| Eskenazi Health | |
|
720 Eskenazi Ave Indianapolis IN 46202-5166 | |
| (317) 880-4082 | |
| Not Available |
| Full Name | Eskenazi Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 720 Eskenazi Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Christopher M Scott (CHIEF CLINICAL AND REVENUE OFFICER) |
| Authorized Official Contact | 3178804440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eskenazi Health 720 Eskenazi Ave Indianapolis IN 46202-5166 Ph: () - | Eskenazi Health 720 Eskenazi Ave Indianapolis IN 46202-5166 Ph: (317) 880-4082 |
| NPI Number | 1104027879 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 6709795974 |
|---|---|
| Medicare Enrollment ID | O20041229000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104027879 | NPI | - | NPPES |
| 100268870A | Medicaid | IN |
| Provider Name | Ananda L Kannappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659307213 PECOS PAC ID: 1355233768 Enrollment ID: I20040329000967 |
| Provider Name | Cynthia K Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417905464 PECOS PAC ID: 9931193489 Enrollment ID: I20040408001217 |
| Provider Name | Mary T Salama |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164469623 PECOS PAC ID: 5698769313 Enrollment ID: I20040414000304 |
| Provider Name | David W Crabb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649234600 PECOS PAC ID: 9830092162 Enrollment ID: I20040510000918 |
| Provider Name | Kathryn A Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659383768 PECOS PAC ID: 3779566989 Enrollment ID: I20040609000984 |
| Provider Name | John Emerson Sidle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780632174 PECOS PAC ID: 5890778641 Enrollment ID: I20040611000442 |
| Provider Name | Richard Joseph Kovacs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447215777 PECOS PAC ID: 8527042746 Enrollment ID: I20040615001827 |
| Provider Name | Anuradha Thumuluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225002207 PECOS PAC ID: 4385624022 Enrollment ID: I20040722000923 |
| Provider Name | Malaz Boustani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891751079 PECOS PAC ID: 3274513932 Enrollment ID: I20040722001039 |
| Provider Name | Linn Susan Bess Laclave |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669426201 PECOS PAC ID: 3173597200 Enrollment ID: I20040824000466 |
| Provider Name | Dale R Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831216837 PECOS PAC ID: 7416922588 Enrollment ID: I20040901000206 |
| Provider Name | Vickie L Brose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780708214 PECOS PAC ID: 6002882966 Enrollment ID: I20040902000826 |
| Provider Name | Ira Kenneth Means |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558391664 PECOS PAC ID: 1153399373 Enrollment ID: I20040924000005 |
| Provider Name | Bobbie J Shepard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912922030 PECOS PAC ID: 9234108309 Enrollment ID: I20040927000701 |
| Provider Name | Steven R Turner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235187378 PECOS PAC ID: 4587631759 Enrollment ID: I20040928000422 |
| Provider Name | Curtis A Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285685107 PECOS PAC ID: 7719956648 Enrollment ID: I20040928000836 |
| Provider Name | Brian T Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003864950 PECOS PAC ID: 4082683891 Enrollment ID: I20040929000081 |
| Provider Name | Erin J Phipps |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063460319 PECOS PAC ID: 6709846801 Enrollment ID: I20041013000770 |
| Provider Name | Kirk Holston |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760462089 PECOS PAC ID: 0446210009 Enrollment ID: I20041018000765 |
| Provider Name | Brian T Walborn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093870867 PECOS PAC ID: 8325009079 Enrollment ID: I20041026000068 |
| Provider Name | Deepak Bhakta |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326002296 PECOS PAC ID: 0143281790 Enrollment ID: I20041026000907 |
| Provider Name | Kristi A Kerner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992787964 PECOS PAC ID: 7113993031 Enrollment ID: I20041028000815 |
| Provider Name | Andrea M Shook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528007192 PECOS PAC ID: 6406818343 Enrollment ID: I20041102000784 |
| Provider Name | Gaylen M Kelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689651721 PECOS PAC ID: 0042276362 Enrollment ID: I20041208000081 |
| Provider Name | Peter H Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992754352 PECOS PAC ID: 0941259352 Enrollment ID: I20050112000888 |
| Provider Name | Cynthia O Misumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215995188 PECOS PAC ID: 5193775211 Enrollment ID: I20050126001046 |
| Provider Name | Toan R Vu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013966365 PECOS PAC ID: 6204886039 Enrollment ID: I20050128000440 |
| Provider Name | Thomas L. Klausmeier |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932151800 PECOS PAC ID: 7214987965 Enrollment ID: I20050131000259 |
| Provider Name | Rhonda G Justus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518910173 PECOS PAC ID: 7214981794 Enrollment ID: I20050308000660 |
| Provider Name | Delise A Webber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306890637 PECOS PAC ID: 1052359189 Enrollment ID: I20050420000234 |
| Provider Name | Sarah E Wiehe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235174939 PECOS PAC ID: 8224922174 Enrollment ID: I20050427000800 |
| Provider Name | Theresa L Greco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356318240 PECOS PAC ID: 4789625146 Enrollment ID: I20050516000649 |
| Provider Name | Katherine H Patterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255374385 PECOS PAC ID: 1355383902 Enrollment ID: I20050524001343 |
| Provider Name | Lisa A Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083665400 PECOS PAC ID: 2163465782 Enrollment ID: I20050606000322 |
| Provider Name | Heather Marie Shelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821037631 PECOS PAC ID: 8022044940 Enrollment ID: I20050712001070 |
| Provider Name | Babar A Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194783944 PECOS PAC ID: 9739118902 Enrollment ID: I20050808000846 |
| Provider Name | Lisa L Smitha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205906492 PECOS PAC ID: 8729012794 Enrollment ID: I20050920001021 |
| Provider Name | Jill Victoria Helphinstine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073570495 PECOS PAC ID: 6305870288 Enrollment ID: I20050920001153 |
| Provider Name | David E Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417932062 PECOS PAC ID: 9830123355 Enrollment ID: I20050923000846 |
| Provider Name | Steven Raymond Counsell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932166832 PECOS PAC ID: 4587699335 Enrollment ID: I20050929000795 |
| Provider Name | Greta P Peterson Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518907344 PECOS PAC ID: 6800812876 Enrollment ID: I20051019000260 |
| Provider Name | Melanie Kay Johannessohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669430658 PECOS PAC ID: 3375560378 Enrollment ID: I20051028000709 |
| Provider Name | Sharon Ann Riesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518948140 PECOS PAC ID: 5294754149 Enrollment ID: I20051121000319 |
| Provider Name | Carla Ann Kilgore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306870647 PECOS PAC ID: 8224043237 Enrollment ID: I20060213000492 |
| Provider Name | Cathy Ann Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306035878 PECOS PAC ID: 6800802026 Enrollment ID: I20060227000039 |
| Provider Name | Linda A Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851354062 PECOS PAC ID: 2567471014 Enrollment ID: I20060412000214 |
| Provider Name | Eva W Muloma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457383408 PECOS PAC ID: 1951300524 Enrollment ID: I20061208000045 |
| Provider Name | Michael S Byers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740239482 PECOS PAC ID: 0648279216 Enrollment ID: I20061208000078 |
| Provider Name | Jon K Hathaway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033147590 PECOS PAC ID: 6305845314 Enrollment ID: I20061220000067 |
| Provider Name | Rana S Berry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245260819 PECOS PAC ID: 9931108941 Enrollment ID: I20061220000082 |
| Provider Name | Elizabeth Anne Ferries-rowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922036110 PECOS PAC ID: 2961402920 Enrollment ID: I20061222000211 |
| Provider Name | Irina Sergeevna Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508852294 PECOS PAC ID: 9436187556 Enrollment ID: I20070102000349 |
| Provider Name | Paul Ryan Moe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871683078 PECOS PAC ID: 5092717520 Enrollment ID: I20070212000535 |
| Provider Name | Alvaro Lapitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639116874 PECOS PAC ID: 6608978796 Enrollment ID: I20070220000418 |
| Provider Name | Marcia L Shew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386692598 PECOS PAC ID: 8820190655 Enrollment ID: I20070226000665 |
| Provider Name | James T Blackwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215023932 PECOS PAC ID: 3779686910 Enrollment ID: I20070308000575 |
| Provider Name | Jeanne I Dickens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548214968 PECOS PAC ID: 2264539162 Enrollment ID: I20070529000204 |
| Provider Name | Heather M Fretwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053421313 PECOS PAC ID: 4183722044 Enrollment ID: I20070531000400 |
| Provider Name | Mary Jeanne O'gara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952453409 PECOS PAC ID: 3375641855 Enrollment ID: I20070606000632 |
