| Community Medical Associates, Inc. | |
|
4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 | |
| (502) 588-9490 | |
| (502) 272-5339 |
| Full Name | Community Medical Associates, Inc. |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 4803 Olympia Park Plz Ste 1100, Louisville, Kentucky |
| Authorized Official Name and Position | Shelley Gast (VP MANAGED CARE) |
| Authorized Official Contact | 5025889490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Associates, Inc. Po Box 776351 Chicago IL 60677-6351 Ph: (502) 588-9490 | Community Medical Associates, Inc. 4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 Ph: (502) 588-9490 |
| NPI Number | 1437382074 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 7012811284 |
|---|---|
| Medicare Enrollment ID | O20040309000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437382074 | NPI | - | NPPES |
| 200856060 | Medicaid | IN | |
| 201036210 | Medicaid | IN | |
| 201062230 | Medicaid | IN | |
| 200952320 | Medicaid | IN | |
| 100382650 | Medicaid | IN | |
| 78901329 | Medicaid | KY | |
| 201070860 | Medicaid | IN | |
| 201062900 | Medicaid | IN | |
| 65928301 | Medicaid | KY |
| Provider Name | Steven J Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356306609 PECOS PAC ID: 8426953746 Enrollment ID: I20031201000357 |
| Provider Name | Pamela Arlene Middleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801863857 PECOS PAC ID: 1951204007 Enrollment ID: I20040128000320 |
| Provider Name | David A Dues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821053851 PECOS PAC ID: 4284539669 Enrollment ID: I20040422001132 |
| Provider Name | Mohammed K Hasnain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992708465 PECOS PAC ID: 1153318662 Enrollment ID: I20040427001380 |
| Provider Name | Robin B Oukrop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205891892 PECOS PAC ID: 5193713980 Enrollment ID: I20040501000428 |
| Provider Name | Emily A Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609872449 PECOS PAC ID: 3173512480 Enrollment ID: I20040511001216 |
| Provider Name | Michael H Phelps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366407769 PECOS PAC ID: 0547250839 Enrollment ID: I20040518000187 |
| Provider Name | Giavonne D Rondo Hillman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124083514 PECOS PAC ID: 8729050976 Enrollment ID: I20040809001327 |
| Provider Name | Tina N Bradley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144223082 PECOS PAC ID: 5496735615 Enrollment ID: I20040915000232 |
| Provider Name | Robert T Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508854209 PECOS PAC ID: 7719956911 Enrollment ID: I20040924000722 |
| Provider Name | Lloyd C Trommler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417909458 PECOS PAC ID: 6800794280 Enrollment ID: I20041019000975 |
| Provider Name | Kristy L Hulen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912995846 PECOS PAC ID: 2860454857 Enrollment ID: I20041102000294 |
| Provider Name | Joseph M Finizio |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669465241 PECOS PAC ID: 8022904440 Enrollment ID: I20050321000727 |
| Provider Name | Brent M Walz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720078900 PECOS PAC ID: 3173566544 Enrollment ID: I20050607000239 |
| Provider Name | Daniel S Kantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205965563 PECOS PAC ID: 9335171578 Enrollment ID: I20050908000411 |
| Provider Name | Galina Vaynerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699730788 PECOS PAC ID: 4981631488 Enrollment ID: I20050920001184 |
| Provider Name | John S Reece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316936412 PECOS PAC ID: 3476502469 Enrollment ID: I20051012000543 |
| Provider Name | Nancy J Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245226034 PECOS PAC ID: 0941298400 Enrollment ID: I20051020000431 |
| Provider Name | Monica C Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699759902 PECOS PAC ID: 9436108057 Enrollment ID: I20051209000332 |
| Provider Name | Lisa Camille Campisano |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245295179 PECOS PAC ID: 8123912714 Enrollment ID: I20060207000708 |
| Provider Name | Juan G Polo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952399669 PECOS PAC ID: 1254393283 Enrollment ID: I20060207000838 |
| Provider Name | Laura Chiles Larch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689625824 PECOS PAC ID: 6901817089 Enrollment ID: I20060606000296 |
| Provider Name | Mureena A Turnquest Wells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770537201 PECOS PAC ID: 7810995230 Enrollment ID: I20061120000289 |
| Provider Name | Anil K Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548346257 PECOS PAC ID: 1850339417 Enrollment ID: I20070328000339 |
| Provider Name | Songyan Mao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235160474 PECOS PAC ID: 2961409263 Enrollment ID: I20070330000585 |
| Provider Name | Valarie J Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689746133 PECOS PAC ID: 2567443815 Enrollment ID: I20070417000469 |
| Provider Name | Kamal Kant Nigam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376638460 PECOS PAC ID: 2769379627 Enrollment ID: I20070517000656 |
| Provider Name | Zaka U Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205872405 PECOS PAC ID: 8325005440 Enrollment ID: I20070606000078 |
