Ozanam Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 83rd St, Suite 2500, Kansas City, MO 64119 Phone: 816-468-6336 Fax: 816-468-0289 | |
A Lifes Journey, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1734 E 63rd St, Suite 504, Kansas City, MO 64110 Phone: 816-265-1559 |