| Provider Name | Lyle P Fettig |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528180494 PECOS PAC ID: 5395843346 Enrollment ID: I20070614000405 |
| Provider Name | Angela M Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306920582 PECOS PAC ID: 4789784620 Enrollment ID: I20070707000027 |
| Provider Name | Alexia M Torke |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1215132865 PECOS PAC ID: 2961503107 Enrollment ID: I20070718000590 |
| Provider Name | Yolanda Y Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073548731 PECOS PAC ID: 0840391645 Enrollment ID: I20070724000242 |
| Provider Name | Cynthia J Countryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528263076 PECOS PAC ID: 7012909922 Enrollment ID: I20070823000372 |
| Provider Name | Julie A Vannerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598721953 PECOS PAC ID: 6608969266 Enrollment ID: I20070912000695 |
| Provider Name | Juan J Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093792103 PECOS PAC ID: 4183719727 Enrollment ID: I20070927000670 |
| Provider Name | Nicole M Nace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639242571 PECOS PAC ID: 5496764201 Enrollment ID: I20071004000268 |
| Provider Name | Amy S Mackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245437607 PECOS PAC ID: 4183710403 Enrollment ID: I20071018000307 |
| Provider Name | Ellen Fan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871797134 PECOS PAC ID: 2062508260 Enrollment ID: I20071019000080 |
| Provider Name | Sarah A Schwen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225225931 PECOS PAC ID: 5597855965 Enrollment ID: I20071221000371 |
| Provider Name | Greg A Sachs |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508929019 PECOS PAC ID: 7012092570 Enrollment ID: I20080307000196 |
| Provider Name | Karin E Comastri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245289685 PECOS PAC ID: 4688750128 Enrollment ID: I20080325000388 |
| Provider Name | Barbara C Amerman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588676191 PECOS PAC ID: 5294812566 Enrollment ID: I20080410000530 |
| Provider Name | Denise D Hamblen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437194743 PECOS PAC ID: 6305917469 Enrollment ID: I20080617000363 |
| Provider Name | Sarah Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902076300 PECOS PAC ID: 6103998307 Enrollment ID: I20080703000210 |
| Provider Name | Duane A Snider |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356320113 PECOS PAC ID: 4082787023 Enrollment ID: I20080723000744 |
| Provider Name | William G Carlos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245403427 PECOS PAC ID: 6800962820 Enrollment ID: I20080827000422 |
| Provider Name | Stephen G Sawada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306801923 PECOS PAC ID: 5395811640 Enrollment ID: I20080910000304 |
| Provider Name | Jennifer M Carlos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386817344 PECOS PAC ID: 5799852232 Enrollment ID: I20080924000553 |
| Provider Name | Brandy A Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821276213 PECOS PAC ID: 4284793423 Enrollment ID: I20081104000005 |
| Provider Name | Glenda R Westmoreland |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720037906 PECOS PAC ID: 6002979887 Enrollment ID: I20090106000638 |
| Provider Name | William L Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609800598 PECOS PAC ID: 8820152283 Enrollment ID: I20090129000293 |
| Provider Name | Felipe P Perez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497798987 PECOS PAC ID: 1951488394 Enrollment ID: I20090714000708 |
| Provider Name | Bilal Tahir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972763076 PECOS PAC ID: 4486706488 Enrollment ID: I20090722000746 |
| Provider Name | Lisa A Mims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629197041 PECOS PAC ID: 0941353460 Enrollment ID: I20090731000262 |
| Provider Name | Rebekah L Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356537351 PECOS PAC ID: 0941353395 Enrollment ID: I20090801000028 |
| Provider Name | Steven P Gerke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689658650 PECOS PAC ID: 1951454370 Enrollment ID: I20090803000577 |
| Provider Name | Dion A Snider |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699750125 PECOS PAC ID: 6002897675 Enrollment ID: I20090810000245 |
| Provider Name | Seth D Rinderknecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154591220 PECOS PAC ID: 7618022435 Enrollment ID: I20090831000628 |
| Provider Name | Rafael D Rosario |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144493370 PECOS PAC ID: 8628124666 Enrollment ID: I20090916000744 |
| Provider Name | Neeta Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396914719 PECOS PAC ID: 2264583566 Enrollment ID: I20091201000212 |
| Provider Name | Christopher A Steinmetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750333928 PECOS PAC ID: 8628111945 Enrollment ID: I20100208000613 |
| Provider Name | Dawn P Haut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497712897 PECOS PAC ID: 9830234590 Enrollment ID: I20100305000099 |
| Provider Name | Deanna R Reinoso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700844552 PECOS PAC ID: 8820133598 Enrollment ID: I20100305000120 |
| Provider Name | Janine M Fogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831156678 PECOS PAC ID: 8921134123 Enrollment ID: I20100326000600 |
| Provider Name | Lisa E Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285692301 PECOS PAC ID: 3678485216 Enrollment ID: I20100331001237 |
| Provider Name | Christine A Balt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093773020 PECOS PAC ID: 3476680604 Enrollment ID: I20100420000962 |
| Provider Name | Fernando R Montoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992756035 PECOS PAC ID: 6305973355 Enrollment ID: I20100422000547 |
| Provider Name | Paul R Dexter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770540718 PECOS PAC ID: 4688701659 Enrollment ID: I20100422000796 |
| Provider Name | Mark Tiritilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538119953 PECOS PAC ID: 0840327763 Enrollment ID: I20100426000418 |
| Provider Name | Mary R Ciccarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538126057 PECOS PAC ID: 8729116546 Enrollment ID: I20100514000171 |
| Provider Name | Dana Lynn Hiller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205894011 PECOS PAC ID: 0042348864 Enrollment ID: I20100514000222 |
| Provider Name | Burke W Mamlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144288051 PECOS PAC ID: 3476681297 Enrollment ID: I20100514000259 |
| Provider Name | Rita M Bair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619933413 PECOS PAC ID: 1951430875 Enrollment ID: I20100602000202 |
| Provider Name | Robin A Beck |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194781138 PECOS PAC ID: 3678603495 Enrollment ID: I20100604000709 |
| Provider Name | Christina P Ricks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114240678 PECOS PAC ID: 9234269879 Enrollment ID: I20100609000117 |
| Provider Name | Gareth H Gilkey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326090325 PECOS PAC ID: 4082744537 Enrollment ID: I20100610000580 |
| Provider Name | Catherine M Macke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992756381 PECOS PAC ID: 9335279595 Enrollment ID: I20100615000059 |
| Provider Name | Timothy B Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942253208 PECOS PAC ID: 9234269358 Enrollment ID: I20100615000827 |
| Provider Name | Khurram S Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639127988 PECOS PAC ID: 5496886996 Enrollment ID: I20100628000384 |
| Provider Name | Sarah M Stelzner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811945678 PECOS PAC ID: 2062543507 Enrollment ID: I20100628000863 |
| Provider Name | Rolf P Kreutz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235398330 PECOS PAC ID: 0143351593 Enrollment ID: I20100628001132 |
| Provider Name | Ronald A Mastouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134389968 PECOS PAC ID: 4880725951 Enrollment ID: I20100706000814 |
| Provider Name | Dawn M Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467772053 PECOS PAC ID: 6901938729 Enrollment ID: I20100714000673 |
| Provider Name | Kofi K Quist |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932428836 PECOS PAC ID: 8325171192 Enrollment ID: I20100730000015 |
| Provider Name | Maryann Chinwe Chimhanda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801056601 PECOS PAC ID: 2466585252 Enrollment ID: I20100730000220 |
| Provider Name | Patricia A Treadwell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508892613 PECOS PAC ID: 3577696319 Enrollment ID: I20100730000856 |
| Provider Name | Broderick J Rhyant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083662134 PECOS PAC ID: 7517090160 Enrollment ID: I20100803000272 |
| Provider Name | Zahra R Tahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851566715 PECOS PAC ID: 2163547738 Enrollment ID: I20100920000684 |
| Provider Name | Saura D Fortin Erazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427211820 PECOS PAC ID: 7618093121 Enrollment ID: I20100921001448 |
| Provider Name | Christopher M Callahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104867043 PECOS PAC ID: 9638140908 Enrollment ID: I20101015000714 |
| Provider Name | Elissa A Jones-hua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639351745 PECOS PAC ID: 5597958843 Enrollment ID: I20101020000067 |
| Provider Name | Noobar Israel Mardirosian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447450200 PECOS PAC ID: 8022103191 Enrollment ID: I20101119000587 |
| Provider Name | Alexis A Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003034364 PECOS PAC ID: 2668669482 Enrollment ID: I20101206001137 |