| Provider Name | Michael J Springer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346224284 PECOS PAC ID: 9739183062 Enrollment ID: I20070823000843 |
| Provider Name | Zaka U Rahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376531194 PECOS PAC ID: 4183518889 Enrollment ID: I20070823000962 |
| Provider Name | Kent E Morris |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1215128178 PECOS PAC ID: 1052328507 Enrollment ID: I20070829000760 |
| Provider Name | Kelly N Pringle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902892094 PECOS PAC ID: 3779515812 Enrollment ID: I20070911000186 |
| Provider Name | Marilyn K Wolpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962438507 PECOS PAC ID: 7315968120 Enrollment ID: I20080122000278 |
| Provider Name | Sharon Taurman Laufer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679501878 PECOS PAC ID: 3274598800 Enrollment ID: I20080131000580 |
| Provider Name | Tresa V Ratterman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609831189 PECOS PAC ID: 6709834948 Enrollment ID: I20080205000265 |
| Provider Name | Elizabeth E Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487835286 PECOS PAC ID: 5799861936 Enrollment ID: I20080327000602 |
| Provider Name | Amy Bedan Poff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932394087 PECOS PAC ID: 8325110950 Enrollment ID: I20080626000431 |
| Provider Name | Eric D Gourieux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083691471 PECOS PAC ID: 0345204699 Enrollment ID: I20080707000341 |
| Provider Name | Charles B Dawson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538171517 PECOS PAC ID: 6901979814 Enrollment ID: I20080724000602 |
| Provider Name | Mark E Head |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639172570 PECOS PAC ID: 3173689148 Enrollment ID: I20090227000403 |
| Provider Name | Susan Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891948170 PECOS PAC ID: 2365507274 Enrollment ID: I20090519000011 |
| Provider Name | Nina M Fulkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134123649 PECOS PAC ID: 9739182510 Enrollment ID: I20090729000492 |
| Provider Name | Karen S Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861655078 PECOS PAC ID: 9931269891 Enrollment ID: I20090916000312 |
| Provider Name | Cyna Khalily |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003925074 PECOS PAC ID: 7618924002 Enrollment ID: I20091109000476 |
| Provider Name | Mary Lynn Bundy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891762258 PECOS PAC ID: 2062552268 Enrollment ID: I20091221000006 |
| Provider Name | Philip O Dripchak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013939883 PECOS PAC ID: 4183715550 Enrollment ID: I20091222000190 |
| Provider Name | Thomas M Sweat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992758197 PECOS PAC ID: 8123100518 Enrollment ID: I20100209000082 |
| Provider Name | Armand H Rothschild |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770534034 PECOS PAC ID: 9638168206 Enrollment ID: I20100209000784 |
| Provider Name | John E Lindner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932199114 PECOS PAC ID: 2567405194 Enrollment ID: I20100220000363 |
| Provider Name | Josephine Mei |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700815586 PECOS PAC ID: 3971646662 Enrollment ID: I20100303000569 |
| Provider Name | John W Mcconnell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902831761 PECOS PAC ID: 8527956010 Enrollment ID: I20100303000616 |
| Provider Name | John T Kenny |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891746483 PECOS PAC ID: 7214019603 Enrollment ID: I20100304000829 |
| Provider Name | Thomas Eric Sehlinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811987092 PECOS PAC ID: 0749223378 Enrollment ID: I20100310000672 |
| Provider Name | Mladen Djurasovic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609839257 PECOS PAC ID: 0648255711 Enrollment ID: I20100331001008 |
| Provider Name | Amadeo Lucas Abraham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891959441 PECOS PAC ID: 3072644145 Enrollment ID: I20100727000270 |
| Provider Name | Bennett Hillsman Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336102649 PECOS PAC ID: 7012803166 Enrollment ID: I20100817001182 |
| Provider Name | James M Van Daalen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972516094 PECOS PAC ID: 3678516002 Enrollment ID: I20100819001005 |
| Provider Name | Daniel Charles Macmillan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780679050 PECOS PAC ID: 7517995913 Enrollment ID: I20100916000205 |
| Provider Name | Wendell Lee Bailey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275528531 PECOS PAC ID: 3173538816 Enrollment ID: I20100916000960 |
| Provider Name | Sandra Natalie Seneshen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396730669 PECOS PAC ID: 1456366194 Enrollment ID: I20100924000083 |
| Provider Name | Marco C Louisse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982611257 PECOS PAC ID: 9931294527 Enrollment ID: I20101027000199 |
| Provider Name | Lyndsey D Neese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861535247 PECOS PAC ID: 8628120177 Enrollment ID: I20101104001329 |
| Provider Name | Lynette M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275612244 PECOS PAC ID: 5597765065 Enrollment ID: I20101119000819 |
| Provider Name | John Joseph Wernert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851364780 PECOS PAC ID: 1153371257 Enrollment ID: I20110118000420 |
| Provider Name | Dennis R Mcclain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417051053 PECOS PAC ID: 1658551650 Enrollment ID: I20110307000492 |
| Provider Name | Linda S Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053547000 PECOS PAC ID: 1557554987 Enrollment ID: I20110323000278 |
| Provider Name | Rebecca D Brauner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871526970 PECOS PAC ID: 8527021336 Enrollment ID: I20110628000462 |
| Provider Name | Mary Stacy Easley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497947485 PECOS PAC ID: 8022102441 Enrollment ID: I20110718000391 |
| Provider Name | Juan J Ortiz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609863463 PECOS PAC ID: 0648265561 Enrollment ID: I20110719000397 |
| Provider Name | Patricia L Isaacs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790916690 PECOS PAC ID: 3678743069 Enrollment ID: I20110822000349 |
| Provider Name | Todd Shanks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154542181 PECOS PAC ID: 8426106808 Enrollment ID: I20110825000269 |
| Provider Name | Kimathi W Doss |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346368701 PECOS PAC ID: 9931258084 Enrollment ID: I20110831000696 |
| Provider Name | Keri A Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659673721 PECOS PAC ID: 0446421242 Enrollment ID: I20110928000433 |
| Provider Name | Traci A Mccartney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043275530 PECOS PAC ID: 0749452597 Enrollment ID: I20111020000452 |
| Provider Name | April L Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275598294 PECOS PAC ID: 5395918817 Enrollment ID: I20111028000325 |
| Provider Name | Don Ambrose Stevens |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1952369621 PECOS PAC ID: 7113984931 Enrollment ID: I20111129000295 |
| Provider Name | Mio M Stikovac |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134205735 PECOS PAC ID: 7719877372 Enrollment ID: I20111212000547 |
| Provider Name | Brian Plato |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285821876 PECOS PAC ID: 8820275340 Enrollment ID: I20120222000511 |
| Provider Name | Joyce A Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013012004 PECOS PAC ID: 3678732971 Enrollment ID: I20120306000581 |
| Provider Name | Tiffany Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518234491 PECOS PAC ID: 8820256076 Enrollment ID: I20120312000422 |
| Provider Name | Jennifer Jo Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063734580 PECOS PAC ID: 9234265851 Enrollment ID: I20120810000001 |
| Provider Name | Jill S Howell-berg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700841210 PECOS PAC ID: 0143125310 Enrollment ID: I20120830000698 |
| Provider Name | Melissa D Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639431968 PECOS PAC ID: 8729236278 Enrollment ID: I20120907000366 |
| Provider Name | Allison Valiquett Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750645735 PECOS PAC ID: 3274798954 Enrollment ID: I20120920000786 |
| Provider Name | Theresa C Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578812160 PECOS PAC ID: 3476704875 Enrollment ID: I20121112000729 |
| Provider Name | Trina M Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255696472 PECOS PAC ID: 9133372600 Enrollment ID: I20130111000252 |
| Provider Name | Christina Duvall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194082966 PECOS PAC ID: 4981868924 Enrollment ID: I20130222000014 |
| Provider Name | Charles Robert Sowder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447288691 PECOS PAC ID: 0840103784 Enrollment ID: I20130416000129 |
| Provider Name | Nicole R Bikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487906509 PECOS PAC ID: 5193961175 Enrollment ID: I20130417000417 |
| Provider Name | Jacob Nunamaker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356411508 PECOS PAC ID: 9234143447 Enrollment ID: I20130503000362 |
| Provider Name | Michelle D Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427308881 PECOS PAC ID: 9032359567 Enrollment ID: I20130705000420 |
| Provider Name | Mitchell J Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174586457 PECOS PAC ID: 0244143915 Enrollment ID: I20130906000779 |
| Provider Name | Sonia V Compton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255544342 PECOS PAC ID: 8921286386 Enrollment ID: I20130918000097 |
| Provider Name | Bonnie B Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588941991 PECOS PAC ID: 1759556061 Enrollment ID: I20131111001547 |
| Provider Name | Matthew Hennig |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518127943 PECOS PAC ID: 3476789892 Enrollment ID: I20131113000950 |
| Provider Name | Kelly C Mccants |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689723280 PECOS PAC ID: 4789663840 Enrollment ID: I20131231000250 |
| Provider Name | Nicole C Flippen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528311982 PECOS PAC ID: 2264684554 Enrollment ID: I20140305002119 |
| Provider Name | Mary J Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609150598 PECOS PAC ID: 7416124680 Enrollment ID: I20140318001013 |