| Provider Name | Lindsay L Reason |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215248091 PECOS PAC ID: 8022206648 Enrollment ID: I20101227000479 |
| Provider Name | Pragya Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649238544 PECOS PAC ID: 6507054988 Enrollment ID: I20101229000804 |
| Provider Name | Deborah J Leon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154632669 PECOS PAC ID: 1759570971 Enrollment ID: I20110104000708 |
| Provider Name | Sara E Gosnell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952612327 PECOS PAC ID: 9739378555 Enrollment ID: I20110110000899 |
| Provider Name | Adrienne Bedford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134398183 PECOS PAC ID: 1456531607 Enrollment ID: I20110207000057 |
| Provider Name | Palmer J Mackie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295793107 PECOS PAC ID: 7618157603 Enrollment ID: I20110208000829 |
| Provider Name | Christa M Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649592882 PECOS PAC ID: 0042494577 Enrollment ID: I20110407000636 |
| Provider Name | Lori Ann Petrie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760781249 PECOS PAC ID: 7416131552 Enrollment ID: I20110413000928 |
| Provider Name | Tina Suzanne Wiesert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801011069 PECOS PAC ID: 0244414316 Enrollment ID: I20110414000225 |
| Provider Name | Hua Meng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942239298 PECOS PAC ID: 7719162668 Enrollment ID: I20110419000957 |
| Provider Name | Allison K Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730331919 PECOS PAC ID: 8527243070 Enrollment ID: I20110426000723 |
| Provider Name | Nicole P Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770724700 PECOS PAC ID: 5799961462 Enrollment ID: I20110513000061 |
| Provider Name | Anita Kay Parks-gehrung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508099086 PECOS PAC ID: 1456538123 Enrollment ID: I20110606000467 |
| Provider Name | Noel R. Dasgupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710092663 PECOS PAC ID: 7517060965 Enrollment ID: I20110610000237 |
| Provider Name | Margaret M Kovacs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538384920 PECOS PAC ID: 2961670252 Enrollment ID: I20110712000116 |
| Provider Name | Stephanie Demaris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083945349 PECOS PAC ID: 3476721762 Enrollment ID: I20110712000170 |
| Provider Name | Brownsyne M Tucker Edmonds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285800227 PECOS PAC ID: 7416083068 Enrollment ID: I20110720000769 |
| Provider Name | Deborah A Stamper |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1437161387 PECOS PAC ID: 1456529049 Enrollment ID: I20110726000836 |
| Provider Name | Melissa H Nulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265732424 PECOS PAC ID: 2769650118 Enrollment ID: I20110729000393 |
| Provider Name | Jeffrey M Nulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972723575 PECOS PAC ID: 8921277369 Enrollment ID: I20110801000878 |
| Provider Name | Maria P.s. Robles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467613463 PECOS PAC ID: 8527237312 Enrollment ID: I20110812000038 |
| Provider Name | James H W Brummett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316161284 PECOS PAC ID: 6406025154 Enrollment ID: I20110815000161 |
| Provider Name | Denise S Hollman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326354887 PECOS PAC ID: 3870762560 Enrollment ID: I20110815000552 |
| Provider Name | Carol D Hendricks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245357102 PECOS PAC ID: 1557530243 Enrollment ID: I20110815000610 |
| Provider Name | Cynthia L Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811029358 PECOS PAC ID: 9739358342 Enrollment ID: I20110816000072 |
| Provider Name | Mary Beth B Larkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528183563 PECOS PAC ID: 1850560475 Enrollment ID: I20110816000168 |
| Provider Name | Mary Kay Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750337622 PECOS PAC ID: 8729257225 Enrollment ID: I20110817000422 |
| Provider Name | Gregg R Dodd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992097505 PECOS PAC ID: 5698944155 Enrollment ID: I20110818000158 |
| Provider Name | Emily A Da Costa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912026113 PECOS PAC ID: 7810166303 Enrollment ID: I20110818000464 |
| Provider Name | Lois B Hughes |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215019039 PECOS PAC ID: 0143490417 Enrollment ID: I20110823000886 |
| Provider Name | Virginia Leigh Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790958130 PECOS PAC ID: 3971774324 Enrollment ID: I20110915000659 |
| Provider Name | Kathleen T Unroe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881852028 PECOS PAC ID: 1153592324 Enrollment ID: I20110920000069 |
| Provider Name | Nicole H Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740448141 PECOS PAC ID: 3971776055 Enrollment ID: I20111107000106 |
| Provider Name | Randall B Stuffle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619250750 PECOS PAC ID: 5799959565 Enrollment ID: I20111114000711 |
| Provider Name | Robert D Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417092107 PECOS PAC ID: 0244369890 Enrollment ID: I20111116000332 |
| Provider Name | Debra K Litzelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467404830 PECOS PAC ID: 3173797487 Enrollment ID: I20111123000455 |
| Provider Name | Nydia L Nunez Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497919989 PECOS PAC ID: 7214102599 Enrollment ID: I20111215000099 |
| Provider Name | Kenneth E Klotz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326052200 PECOS PAC ID: 3274715305 Enrollment ID: I20111221000494 |
| Provider Name | Stacy M Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568782795 PECOS PAC ID: 7214104454 Enrollment ID: I20120111000636 |
| Provider Name | Laura M Walls |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336272426 PECOS PAC ID: 8224295894 Enrollment ID: I20120209000337 |
| Provider Name | Jody W Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588637581 PECOS PAC ID: 3173782984 Enrollment ID: I20120315000036 |
| Provider Name | Kathryn M Holland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629341797 PECOS PAC ID: 2365602166 Enrollment ID: I20120403000112 |
| Provider Name | Mohsina Kashif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104089234 PECOS PAC ID: 2961664719 Enrollment ID: I20120424000621 |
| Provider Name | Edna Mae Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124386107 PECOS PAC ID: 4082876040 Enrollment ID: I20120509000077 |
| Provider Name | Diane K Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245517663 PECOS PAC ID: 3274796487 Enrollment ID: I20120529000185 |
| Provider Name | Jason L Tricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154458412 PECOS PAC ID: 3375706484 Enrollment ID: I20120529000277 |
| Provider Name | Shelby A Cutlip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730449869 PECOS PAC ID: 2567627870 Enrollment ID: I20120711000152 |
| Provider Name | Shelley A Johns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871543777 PECOS PAC ID: 4587820378 Enrollment ID: I20120724000002 |
| Provider Name | Meghan L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225271539 PECOS PAC ID: 8921264276 Enrollment ID: I20120731000808 |
| Provider Name | Amy M Munchhof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497914071 PECOS PAC ID: 8123274248 Enrollment ID: I20120806000503 |
| Provider Name | Emily P Machogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447418926 PECOS PAC ID: 6901054709 Enrollment ID: I20120920000400 |
| Provider Name | Ely J Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871722165 PECOS PAC ID: 4082862628 Enrollment ID: I20120924000532 |
| Provider Name | April A P'pool |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568690055 PECOS PAC ID: 0143470195 Enrollment ID: I20121029000106 |
| Provider Name | Sarah J Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730437930 PECOS PAC ID: 6103077326 Enrollment ID: I20121117000081 |
| Provider Name | Jane E Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619237476 PECOS PAC ID: 7517118573 Enrollment ID: I20121121000551 |
| Provider Name | James H Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851641682 PECOS PAC ID: 7214189414 Enrollment ID: I20121217000235 |
| Provider Name | Angelina K Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376888495 PECOS PAC ID: 0042463085 Enrollment ID: I20121227000072 |
| Provider Name | Gretchen S Cottrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962676536 PECOS PAC ID: 6305090135 Enrollment ID: I20130204000087 |
| Provider Name | Ma Rosario S De Jesus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508094665 PECOS PAC ID: 5890930911 Enrollment ID: I20130320000583 |
| Provider Name | Diana M Morales Zelaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386965192 PECOS PAC ID: 8224274014 Enrollment ID: I20130705000237 |
| Provider Name | Nawar Al Nasrallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558674408 PECOS PAC ID: 3072755859 Enrollment ID: I20130808000907 |
| Provider Name | Stephanie A Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447571955 PECOS PAC ID: 6406096643 Enrollment ID: I20130917000581 |
| Provider Name | Thelma Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003152596 PECOS PAC ID: 8022252774 Enrollment ID: I20130918000714 |
| Provider Name | Gina P Rivera Zelaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659692465 PECOS PAC ID: 9739326612 Enrollment ID: I20131003000238 |
| Provider Name | Adnan Arseven |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871573550 PECOS PAC ID: 8527094952 Enrollment ID: I20131004000037 |
| Provider Name | Carrie A Leathers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215161187 PECOS PAC ID: 4880828698 Enrollment ID: I20131010001178 |
| Provider Name | Rachael L Morton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285864348 PECOS PAC ID: 4183858806 Enrollment ID: I20131014000678 |
| Provider Name | Kyle M Hamblen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194064675 PECOS PAC ID: 7214161785 Enrollment ID: I20131016001334 |
| Provider Name | Latifat A Oyekola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376756684 PECOS PAC ID: 2860557352 Enrollment ID: I20131125000947 |
| Provider Name | Miaga Kathleen Witry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285060749 PECOS PAC ID: 1254567977 Enrollment ID: I20131202000083 |
| Provider Name | David M Schnee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538133079 PECOS PAC ID: 0547224859 Enrollment ID: I20131227000496 |
| Provider Name | Pamela Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235430810 PECOS PAC ID: 4981832003 Enrollment ID: I20140117001737 |
| Provider Name | Hilma L Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629754 PECOS PAC ID: 5496843443 Enrollment ID: I20140311001386 |
| Provider Name | Samuel D Kobba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811211154 PECOS PAC ID: 0941432918 Enrollment ID: I20140407001727 |
| Provider Name | Claire A Willard |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467747857 PECOS PAC ID: 3577703651 Enrollment ID: I20140409001856 |
| Provider Name | Jennifer Lee Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750688206 PECOS PAC ID: 5092991497 Enrollment ID: I20140416001917 |
| Provider Name | Abigail S.a. Scott |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538468004 PECOS PAC ID: 6709018161 Enrollment ID: I20140417000682 |
| Provider Name | Janna L Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467703793 PECOS PAC ID: 4486899929 Enrollment ID: I20140501000302 |
| Provider Name | Sheena K Tatem |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447534342 PECOS PAC ID: 1456575463 Enrollment ID: I20140613000853 |
| Provider Name | Stacey L Murrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154524536 PECOS PAC ID: 2365666245 Enrollment ID: I20140616001416 |
| Provider Name | Jennifer T Baenziger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528384914 PECOS PAC ID: 5193965275 Enrollment ID: I20140630000066 |
| Provider Name | Jason R Moor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639582364 PECOS PAC ID: 8729203955 Enrollment ID: I20140702001238 |
| Provider Name | Brian Samuel Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902126279 PECOS PAC ID: 7416193917 Enrollment ID: I20140702002144 |
| Provider Name | Jay A Hamm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568872612 PECOS PAC ID: 2668697715 Enrollment ID: I20140702002345 |
| Provider Name | Zahi A Batiha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477977387 PECOS PAC ID: 1850516923 Enrollment ID: I20140703000251 |
| Provider Name | Jennifer L Carnahan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578706099 PECOS PAC ID: 0648401737 Enrollment ID: I20140724001265 |
| Provider Name | Daniel A Guiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396061669 PECOS PAC ID: 2466692546 Enrollment ID: I20140815001602 |
| Provider Name | Daniel G Pino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457677403 PECOS PAC ID: 5395985477 Enrollment ID: I20140829000796 |
| Provider Name | Marnie E Engleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215353131 PECOS PAC ID: 3870712375 Enrollment ID: I20140916000902 |
| Provider Name | Leslie M Pell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699176800 PECOS PAC ID: 1254551260 Enrollment ID: I20140925000551 |
| Provider Name | Angela Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174926539 PECOS PAC ID: 9436379690 Enrollment ID: I20141010000450 |
| Provider Name | Amy Dirrim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093114027 PECOS PAC ID: 1557582442 Enrollment ID: I20141017000539 |
| Provider Name | Alyson B Love |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518243765 PECOS PAC ID: 7719109743 Enrollment ID: I20141106002346 |
| Provider Name | Emily J Dawkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013265412 PECOS PAC ID: 3678795630 Enrollment ID: I20141107000856 |
| Provider Name | Natalie R Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780089888 PECOS PAC ID: 3476875238 Enrollment ID: I20141205000077 |
| Provider Name | Timothy J Otsu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477956613 PECOS PAC ID: 3375865033 Enrollment ID: I20141208001269 |
| Provider Name | Erin L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033516364 PECOS PAC ID: 8224352562 Enrollment ID: I20150115001066 |
| Provider Name | Jeanine Henigin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518207711 PECOS PAC ID: 8628217916 Enrollment ID: I20150128001812 |
| Provider Name | Michelle N Ansley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316220981 PECOS PAC ID: 9234301995 Enrollment ID: I20150205000132 |
| Provider Name | Debra A Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942375183 PECOS PAC ID: 5193041267 Enrollment ID: I20150309000235 |
| Provider Name | Kristen L Bendinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386935344 PECOS PAC ID: 3779722426 Enrollment ID: I20150423002073 |
| Provider Name | Jada Svoboda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225416571 PECOS PAC ID: 1658691530 Enrollment ID: I20150515001279 |
| Provider Name | Andrew R Lane |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669466736 PECOS PAC ID: 3971823584 Enrollment ID: I20150522000119 |
| Provider Name | Julie M Clary |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205061918 PECOS PAC ID: 1052557808 Enrollment ID: I20150604002794 |
| Provider Name | Abigail Anne Haste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447519848 PECOS PAC ID: 4880831437 Enrollment ID: I20150605000443 |
| Provider Name | Sufyan Sial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316201833 PECOS PAC ID: 8022258037 Enrollment ID: I20150608001043 |
| Provider Name | Ashley M Overley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548581424 PECOS PAC ID: 4486890977 Enrollment ID: I20150619001688 |
| Provider Name | Sophia Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710145370 PECOS PAC ID: 9739493289 Enrollment ID: I20150729006820 |
| Provider Name | Carmen B Lanie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770961294 PECOS PAC ID: 4789998139 Enrollment ID: I20150730010608 |
| Provider Name | Veronica L Storm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467846204 PECOS PAC ID: 1658686092 Enrollment ID: I20150814012894 |
| Provider Name | Heather L Stout |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073999405 PECOS PAC ID: 9133436082 Enrollment ID: I20150910000159 |
| Provider Name | Poonam Paruchuri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265729297 PECOS PAC ID: 3072752815 Enrollment ID: I20150918002595 |
| Provider Name | Sarah E Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902272883 PECOS PAC ID: 0446567416 Enrollment ID: I20150923003125 |
| Provider Name | Lindsay J Mulinaro |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528436177 PECOS PAC ID: 5799094587 Enrollment ID: I20151019000110 |
| Provider Name | Lindsay A Dirlam |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134593528 PECOS PAC ID: 4981905809 Enrollment ID: I20151218001649 |
| Provider Name | Kelly J Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720246010 PECOS PAC ID: 4486955028 Enrollment ID: I20151223001780 |
| Provider Name | Christie L Clayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962571794 PECOS PAC ID: 1759683865 Enrollment ID: I20160106002400 |
| Provider Name | Jenifer L Vohs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376823641 PECOS PAC ID: 6709183288 Enrollment ID: I20160329000210 |
| Provider Name | Kelsey E Doll |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992163331 PECOS PAC ID: 7719285485 Enrollment ID: I20160413000279 |
| Provider Name | Brittany R Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215394507 PECOS PAC ID: 0042509168 Enrollment ID: I20160512002162 |
| Provider Name | Jeffrey F Peipert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497771711 PECOS PAC ID: 6406863802 Enrollment ID: I20160620000490 |
| Provider Name | Zachary W Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063820637 PECOS PAC ID: 8123249067 Enrollment ID: I20160621000363 |
| Provider Name | Lauren M Gunn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003262577 PECOS PAC ID: 7517258338 Enrollment ID: I20160624000517 |
| Provider Name | Randall W Grout |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083051171 PECOS PAC ID: 1355575630 Enrollment ID: I20160624000528 |
| Provider Name | Ryan J Stegink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902148489 PECOS PAC ID: 6800020181 Enrollment ID: I20160624000663 |
| Provider Name | Alnee L Gadberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578925103 PECOS PAC ID: 3779874565 Enrollment ID: I20160627000499 |
| Provider Name | Sheila M Hiler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427496827 PECOS PAC ID: 4183866338 Enrollment ID: I20160705001679 |
| Provider Name | Evan S West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578805032 PECOS PAC ID: 7618100405 Enrollment ID: I20160706002585 |
| Provider Name | Maria Jose Herrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083050793 PECOS PAC ID: 9830330976 Enrollment ID: I20160713000557 |
| Provider Name | Abhishek Khemka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457672552 PECOS PAC ID: 1052628807 Enrollment ID: I20160720001908 |