| Provider Name | Richard A Boada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891870218 PECOS PAC ID: 3577794387 Enrollment ID: I20140320000074 |
| Provider Name | Rahel A Teferra |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1982862470 PECOS PAC ID: 9830338755 Enrollment ID: I20140609000840 |
| Provider Name | Vishnukant Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235319187 PECOS PAC ID: 1355529892 Enrollment ID: I20140626000666 |
| Provider Name | Jenna N Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437458114 PECOS PAC ID: 0042435695 Enrollment ID: I20140715002327 |
| Provider Name | Vincent S Degeare |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902835093 PECOS PAC ID: 2163435512 Enrollment ID: I20141030001035 |
| Provider Name | Susan G Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407811771 PECOS PAC ID: 1355308594 Enrollment ID: I20141118000924 |
| Provider Name | Beverly A Kestler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164613568 PECOS PAC ID: 8820166564 Enrollment ID: I20141209000219 |
| Provider Name | Stephanie R Burres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518375443 PECOS PAC ID: 3375762396 Enrollment ID: I20141209000911 |
| Provider Name | Matthew Stephens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508098948 PECOS PAC ID: 3971775081 Enrollment ID: I20141210000816 |
| Provider Name | Gerasimos S Stavens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255464236 PECOS PAC ID: 6608832753 Enrollment ID: I20150220000320 |
| Provider Name | David T Schulz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407077928 PECOS PAC ID: 4880911510 Enrollment ID: I20150318000323 |
| Provider Name | Steven R Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124144076 PECOS PAC ID: 7810172798 Enrollment ID: I20150408001411 |
| Provider Name | Muhammad Yasin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508004094 PECOS PAC ID: 2769652429 Enrollment ID: I20150506001691 |
| Provider Name | Arwa A Al-bedour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174810121 PECOS PAC ID: 2769632330 Enrollment ID: I20150608000212 |
| Provider Name | Cynthia Hook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427330612 PECOS PAC ID: 6507029246 Enrollment ID: I20150608000232 |
| Provider Name | Kevin M Thomas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922261700 PECOS PAC ID: 3870762271 Enrollment ID: I20150707001080 |
| Provider Name | Rodney M Miguel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598793499 PECOS PAC ID: 6709899156 Enrollment ID: I20150821013327 |
| Provider Name | Jessica L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164802682 PECOS PAC ID: 6507177615 Enrollment ID: I20150923001883 |
| Provider Name | Jessica F Abney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760628507 PECOS PAC ID: 1153488523 Enrollment ID: I20151112000146 |
| Provider Name | Darra L Dukes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497126668 PECOS PAC ID: 2567772007 Enrollment ID: I20151112001328 |
| Provider Name | Megan N Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619344975 PECOS PAC ID: 8325357684 Enrollment ID: I20151202002126 |
| Provider Name | Collan J Darnall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144660556 PECOS PAC ID: 2668614454 Enrollment ID: I20160122000861 |
| Provider Name | Jennifer S Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144697863 PECOS PAC ID: 8022311802 Enrollment ID: I20160128001565 |
| Provider Name | Michelle L Schear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639553498 PECOS PAC ID: 7113236175 Enrollment ID: I20160309002182 |
| Provider Name | Steven J Raible |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700861432 PECOS PAC ID: 4385536879 Enrollment ID: I20160414000250 |
| Provider Name | Claire E Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740677558 PECOS PAC ID: 1557671815 Enrollment ID: I20160509000178 |
| Provider Name | Christopher W Barber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316172562 PECOS PAC ID: 4183914708 Enrollment ID: I20160609000738 |
| Provider Name | Divyesh R Bhakta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083640528 PECOS PAC ID: 3971516329 Enrollment ID: I20160711000748 |
| Provider Name | William R Schmidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144252776 PECOS PAC ID: 3072526425 Enrollment ID: I20160722001690 |
| Provider Name | James M Kammerling |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720016611 PECOS PAC ID: 1456364801 Enrollment ID: I20160727002789 |
| Provider Name | Manish Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912943218 PECOS PAC ID: 6800839960 Enrollment ID: I20160729000052 |
| Provider Name | Ponnattu K Cherian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972529550 PECOS PAC ID: 9537172986 Enrollment ID: I20160729000701 |
| Provider Name | Handel A Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295077253 PECOS PAC ID: 4789802430 Enrollment ID: I20160729001953 |
| Provider Name | Chih C Chang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104835958 PECOS PAC ID: 7113089327 Enrollment ID: I20160809002838 |
| Provider Name | Rinit H Pancholi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205048212 PECOS PAC ID: 9335291756 Enrollment ID: I20160927002498 |
| Provider Name | James P Tucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588662423 PECOS PAC ID: 7810135746 Enrollment ID: I20161102002141 |
| Provider Name | Abdolreza Agahtehrani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437267663 PECOS PAC ID: 4587660550 Enrollment ID: I20161202001149 |
| Provider Name | Tara N Kestler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457802076 PECOS PAC ID: 1052692175 Enrollment ID: I20170104001379 |
| Provider Name | Laura A Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356880017 PECOS PAC ID: 5597049700 Enrollment ID: I20170308000900 |
| Provider Name | Dava Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649711698 PECOS PAC ID: 8426333014 Enrollment ID: I20170322001141 |
| Provider Name | Arpit Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386872257 PECOS PAC ID: 3678729589 Enrollment ID: I20170403000822 |
| Provider Name | Allison Brook Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114457835 PECOS PAC ID: 2567730278 Enrollment ID: I20170622000299 |
| Provider Name | Allison F Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982730917 PECOS PAC ID: 7810097003 Enrollment ID: I20170711000494 |
| Provider Name | Sumit Som |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1235559451 PECOS PAC ID: 6002186061 Enrollment ID: I20170724003305 |
| Provider Name | Tiffany M Amburgey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194268334 PECOS PAC ID: 6305129362 Enrollment ID: I20170728001732 |
| Provider Name | Rebecca M Leite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922465764 PECOS PAC ID: 9335436161 Enrollment ID: I20170815001845 |
| Provider Name | Whitney L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033649165 PECOS PAC ID: 5698049575 Enrollment ID: I20170915000336 |
| Provider Name | Lunden A Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972027993 PECOS PAC ID: 0042582181 Enrollment ID: I20170920000576 |
| Provider Name | Emmalee R Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649799040 PECOS PAC ID: 3870867146 Enrollment ID: I20170926000694 |
| Provider Name | Cynthia Leigh Foxx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932657962 PECOS PAC ID: 9133400971 Enrollment ID: I20171102001211 |
| Provider Name | Pradeep K Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346284437 PECOS PAC ID: 7810886751 Enrollment ID: I20171103000740 |
| Provider Name | Brian T Beanblossom |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548298433 PECOS PAC ID: 2264445618 Enrollment ID: I20171120003072 |
| Provider Name | Betty S Sams-tinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063757276 PECOS PAC ID: 4183617459 Enrollment ID: I20171129002147 |
| Provider Name | Sally J Wheeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265524151 PECOS PAC ID: 7214194232 Enrollment ID: I20171229001800 |
| Provider Name | Michael A Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376085845 PECOS PAC ID: 5890072219 Enrollment ID: I20180104000190 |
| Provider Name | Thomas W Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154396521 PECOS PAC ID: 9931191749 Enrollment ID: I20180112001975 |
| Provider Name | Julie Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902255573 PECOS PAC ID: 6608169743 Enrollment ID: I20180115000754 |
| Provider Name | Stephanie J Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285067827 PECOS PAC ID: 9830332543 Enrollment ID: I20180115000792 |
| Provider Name | Alicia Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164947743 PECOS PAC ID: 6406115120 Enrollment ID: I20180125001077 |
| Provider Name | Jeanne M Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003834649 PECOS PAC ID: 0042311524 Enrollment ID: I20180131002666 |
| Provider Name | James P Donovan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013945088 PECOS PAC ID: 7618980061 Enrollment ID: I20180302001232 |
| Provider Name | Jacqueline Marie Caffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578916698 PECOS PAC ID: 7810282985 Enrollment ID: I20180313001543 |
| Provider Name | Kali M Spires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295084135 PECOS PAC ID: 6204080534 Enrollment ID: I20180405002239 |
| Provider Name | Scott Casimer Gogulski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558332718 PECOS PAC ID: 8123017142 Enrollment ID: I20180626001088 |
| Provider Name | Brittany O'neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932594348 PECOS PAC ID: 7315233970 Enrollment ID: I20180706000287 |
| Provider Name | Troy W Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437601754 PECOS PAC ID: 9335421429 Enrollment ID: I20180711002053 |
| Provider Name | Nicholas Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396124624 PECOS PAC ID: 0648582940 Enrollment ID: I20180720001450 |
| Provider Name | Genevieve Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912369992 PECOS PAC ID: 0042582553 Enrollment ID: I20180831001473 |
| Provider Name | Maria Sy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790766681 PECOS PAC ID: 9830234095 Enrollment ID: I20180831001631 |
| Provider Name | John S Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073541025 PECOS PAC ID: 5799798146 Enrollment ID: I20180831001861 |
| Provider Name | Paige C. Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316458284 PECOS PAC ID: 0143587634 Enrollment ID: I20180914001651 |
| Provider Name | Andrea M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629320791 PECOS PAC ID: 0446535801 Enrollment ID: I20181205000100 |