| Provider Name | Aimee M Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427398197 PECOS PAC ID: 6507159860 Enrollment ID: I20160725000302 |
| Provider Name | Huei-sheng V Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124044821 PECOS PAC ID: 9830155597 Enrollment ID: I20160726001135 |
| Provider Name | Jeanie H Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013279835 PECOS PAC ID: 5193019776 Enrollment ID: I20160804000548 |
| Provider Name | Bethany L Leonhardt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174988596 PECOS PAC ID: 6002100617 Enrollment ID: I20160804001158 |
| Provider Name | Angela Luessow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336693712 PECOS PAC ID: 7315232196 Enrollment ID: I20160817002712 |
| Provider Name | Zahra Mustafa Kamal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780021386 PECOS PAC ID: 4688997414 Enrollment ID: I20160829002397 |
| Provider Name | Megan Ann Christman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396056016 PECOS PAC ID: 9537383351 Enrollment ID: I20160908000828 |
| Provider Name | Megan Annee Orr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316385081 PECOS PAC ID: 2961636808 Enrollment ID: I20160919000065 |
| Provider Name | Annaliesa B Worrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225491327 PECOS PAC ID: 4385931690 Enrollment ID: I20160929000942 |
| Provider Name | Cassie Herr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295130573 PECOS PAC ID: 4789964867 Enrollment ID: I20161207000425 |
| Provider Name | Molly B Robinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962881433 PECOS PAC ID: 7416238191 Enrollment ID: I20170116000456 |
| Provider Name | Autumn M Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528161783 PECOS PAC ID: 0446256127 Enrollment ID: I20170119000589 |
| Provider Name | Julia D Loubeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578014809 PECOS PAC ID: 1052694593 Enrollment ID: I20170208000916 |
| Provider Name | Kyle A Frick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912290925 PECOS PAC ID: 9032426762 Enrollment ID: I20170214000367 |
| Provider Name | Julia Tothova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831637453 PECOS PAC ID: 1254615826 Enrollment ID: I20170227000626 |
| Provider Name | Jennifer L Caruana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962803981 PECOS PAC ID: 1557645181 Enrollment ID: I20170228000411 |
| Provider Name | Shelly A Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497297824 PECOS PAC ID: 6608151428 Enrollment ID: I20170317001437 |
| Provider Name | Kristine M Sullivan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033650924 PECOS PAC ID: 3971888330 Enrollment ID: I20170327001411 |
| Provider Name | Stephanie L Scherrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588104665 PECOS PAC ID: 1850677683 Enrollment ID: I20170411000480 |
| Provider Name | Rachel Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780028134 PECOS PAC ID: 3779726757 Enrollment ID: I20170510001294 |
| Provider Name | Teela Dawn Crecelius |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902210263 PECOS PAC ID: 3678798998 Enrollment ID: I20170510001363 |
| Provider Name | Amber L Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487183182 PECOS PAC ID: 4981973997 Enrollment ID: I20170707000804 |
| Provider Name | Philip Winternheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417483363 PECOS PAC ID: 9234408899 Enrollment ID: I20170713001192 |
| Provider Name | Aksana Waskosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205262052 PECOS PAC ID: 0749550309 Enrollment ID: I20170714001711 |
| Provider Name | Kyle A Rahrig |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205276144 PECOS PAC ID: 1153628441 Enrollment ID: I20170717000549 |
| Provider Name | Juan Carlos Venis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043623069 PECOS PAC ID: 8628295078 Enrollment ID: I20170807003704 |
| Provider Name | Carly D Buchwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316460959 PECOS PAC ID: 3870865538 Enrollment ID: I20170816001166 |
| Provider Name | Katherine J Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306360359 PECOS PAC ID: 5597037259 Enrollment ID: I20170816001227 |
| Provider Name | Priyanthie Ganenthiran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962818286 PECOS PAC ID: 0840519799 Enrollment ID: I20170818001301 |
| Provider Name | Jennifer E Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285157859 PECOS PAC ID: 5698048585 Enrollment ID: I20170828003744 |
| Provider Name | Lindsey M Welty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881121960 PECOS PAC ID: 1557634482 Enrollment ID: I20170829000729 |
| Provider Name | Caitlin Bernard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477871929 PECOS PAC ID: 7810208857 Enrollment ID: I20170830000570 |
| Provider Name | Jayme Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043659436 PECOS PAC ID: 0446560221 Enrollment ID: I20170905001384 |
| Provider Name | Sherry L Ruthig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164871414 PECOS PAC ID: 8224301445 Enrollment ID: I20170908002021 |
| Provider Name | Kenneth Lee Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982041018 PECOS PAC ID: 6002059094 Enrollment ID: I20171004000606 |
| Provider Name | Palka R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508184201 PECOS PAC ID: 4284874363 Enrollment ID: I20171108000846 |
| Provider Name | Kristine S Berryman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851801484 PECOS PAC ID: 3375809304 Enrollment ID: I20171108001156 |
| Provider Name | Jessica C Bright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952635377 PECOS PAC ID: 6507123650 Enrollment ID: I20171128003659 |
| Provider Name | Keisha Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609383314 PECOS PAC ID: 1456611342 Enrollment ID: I20180215000057 |
| Provider Name | Amanda D Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629586714 PECOS PAC ID: 4880954635 Enrollment ID: I20180216000337 |
| Provider Name | Eric M Puster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174940340 PECOS PAC ID: 8426310871 Enrollment ID: I20180322001290 |
| Provider Name | Carley E Glaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285135673 PECOS PAC ID: 0941562391 Enrollment ID: I20180322001369 |
| Provider Name | Erica L Starks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013412790 PECOS PAC ID: 3072877109 Enrollment ID: I20180426000133 |
| Provider Name | Matthew L Turissini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346583424 PECOS PAC ID: 2062776057 Enrollment ID: I20180426002878 |
| Provider Name | Neha R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972949378 PECOS PAC ID: 5991939175 Enrollment ID: I20180514000940 |
| Provider Name | Vatsal Bajpai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013398353 PECOS PAC ID: 7810208238 Enrollment ID: I20180526000041 |
| Provider Name | Lindsay G Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730676131 PECOS PAC ID: 7113282906 Enrollment ID: I20180526000046 |
| Provider Name | Elizabeth A Lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346730744 PECOS PAC ID: 1153676291 Enrollment ID: I20180614000298 |
| Provider Name | Olivia H Winn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699264572 PECOS PAC ID: 2365797206 Enrollment ID: I20180619000314 |
| Provider Name | Karrmann E Mchaffie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073924494 PECOS PAC ID: 1355565797 Enrollment ID: I20180619000925 |
| Provider Name | Brenda Kay Melton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205081932 PECOS PAC ID: 2163741745 Enrollment ID: I20180619001049 |
| Provider Name | Mariah A Adams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164915310 PECOS PAC ID: 4789930140 Enrollment ID: I20180627003397 |
| Provider Name | Joel D Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053761460 PECOS PAC ID: 8527315522 Enrollment ID: I20180723001444 |
| Provider Name | Caitlin D Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114414448 PECOS PAC ID: 2365790854 Enrollment ID: I20180731001038 |
| Provider Name | Ruth M Human |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891292686 PECOS PAC ID: 8921356619 Enrollment ID: I20180813003104 |
| Provider Name | Hillary L Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073961918 PECOS PAC ID: 1456642628 Enrollment ID: I20180824000951 |
| Provider Name | Ofure Esangbedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467834291 PECOS PAC ID: 5799063780 Enrollment ID: I20180828000941 |
| Provider Name | Jacqueline F Abate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861980781 PECOS PAC ID: 8729339643 Enrollment ID: I20180914002507 |
| Provider Name | Emeri C Kinnamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396230140 PECOS PAC ID: 1456602788 Enrollment ID: I20180925002716 |
| Provider Name | James D Pollom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669959359 PECOS PAC ID: 6305197328 Enrollment ID: I20181001001923 |
| Provider Name | James G Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942613963 PECOS PAC ID: 9931325180 Enrollment ID: I20181012000919 |
| Provider Name | Stephen R Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477028330 PECOS PAC ID: 3678827813 Enrollment ID: I20181107000538 |
| Provider Name | Melanie D Monteith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134694813 PECOS PAC ID: 8729332606 Enrollment ID: I20181112002109 |
| Provider Name | Heather Marie Green-schembra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922534791 PECOS PAC ID: 5496009383 Enrollment ID: I20181113000223 |
| Provider Name | Katalyn B Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811465073 PECOS PAC ID: 8729332226 Enrollment ID: I20181120001930 |
| Provider Name | Christina M Stuckey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841765237 PECOS PAC ID: 3678817996 Enrollment ID: I20181127002714 |