| Provider Name | Jeri R Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023006392 PECOS PAC ID: 5890855233 Enrollment ID: I20181206000969 |
| Provider Name | Stacey L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083066039 PECOS PAC ID: 6002103769 Enrollment ID: I20181210002167 |
| Provider Name | Allison B Gilberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679952279 PECOS PAC ID: 5799096335 Enrollment ID: I20190131001106 |
| Provider Name | William M Skaggs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497787766 PECOS PAC ID: 7719990167 Enrollment ID: I20190131001442 |
| Provider Name | Kaitlyn M Tinius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225592843 PECOS PAC ID: 0446598833 Enrollment ID: I20190211000148 |
| Provider Name | Melanie T Twyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932443892 PECOS PAC ID: 6709030745 Enrollment ID: I20190312000293 |
| Provider Name | John R Dimar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235192451 PECOS PAC ID: 1153234828 Enrollment ID: I20190430000959 |
| Provider Name | Rebecca Metry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679968614 PECOS PAC ID: 8224381439 Enrollment ID: I20190606002345 |
| Provider Name | Carly R Sperzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851870323 PECOS PAC ID: 8921359514 Enrollment ID: I20190709000659 |
| Provider Name | Amanda J Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922561653 PECOS PAC ID: 8022350966 Enrollment ID: I20190712001593 |
| Provider Name | Shawn C Mccarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992700678 PECOS PAC ID: 4486628849 Enrollment ID: I20190716003128 |
| Provider Name | Jessica Joy Malonzo Samson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770146979 PECOS PAC ID: 0244572717 Enrollment ID: I20190812001667 |
| Provider Name | Amanda Saccone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003194820 PECOS PAC ID: 0446422612 Enrollment ID: I20190814000626 |
| Provider Name | Jeffery L Gum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982879607 PECOS PAC ID: 0446438386 Enrollment ID: I20190816002203 |
| Provider Name | Katherine J Dust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750847661 PECOS PAC ID: 8224378450 Enrollment ID: I20190820000133 |
| Provider Name | Tara Sharie Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801452693 PECOS PAC ID: 3274861984 Enrollment ID: I20190820000199 |
| Provider Name | Daniel S Stewart |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770701237 PECOS PAC ID: 5395869036 Enrollment ID: I20190820003260 |
| Provider Name | Amanda M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720544695 PECOS PAC ID: 0749520971 Enrollment ID: I20190909002028 |
| Provider Name | Mostafa O El Refai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265751788 PECOS PAC ID: 9436384732 Enrollment ID: I20190909002101 |
| Provider Name | James R Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922366061 PECOS PAC ID: 2769621002 Enrollment ID: I20190924003313 |
| Provider Name | Mukul Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295704385 PECOS PAC ID: 3779546601 Enrollment ID: I20190926003543 |
| Provider Name | Maroun Maurice Ghossein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619233723 PECOS PAC ID: 8426285776 Enrollment ID: I20190927001750 |
| Provider Name | Faraaz A. Rahman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417249970 PECOS PAC ID: 6709011380 Enrollment ID: I20191001002379 |
| Provider Name | Jennifer Marie Teeter |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497075410 PECOS PAC ID: 8022132208 Enrollment ID: I20191015002478 |
| Provider Name | Rukmaiah Bhupalam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790828556 PECOS PAC ID: 8224097183 Enrollment ID: I20191029001856 |
| Provider Name | Sofya Kuznetsov |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669708020 PECOS PAC ID: 6800014994 Enrollment ID: I20191029001872 |
| Provider Name | Derek Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578027843 PECOS PAC ID: 3577802842 Enrollment ID: I20191029001894 |
| Provider Name | Laurie B Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164805701 PECOS PAC ID: 2961772215 Enrollment ID: I20191029002289 |
| Provider Name | Sarah E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013561661 PECOS PAC ID: 9537491188 Enrollment ID: I20191101000423 |
| Provider Name | Debra A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245792522 PECOS PAC ID: 8527391416 Enrollment ID: I20191126002372 |
| Provider Name | Palwasha Kamal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104231067 PECOS PAC ID: 9436454311 Enrollment ID: I20191202002695 |
| Provider Name | Cheryl L Shuffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356824684 PECOS PAC ID: 5294075073 Enrollment ID: I20191203000058 |
| Provider Name | Beth Lynn Willison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902325756 PECOS PAC ID: 6305101940 Enrollment ID: I20191203000671 |
| Provider Name | Wayne M Shugoll |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255384020 PECOS PAC ID: 1759348923 Enrollment ID: I20200120001196 |
| Provider Name | Vipul R Panchal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992741706 PECOS PAC ID: 8022160183 Enrollment ID: I20200219001163 |