| Provider Name | Margaret Marie Spolnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134577851 PECOS PAC ID: 0547552127 Enrollment ID: I20181211002920 |
| Provider Name | Hannah M Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013487347 PECOS PAC ID: 8729323563 Enrollment ID: I20181221002007 |
| Provider Name | Natalie S Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760955942 PECOS PAC ID: 7416295159 Enrollment ID: I20190205002110 |
| Provider Name | Adeoti E Oshinowo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023337920 PECOS PAC ID: 6406150531 Enrollment ID: I20190315002035 |
| Provider Name | Juan R Jaramillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568579670 PECOS PAC ID: 7315993888 Enrollment ID: I20190319003070 |
| Provider Name | Margot R Nagan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528367281 PECOS PAC ID: 1254563265 Enrollment ID: I20190326001806 |
| Provider Name | Nancy E Hammond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558391862 PECOS PAC ID: 6709889264 Enrollment ID: I20190326001897 |
| Provider Name | Patrice R. Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487150124 PECOS PAC ID: 5890036925 Enrollment ID: I20190417002649 |
| Provider Name | Adeel Ansari |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1558681429 PECOS PAC ID: 5799027710 Enrollment ID: I20190423001898 |
| Provider Name | Suzanne C Vanderweele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427520394 PECOS PAC ID: 5294078184 Enrollment ID: I20190516000688 |
| Provider Name | Joseph D Hartstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801245857 PECOS PAC ID: 4284926858 Enrollment ID: I20190520000613 |
| Provider Name | Donald R Westerhausen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437491974 PECOS PAC ID: 4688977515 Enrollment ID: I20190522002386 |
| Provider Name | Lujia Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184002123 PECOS PAC ID: 0749591279 Enrollment ID: I20190529001553 |
| Provider Name | Sarah B Gopman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194798272 PECOS PAC ID: 3274432331 Enrollment ID: I20190614000888 |
| Provider Name | Erica T Rutledge Annen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174188791 PECOS PAC ID: 1951635374 Enrollment ID: I20190618003770 |
| Provider Name | Cynthia Wei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457700510 PECOS PAC ID: 0749574580 Enrollment ID: I20190619003633 |
| Provider Name | Jennifer Marie King |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093163347 PECOS PAC ID: 3577854488 Enrollment ID: I20190702003060 |
| Provider Name | Mitchell R Mcclean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356797948 PECOS PAC ID: 8527359454 Enrollment ID: I20190703002774 |
| Provider Name | Megan R Shrader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396170288 PECOS PAC ID: 7911232319 Enrollment ID: I20190708001175 |
| Provider Name | Regina A Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811131667 PECOS PAC ID: 0446301154 Enrollment ID: I20190709000994 |
| Provider Name | Joanna J Campodonico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477973311 PECOS PAC ID: 8426328964 Enrollment ID: I20190723000673 |
| Provider Name | Matthew R Sall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700240983 PECOS PAC ID: 9537459045 Enrollment ID: I20190723003575 |
| Provider Name | Suparna Clasen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700171212 PECOS PAC ID: 6608025820 Enrollment ID: I20190809003039 |
| Provider Name | Tonya M Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994123 PECOS PAC ID: 1951638832 Enrollment ID: I20190815000862 |
| Provider Name | Deana F Kirtley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871147314 PECOS PAC ID: 8820326762 Enrollment ID: I20190829003623 |
| Provider Name | Brooke N Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225684327 PECOS PAC ID: 6002144946 Enrollment ID: I20190829003639 |
| Provider Name | Erin Colleen Hollingshead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316338569 PECOS PAC ID: 1456672245 Enrollment ID: I20190829003644 |
| Provider Name | Brooke D Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043872625 PECOS PAC ID: 2264760107 Enrollment ID: I20190829003719 |
| Provider Name | Parisa Mansoori |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932554938 PECOS PAC ID: 1355632076 Enrollment ID: I20190916000184 |
| Provider Name | Andrew J Wincek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366516452 PECOS PAC ID: 0042540890 Enrollment ID: I20190923000621 |
| Provider Name | Megan Kl Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104474923 PECOS PAC ID: 2163752403 Enrollment ID: I20190930000350 |
| Provider Name | Rakeisha N Robinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417503590 PECOS PAC ID: 5395076301 Enrollment ID: I20191004002932 |
| Provider Name | Stephanie L Walz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457906026 PECOS PAC ID: 7911238456 Enrollment ID: I20191014002779 |
| Provider Name | Shelby R Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750936142 PECOS PAC ID: 3779815071 Enrollment ID: I20191105001890 |
| Provider Name | Rotem Laszlo Abraham Elgavish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437366473 PECOS PAC ID: 9830260074 Enrollment ID: I20191203000089 |
| Provider Name | Qwintoria Q Upshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912549437 PECOS PAC ID: 5799118949 Enrollment ID: I20191203000390 |
| Provider Name | Takeki Suzuki |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1780747709 PECOS PAC ID: 2365696671 Enrollment ID: I20191214000482 |
| Provider Name | Tanyanan Tanawuttiwat |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1992980767 PECOS PAC ID: 8820226269 Enrollment ID: I20200109001219 |
| Provider Name | Kimberly A Allison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942848320 PECOS PAC ID: 4587099296 Enrollment ID: I20200127000351 |
| Provider Name | Kara Joanne Shrack |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619507159 PECOS PAC ID: 6800223926 Enrollment ID: I20200228002006 |
| Provider Name | Jennifer Zurosky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245556745 PECOS PAC ID: 8921397936 Enrollment ID: I20200314000169 |
| Provider Name | Paula M Mathewson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770534091 PECOS PAC ID: 3678901212 Enrollment ID: I20200315000087 |
| Provider Name | Brian T Edmonds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093340580 PECOS PAC ID: 7517396385 Enrollment ID: I20200330001427 |
| Provider Name | Sierra N Drees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184257909 PECOS PAC ID: 8921437799 Enrollment ID: I20200330001635 |
| Provider Name | Jennifer Pillow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962033324 PECOS PAC ID: 4789013301 Enrollment ID: I20200402002388 |
| Provider Name | Clare Colette Prohaska |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053705467 PECOS PAC ID: 9931415379 Enrollment ID: I20200406002215 |
| Provider Name | Roberto Carlos Swazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679953624 PECOS PAC ID: 7719290006 Enrollment ID: I20200406002490 |
| Provider Name | Nichole A Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265812804 PECOS PAC ID: 8325352065 Enrollment ID: I20200407001842 |
| Provider Name | Torsten M. Schreiber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598119703 PECOS PAC ID: 0840580015 Enrollment ID: I20200528002588 |
| Provider Name | Kiran K Aravapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689102543 PECOS PAC ID: 7113296385 Enrollment ID: I20200609002949 |
| Provider Name | Upasana Jarori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689011843 PECOS PAC ID: 9638312630 Enrollment ID: I20200616002701 |
| Provider Name | Jyes Annemarie Querubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154688604 PECOS PAC ID: 6901179662 Enrollment ID: I20200629001663 |
| Provider Name | Lindsay Cueto-delgado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659815421 PECOS PAC ID: 3274889860 Enrollment ID: I20200723002362 |
| Provider Name | Onyedika John Ilonze |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174752554 PECOS PAC ID: 9830346451 Enrollment ID: I20200804002863 |
| Provider Name | Megha S Panda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235303652 PECOS PAC ID: 1456516913 Enrollment ID: I20200805003360 |
| Provider Name | Corissa Elizabeth Dionisio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295122299 PECOS PAC ID: 5395057152 Enrollment ID: I20200817001975 |
| Provider Name | Leah J Pyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356797146 PECOS PAC ID: 9830516632 Enrollment ID: I20200825001924 |
| Provider Name | Norianne Martinez Pimentel-piatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841646981 PECOS PAC ID: 6901149061 Enrollment ID: I20200903002065 |
| Provider Name | Colette Anne Despain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295345155 PECOS PAC ID: 1254758204 Enrollment ID: I20200904001442 |
| Provider Name | Olexandr Smolensky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962650440 PECOS PAC ID: 4981822475 Enrollment ID: I20200915001384 |
| Provider Name | Candy S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922256775 PECOS PAC ID: 1850450743 Enrollment ID: I20201012002094 |
| Provider Name | Anna-marieta Moise |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083972046 PECOS PAC ID: 4385933589 Enrollment ID: I20201013000922 |
| Provider Name | Rolyn Munah Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598388407 PECOS PAC ID: 9133549595 Enrollment ID: I20201023001658 |
| Provider Name | Victoria Faye Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164038238 PECOS PAC ID: 8628489697 Enrollment ID: I20201123002162 |
| Provider Name | Patrick Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245849728 PECOS PAC ID: 5597179226 Enrollment ID: I20210120003022 |
| Provider Name | Sarah Arosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699364729 PECOS PAC ID: 2961817382 Enrollment ID: I20210217002032 |
| Provider Name | Dmytro P Konstantynov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760790752 PECOS PAC ID: 7214342575 Enrollment ID: I20210218001144 |
| Provider Name | Alissa M Conklin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437318953 PECOS PAC ID: 3375708423 Enrollment ID: I20210405000675 |
| Provider Name | Alyson Grider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558943316 PECOS PAC ID: 4587072764 Enrollment ID: I20210428001744 |
| Provider Name | Gabrielle M Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295311579 PECOS PAC ID: 7416366422 Enrollment ID: I20210504000950 |
| Provider Name | Monica N Sanchez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326620592 PECOS PAC ID: 8022427970 Enrollment ID: I20210506000998 |
| Provider Name | Kirsten Marie Fitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013455658 PECOS PAC ID: 8820367295 Enrollment ID: I20210701002040 |
| Provider Name | Josias Caleb Aguiar Dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932536091 PECOS PAC ID: 9739581653 Enrollment ID: I20210714001528 |
| Provider Name | Heidi Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235714916 PECOS PAC ID: 5698177418 Enrollment ID: I20210715001580 |
| Provider Name | Jeremy Mccally Mosher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003303173 PECOS PAC ID: 8628328788 Enrollment ID: I20210721001678 |
| Provider Name | Michelle Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184074395 PECOS PAC ID: 6800188277 Enrollment ID: I20210728002925 |
| Provider Name | Amanda Marie Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962931345 PECOS PAC ID: 6204104961 Enrollment ID: I20210811001082 |
| Provider Name | Kamaldeep K Singh Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528592466 PECOS PAC ID: 4385913805 Enrollment ID: I20210824001945 |
| Provider Name | Matthew Alan Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609473297 PECOS PAC ID: 5890190128 Enrollment ID: I20210824002228 |
| Provider Name | Amy K Caldwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700273448 PECOS PAC ID: 4082924873 Enrollment ID: I20210830003029 |
| Provider Name | Sonia Acevedo Espinoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720019268 PECOS PAC ID: 8426241753 Enrollment ID: I20210908001204 |
| Provider Name | Emily M Kirschbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477229599 PECOS PAC ID: 4183020613 Enrollment ID: I20210909001432 |
| Provider Name | Monica J Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578139168 PECOS PAC ID: 6709283716 Enrollment ID: I20210917001231 |
| Provider Name | Mackenzie Hamm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447856034 PECOS PAC ID: 0749687101 Enrollment ID: I20210928000668 |
| Provider Name | Kathleen E Stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093478281 PECOS PAC ID: 0244628378 Enrollment ID: I20211022000996 |
| Provider Name | Carolyn A Dickson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649942145 PECOS PAC ID: 9638567407 Enrollment ID: I20211027002100 |
| Provider Name | Olivia Nirmalasari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821302225 PECOS PAC ID: 7113154022 Enrollment ID: I20211104001866 |
| Provider Name | Maureen Caitlin Benge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265937197 PECOS PAC ID: 8820487218 Enrollment ID: I20211104002326 |
| Provider Name | Victoria Hedges |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356013296 PECOS PAC ID: 3678962735 Enrollment ID: I20211110001940 |
| Provider Name | Chase Kenneth Jennette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093116469 PECOS PAC ID: 0244629715 Enrollment ID: I20211123001127 |
| Provider Name | Pauline S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275296014 PECOS PAC ID: 5597155440 Enrollment ID: I20211208000706 |
| Provider Name | Rachel Kathleen Gantz Fingerhut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346908761 PECOS PAC ID: 3375935968 Enrollment ID: I20220111001038 |
| Provider Name | Robert F Louden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033378062 PECOS PAC ID: 0345632543 Enrollment ID: I20220120001969 |
| Provider Name | John Millichap |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225211600 PECOS PAC ID: 4688827009 Enrollment ID: I20220202001888 |
| Provider Name | Dayna Marie Perkowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144495094 PECOS PAC ID: 8628391315 Enrollment ID: I20220207000527 |
| Provider Name | Claudia Earlaine Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033862057 PECOS PAC ID: 7315330602 Enrollment ID: I20220209001650 |
| Provider Name | Matthew Harry Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104033281 PECOS PAC ID: 2365628831 Enrollment ID: I20220209001772 |
| Provider Name | Melissa L Cirillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952564015 PECOS PAC ID: 0648311308 Enrollment ID: I20220211001132 |
| Provider Name | Amy Elizabeth Guzman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386396885 PECOS PAC ID: 4880087725 Enrollment ID: I20220217000239 |
| Provider Name | Autumn J Agbaza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730840299 PECOS PAC ID: 9234523648 Enrollment ID: I20220301001742 |
| Provider Name | Stephen Parker Fulton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548209257 PECOS PAC ID: 5698773943 Enrollment ID: I20220304000560 |
| Provider Name | Helen Bishara |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992978860 PECOS PAC ID: 9234495896 Enrollment ID: I20220405001665 |
| Provider Name | Tiffany Marie Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619631132 PECOS PAC ID: 3870989072 Enrollment ID: I20220414001212 |
| Provider Name | Allison Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588127237 PECOS PAC ID: 6507199197 Enrollment ID: I20220506000470 |
| Provider Name | Abigail B Wade |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417587890 PECOS PAC ID: 6103203302 Enrollment ID: I20220509001947 |
| Provider Name | Katherine Louise Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013652346 PECOS PAC ID: 7911384672 Enrollment ID: I20220518001302 |
| Provider Name | Alejandra Maria Stewart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588897664 PECOS PAC ID: 6305223991 Enrollment ID: I20220520000762 |
| Provider Name | Kelsey Suzanne Huling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861147928 PECOS PAC ID: 6800275223 Enrollment ID: I20220615001333 |
| Provider Name | Craig Bullington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952863508 PECOS PAC ID: 1456684828 Enrollment ID: I20220616001497 |
| Provider Name | Habiba Tanweer Choudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770044562 PECOS PAC ID: 1850625138 Enrollment ID: I20220621000974 |
| Provider Name | Susanne Bentley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063905495 PECOS PAC ID: 1557611027 Enrollment ID: I20220628001762 |
| Provider Name | Michael Vincent Purol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447981543 PECOS PAC ID: 4688057193 Enrollment ID: I20220816003154 |
| Provider Name | Caitlin Elizabeth Maxie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205276433 PECOS PAC ID: 6103209366 Enrollment ID: I20220820000306 |
| Provider Name | Jasser Khairallah |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1396249561 PECOS PAC ID: 6103161971 Enrollment ID: I20220824002091 |
| Provider Name | Nomi Kate Sherwin |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1285169300 PECOS PAC ID: 0446528574 Enrollment ID: I20220901002743 |
| Provider Name | Kelly Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003483157 PECOS PAC ID: 2769873082 Enrollment ID: I20220907002240 |
| Provider Name | Sarah Sherer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972009538 PECOS PAC ID: 6608285374 Enrollment ID: I20220909002178 |
| Provider Name | Deena Ahmed Elsahy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144710823 PECOS PAC ID: 2769747260 Enrollment ID: I20220914001330 |
| Provider Name | Carla Arellano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174051239 PECOS PAC ID: 5799053773 Enrollment ID: I20220915000328 |
| Provider Name | James Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750009213 PECOS PAC ID: 6204202062 Enrollment ID: I20221019001013 |
| Provider Name | Cassandra Zahara Rutherford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235700501 PECOS PAC ID: 0840668257 Enrollment ID: I20221116000778 |
| Provider Name | Samuel Robert Kleber |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346966538 PECOS PAC ID: 3870961600 Enrollment ID: I20221128002793 |
| Provider Name | Christina Santangelo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588604243 PECOS PAC ID: 8426145525 Enrollment ID: I20221209002586 |
| Provider Name | Julia Alison Ramsey-tharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265131643 PECOS PAC ID: 7719350164 Enrollment ID: I20230306000595 |
| Provider Name | Rene F Elsbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083309785 PECOS PAC ID: 3173998614 Enrollment ID: I20230413002907 |
| Provider Name | January Jeter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487133039 PECOS PAC ID: 5193180909 Enrollment ID: I20230501002161 |
| Provider Name | Roberta Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649550492 PECOS PAC ID: 4880865179 Enrollment ID: I20230601001767 |
| Provider Name | Don Sim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346702693 PECOS PAC ID: 2860726155 Enrollment ID: I20230615002473 |