| Provider Name | Lauren Bowlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932653938 PECOS PAC ID: 5092003053 Enrollment ID: I20200229000039 |
| Provider Name | Danielle R Conroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003465378 PECOS PAC ID: 4981035037 Enrollment ID: I20200506000535 |
| Provider Name | Babie Lalremsiami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659667848 PECOS PAC ID: 9234357971 Enrollment ID: I20200514000971 |
| Provider Name | Sara V Woodcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639641145 PECOS PAC ID: 4587099684 Enrollment ID: I20200608000667 |
| Provider Name | Charles Hopkins Crawford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265570808 PECOS PAC ID: 2567518814 Enrollment ID: I20200625002874 |
| Provider Name | Christoph Hans George Fuchs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639580541 PECOS PAC ID: 4183912512 Enrollment ID: I20200721003077 |
| Provider Name | Jason A Hopper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548605108 PECOS PAC ID: 7416268008 Enrollment ID: I20200807002927 |
| Provider Name | Mark T Schirmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376045468 PECOS PAC ID: 3971933623 Enrollment ID: I20200916000420 |
| Provider Name | Scarlett G Mikesell-pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497352991 PECOS PAC ID: 6901226182 Enrollment ID: I20201009002054 |
| Provider Name | Kari R Mckechnie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851754816 PECOS PAC ID: 0941572309 Enrollment ID: I20201027002497 |
| Provider Name | Lana Truesdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376131714 PECOS PAC ID: 0446663132 Enrollment ID: I20210120001053 |
| Provider Name | Cassondra D Degener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846988 PECOS PAC ID: 2062721749 Enrollment ID: I20210203000609 |
| Provider Name | Leanne M Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104382399 PECOS PAC ID: 7911247143 Enrollment ID: I20210310000148 |
| Provider Name | Virginia R Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417273269 PECOS PAC ID: 3072873132 Enrollment ID: I20210310000534 |
| Provider Name | Jonathon W White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568659795 PECOS PAC ID: 3476808346 Enrollment ID: I20210322002283 |
| Provider Name | Caitlin Michelle Rager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407440274 PECOS PAC ID: 2466869284 Enrollment ID: I20210323002048 |
| Provider Name | Janel J Willingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609018423 PECOS PAC ID: 6901956051 Enrollment ID: I20210413001572 |
| Provider Name | Christopher Van Orsdoll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912200163 PECOS PAC ID: 9739321118 Enrollment ID: I20210428000225 |
| Provider Name | Andrea Lynn Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215526140 PECOS PAC ID: 7315353612 Enrollment ID: I20210512000399 |
| Provider Name | Matthew Culbreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790352722 PECOS PAC ID: 5193127579 Enrollment ID: I20210707003181 |
| Provider Name | Katherine Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992398648 PECOS PAC ID: 6901206291 Enrollment ID: I20210716000729 |
| Provider Name | Joseph A O'daniel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881735215 PECOS PAC ID: 9537341797 Enrollment ID: I20210927003504 |
| Provider Name | Christine M Njogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669939450 PECOS PAC ID: 9234471343 Enrollment ID: I20210928000452 |
| Provider Name | Srikanth Seethala |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1982803292 PECOS PAC ID: 1850425109 Enrollment ID: I20211008001314 |
| Provider Name | Alexander Francisco Bautista |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073754321 PECOS PAC ID: 1456663434 Enrollment ID: I20211102000677 |
| Provider Name | Mary M Florence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972195659 PECOS PAC ID: 4385051937 Enrollment ID: I20211116001117 |
| Provider Name | Benjamin T Bjerke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639496292 PECOS PAC ID: 9537470174 Enrollment ID: I20211220001030 |
| Provider Name | Shastine M Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063725273 PECOS PAC ID: 6204061807 Enrollment ID: I20220303001871 |
| Provider Name | Geoffrey S Jeyasingham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124517404 PECOS PAC ID: 1456771989 Enrollment ID: I20220706003362 |
| Provider Name | Kristin N Baisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588068498 PECOS PAC ID: 1052533379 Enrollment ID: I20220718002780 |
| Provider Name | Krista G Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770988800 PECOS PAC ID: 2466774260 Enrollment ID: I20220718003006 |
| Provider Name | Rachel R Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801171665 PECOS PAC ID: 6002080561 Enrollment ID: I20220718003123 |
| Provider Name | Tiffany M Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306240106 PECOS PAC ID: 3375865553 Enrollment ID: I20220718003363 |
| Provider Name | Allison Marie Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861860041 PECOS PAC ID: 1759698871 Enrollment ID: I20220719000597 |
| Provider Name | Mohammad F. Mathbout |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912389826 PECOS PAC ID: 9537405923 Enrollment ID: I20220720002092 |