| Provider Name | Michelle Christine Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063868545 PECOS PAC ID: 9335430958 Enrollment ID: I20230629002718 |
| Provider Name | Ariel Marie Dryden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508486754 PECOS PAC ID: 3072935493 Enrollment ID: I20230701000342 |
| Provider Name | Sara C Spielman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609430230 PECOS PAC ID: 3779810494 Enrollment ID: I20230705003051 |
| Provider Name | Alyssa Cooke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598227902 PECOS PAC ID: 4789910977 Enrollment ID: I20230711002549 |
| Provider Name | Chloe Higgins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215556345 PECOS PAC ID: 5698197622 Enrollment ID: I20230713000980 |
| Provider Name | Andrew Visco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750943353 PECOS PAC ID: 8729448287 Enrollment ID: I20230714002853 |
| Provider Name | Leticia Martinez Mateos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952032989 PECOS PAC ID: 8325409535 Enrollment ID: I20230804000267 |
| Provider Name | Stacey M. Charles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255940417 PECOS PAC ID: 8224453717 Enrollment ID: I20230809001162 |
| Provider Name | Elizabeth Kay Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992485528 PECOS PAC ID: 3274995105 Enrollment ID: I20230809003002 |
| Provider Name | Andrea Elizabeth Ridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215617899 PECOS PAC ID: 2860854569 Enrollment ID: I20230811002582 |
| Provider Name | Rebecca E Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487187258 PECOS PAC ID: 7911256912 Enrollment ID: I20230814003853 |
| Provider Name | Shailesh Zaveri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104898345 PECOS PAC ID: 8729015557 Enrollment ID: I20230825001163 |
| Provider Name | Brian Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346023728 PECOS PAC ID: 6103289566 Enrollment ID: I20230831004382 |
| Provider Name | Sandy Johana Palaguachi-ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194353649 PECOS PAC ID: 0244693414 Enrollment ID: I20230906001176 |
| Provider Name | Elijah J. Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942861737 PECOS PAC ID: 8123356573 Enrollment ID: I20230906002305 |
| Provider Name | Sujal H Modi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184068561 PECOS PAC ID: 5496058042 Enrollment ID: I20230912001636 |
| Provider Name | Alyssa June Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538841820 PECOS PAC ID: 5496119240 Enrollment ID: I20230912001926 |
| Provider Name | Daniel Patrick Riggins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912404427 PECOS PAC ID: 7113282427 Enrollment ID: I20231006003141 |
| Provider Name | Hussein I Magale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184244931 PECOS PAC ID: 0749608339 Enrollment ID: I20231101002178 |
| Provider Name | Derek James Andrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124762547 PECOS PAC ID: 6204284847 Enrollment ID: I20231121001060 |
| Provider Name | Kari Anne Deutscher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740798354 PECOS PAC ID: 7315395837 Enrollment ID: I20231122000851 |
| Provider Name | Mark H Graeser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932472149 PECOS PAC ID: 8123476108 Enrollment ID: I20231201000278 |
| Provider Name | Jennifer L Holt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689790966 PECOS PAC ID: 5698123453 Enrollment ID: I20231205000880 |
| Provider Name | Angela Rader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134991912 PECOS PAC ID: 8426407149 Enrollment ID: I20231206003947 |
| Provider Name | Terry Daniel Brenner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386881043 PECOS PAC ID: 9638456288 Enrollment ID: I20231208001241 |
| Provider Name | Kirsten R Shriver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063022044 PECOS PAC ID: 8921457185 Enrollment ID: I20231213001052 |
| Provider Name | Cynthia Ames |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568992576 PECOS PAC ID: 5991154924 Enrollment ID: I20231215000348 |
| Provider Name | Adam Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740689033 PECOS PAC ID: 3779932777 Enrollment ID: I20231215003344 |
| Provider Name | Tiffany S Fagan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912572660 PECOS PAC ID: 9931558889 Enrollment ID: I20231218001659 |
| Provider Name | Hannah Vining |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700560315 PECOS PAC ID: 3173973021 Enrollment ID: I20231219001984 |
| Provider Name | James D Pixey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568014298 PECOS PAC ID: 3870943491 Enrollment ID: I20231222001431 |
| Provider Name | David Stombaugh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588052518 PECOS PAC ID: 0547610172 Enrollment ID: I20231222001667 |
| Provider Name | Kerri M Pulley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417451279 PECOS PAC ID: 3870943376 Enrollment ID: I20231226000892 |
| Provider Name | Tameka M Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184135295 PECOS PAC ID: 9830549005 Enrollment ID: I20231229002192 |
| Provider Name | Melanie J. Davison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013209865 PECOS PAC ID: 7012367147 Enrollment ID: I20240102001332 |
| Provider Name | Derek C Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962045849 PECOS PAC ID: 8729438890 Enrollment ID: I20240102002539 |
| Provider Name | Courtney E Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972156644 PECOS PAC ID: 5294185377 Enrollment ID: I20240102002900 |
| Provider Name | Eduardo Tabor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225440704 PECOS PAC ID: 0143671123 Enrollment ID: I20240104001482 |
| Provider Name | Marissa Allison Wills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619584729 PECOS PAC ID: 0749631646 Enrollment ID: I20240104002854 |
| Provider Name | Willie P Flowers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740484831 PECOS PAC ID: 9739530643 Enrollment ID: I20240104002913 |
| Provider Name | Adam Kyle Craig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720439516 PECOS PAC ID: 9638520463 Enrollment ID: I20240105002744 |
| Provider Name | Dea Marie Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740520048 PECOS PAC ID: 4587015334 Enrollment ID: I20240105003449 |
| Provider Name | Stephanie Krystie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043085145 PECOS PAC ID: 2961855572 Enrollment ID: I20240131000984 |
| Provider Name | Timothy D Mallory |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992460943 PECOS PAC ID: 2163865601 Enrollment ID: I20240212002267 |
| Provider Name | Katherine Grace Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477324531 PECOS PAC ID: 0143664532 Enrollment ID: I20240213003591 |
| Provider Name | Kate M. Causey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497213441 PECOS PAC ID: 6901240092 Enrollment ID: I20240216001170 |
| Provider Name | Maria De Los Angeles M. Gamarra Talledo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982229126 PECOS PAC ID: 2062834500 Enrollment ID: I20240217000249 |
| Provider Name | Shannon L. Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124802863 PECOS PAC ID: 7315381126 Enrollment ID: I20240220004387 |
| Provider Name | Kinsey M Edwards |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255563821 PECOS PAC ID: 3577913631 Enrollment ID: I20240308002841 |
| Provider Name | Yi-jou Tsai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053674903 PECOS PAC ID: 5890018568 Enrollment ID: I20240312002717 |
| Provider Name | Erin E. Daily |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073382172 PECOS PAC ID: 3870930316 Enrollment ID: I20240320001640 |
| Provider Name | Nicole J. Emerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467219253 PECOS PAC ID: 7012354327 Enrollment ID: I20240322000358 |
| Provider Name | Jenna Lynn Beck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891560728 PECOS PAC ID: 0244678704 Enrollment ID: I20240402004264 |
| Provider Name | Elizabeth Yvonne Streich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851152235 PECOS PAC ID: 8820437346 Enrollment ID: I20240417001449 |
| Provider Name | Carolyn L. Gordon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609143205 PECOS PAC ID: 5991022543 Enrollment ID: I20240426002694 |
| Provider Name | Sherria S Dickerson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417545708 PECOS PAC ID: 5890136543 Enrollment ID: I20240511000407 |
| Provider Name | Sarah K Pastrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023886983 PECOS PAC ID: 9032551940 Enrollment ID: I20240523001830 |
| Provider Name | Elizabeth Anne Morrison |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730758764 PECOS PAC ID: 9638611130 Enrollment ID: I20240612002368 |
Indiana Behavior Analysis Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2417 Baur Dr, Indianapolis, IN 46220 Phone: 317-414-2147 | |
St. Vincent Stress Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 | |
Reach For Youth, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5401 Shelby St, Indianapolis, IN 46227 Phone: 317-788-4451 Fax: 317-788-4465 | |
Hns Consulting Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4954 E 56th St Ste 14, Indianapolis, IN 46220 Phone: 317-640-6997 | |
Brain Performance Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3003 E. 98th Street, Suite # 107, Indianapolis, IN 46280 Phone: 463-273-2093 Fax: 317-672-1971 | |
Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 E 86th St, Ste. 101, Indianapolis, IN 46240 Phone: 317-466-1516 | |
Mind Matters Counseling And Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7962 Oaklandon Rd Ste 106, Indianapolis, IN 46236 Phone: 317-721-6145 |