| Provider Name | Anna Czartorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043775273 PECOS PAC ID: 7911247796 Enrollment ID: I20220728002982 |
| Provider Name | Ashley N Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083120398 PECOS PAC ID: 8123387461 Enrollment ID: I20220803000625 |
| Provider Name | Carlos Perez-ruiz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659688208 PECOS PAC ID: 9830571371 Enrollment ID: I20220818003378 |
| Provider Name | Andrew D Doering |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699119172 PECOS PAC ID: 4183853088 Enrollment ID: I20220929002081 |
| Provider Name | Elissa A Grider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598312415 PECOS PAC ID: 2365773074 Enrollment ID: I20221013000387 |
| Provider Name | Kimberly Jane Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558010868 PECOS PAC ID: 8022486851 Enrollment ID: I20221128002902 |
| Provider Name | Kristin M Tobe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033197751 PECOS PAC ID: 0345334801 Enrollment ID: I20221228001657 |
| Provider Name | Matthew J Sousa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285042978 PECOS PAC ID: 7214242429 Enrollment ID: I20221228002072 |
| Provider Name | Hassan Khan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790103984 PECOS PAC ID: 3476937228 Enrollment ID: I20230123001408 |
| Provider Name | Jillian Faith Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891408944 PECOS PAC ID: 3870964745 Enrollment ID: I20230201001038 |
| Provider Name | Daniel P Rothschild |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548525678 PECOS PAC ID: 9537306931 Enrollment ID: I20230201001441 |
| Provider Name | Courtney Tieree Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912612763 PECOS PAC ID: 3779956180 Enrollment ID: I20230306002835 |
| Provider Name | Joshua K Wu |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447646302 PECOS PAC ID: 5991019523 Enrollment ID: I20230307002636 |
| Provider Name | Yvette Irene Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588360929 PECOS PAC ID: 4789057894 Enrollment ID: I20230309002694 |
| Provider Name | Lauren Michelle Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982327474 PECOS PAC ID: 9830575398 Enrollment ID: I20230313000618 |
| Provider Name | Shelbi Rene Basham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952053043 PECOS PAC ID: 1951794213 Enrollment ID: I20230314001414 |
| Provider Name | Zain Z Rahman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1104356740 PECOS PAC ID: 3577938240 Enrollment ID: I20230411001665 |
| Provider Name | Charlie Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689173585 PECOS PAC ID: 2466714555 Enrollment ID: I20230504000349 |
| Provider Name | Victoria April Locke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396230819 PECOS PAC ID: 4688922826 Enrollment ID: I20230625000045 |
| Provider Name | Keith A Mclean |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497813927 PECOS PAC ID: 1254312291 Enrollment ID: I20230817000639 |
| Provider Name | Gang Cheng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548709884 PECOS PAC ID: 7911260351 Enrollment ID: I20230921003107 |
| Provider Name | Abhishek Bose |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245493451 PECOS PAC ID: 4789730227 Enrollment ID: I20230922000856 |
| Provider Name | Leah C Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902321730 PECOS PAC ID: 5890069918 Enrollment ID: I20231103000275 |
| Provider Name | Carly E Kessinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205618410 PECOS PAC ID: 3779932439 Enrollment ID: I20231207001037 |
| Provider Name | Carolyn R Schuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063186575 PECOS PAC ID: 6709271729 Enrollment ID: I20231221001415 |
| Provider Name | Felecia Q Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871041954 PECOS PAC ID: 3173800398 Enrollment ID: I20240306001672 |
| Provider Name | Anne M Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568928299 PECOS PAC ID: 8224370093 Enrollment ID: I20240415000501 |
| Provider Name | Kathryn Ann Karem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649860248 PECOS PAC ID: 5193130383 Enrollment ID: I20240524001915 |
| Provider Name | Rabia G Buridi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710482443 PECOS PAC ID: 6709134992 Enrollment ID: I20240605000563 |
Normal Life Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9901 Linn Station Rd, Louisville, KY 40223 Phone: 800-866-0860 | |
The Home Of The Innocents Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Market St, Louisville, KY 40206 Phone: 502-596-1088 Fax: 502-596-1449 | |
Brite Pointe Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Dale Rd, Louisville, KY 40229 Phone: 502-713-1041 Fax: 502-277-1528 | |
Meghana Suchak Phd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 574, Louisville, KY 40207 Phone: 502-912-1498 | |
Hmr Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Saint Matthews Ave, Ste. 9, Louisville, KY 40207 Phone: 502-899-3205 Fax: 502-899-1403 | |
Neuroscience Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Audubon Plaza Dr, Suite 110, Louisville, KY 40217 Phone: 502-634-3433 Fax: 502-634-3494 | |
Family Links Of Kentucky,psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Bardstown Rd, Suite 415, Louisville, KY 40218 Phone: 502-458-4530 Fax: 502-458-2070 |